Can people with gout eat razor clams?

Patients with gout should not eat razor clams. The main reason is that razor clams have a relatively high purine content. As a type of seafood, razor clams contain approximately 75–150 mg of purines per 100 grams, placing them in the category of moderate-purine foods. For individuals with gout, whose uric acid levels are already elevated, purines—being precursors to uric acid—can lead to increased uric acid production when consumed in high amounts. This can worsen symptoms of gout such as joint pain and swelling. In addition, patients with gout should also avoid other high-purine foods such as organ meats, red meats, and legumes, while increasing their intake of low-purine foods like fresh vegetables and fruits, in order to maintain stable uric acid levels and reduce the risk of gout attacks. Therefore, patients with gout should pay special attention to their diet and avoid consuming high-purine foods such as razor clams.