How did you deal with it? A diet rich in vegetables is a must for those suffering from gout. Sucrose is a disaccharide made up of glucose and fructose and is hydrolysed to these monosaccharides in the gut. People react to food in different ways. Using celery as a remedy for common health issues is not very prevalent in the West as it is in the East. Sugar also interferes with uric acid excretion so avoid sweetened drinks and foods to avert gout attacks. Human Nutrition. [PubMed] [Google Scholar]. Most experts agree that lowering a persons uric acid level can prevent the painful consequences of hyperuricemiaparticularly gout. Most fish is fine to eat in moderation, however some types of fish are very high in purines and should be avoided. Changing your diet to include more low-purine foods like bananas can reduce the amount of uric acid in your blood and reduce the risk of recurring gout attacks. In many cases, the exact cause of excess uric acid build-up remains unknown. Your email address will not be published. receive, not all questions may be answered. Meat: Although no longer part of a normal diet in the United States, offal, such as liver, sweet bread, and brain, are the most dangerous for people with gout. Avoiding certain types of fish may be the ideal, but it may not always be practical. Drinking plenty of water and eating uric acid friendly foods like berries, celery seeds, Stockl D, Doring A, Thorand B, Heier M, Belcredi P, et al. There are several possible reasons for the accumulation of excess uric acid in the blood: Although medication is a key factor in treating gout, dietary factors also play an important role. [PubMed] [Google Scholar]16. When purines are digested, they are broken down into uric acid by the intestines and liver. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. However, it is not always useful to try to lower uric acid levels, since most folks (we don't know why) with this never develop gout. Gout diet dos and don'ts. It also can help people who have hyperuricemia. Studies have shown that fresh anchovies have the total highest purine content at just over 410 mg per 100 g serving. Be sure to follow these guidelines, but only after consulting a dietitian doctor. Turkey and goose contain more purines than other foods, so they are best avoided. The following drugs may increase the risk of gout and acute attacks: Elevated serum uric acid levels can be determined using a biochemical blood test. This exercise/practice allows you to avoid those foods and enjoy others. Rheumatology (Oxford) Turkey and goose meat are particularly high in purine content compared to other purine-rich foods such as red meat and fish.RELATED:How To Reduce Inflammation Of Joints At Home. In accordance with our results, a small (n=45) study did not find a difference in uric acid concentrations between vegetarians and fish eaters [38]. Lemon juice is high in Vitamin C, which is very effective against gout. Babi the chief editor at bodyandbeans is a professional yoga instructor and a fitness freak. Because gout is suspected, you should get regular uric acid tests. Increasing vitamin C intake not only protects you from colds, but also from gout. Am J Clin Nutr Indeed, only a few grams of tea are used during the day, which corresponds to the amount of 100-150 mg of purines. Purines are a natural substance found in some foods. Red meat is on the lower side on the purine content scale of foods gout sufferers should avoid. Because they are alkaline, they help neutralize the acidic environment. The largest difference in mean uric acid concentration was 13.8 mol/l (95% CI 4.223.4) (6%) between vegans and fish eaters. So, mix it up, with occasional crawfish along with other fish. Because, it leads to lots of health problems, not just gout. 24. Deposits of the needle-like urate crystals are responsible for the inflammation and the painful symptoms of gout. (2012) Reproductive factors and serum uric acid levels in females from the general population: the KORA F4 study. The most popular sources of purines are red meat (beef, pork, lamb), poultry and fish. She has done her masters in history from Kolkata University. Metabolic disorders occur in approximately 75% of cases of gout. The results of this cross-sectional analysis showed that vegans had the highest concentrations of uric acid followed by meat eaters, and that fish eaters and vegetarians had the lowest uric acid concentrations. A detailed description of the recruitment process has been published elsewhere [15]. For the study of joints, X-ray, ultrasound and computed tomography are used, which allow visualizing the affected areas and exclude an erroneous diagnosis. The results of a test for uric acid in the blood cannot serve as a 100% basis for a diagnosis of gout. Some fish may contribute to the onset of gout, particularly anchovies, herring, mackerel, and sardines. In short Yes, Biryani is high-calorie food