Fruit Juice Fructose Ranking: Lowest to Highest

Q: Is fruit juice bad for gout?

Fruit juice is the concentrated form of a fruit\'s fructose, and fructose raises uric acid independently of purines. Among 53 juices with measured values, the lowest-fructose options include lime juice, raw at 0.6 g/100g and cranberry juice, not fortified, from concentrate, shelf stable at 0.7 g/100g. Whole fruit is generally the better choice because fiber slows fructose absorption.

Lowest Fructose Fruit Juice

#1lime juice, raw0.6 g

#2cranberry juice, not fortified, from concentrate, shelf stable0.7 g

#3cranberry juice, shelf stable, from concentrate, not fortified0.7 g

#4lemon juice from concentrate, canned or bottled0.7 g

#5lemon juice from concentrate, bottled, concord0.7 g

#6lemon juice from concentrate, bottled, real lemon0.7 g

#7lemon juice, raw1.1 g

#8tomato juice, with added ingredients, from concentrate, shelf stable1.4 g

#9tomato juice, shelf stable, from concentrate, with added ingredients1.4 g

#10orange juice, refrigerated, no pulp, not fortified1.9 g

Highest Fructose Fruit Juice

#53juice, prune, from concentrate, shelf-stable6.3 g

#52pomegranate juice, bottled6.4 g

#51juice, pomegranate, from concentrate, shelf-stable6.4 g

#50juice, apple and grape blend, with added ascorbic acid6.5 g

#49grape juice, white, from concentrate with added vitamin c, shelf stable7.2 g

#48grape juice, purple, from concentrate with added vitamin c, shelf stable7.3 g

#47grape juice, canned or bottled, unsweetened, with added ascorbic acid and calcium7.4 g

#46grape juice, white, with added vitamin c, from concentrate, shelf stable7.4 g

#45grape juice, purple, with added vitamin c, from concentrate, shelf stable7.4 g

#44raspberry juice concentrate20.1 g

Category Average: 4.2 g/100g

The average across 53 Fruit Juice foods with lab-measured data. Foods below this average are better-than-typical choices within this category.

How to Use This Ranking

The purine ranking is sorted from lowest to highest. Rank #1 is the lowest-purine food in the category. Foods in the top half (above median) should be consumed with more awareness of portion and frequency. The difference between adjacent ranks varies: in some categories, rank #5 and #10 might be only 10 mg apart; in others, the gap can be 100+ mg. Always check the actual milligram value, not just the position. Rankings do not account for fructose or alcohol — use individual food pages for a complete risk assessment.

ACR 2020 Guideline Context

The American College of Rheumatology recommends that gout patients focus on purine awareness rather than complete food group elimination. Within any category, there is a wide purine range. The goal is to shift toward lower-purine choices within categories you already eat, rather than eliminating entire food groups. This ranking helps you identify which specific items to prioritize and which to limit.

Japanese guidelines recommend under 400 mg of total dietary purines per day. Using this ranking, you can estimate how much of budget each food uses per typical serving.

How This Comparison Is Built

This comparison scores every food on three independent axes — purine content, fructose, and alcohol. Purine figures rely on the USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025) and Kaneko et al. (Biol Pharm Bull 37(5):709-721, 2014, PMID: 24553148); fructose data comes from USDA SR28. Ratings follow ACR 2020: Safe when purine is under 50 mg and fructose under 2 g with no alcohol, Moderate between these, Avoid beyond, or whenever alcohol appears. Per-food data quality is flagged T1 (lab-measured), T2 (measured plus consensus), or T3 (category estimate).

This comparison is provided for informational purposes only and does not constitute medical advice. Individual tolerance to purines and fructose varies. Consult a healthcare professional for personalized dietary guidance. Last reviewed: 2026-09-03.

Frequently Asked Questions

Is fruit juice bad for gout?

Fruit juice is the concentrated form of a fruit's fructose, and fructose raises uric acid independently of purines. Among 53 juices with measured values, the lowest-fructose options include lime juice, raw at 0.6 g/100g and cranberry juice, not fortified, from concentrate, shelf stable at 0.7 g/100g. Whole fruit is generally the better choice because fiber slows fructose absorption.

Does fruit juice raise uric acid?

Fructose is metabolized in a way that raises uric acid, and juice delivers fructose quickly without the fiber that whole fruit provides. This is why sugary drinks and fruit juice are flagged in gout guidance, while whole fruit is usually fine in normal portions. The dose matters — a small glass occasionally is different from a daily habit.

Which juice is lowest in fructose?

The lowest-fructose juices in our database include lime juice, raw at 0.6 g/100g and cranberry juice, not fortified, from concentrate, shelf stable at 0.7 g/100g. In general, diluted or low-sugar vegetable-forward drinks run lower, while apple, grape, and grapefruit juices concentrate more fructose.

Fruit Juice Ranked by Fructose Content