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I find myself in a bit of a pickle. As along standing Diabetic (type 2) I

adopted an LCHF wol and could soon give up my insulin pump, this was nearly

4 years ago, and also having lost about 50 lbs I was feeling fine.

Then in January of this year I developed a blood clot in my right lower leg

the consequence of which was that I was put on daily injections of Klexane

(Enoxaparin) and Warfarin, and later stabilized only Warfarin with review

and tests every week until middle of July at least.

Then a couple of weeks ago I developed gout in my left wrist for which I am

now taking cortisone tablets. Gout can be brought on by many things but a

high protein diet is known to aggravate the situation.

So, I don't know what brought on the blood clot and I have had extensive

blood work done and no alarms have been set off, but the gout could be

caused by my diet and the Warfarin. It is the second gout attack in the same

place as I miss diagnosed the first as a sprain, and if that is a proper

conclusion then it was before the Warfarin and presumably diet related.

My LCHF is very low on carbs and high on protein and I struggle like many to

keep my fat percentages high.

So, what am I to do I wonder. Compromise my diet and return to insulin

injection and the debilitation that would then occur or do I maintain my

diet and suffer with gout (a horrendous pain). There is medication to

suppress or expunge the uric acid over production which causes gout, but I

haven't found any research as how that might effect my blood clotting

tendency or my diabetes.

If anyone has any ideas or suggestions as how best to proceed I would be

truly grateful.

Tia

/G.

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