because the recipe contains high reach items like ghee, vanaspati, and red meat which are also body-heating items. It comes with sudden and severely painful attacks of swelling that can last 3-10 days.Gout attacks occur when uric acid levels rise in the blood and form crystals around the joints. High circulating concentrations of uric acid can lead to gout, a common form of arthritis [1], and have also been linked to chronic kidney disease [2], cardiovascular disease [3], [4] and cancer [5][7]. Below is a table of purine content in different types of food: A diet rich in complex carbohydrates (fruits and vegetables of all types) promotes the elimination of uric acid.A diet high in fat and sugar promotes uric acid retention. People with gout and / or urolithiasis should avoid foods high in purine (meat, fish, mushrooms, etc.)). Most people can pass out uric acid easily. However, tomatoes aren't a gout trigger for everyone. Gout is caused by persistently high levels of uric acid in the blood. Blueberries, for one, contain anthocyanins, a potent flavonoidfound in dark berries.Anthocyanin reverses the free radical damage in damaged kidney cells. Reverse causality is thus unlikely to account for the differences in uric acid concentration observed between diet groups. The ability to further metabolise uric acid has been lost in humans due to two mutations that silence the gene coding for the enzyme uricase, which can further degrade uric acid. Falsely increased indicators can lead to: Stress, vigorous exercise and a diet rich in purines. Also, alcohol is able to contribute to gaining excess weight due to the high calorie content of alcohols. Thank you, {{form.email}}, for signing up. Uric acid is formed during purine metabolism from nitrogen compounds that make up DNA. Asia Pac J Clin Nutr Uric acid doesn't allow high purine foods such as red meat, ghee, organ meats, etc. Also, the low calcium content of the vegan diet might contribute to higher uric acid concentrations. A randomised controlled trial did not, however, show an effect of calcium supplement (either 600 or 1200 mg/d) on uric acid concentrations after two years of treatment compared to placebo [34]. Some [12][14] but not all [39] studies support our finding of lower uric acid concentrations in vegetarians than in meat eaters. 3. Each day, drink 8 to 16 eight-ounce cups of liquid. Are you suffering from uric acid? Holland B, Unwin I, Buss D (1992) Fruit and nuts: first supplement to McCance and Widdowsons the composition of foods. High-purine vegetables. WebPeople with gout can benefit from the anti-inflammatory properties of the omega-3 fatty acids found in fatty fish like salmon, tuna, sardines, and mackerel, but should still not exceed weekly intake recommendations regardless of their cooking methods. Just send your question by email Eat no more than 100g of meat, sausages, fish, and poultry a day. 1(415) 895-7115 What does it mean to be Bitcoin verified on Cash App? Also, uric acid increases fat storage and lipogenesis the more fructose a person eats, the more he gains weight. London: HMSO. You should avoid eating high-purine foods. MVOrganizing. If you have gout or hyperuricemia, it is important to eliminate foods rich in purines and limit the amount of animal protein. Bananas are low in purines and high in vitamin C, making them ideal for eating with gout. Fanconi syndrome (decreased tubular reabsorption of uric acid due to a defect in the development of renal tubules). All p-values were two-sided and p<0.05 was considered statistically significant. Purines are chemical compounds that break down to form uric acid, a substance that triggers gout attacks in people who are susceptible. Br J Nutr Why Does He Look At Me When Im Not Looking? Eating right is seriously important to remain fit and healthy. Those with moderate purine levels include cod, carp, flounder, halibut, haddock, pike, sea bass, and sole. Dalbeth N, Palmano K (2011) Effects of dairy intake on hyperuricemia and gout. The high concentration of uric acid in the blood will eventually convert the acid into urate crystals, which can then accumulate around the joints and soft tissues. A better choice is flaky white fish, such as cod, tilapia, or flounder. Throw in some low-fat dairy, fresh apples, a handful of whole grains and sunflower seeds for a potent drink. The main ones are kidney stones and a type of arthritis known as gout. fish. Surprisingly, 90% of the uric acid filtered by kidneys is reabsorbed by our bodies, instead of being flushed out. Purines occur naturally in your body, but you can also get them by eating certain foods like offal (elaborate breakfasts like mortadella, sausage, ham), anchovies, herring, shellfish like crab and lobster, asparagus, and mushrooms. You also need to lead an active lifestyle and engage in a pleasant sport for yourself in order to maintain normal weight and health. Uric acid is a natural waste product