[hansinnm]

Dean
Healyguy answered some of your questions.

Ad 1: That possibility does exist; however, it is very unlikely. Neck, shoulder, upper, middle, lower back pain can generally have multiple causes; I would not even venture to guess their origin. More later on.
Ad 2: Basically, YES, however, difficult to predict, depending on a person’s life style and gout and health history.
Ad 3: Same as #2.
Your UA level is too high. You MUST get down to or below 5 mg/dL Forget about diet, exercise and all those recommended money-sucking health pills, powders, liquids & juices. Live normally, don’t eat and drink in excess. You MUST, however, take a prescription drug which reduces and keeps your UA level around 5 mg/dL. At the present, only Allopurinol and Uloric are readily available (to my knowledge.) There are other drugs which flush out excess UA, e.g. Probenecid, but it’s smarter to eliminate the cause rather than treat the symptoms. Chances are that you may have to take the drug for lifetime; however again, this is not written in stone, except when you get to 60/70 and had gout for 20-30 years to build up in your entire body.
My advice: 1) Get an experienced rheumatologist who will work with and for you, not the other way around, as many doctors want their patients to behave. 2) Have your UA level reduced to 5 mg/dL or below. 3) Have regular blood tests done. While you have the blood tests done, make sure that a ?Comprehensive Metabolic Panel” test is also done. This will assure the doctor and you that your liver and kidneys are healthy. (Those organs can be adversely affected by the medications.) 4) Do take Colchicine (to fight inflammation) and Indomethacin, or Naproxen, or Aleve (to fight severe pain) only as much (1-2/day) as is necessary. The time period may be 6 to 10 to 14 days, depending on the goutie’s history and the severity of the attack. 5) Enjoy the goodies of life, but not in excess of anything.

Ad 1: MSM (Methylsulfonylmethane) has proven itself to reduce joint pains considerably. I am living proof. I have taken it for nearly 3 years now and have practically eliminated all, and I mean ALL, joint pains. I started with 1 gram. Increased it to 5 grams after ~2 weeks, and for the last month I have taken 10 grams each day without any side effects. I am on medication to control Prostate cancer and fight metastasized bone cancer. Do check out MSM on the Internet. The best (most inexpensive) source, I found, is: AllStarHealth.com, 1-800-875-8989. I recommend MSM straight, not mixed with anything else.

Good luck with your fight and control of your gout. You do know, once you got GOUT, you got it for LIFE.

[hansinnm]

Keith, you are out of your cotton-picking mind suggesting: …”a) Take 1 Colchicine every day for 6 months”…, if you don’t mind me saying so!!! It’s one thing telling people what YOU do and take, but it’s something entirely different to tell people what they should take. You know darn well that Colchicine doesn’t do anything for your gout except helping when you have an attack with resulting inflammation.
This comes from Hans in New Mexico with one foot in the grave (prostate and metastasized bone cancer), but still kicking and without a gout attack for 2 years and 9 months and a UA level of ~5 mg/dL.

[hansinnm]

Keith, it doesn’t make any difference. e.g. any ad in the box for pH test strips, the “Buy Now” ?and “Buy pH test strips for you gout” all have the?same results. Unfortunately, The URL is so long that only part shows up in the address field. When I click on it I see momentarly the?entire URL, that’s how I know that the end of it says:…..EMPTY?URL.?

Hope this helps.

[hansinnm]

Apropos Ads: Keith, are you aware that your ads don’t worh here? I saw one item Iwas going to buy, and all I got was:? ……Empty URL and a blank page. I just tried it it again, just for kicks. and the same results
US flag BUY NOW, the same.
Are you paying for advertising that ain’t doing you any good???

.

