Dairy
Hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) milk
How hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) milk scores for gout, what moved that score, and the nutrition and portions behind it.
Food Index score
Hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) milkExcellent
| Starting score | 100 |
| Fructose | -20.7 |
| Dairy Protection | +10 |
| Nutrient Gaps | -8 |
| Sodium | -1.4 |
| Magnesium | +1 |
| Saturated Fat | -0.8 |
| 1 smaller factor | -0.1 |
| Final score | 80 |
Hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) milk scores 80 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 31 points off a starting score of 100, and protective factors added 11 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 Fat1.7 g
- Saturated Fat0.90 g
- Sodium50 mg
- Dietary Fiber0 g
- Total Sugars9.3 g
- Protein3.0 g
- Calcium105 mg
- Iron0 mg
- Magnesium16 mg
- Vitamin C0.20 mg
- Folate2 ug
- Water84.1 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.
- -20.7Long-term
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
- +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
- -8Long-term
Nutrient GapsLong-term
Provides meaningful amounts of only 1 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
- -1.4Long-term
SodiumLong-term
50 mg of sodium per 100 g, scaled 2.5x for the typical portion.
Evidence: FitzGerald JD 2020, Arthritis Care Res
- +1Long-term
MagnesiumLong-term
16 mg of magnesium per 100 g, scaled 2.5x for the typical portion.
Evidence: Li X 2015, BMJ
- -0.8Long-term
Saturated FatLong-term
0.9 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
- -0.1Flare 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
Common questions
About hot chocolate / cocoa, reduced sugar, made with whole or reduced fat (2%) 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.