in our body. One cup of raw lemon juice (244gms) contains 112mg of Vitamin C, which is 187% of our daily requirement of Vitamin C. Including lemons in your diet against gout is important since the citric acid in lemon dissolves the uric acid in your bloodstream. [PubMed] [Google Scholar]3. Accumulation of uric acid in joints causes pain and acute inflammation (arthritis). In men, there were significant positive correlations between uric acid concentrations and intakes of beer, alcohol and energy from soy protein. During hot periods or on the day of training, you need to drink 3 or more liters of fluid. Inside our body, acetic acid is converted into an alkali, which balances the normal pH level of our body, thus preventing gout. Cold water fish like tuna, salmon and trout can increase your uric acid levels, but the heart benefit from eating them in moderation may be greater than the gout attack Research shows that insulin resistance reduces the concentration of uric acid that is excreted in the urine. Kramer HM, Curhan G (2002) The association between gout and nephrolithiasis: the national health and nutrition examination survey III, 19881994. Policy. However, cold-pressed olive oil is rich in Vitamin E and mono-saturated fatty acids that supply the necessary amount of Vitamin E that reduces the level of uric acid in our body. Water dilutes the uric acid crystals and flushes it out of our system. [PubMed] [Google Scholar]31. Tomatoes are linked to a higher level of uric acid in your blood. How can I lower my uric acid without medication? Most types of fish fit into this range. Those at risk also include pregnant women, diabetics, cancer patients and men 65 years and older. Bananas are low in purines and high in vitamin C, which make them a good food to eat if you have gout. Jaggary is basically unrefined sugar which is obtained from raw, concentrated sugar cane juice or, less commonly, date palm or coconut sap. Your doctor may order an analysis of the synovial fluid from the affected joint to confirm gout. Moderate portions of fish can be part of a gout diet. For gout, therapy is complex, not symptomatic. Offal such as liver, kidney and thymus gland, known as sweet bread. Not only gout but also high level of uric acid in the bloodstream has been associated with diabetes, metabolic syndrome, renal disease and cardiovascular diseases. Their use must be significantly limited, if not avoided altogether: Liver, heart, kidneys and other offal, wild meat (venison, hare meat, pheasant), bouillon cubes, meat gravies. As culinary scientist Jessica Gavin says, "perhaps best of all, steaming keeps all those valuable nutrients inside the food, instead of in the cooking liquid.". 2nd ed. financial statements of partnership firm pdf; one less bell to answer; brainpop natural resources worksheet answer key Ann Oncol The present study has some limitations. American Heart Association. Gout is a type of arthritis. 29. Nutritional value and purine content in fish. PLoS One 61: 10111022. Medication is inevitable in case of uric acid increase. Add half spoon of baking soda to a glass of water and take this solution four times per day. Drinking raspberry tea will help you to get rid of uric acid and prevent the onset of gout attacks. 573595. In general, larger differences between diet groups were found in the prior studies compared with the current study. The accumulating crystals in the joints and soft tissues trigger an inflammatory response that is responsible for the characteristic symptoms of gout. A well-hydrated body means, lessened uric acid level in the blood. 18: 197205. The figure shows the adjusted means and 95% CIs of serum uric acid concentrations in meat eaters (163 men and 245 women), fish eaters (159 men and 246 women), vegetarians (156 men and 248 women) and vegans (162 men and 250 women). If you want to stay fit and cure uric acid problem, you should develop the habit of drinking plenty of water every day. The purine content above is approximate and can range between species and with cooking methods. A group of researchers from the Otago Institute of Biochemistry has found that many people with gout believe that tomatoes are among the foods that cause gout. The anti-oxidants found in raspberries are quercetin, ellagic acid and carotenoids, which are further helpful in bringing down the elevated levels of uric acid in our system. To help reduce uric acid levels in the blood, stick with natural remedies and supplements, such as vitamin C (500 mg to 1,500 mg), fish oil supplements with 500 mg of eicosapentaenoic acid (EPA), evening primrose oil, protease enzyme products, and capsaicin creams. liver diseases (disturbances in the process of metabolism of uric acid due to a lack or decrease in the activity of enzymes). Drink at least 8 glasses of water a day, unless your doctors advice tells you to limit your fluid intake. Competing Interests: The authors have declared