[hansinnm]

No, you are not.
While I have never said anything about the ads, I have said several times, and other “old gouties” have agreed, current “GoutPal” ain’t the same as the ORINAL?GOUTPAL? when GoutPal?was a “gout family” website with more than 30-40 gouties chiming in and helping other gouties, particularly newcomers, like me in Dec 2009, understand and do something about GOUT.?When we were, like sitting around the table, tossing bits and pieces at each other, trying to understand and trying to do something about our gout. As I have said several times?already, thanks to YOU, Keith, and the other “old gouties”??I have been free of gout attacks now for more than two years, which I never was between 1984 and 2011 (27+ tears).
Keith, I am not going to start it again, but I am going to point out that?one doesn’t?have to be a?rocket scientist to figure out that YOU are the only one left to respond to any gouties or newcomers. I am truly, honestly sorry and chagrined that this is happening.

[hansinnm]

Keith, since your GoutPal Memory banks seem to be inaccessible I decided to infiltrate my hansinnm memory banks. I have kept copies of my comments in a separate “GoutPal file. Here are some of my comments to you in 2012 on MSM:
11/14/12
“The report does not specifically mention sailing, but I expect MSM makes that more comfortable.”
Funny, interesting that you mention SAILING! See what happened to me:
7/28/2012: Pulled Muscle/tore Tendon? This happened when 5 park rangers in uniform, chest-high in water helped me, other sailors and motor boaters put their boats on the trailers in 25-30mph winds.
7/29/2012: Slight middle back pain
8/13/2012: Back hurting when bending
8/16/2012: Quit sailing 4 time being
8/20/2012: Quit cycling 2, 4 the time being; (stationary bicycle)
9/14/2012: 1.time sailing since 8/16/12
Today is 11/14/2012, two months later. I have sailed 21 times since then. True, I got some help with raising/lowering sails the first 4-5 weeks (to avoid undue force on my back, but for the last 3 weeks I am handling my boat all by myself again). My back pain is practically gone I feel some strain when stretching in the morning, but no more pain when bending. I attribute my relative fast recovery in part to MSM.
?
11/13/12
“I have known for a few years that gout flares are caused by our immune system attacking invading uric acid crystals. Earlier this year, I learned that other cells get caught up in the process. In our joints we have specialist cells that should grow to develop new bones, cartilage, and tendons. These young cells get caught up in the gout war, and cannot develop into joint repairing tissues, so our joints crumble”
As some of you know who have read my comments in the past on GoutPal Interactive, I have had attacks, Tophi on feet and hands, tophi removal by operation and lowering of my UA level to 3-4 mg/dL. I have been free of attacks for almost two years, now. However, I have also done something to combat what the above article refers to: Joint destruction and restoration. I have been taken daily doses of MSM powder since Feb. of 2012 and the results have been close to a miracle. Pain in shoulder and elbow joints, in particular, caused me to look into MSM (when it was brought to my attention by a friend who is into alternative medical solutions.) I started with 2.5 g (1/2 tsp) and I noticed a reduction of pain w/i 4-6 weeks, but it still was there. Then, after about three months, I increased the doses to 5 g (1 tsp) and w/i 3-4 days the pain was gone, and it has been gone ever since. I have been able to convince 5 other people to try it, and they all reordered when I placed my second order. (I am NOT making any money on my friends. It just reduces the S/H costs.)??
My advice is: Read the book to get an inside of MSM:? The Miracle of MSM: The Natural Solution for Pain [Paperback]
Stanley W. Jacob MD (Author)
Amazon has it for $2-5, depending on condition.
I believe firmly in the restoration abilities of MSM. One other advice: Don’t bother with the capsules. You’ll just spend more money for less results and line the pockets of the manufacturers and sellers. Remember Keith’s constant HAMMERING doses, doses, doses!!! When it comes to using Allopurinol to control your UA levels, this holds true for NSM, too.
Good luck to those who dare ignoring the MEDICAL INDUSTRY. (I am pretty certain; you’ll have a hell of a time finding a medical doctor who’ll recommend MSM to anyone.)

