Animal / meat
Liver, paste or pate
How liver, paste or pate scores for gout, what moved that score, and the nutrition and portions behind it.
Food Index score
Liver, paste or pateAvoid
| Starting score | 100 |
| Purine Load | -70 |
| Category: Organ meats | -30 |
| Saturated Fat | -12 |
| Sodium | -8 |
| Heme Iron | -5 |
| Nutrient Gaps | -4 |
| 4 smaller factors | +1.3 |
| Final score | 0 |
Liver, paste or pate scores 0 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 132.5 points off a starting score of 100, and protective factors added 4.8 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 Fat13.1 g
- Saturated Fat4 g
- Sodium386 mg
- Dietary Fiber0 g
- Total Sugars0 g
- Protein13.4 g
- Calcium10 mg
- Iron9.2 mg
- Magnesium13 mg
- Vitamin C10 mg
- Folate321 ug
- Water65.6 g
- Alcohol0 g
- Omega-3 EPA0 g
- Omega-3 DHA0 g
Common portions
- 1 cuptypical210 g
- Quantity not specified85 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 (liver and organ meats).
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.
- -70Flare risk
Purine LoadFlare risk
300 mg of purines per 100 g, weighted 1x as an animal source and 2.1x for the typical portion: 630 mg effective.
Evidence: Choi HK 2004, N Engl J Med · Kaneko K 2014, Biol Pharm Bull · Zhang Y 2012, Ann Rheum Dis
- -30Flare + long-term
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
- -12Long-term
Saturated FatLong-term
4 g of saturated fat per 100 g, scaled 2.1x for the typical portion.
Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol
- -8Long-term
SodiumLong-term
386 mg of sodium per 100 g, scaled 2.1x for the typical portion.
Evidence: FitzGerald JD 2020, Arthritis Care Res
- -5Long-term
Heme IronLong-term
9.19 mg of iron per 100 g, of which about 60% is heme iron in animal foods, scaled 2.1x for the typical portion.
Evidence: Li R 2018, Asia Pac J Clin Nutr
- -4Long-term
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
- -3.5Long-term
Calorie DensityLong-term
201 kcal per 100 g, above the 80 kcal energy-density threshold.
Evidence: Aune D 2014, Eur J Nutr
- +2.1Long-term
Vitamin CLong-term
10 mg of vitamin C per 100 g, scaled 2.1x for the typical portion. Vitamin C helps the kidneys excrete urate.
Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2011, Arthritis Care Res
- +2Long-term
FolateLong-term
321 µg of folate per 100 g, scaled 2.1x for the typical portion.
Evidence: Lyu LC 2017, Am J Clin Nutr
- +0.7Long-term
MagnesiumLong-term
13 mg of magnesium per 100 g, scaled 2.1x for the typical portion.
Evidence: Li X 2015, BMJ
Keep looking
Similar foods in liver and organ meats
Common questions
About liver, paste or pate
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.