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Hello all,

I received the following email from a patient, and could use some

help in answering his questions. I do have several handouts on gout,

as well as lists of foods that are moderate to high in purines. Also,

the general recommendation for gout seems to be follow low-fat diet

and weight loss. Thanks in advance for any help you can provide!

Tarra MS, RD

San Diego, CA

From patient: I recently have had 2 gout episodes (new diagnosis)

within the past 2 months. Currently on Allopuronol to lower the uric

acid level but the medicine to help me when having a gout attack is

from my understanding a very powerful nsaid (Colchicine and

Indomethacin).

1. The diet you prescribe is high in protein. Very bad idea for a

person with gout. How do you get around this? Sounds like a bad

idea if a high protein diet would most likely cause more gout attacks

since that is once potential cause for the gout attack in the first

place.

2. The 2 drugs used to reduce pain and swelling are powerful NSAIDS.

Problem with this type of surgery. With everyone concerned about

ulcers and bleeding, this could be a problem when trying to remedy

the problem. How does a doctor alter for this??

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