At 67, John, who writes his journey on journee-monidale, had always lived by the book when it came to health. Daily walks, a balanced diet, and plenty of water had kept him active and feeling well into his senior years. But last summer, a surprising dietary choice led to a painful wake-up call—his first gout attack.The unlikely culprit? Mangoes.For months, John had been enjoying a large mango every afternoon. He saw it as a wholesome treat—sweet, packed with vitamins, and perfect for a hot day. What he didn’t know was that the natural sugar in mangoes, called fructose, can contribute to high uric acid levels in the blood. In his case, it pushed those levels dangerously high.According to Dr. Melissa Chen, a rheumatologist at Austin Medical Center, who he spoke to says, “Many patients are shocked to learn that certain fruits can significantly impact uric acid production. Fruits high in fructose can lead to painful gout attacks, especially in older adults with existing risks.”What Is The Science Behind It?The science behind it lies in how the body processes fructose. When fructose is broken down, it depletes energy in the cells and increases uric acid as a byproduct. For people with slower kidney function or a genetic tendency to store uric acid, this can be enough to trigger a gout flare.“Think of fructose as a switch for uric acid production,” explains Dr. Sarah Thompson to John, who is a nutritionist at the New York Wellness Center. “It’s not about cutting out all fruit—it’s about knowing which ones can cause problems.”Fruits particularly high in fructose include:MangoesApplesPearsWatermelonFruit juices and dried fruits (which are more concentrated sources)How The Events UnfoldedJohn’s first attack came suddenly. At 3 AM, he was jolted awake by intense pain in his big toe—so severe, he couldn’t stand the weight of his bedsheet. Tests confirmed his uric acid had spiked to 9.2 mg/dL, well above the recommended maximum of 6 mg/dL.Once he made the connection to his daily mango intake, John overhauled his diet. He switched to lower-fructose fruits such as:Strawberries, which are high in vitamin CCherries, known to reduce inflammationOranges, which offer vitamin C without too much fructoseHe also cut out sugary drinks and started paying closer attention to “healthy” foods that might have hidden downsides.John’s doctor called it the “health halo trap”—the idea that just because something is natural or nutritious, it can be consumed without limits. But for older adults, the body’s ability to manage uric acid declines, and even small missteps can have big consequences.“Managing uric acid becomes more important with age,” Dr. Chen advises. “Even healthy habits need a second look when your metabolism changes.”John now is pain-free and wiser about his food choices. His experience is a reminder: sometimes, it’s not about cutting out healthy foods, but understanding how they affect your unique body—especially as it ages.