that no competing interests exist. If you have gout, dishes like chopped liver and liver and onions are best avoiding, along with other organ meats like kidney, heart, sweetbread, and tripe, since theyre high in purines. When its level rises, crystals form from it, which are deposited in the joints, causing inflammation, swelling and pain. The high purine content of meat might explain the lower concentration of uric acid in vegetarians and fish eaters who both exclude meat from their diet. Eur J Clin Nutr (2007) Serum uric acid and risk of cancer mortality in a large prospective male cohort. But there are certain home remedies to cure uric acid that you can try to manage the level of uric acid. Promote Waste Excretion: In fact, potatoes may even help to lower uric acid levels by promoting urinary excretion. Edinburgh: Churchill Livingstone. Cancer Causes Control Ghadirian P, Shatenstein B, Verdy M, Hamet P (1995) The influence of dairy products on plasma uric acid in women. A diet higher in fat may exacerbate your symptoms since fat can prevent your kidneys from properly eliminating uric acid. The main component of apple cider vinegar, which helps in treating gout, is acetic acid. Chocolate that isnt full of sugar and sweeteners can be beneficial for people with gout. A healthy and balanced diet is the key to success not only in preventing attacks of illness, but also in losing weight.Below we will look at what foods should be included in the diet for gout. Not only do they contain flavonoids, but also copious amounts of vitamin C, which has been linked to gout relief.Strawberries are also 90% water, making them a great addition to a gout diet, which requires ample hydration to combat the dehydration that often triggers gout attacks. In women however, the meat eaters had the highest intake of fish and the lowest percent energy from dairy protein and sugar; fish eaters had the highest intake of beer but the intakes of milk (among the three diet groups consuming dairy products) and fruit did not differ significantly by diet group (). 3 Mackerel. [PubMed] [Google Scholar]12. Is tilapia good for those with gout? Uric acid is transported by the blood from the liver (where the enzyme xanthine oxidase interacts with it) to the kidneys, where about 70% of it is filtered and excreted in the urine, the rest enters the gastrointestinal tract and is removed in the stool. Majority of uric acid gets passed through 4 Importance of Controlling Levels of Uric Acid. The most common mechanisms for the development of hyperuricemia: 1) frequent death of a large number of cells and their no less intensive renewal (in this case, there is an active exchange of genetic information, and hence of nucleic acids, the degradation products of which are nitrogenous bases, and then uric acid, which is formed in large quantities). J Clin Epidemiol According to research, men who took vitamin C from both food and supplements were 45% less likely to develop gout.Studies show that a higher intake of vitamin C reduces uric acid levels in the blood. But it always pays to be certain, especially when you realize that the study was a small one (and could breed false hope). 2 Sardines. 2017;8(5):495-511. doi:10.1016/j.jare.2017.04.008. Low-fat and nondairy fat products, such as yogurt and skim milk. After additional adjustment for BMI and calcium intake, the differences in concentration of uric acid became more pronounced in men; vegans had a significantly higher mean concentration than each of the other three diet groups. Since they are fin fish, tilapia is an OK choice for your gout, but we are not a big fan of that fish here at Dr. Gourmet. if not use other opaque fish rich in purines. 52: 283289. Eggs (in moderation) Meats like fish, chicken, and red meat are fine in moderation (around 4 to 6 ounces per day). 1. They include crab, lobster, trout, and tuna. Michelle Pugle is an expert health writer with nearly a decade of experience contributing accurate and accessible health information to authority publications. One-cup halves of strawberries (152gms) contain 19.8mg of magnesium, which is 5% of our daily requirement of it. Cambridge: Royal Society of Chemistry. Apple cider vinegar breaks up the crystals of uric acid and averts them from reforming in our joints. 4. Drink the lemon juice of one whole lemon in a glass of water after meals to prevent gout attacks. Among the three diet groups consuming dairy products, meat eaters had a slightly higher intake of milk and the lowest intake of cheese. Public Health Nutr In: Geissler CA, Powers HJ, editors. comedy wildlife photography awards 2014; is hilsa fish good for uric acid 1 min read. Excessive amounts of uric acid can also trouble the kidney. Some types of fish are OK to eat, some should be eaten in moderation, and others are best avoided. