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Animal / meat

Tongue

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

Food Index score

TongueAvoid

0/ 100
0100
Based on a well-supported purine estimate
What moved this score
Starting score100
Purine Load-42
Category: Organ meats-30
Saturated Fat-12
Nutrient Gaps-6
Calorie Density-5.8
Sodium-4.3
4 smaller factors-2.5
Final score0
Flare risk (acute)28
Long-term (chronic)39

Tongue 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 103.2 points off a starting score of 100, and protective factors added 0.6 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 serving20 g
Calories282
  • Total Fat22.1 g
  • Saturated Fat8.1 g
  • Sodium372 mg
  • Dietary Fiber0 g
  • Total Sugars0 g
  • Protein19.1 g
  • Calcium5 mg
  • Iron2.6 mg
  • Magnesium15 mg
  • Vitamin C1.3 mg
  • Folate7 ug
  • Water57.4 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 oz yieldstypical20 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.

PointsFactor
  • -42

    Purine LoadFlare risk

    300 mg of purines per 100 g, weighted 1x as an animal source and 1.0x for the typical portion: 300 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

  • -12

    Saturated FatLong-term

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

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

  • -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

  • -5.8

    Calorie DensityLong-term

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

    Evidence: Aune D 2014, Eur J Nutr

  • -4.3

    SodiumLong-term

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

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • -3.1

    Heme IronLong-term

    2.59 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

  • +0.4

    MagnesiumLong-term

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

    Evidence: Li X 2015, BMJ

  • +0.1

    Vitamin CLong-term

    1.3 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

  • +0.1

    FolateLong-term

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

    Evidence: Lyu LC 2017, Am J Clin Nutr

Common questions

About tongue

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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