Dairy
Hot chocolate / cocoa, dry mix, made with water, with whipped cream
How hot chocolate / cocoa, dry mix, made with water, with whipped cream scores for gout, what moved that score, and the nutrition and portions behind it.
Food Index score
Hot chocolate / cocoa, dry mix, made with water, with whipped creamExcellent
| Starting score | 100 |
| Fructose | -19.4 |
| Dairy Protection | +10 |
| Nutrient Gaps | -6 |
| Sodium | -2 |
| Saturated Fat | -1 |
| Fiber | +0.8 |
| 2 smaller factors | +0.6 |
| Final score | 83 |
Hot chocolate / cocoa, dry mix, made with water, with whipped cream scores 83 out of 100 and sits in the excellent band. Among the lower-risk choices for most people with gout, and often carries protective nutrients.
Penalties took 28.5 points off a starting score of 100, and protective factors added 11.5 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
- Total Fat1.8 g
- Saturated Fat1.1 g
- Sodium69 mg
- Dietary Fiber0.50 g
- Total Sugars8.8 g
- Protein0.94 g
- Calcium22 mg
- Iron0.15 mg
- Magnesium12 mg
- Vitamin C0 mg
- Folate1 ug
- Water85.4 g
- Alcohol0 g
- Omega-3 EPA0 g
- Omega-3 DHA0 g
Common portions
- 1 cuptypical248 g
- 1 fl oz31 g
- 1 packet, reconstituted248 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.
- -19.4Long-term
FructoseLong-term
An estimated 3.1 g of fructose per 100 g, scaled 2.5x for the typical portion.
Evidence: Choi HK 2008, BMJ · Choi HK 2010, JAMA
- +10Flare + long-term
Dairy ProtectionFlare + long-term
Low-fat dairy protein lowers urate (the orotic acid and casein effect), earning the full protective bonus.
Evidence: Choi HK 2004, N Engl J Med · Dalbeth N 2010, Ann Rheum Dis · Dalbeth N 2012, Curr Rheumatol Rep
- -6Long-term
Nutrient GapsLong-term
Provides meaningful amounts of only 2 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
- -2Long-term
SodiumLong-term
69 mg of sodium per 100 g, scaled 2.5x for the typical portion.
Evidence: FitzGerald JD 2020, Arthritis Care Res
- -1Long-term
Saturated FatLong-term
1.06 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
- +0.8Long-term
FiberLong-term
0.5 g of dietary fiber per 100 g, scaled 2.5x for the typical portion.
Evidence: Juraschek SP 2016, Arthritis Rheumatol
- +0.7Long-term
MagnesiumLong-term
12 mg of magnesium per 100 g, scaled 2.5x for the typical portion.
Evidence: Li X 2015, BMJ
- -0.1Flare risk
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
Keep looking
Similar foods in milk
Chocolate milk, reduced sugar, reduced fat (2%)
Milk · Excellent
Chocolate milk, reduced fat (2%)
Milk · Excellent
Hot chocolate / cocoa, dry mix, reduced sugar, made with whole or reduced fat (2%) milk
Milk · Excellent
Hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) milk
Milk · Excellent
Chocolate milk, reduced sugar, whole
Milk · Good
Chocolate milk, whole
Milk · Good
Common questions
About hot chocolate / cocoa, dry mix, made with water, with whipped cream
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.