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I had my first Gout attack on 19th December. It went and then returned mid way through Jan.
I went to GP who tested Uric acid levels during the attack (I know not good). My levels were 7.7mg/dL. The GP refered me to a rheumatologist.
I gave up meat and all alcohol for 1 month. In that month I had a further attack and was then re-tested for Uric acid levels. The level had fallen to 6.9mg/dL. At the start of the month I weighed 97.5kgs and lost 4kgs in the month. (I am 1.85m tall - so above the magic BMI of 25!).
Rheumatologist doesnt seem too concerned by uric acid levels and will only perscribe Allopurinol if I have more attacks (3 she says) as at 36 years old she believes it is not good to be on a long term daily pill.
The questions I have are as follows:
1. Given the fall in levels of uric acid is it possible to get them down further with diet and / or weight loss?
2. 6.9mg/dL still seems to be a dangerous level, what are the other issues with high Uric acid.
3. Do other people have experience of managing Gout long term without pills?
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