I have been reading a book, Drop Acid, by Dr. David Perlmutter. I have not finished reading. However, he does make a case for keto dieting with moderate consumption of some proteins that elevate uric acid. Overall, the book is, like keto dieting, favorable towards low-carb foods.
Whereas the keto diet's goal is to put your body into ketosis, Dr. Perlmutter's suggestion is that we go a step further by reducing uric acid, which at high levels can be counterproductive to weight loss.
The challenge is that heavy exercise, fasting, and to a small degree keto dieting can temporarily increase uric acid. However, a successful regimen can lower the baseline level of uric acid in the body.
In addition to eating low-carbs and high fat foods, Dr. Perlmutter suggests taking supplements with quercetin, luteolin, vitamin C, and chlorella, DHA (fish oil), and even tart cherries. All of these will individually and jointly contribute to the body's ability to excrete or reduce the production of uric acid.
The reduction of uric acid, in turn, helps your body with symptoms like high blood pressure, high a1c, high triglycerides, and other pre-diabetic markers. There's even a tie-in with lower nitrous oxide, which is associated with erectile dysfunction. In short, metabolic syndrome is more than just a problem of glucose. It is also a problem of uric acid.
Ultimately, Dr. Perlmutter recommends monitoring glucose levels and uric acid levels at least once per week.
Finally, Drop Acid also makes the case as to why we should drink more water, exercise, and consume less sodium. All three are related to uric acid in that high levels of sodium make your body think it is dehydrated. As a result, your blood pressure rises thinking that you have lower blood volume. This, also triggers an increase in uric acid.
Drinking more water helps flush out excess sodium through urine. Exercise also flushes out excess sodium through sweat.
Overall, Drop Acid does not contradict what is known about the effects of diet and exercise on the body. In fact, the book explains the mechanism, around uric acid, that ties all of these things together. It is worth spending some time reading the book for more details about the research and studies that demonstrate the tie between uric acid and a large number of health problems.
LINKS
Here is an affiliate link to Drop Acid on Amazon. https://amzn.to/3zhTbSi