[hansinnm]

Keith, I told you about MSM almost a year ago. Since it is IMPOSSIBLE to retrieve my past? comments on this forum, I am unable to point you to my MSM comments. Are you getting old??? Why haven’t you plugged MSM in one of your SEARCH fields???

[hansinnm]

?”…You should consider daily colchicine for a month or two, supported by other pain relief …”
Keith, I, strongly, disagree with you.
1) You have done an outstanding job in creating and maintaining?this Gout Forum. While it is highly recommendable advising gouties a) to?check their uric acid levels and keep them below 6mg/dL, b) to have their liver and kidney functions checked regularly, c) to make sure that they get the right doses for their uric acid treatment, however,
2) DO NOT ADVISE how long gouties should take a pharmaceutical medication. It’s bad enough that the medical industry keeps millions of patients unnecessarily on drugs and gets paid for it under the table! Please, don’t YOU do it, too. Especially, since you have gained the confidence of uncountable gouties who believe you probably more than they believe a representative of the medical industry, and rightly so.
3) Colchicine and?pain relief medication should only be taken as long as the inflammation?and the severe pain last. That duration depends on the severity of the inflammation and pain and varies also with each individual.
 

[hansinnm]

Keith Gout Advisor said

…
OK you got me Hans. Typo now corrected.
You just don’t understand the pressures of typing whilst a beautiful lady hovers, waiting to take you to the pub.

Keith, you are right: I don’t understand, however, I wish I had YOUR problem.

[hansinnm]

Keith Gout Advisor said

pen said

How long does it take to lower my uric acid level if I keep up the good work? I made a date with my doctor to get another blood test in 3 months. If it gets lower than 4 and I’m still getting the attacks I’m going to be very dissapointed.

Well Keith I wouldn’t know where you would file this as you mentioned “under bad allopurinol dose or avoiding pain during first few weeks of uric acid lowering treatment?”

…
Next we have allopurinol from your natural cell turnover. …

Finally, we have old crystals dissolving. Allopurinol has no effect on this. ..

Keith, is your body or your mind or both on vacation???

Since when does natural cell turnover produce ALLOPURINOL???

If Allopurinol has no effect on dissolving old crystals, why do we take it then??? If it weren’t for the EFFECT of Allopurinol to reduce the formation of uric acid and lowering the amount of uric acid in our bodies no crystals would dissolve.

[hansinnm]

Keith Gout Advisor said

I spotted a friend in Albuquerque:

Click the + button to zoom in, and the ‘view larger map’ link for more details.

Keith, you got the WRONG Hans in Albuquerque. I wouldn’t want to caught there dead. I make it only once or twice a year if I can help it, like when I see my rheumatologist.

[hansinnm]

Keith Gout Advisor said

… In my humble opinion, prednisone, and in fact any pain relief, will make this worse, because they are masking the symptoms, not treating the cause. As soon as the relief stops, you said it, …

Or in other words, make that x4

I see, I get some unsolicited support of my philosophy regarding pain.
Don’t be humble, Keith, when it comes to GOUT and big Pharma. In my not so humble opinion, it takes a big club to hit gout over the head before that animal becomes docile (too bad we can’t kill it.)

Or in other words, make that x 5.

[hansinnm]

Keith Gout Advisor said

hansinnm said

….1) I will soon return to my old self, and return to heckling them ferociously.
I will pass your email to delboy, using your
2) gmail address, as I believe this is your current one.
3) I love that you’re enjoying life as a drug-runner

Ad 1) It’s about time you think about yourself instead of this forum and us gouties.
Ad 2) hotmail and yahoo will also work.
Ad 3) Hey, why do you think I live one of the most important air and land drug spokes of this country?

[hansinnm]

Keith (Gout Admin) said

How very kind.

