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Animal / meat

Beef liver

USDA description: Liver, beef

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

Food Index score

Beef liverAvoid

7/ 100
0100
Based on measured purine data
What moved this score
Starting score100
Purine Load-43.5
Category: Organ meats-30
Nutrient Gaps-6
Heme Iron-5
Sodium-4.4
Saturated Fat-3.8
4 smaller factors0
Final score7
Flare risk (acute)27
Long-term (chronic)51

Beef liver scores 7 out of 100 and sits in the avoid band. Among the highest-risk foods in the database, with the strongest evidence linking it to gout risk.

Penalties took 95.4 points off a starting score of 100, and protective factors added 2.7 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 serving85 g
Calories174
  • Total Fat4.6 g
  • Saturated Fat2.5 g
  • Sodium384 mg
  • Dietary Fiber0 g
  • Total Sugars0 g
  • Protein26.3 g
  • Calcium6 mg
  • Iron6.1 mg
  • Magnesium22 mg
  • Vitamin C0.70 mg
  • Folate258 ug
  • Water61.5 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 slice, any sizetypical85 g
  • 1 oz yields20 g
  • 1 cubic inch22 g
  • 1 cup125 g
  • Quantity not specified85 g

Where the purine figure comes from

The purine content of this food has been measured directly in published laboratory studies, so the score uses that measured figure.

We rate this a high 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
  • -43.5

    Purine LoadFlare risk

    312 mg of purines per 100 g, weighted 1x as an animal source and 1.0x for the typical portion: 312 mg effective.

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

  • -30

    Category: Organ meatsFlare + long-term

    Extremely high purine content (300-600 mg/100g), all clinical guidelines advise avoidance.

    Evidence: Choi HK 2004, N Engl J Med · Choi HK 2008, BMJ · Zhang Y 2006, Am J Med

  • -6

    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

  • -5

    Heme IronLong-term

    6.12 mg of iron per 100 g, of which about 60% is heme iron in animal foods, with no portion adjustment.

    Evidence: Li R 2018, Asia Pac J Clin Nutr

  • -4.4

    SodiumLong-term

    384 mg of sodium per 100 g, with no portion adjustment.

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • -3.8

    Saturated FatLong-term

    2.51 g of saturated fat per 100 g, with no portion adjustment.

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

  • -2.7

    Calorie DensityLong-term

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

    Evidence: Aune D 2014, Eur J Nutr

  • +2

    FolateLong-term

    258 µg of folate per 100 g, with no portion adjustment.

    Evidence: Lyu LC 2017, Am J Clin Nutr

  • +0.6

    MagnesiumLong-term

    22 mg of magnesium per 100 g, with no portion adjustment.

    Evidence: Li X 2015, BMJ

  • +0.1

    Vitamin CLong-term

    0.7 mg of vitamin C per 100 g, with no portion adjustment. Vitamin C helps the kidneys excrete urate.

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

Common questions

About beef liver

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.

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