What does a score of 25 mean?

25 out of 100 places rusty nail in the "caution" band. Ranks toward the higher-risk end. Many people choose to keep portions smaller and less frequent. Scores rank foods against each other on average across a population. They are not a personal risk level.

What portion is the score based on?

Nutrition figures are given per 100 g, and the scoring applies a serving-size adjustment based on this food's typical portion: 1 drink (60 g). Eating substantially more or less than that shifts the real-world effect accordingly.

How confident is this score?

Based on the measured median for this food category. Because the purine figure is estimated rather than directly measured, read this score as approximate.

Can I eat rusty nail if I have gout?

That is a question for you and your clinician. This page ranks foods on published population-average evidence; it does not account for your urate level, kidney function, medications or overall eating pattern.

Beverage

Rusty nail

USDA description: Rusty Nail

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

Food Index score

Rusty nailCaution

0100

Based on a well-supported purine estimate

What moved this score
Starting score	100
Alcohol	-35
Category: Spirits	-25
Nutrient Gaps	-10
Calorie Density	-4.7
Final score	25

Flare risk (acute)40

Long-term (chronic)85

Rusty nail scores 25 out of 100 and sits in the caution band. Ranks toward the higher-risk end. Many people choose to keep portions smaller and less frequent.

Penalties took 74.7 points off a starting score of 100. 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.

Compare with another foodMore liquor and cocktails How scoring works

The underlying data

Nutrition and portions

Nutrition Facts

Amounts per 100 g

Typical serving60 g

Calories244

Total Fat0.03 g
Saturated Fat0 g
Sodium1 mg
Dietary Fiber0 g
Total Sugars8.8 g
Protein0 g

Calcium0 mg
Iron0.04 mg
Magnesium0 mg
Vitamin C0 mg
Folate0 ug

Water61.1 g
Alcohol30.1 g
Omega-3 EPA0 g
Omega-3 DHA0 g

Common portions

1 fl oz30 g
1 drinktypical60 g
Quantity not specified60 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 (liquor and cocktails).

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.

PointsFactorAffects

-35
AlcoholFlare risk
30.1 g of alcohol per 100 g, with no portion adjustment. Alcohol slows the kidneys' clearance of urate.
Evidence: FitzGerald JD 2020, Arthritis Care Res · Zhang Y 2006, Am J Med
Flare risk
-25
Category: SpiritsFlare risk
High alcohol concentration per serving; impairs renal urate excretion.
Evidence: Choi HK 2004, N Engl J Med · Choi HK 2008, BMJ · Zhang Y 2006, Am J Med
Flare risk
-10
Nutrient GapsLong-term
Provides meaningful amounts of only 0 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
Long-term
-4.7
Calorie DensityLong-term
244 kcal per 100 g, above the 80 kcal energy-density threshold.
Evidence: Aune D 2014, Eur J Nutr
Long-term

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