Last reviewed: 2026-09-03 • Editorial Standards

Yellowtail, Whitefish & Swordfish Ranked by Purine Content

Evidence-based comparison — data from USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025)

Lowest Purine Yellowtail, Whitefish & Swordfish

#1Caviar94.7 mg
#2yellowtail (amberjack), raw120.8 mg
#3Japanese amberjack120.8 mg
#4whitefish, raw122.2 mg
#5swordfish (xiphias), fresh132.2 mg
#6yellowtail, young, fresh152.5 mg

Highest Purine Yellowtail, Whitefish & Swordfish

#6Caviar94.7 mg
#5Japanese amberjack120.8 mg
#4yellowtail (amberjack), raw120.8 mg
#3whitefish, raw122.2 mg
#2swordfish (xiphias), fresh132.2 mg
#1yellowtail, young, fresh152.5 mg

Category Average: 123.9 mg/100g

The average across 6 Yellowtail, Whitefish & Swordfish 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

Every food in this comparison has been evaluated using a three-factor risk engine that independently assesses purine content, fructose level, and alcohol presence. Purine values come from two primary references — 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 is sourced from USDA SR28 Food Composition Tables. The verdict system follows ACR 2020 guideline thresholds: Safe (purine <50 mg, fructose <2g, no alcohol), Moderate (purine 50-150 mg or fructose 2-5g), Avoid (purine >150 mg, fructose >5g, or alcohol present). Data quality is labeled T1 (lab-measured), T2 (measured + consensus), or T3 (category estimate) on each food's detail page.

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 yellowtail (hamachi) bad for gout?
Yellowtail is moderate in purines and gets higher in younger fish. Among 6 yellowtail and whitefish entries with measured values, standard yellowtail measures about 120.8 mg/100g while young yellowtail reaches 152.5 mg/100g. Sushi-sized portions are manageable for most people with gout; a large hamachi kama serving is a bigger purine load.
Is swordfish bad for gout?
Swordfish measures about 122.2 mg/100g in our database — moderate, similar to yellowtail. Swordfish is also a larger predatory fish with more mercury, so most dietary guidance suggests limiting it anyway. For gout, a modest serving occasionally fits; grilled swordfish steak portions are usually 6-8 ounces, which is where the purine load adds up.
Can I eat whitefish with gout?
Yes. Whitefish measures about 120.8 mg/100g in our database — moderate and comparable to other white fish. Smoked whitefish and caviar (about 94.7 mg/100g) are denser options used in smaller amounts. Plain cooked whitefish in a normal portion is a reasonable protein choice for people managing uric acid.