If anyone is worried about this, I can assure you it is completely above board – a simple act of kindness from a fellow gout sufferer.
Personally, such a generous thought is a wonderful antidote to the personal criticism that has been hounding me recently. Not easy to take when you are in the midst of a bout of depression. Delboy’s kindness (along with the generosity of spirit of most contributors here) makes me realize it is all very worthwhile.

Keith, I sure hope I wasn’t a contributor to your depression. No goutie needs that. But let me tell you that because of your forum and the contributions of the sincere gouties I did receive a gift from the partner of a goutie who had died. I’d like to help here. You have my email address. Would you be so kind to pass it on to Delboy so that we can get together when he gets here? I’d find ways to pass his gift on to other gouties.

[hansinnm]

delboy said

I’m travelling to visit my daughter in Albuquerque shortly.I have about 4 months supply to donate to a fellow sufferer.
I will forward them anywhere whilst there.Regards DELBOY

Does your daughter’s name start with “M”? I live ~50 miles north of Albuquerque and we could meet. I’d gladly take the gift of your hands to pass it on. I don’t need it since I have plenty stashed away for the next 10 years, but I would give it to the ones that I can reach here.
I was the recipient of a gift from a goutie’s partner two years ago which became a determining factor to increase my Uloric dose from 40 to 80 mg. This has contributed to my well-being for almost a whole year. I am willing to assist you in your generous offer to help other gouties.

[hansinnm]

Keith (Gout Admin) said

I think I might have to duck for cover after this, but I am going to go for it despite a nagging doubt in my mind.
…
I’m sorry if I got it wrong, so please describe the allergic reaction and the medical response as the docs fought to save your life, and I will happily delete this message. If it is just a little anxiety, then I’d like to help with that, as I’ve been through similar, but please do not dissuade people from taking the wonderdrug that is allopurinol

Out of curiosity:
Keith, of whom are you speaking and to whom are you responding? Who is “dissuading people from taking the wonderdrug that is allopurinol”?

[hansinnm]

CHUNQX said

Almost typical of what I’ve been hearing about gout… just as it seems to start getting much better, this morning, there is a bit more pain in the ball of foot area around the 3rd toe… Not too alarmed this time, I’ve seen this happen too often the last 4 weeks. I’ve been on 100mg Allopurinol for exactly a week as of yesterday and today I start 200g Allopurinol. A couple more questions:
1. Does this mean I’m not allergic to Allopurinol if I haven’t presented any so far?
2.How long after taking this 200g dose should I go the dr and ask for another blood test to see if I need to go on 300mg? A week? 2 weeks?
3. Also, how do I go about asking about a kidney and liver function test? I get the feeling (from my dr) that he doesn’t think there will be a problem for me or that a kidney and liver function test is not normally done here in Aus for Allopurinol.
4. I’ll also go off prednisolone after tomorrow which means I won’t be taking any anti inflammatories. I have diclofenac and indomethacin but if I take them for longer than 2 days, they cause me stomach issues (gasthritis). I’ve been taking the odd diclofenac pill when needed and its helped. But once I’m off prednisolone, I don’t know if I’ll need more anti inflammatories. Should I ask for colchicine?

Ad 1. Chances are that you are not allergic.
Ad 2. Don’t fart around with 200 mg. Haven’t you read and listened to what other “experienced” gouties have tried to tell you for the last 8 days? With your SUA of .53 mmol you should be on more than 300 mg ALLO, more likely 500-600 mg.
Ad 3. You go about telling your doctor to schedule a COMPLETE METABOLIC PANEL test. Don’t rely on your feeling that your Dr doesn’t think that there will be a problem for your kidney and liver. Man, they are YOUR LIVER and KIDNEYS. (Read up on side effects of various gout medications.) When you say Aus, I take it that you live in Australia. Unless the Australian gouties have taken on the constitution of emus, their liver and kidneys are just as vulnerable as the rest of the gouties around the world.
Ad 4) I don’t know how well emus can live with inflammation and ensuing pain, but if I were you, I’d make my Dr prescribe Colchicine and Naproxen (or get Aleve over the counter, if you have that available.)