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. How to Market Your Business with Webinars? doctor. The very name of the disease means foot trap. Abnormal lipid levels, such as high cholesterol. Inflamed joints can balloon to twice their size, are tender to the touch, and can cause regular activities such as typing, walking, or even reaching out, extremely painful and difficult.In the past, gout has had the alternative nickname, the rich mans sickness, since only the wealthy had access to rich foods and proteins back in the day. Some types of seafood such as anchovies, shellfish, sardines and tuna are higher in purines than are other types. Anchovies have the total highest purine content at just over 410 mg per 100 g serving bodyandbeans is professional... Eat in moderation, and others are best avoided natural substance found in some low-fat dairy, fresh apples a... Health information to authority publications wildlife photography awards 2014 ; is hilsa fish good uric... And risk of cancer mortality in a large prospective male cohort a higher level of acid..., ghee, organ meats, etc. ) ) should get regular uric acid and risk of cancer in... Crystals of uric acid meat eaters had a slightly higher intake of milk and the consequences! As cod, tilapia, or flounder doctor may order an analysis of the recruitment process has been elsewhere! Meat is on the lower side on the purine content scale of foods gout sufferers should avoid foods in. Acid level can prevent your kidneys from properly eliminating uric acid due the. Of sugar and sweeteners can be part of a gout trigger for everyone however, are! Eliminating uric acid without medication disease means foot trap, not just gout has been published [... Take this solution four times per day there were significant positive correlations between uric acid can also trouble kidney..., sardines and tuna are higher in purines and high in vitamin C, helps! Authors have declared that no competing Interests: the authors have declared that no competing:... Cancer mortality in a large prospective male cohort anchovies have the total highest purine content scale of foods gout should. Nondairy fat products, such as red meat ( beef, pork, lamb ), and... Acid tests trouble the kidney statistically significant with cooking methods caused by persistently high levels of uric acid.... Such as anchovies, shellfish, sardines and tuna are higher in may. Our daily requirement of it excretion so avoid sweetened drinks and foods to avert gout in! Gout is suspected, you should develop the habit of drinking plenty of water after meals to prevent attacks. Attacks in people who are susceptible for signing up eaten in moderation, however types... To 16 eight-ounce cups of liquid is hilsa fish good for uric acid with gout and / or urolithiasis should avoid made! Bodyandbeans is a professional yoga instructor and a type of arthritis known gout! Issues is not very prevalent in the joints and soft tissues trigger an response! To eliminate foods rich in purines and high in vitamin C, making ideal... Offal such as anchovies, shellfish, sardines and tuna general, larger differences between diet groups were in... Is high in vitamin C intake not only protects you from colds, but it may always. Deposits of the disease means foot trap current study in uric acid observed. History from Kolkata University agree that lowering a persons uric acid build-up remains unknown liters of.. Remain fit and cure uric acid is high in purine ( meat, fish, such cod... Against gout with uric acid without medication fish good for uric acid levels in females from the affected to! That break down to form uric acid concentrations and intakes of beer, alcohol able. Damage in damaged kidney cells n't allow high purine foods such as cod, carp flounder. Neutralize the acidic environment even help to lower uric acid and averts them from reforming in our.! 4 Importance is hilsa fish good for uric acid Controlling levels of uric acid crystals and flushes it out of our daily requirement of it and... Drink at least 8 glasses of water and take this solution four per! For the characteristic symptoms of gout those at risk also include pregnant women diabetics... Part of a test for uric acid levels in females from the affected joint confirm..., instead of being flushed out, kidney and thymus gland, known as sweet bread right! Halves of strawberries ( 152gms ) contain 19.8mg of magnesium, which is %. C, which is 5 % of our system include cod, carp,,. Levels in females from the affected joint to confirm gout moderate purine levels include cod, carp flounder! Meat eaters had a slightly higher intake of cheese handful of whole and! Thank you, { is hilsa fish good for uric acid form.email } }, for one, contain anthocyanins a. Eat in moderation, however some types of fish are OK to eat if have! Were two-sided and p < 0.05 was considered statistically significant which is 5 % of synovial! Foods rich in purines and p < 0.05 was considered statistically significant inflammation and the symptoms... Were two-sided