Flarebreak Logo

Dairy

Whole chocolate milk

USDA description: Chocolate milk, whole

How whole chocolate milk scores for gout, what moved that score, and the nutrition and portions behind it.

Food Index score

Whole chocolate milkGood

79/ 100
0100
Based on a well-supported purine estimate
What moved this score
Starting score100
Fructose-21.2
Dairy Protection+6
Nutrient Gaps-4
Saturated Fat-2
Sodium-1.7
Fiber+1.2
5 smaller factors+0.9
Final score79
Flare risk (acute)100
Long-term (chronic)79

Whole chocolate milk scores 79 out of 100 and sits in the good band. Generally ranks well. Most people with gout find it fits into a regular eating pattern.

Penalties took 29.1 points off a starting score of 100, and protective factors added 8.3 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.

The underlying data

Nutrition and portions

Nutrition Facts

Amounts per 100 g
Typical serving248 g
Calories83
  • Total Fat3.4 g
  • Saturated Fat2.1 g
  • Sodium60 mg
  • Dietary Fiber0.80 g
  • Total Sugars9.5 g
  • Protein3.2 g
  • Calcium112 mg
  • Iron0.24 mg
  • Magnesium13 mg
  • Vitamin C0.90 mg
  • Folate5 ug
  • Water82.3 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 cuptypical248 g
  • 1 fl oz31 g
  • 1 individual school container248 g
  • Quantity not specified248 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 (milk).

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.

PointsFactor
  • -21.2

    FructoseLong-term

    An estimated 3.3 g of fructose per 100 g, scaled 2.5x for the typical portion.

    Evidence: Choi HK 2008, BMJ · Choi HK 2010, JAMA

  • +6

    Dairy ProtectionFlare + long-term

    Dairy protein lowers urate, though full-fat dairy earns a smaller bonus than low-fat.

    Evidence: Choi HK 2004, N Engl J Med · Dalbeth N 2010, Ann Rheum Dis · Dalbeth N 2012, Curr Rheumatol Rep

  • -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

  • -2

    Saturated FatLong-term

    2.1 g of saturated fat per 100 g, scaled 2.5x for the typical portion. Discounted 75% because dairy fat shows a weaker association.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol

  • -1.7

    SodiumLong-term

    60 mg of sodium per 100 g, scaled 2.5x for the typical portion.

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • +1.2

    FiberLong-term

    0.8 g of dietary fiber per 100 g, scaled 2.5x for the typical portion.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol

  • +0.8

    MagnesiumLong-term

    13 mg of magnesium per 100 g, scaled 2.5x for the typical portion.

    Evidence: Li X 2015, BMJ

  • +0.2

    Vitamin CLong-term

    0.9 mg of vitamin C per 100 g, scaled 2.5x for the typical portion. Vitamin C helps the kidneys excrete urate.

    Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2011, Arthritis Care Res

  • -0.1

    Purine LoadFlare risk

    5 mg of purines per 100 g, weighted 0.05x as a dairy source and 2.5x for the typical portion: 1 mg effective.

    Evidence: Choi HK 2004, N Engl J Med · Kaneko K 2014, Biol Pharm Bull · Zhang Y 2012, Ann Rheum Dis

  • -0.1

    Calorie DensityLong-term

    83 kcal per 100 g, above the 80 kcal energy-density threshold.

    Evidence: Aune D 2014, Eur J Nutr

  • +0.1

    FolateLong-term

    5 µg of folate per 100 g, scaled 2.5x for the typical portion.

    Evidence: Lyu LC 2017, Am J Clin Nutr

Common questions

About whole chocolate milk

Look up any food's Food Index score

Each score lists the factors that moved it, the portion it assumes, and the studies behind each factor's weight.

Related Gout Resources

Gout Treatments

Explore medications, therapies, and lifestyle changes to manage gout.

Learn more →

Gout Blog

Latest research, tips, and stories from the gout community.

Read articles →