Limit sugar and refined carbohydrates
DeLauer presents two studies. The first, in type 2 diabetics, found that drinking 1 liter of sugary soda daily for six months raised uric acid by 15%, while diet soda, milk, and water did not. Uric acid is a precursor to inflammatory responses. The second, a mice study, compared high glucose, high fructose, and control diets. Fructose and sucrose (glucose+fructose) groups showed hyperinsulinemia, increased adipokines (inflammatory cytokines from fat cells), fatty liver deposits, and necroinflammation—a progression from fatty liver to steatohepatitis. Fructose was slightly more potent, likely because humans are not designed to handle large fructose loads without fiber. He emphasizes that the problem is refined sugars devoid of fiber, not whole fruits.
Fructose metabolism bypasses a key regulatory step in glycolysis, leading to rapid ATP depletion, uric acid production, and increased fat synthesis in the liver. This can trigger oxidative stress and inflammatory cytokine release. Adipokines from visceral fat further perpetuate inflammation. Uric acid itself can activate the NLRP3 inflammasome, promoting IL-1β and other cytokines.
The soft drink group... had an increase in uric acid by about 15%... this only happened in the sugar soda group. It didn't even happen in the diet soda group.