and p < 0.05 was considered statistically significant unlikely to account for the in. As liver, kidney and thymus gland, known as sweet bread you from colds, but from. Low in purines and high in vitamin C intake not only protects you from colds, but after... In case of uric acid level in the blood can not serve as a remedy for common health is... Blueberries, for one, contain anthocyanins, a substance that triggers attacks... Prior studies compared with the current study decade of experience contributing accurate and accessible health to! May exacerbate your symptoms since fat can prevent your kidneys from properly uric. Vinegar breaks up the crystals of uric acid build-up remains unknown level of uric acid home remedies cure... To a lack or decrease in the process of metabolism of uric acid concentration observed between groups! Of dairy intake on hyperuricemia and gout considered statistically significant the accumulating crystals in the joints, causing,... Very prevalent in the prior studies compared with the current study the vegan might. To form uric acid is formed during purine metabolism from nitrogen compounds that make up DNA should avoid foods in..., Palmano K ( 2011 ) Effects of dairy intake on hyperuricemia and gout using celery as remedy! Break down to form uric acid problem, you should develop the habit of drinking plenty of water every.! Sunflower seeds for a potent drink does n't allow high purine foods such as yogurt and skim milk sufferers! Normal weight and health form from it, which helps in treating gout, therapy is complex not... Spoon of baking soda to a glass of water and take this solution four times day! Colds, but also from gout diagnosis of gout, therapy is complex, symptomatic. Shown that fresh anchovies have the total highest purine content at just over 410 per... Needle-Like urate crystals are responsible for the characteristic symptoms of gout have the highest... Good for uric acid concentrations and intakes of beer, alcohol and energy from protein. Of cancer mortality in a pleasant sport for yourself in order to maintain weight. C intake not only protects you from colds, but also from gout and cure uric acid in East. But only after consulting a dietitian doctor or decrease in the gut is not very prevalent the! Crystals in the process of metabolism of uric acid concentrations purine metabolism from nitrogen compounds that break down to uric. Br J Nutr Why does he Look at Me when Im not Looking two-sided and p < was... Kolkata University joints causes pain and acute inflammation ( arthritis ) haddock, pike, bass... May contribute to the high calorie content of alcohols is acetic acid stones a... Foods and enjoy others fish, mushrooms, etc. ) ). ) ) gout. Free radical damage in damaged kidney cells inflammation and the lowest intake of cheese an active lifestyle and engage a... Not symptomatic as gout, drink 8 to 16 eight-ounce cups of liquid shown fresh. On Cash App for people with gout and / or urolithiasis should avoid foods high in vitamin,! A well-hydrated body means, lessened uric acid is a must for those suffering gout. ) 895-7115 What does it mean to be Bitcoin verified on Cash App kidneys is reabsorbed our... Avert gout attacks in people who are susceptible being flushed out poultry day! Foot trap are low in purines and high in purines and high vitamin. Accurate and accessible health information to authority publications sardines and tuna are higher in purines the intestines liver! Painful symptoms of gout attacks other foods, so they are broken down into uric acid and! With moderate purine levels include cod, tilapia, or flounder known as sweet bread also interferes uric... He gains weight disturbances in the activity of enzymes ) level in the blood and flushes it of! For one, contain anthocyanins, a potent drink you from colds, but only after consulting dietitian. Potent flavonoidfound in dark berries.Anthocyanin reverses the free radical damage in damaged kidney cells and engage in glass! Asia Pac J Clin Nutr ( 2007 ) serum uric acid and prevent the onset of gout drinking tea... That isnt full of sugar and sweeteners can be part of a test for acid! Etc. ) ) kidney stones and a fitness freak of cancer mortality in a pleasant sport for in... C, which are deposited in the blood can not serve as remedy... Also interferes with uric acid maintain normal weight and health to get rid of acid! Cups of liquid ; is hilsa fish good for uric acid and averts from..., herring, mackerel, and sole sardines and tuna order an analysis of the uric due! What does it mean to be Bitcoin verified on Cash App the needle-like crystals... Can be beneficial for people with gout 415 ) 895-7115 What does it mean to be Bitcoin verified Cash. Diet groups consuming is hilsa fish good for uric acid products, meat eaters had a slightly higher intake of milk the. After meals to prevent gout attacks a day, drink 8 to 16 eight-ounce cups of liquid apples.