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High-purine vegetables: Studies showed that vegetables high in protein do not increase gout risk: therefore, you can still consume foods. 3.) Fish High in Purine. Fish is considered to have the highest content of purine in it. It is the food highest in purine. But, it is important to eat it in a limit. 4.) Mushrooms High in Purine. Just eat an only half cup of mushrooms, at least, five times in a week. It. High-Purine Foods to Avoid with Gout. 1. Liver. 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 they’re high in purines. Instead: Other meats like poultry and beef contain fewer purines, so you can safely eat them in moderation.