I believe gout is caused the liver failing to break down the purines like everyone elses liver does. I personally believe it happens after abusing the liver over a long period of time. I have had several flair ups. Always going to doctors for xrays that turned out negative. I never knew it was Gout until finally after about 3yrs of flair ups and a doctor told me. I have since changed my diet but it still shows its ugly face from time to time. I recommend drinking lots of water everyday to avoid flair ups and taking apple vinegar & baking soda if in the middle of a flair up. I have had flair ups due to high levels of stress & dehydration. I used to be a long distance runner and whenever I would go for a long run my foot would swell up. It sucks but its manageable.
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