What does a score of 42 mean?

42 out of 100 places bloody mary in the "caution" band. Ranks toward the higher-risk end. Many people choose to keep portions smaller and less frequent. Scores rank foods against each other on average across a population. They are not a personal risk level.

What portion is the score based on?

Nutrition figures are given per 100 g, and the scoring applies a serving-size adjustment based on this food's typical portion: 1 drink (225 g). Eating substantially more or less than that shifts the real-world effect accordingly.

How confident is this score?

Based on the measured median for this food category. Because the purine figure is estimated rather than directly measured, read this score as approximate.

Can I eat bloody mary if I have gout?

That is a question for you and your clinician. This page ranks foods on published population-average evidence; it does not account for your urate level, kidney function, medications or overall eating pattern.

Beverage

Bloody mary

USDA description: Bloody Mary

How bloody mary scores for gout, what moved that score, and the nutrition and portions behind it.

Food Index score

Bloody maryCaution

0100

Based on a well-supported purine estimate

What moved this score
Starting score	100
Alcohol	-31.4
Category: Spirits	-25
Vitamin C	+6
Sodium	-5.1
Nutrient Gaps	-4
Fiber	+0.6
3 smaller factors	+0.7
Final score	42

Flare risk (acute)44

Long-term (chronic)98

Bloody mary scores 42 out of 100 and sits in the caution band. Ranks toward the higher-risk end. Many people choose to keep portions smaller and less frequent.

Penalties took 65.6 points off a starting score of 100, and protective factors added 7.4 back. Every factor is listed in full below.

Scores run 0–100, where higher means more gout-friendly on average. They reflect relative ranking across foods, not a personal risk level. The same food can suit one person and not another, so use the score as a starting point for a conversation with your clinician.

Compare with another foodMore liquor and cocktails How scoring works

The underlying data

Nutrition and portions

Nutrition Facts

Amounts per 100 g

Typical serving225 g

Calories73

Total Fat0.23 g
Saturated Fat0.02 g
Sodium200 mg
Dietary Fiber0.40 g
Total Sugars2.3 g
Protein0.67 g

Calcium10 mg
Iron0.34 mg
Magnesium8 mg
Vitamin C38.6 mg
Folate15 ug

Water86.8 g
Alcohol7.8 g
Omega-3 EPA0 g
Omega-3 DHA0 g

Common portions

1 fl oz30 g
1 drinktypical225 g
Quantity not specified225 g

Where the purine figure comes from

No direct purine measurement has been published for this food, so the score uses the measured median for its category (liquor and cocktails).

We rate this a good confidence estimate.

How purines affect the score →

Nutrition values from the USDA FoodData Central database.

Scoring rationale

Every factor, in full

Each row shows the points a factor moved, what drove it, and the studies behind its weight.

PointsFactorAffects

-31.4
AlcoholFlare risk
7.8 g of alcohol per 100 g, scaled 2.3x for the typical portion. Alcohol slows the kidneys' clearance of urate.
Evidence: FitzGerald JD 2020, Arthritis Care Res · Zhang Y 2006, Am J Med
Flare risk
-25
Category: SpiritsFlare risk
High alcohol concentration per serving; impairs renal urate excretion.
Evidence: Choi HK 2004, N Engl J Med · Choi HK 2008, BMJ · Zhang Y 2006, Am J Med
Flare risk
+6
Vitamin CLong-term
38.6 mg of vitamin C per 100 g, scaled 2.3x for the typical portion. Vitamin C helps the kidneys excrete urate.
Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2011, Arthritis Care Res
Long-term
-5.1
SodiumLong-term
200 mg of sodium per 100 g, scaled 2.3x for the typical portion.
Evidence: FitzGerald JD 2020, Arthritis Care Res
Long-term
-4
Nutrient GapsLong-term
Provides meaningful amounts of only 3 of the 5 protective nutrient groups (vitamin C, fiber, omega-3, magnesium and folate).
Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2016, Arthritis Rheumatol · Zhang M 2019, Arthritis Rheumatol
Long-term
+0.6
FiberLong-term
0.4 g of dietary fiber per 100 g, scaled 2.3x for the typical portion.
Evidence: Juraschek SP 2016, Arthritis Rheumatol
Long-term
+0.5
MagnesiumLong-term
8 mg of magnesium per 100 g, scaled 2.3x for the typical portion.
Evidence: Li X 2015, BMJ
Long-term
+0.3
FolateLong-term
15 µg of folate per 100 g, scaled 2.3x for the typical portion.
Evidence: Lyu LC 2017, Am J Clin Nutr
Long-term
-0.1
Saturated FatLong-term
0.02 g of saturated fat per 100 g, scaled 2.3x for the typical portion.
Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol
Long-term

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