Chung, please, don’t feel offended, however, I got to tell you: Shit or get off the pot. Several gouties have taken the time and effort to advise you for more than a week. None of us are getting paid for it, and we don’t want to be paid. Knowing that we are being listened to and our comments have made a difference for the better in the life of a suffering goutie, is plenty of thanks, at least for me.
So, again: Get a blood test and know your SUA, get a higher dose of Allo, get Colchicine and Naproxen/Aleve, and get your SUA down to/below 5 mg/.30 mmol .

[hansinnm]

Donna, you need to be more specific:

1) How much and what strength Uloric did your Dr. prescribe?
2) When do you get it?
3) How much Naproxen did she prescribe?
4) How many pills are you supposed to take?
5) Do you have to pay for your Uloric? (If you have > $32K taxable income, you may qualify for their free Uloric Help program.)
6) Has she ordered a lab test for your SUA and metabolic system? (Don’t rely solely on home kit test results. You also need to know that your liver and kidneys are not affected by the gout med.)
7) Make sure that your SUA gets down to at least 5 mg or less.
8) has she explained for what Colchicine and Naproxen works? ( You can buy Aleve, the same as Naproxen, over the counter. It’s less, unless your insurance pays for the Naproxen.

[hansinnm]

CHUNQX said

…
On the subject of diet, my wife is getting a bit sick of having to eat chicken, fish and pork only. Something like spaghetti Bolognese (beef mince in tomoto base), is that a strict no-no or does food not play as big a part in this than popular belief?

Chung, you got to take this with a grain of salt: What works for me or someone else, may not work for you. Ever since I got my gout under control, I have been eating just about every thing I like, including beef, herring (a big NO NO) and even shrimp, the other day, w/o any negative affects. But, remember, my SUA is near 4 +/- 1 mg. So get your SUA down and then think about a “normal” life style again.

[hansinnm]

CHUNQX said

Thanks for that, Hans. I think I’ve accepted the medication bit. I’ve just started taking the Allopurinol as of this morning instead of Tuesday like my dr instructed. I can’t see the difference 2 days will make especially for the 100mg dose. The 100mg dose will only be for a week. After that I’ll see about negotiating with my dr about going to 300mg. One question: How do I know if I’m allergic to Allopurinol or not (ie. to the point where I shouldn’t take it)?

Limpy told you already. In my case, the rash was all over my body and I scratched myself bloody from top to bottom. It lasted nearly 6 weeks.
As Limpy said, brace yourself for more attacks, flares as your UA is reduced in your body. Once you reach a steady ~5 mg level the attacks should diminish/stop.

[hansinnm]

Ashley, do yourself a favor: When you get your kit, don't test your SUA every day. Reason: You'll waste your money, and worse, you'll cause yourself lots of confusion. (I am speaking from experience. Have self-tested since Dec. 2009.)

Here is my advice, yours to take or leave:

Take 2 or 3 tests immediately to establish confidence with the kit and proper amount of blood drop. Set a fixed date/time when to do the test: Monday, Saturday, Sunday AM (preferably before any intake of food) which ever day is most convenient for you. Establish finger and point where to prick it; (I myself prick my left middle finger about 3/8-1/2 inch from tip.) Even though they recommend not to squeeze the blood out, you may nevertheless be forced to do so in order to get the desired amount. (I found about 1/8″ or a tiny bit less to give me fairly reliable results. However it should be near 1/8″.) Of course, you'll keep record and you might make a note what and how much you drank the night before. As far as food is concerned, that is your choice. (I found it to be cumbersome. tedious, not reliable, nor revealing/essential. But that is me. You use your own judgement.)

Why confusing? If you test every day, you'll find that readings will jump all over the place, depending what you have eaten, drunk; what and how much exercises you have done; how much or little sleep you got; how much other medication you have taken; under how much or little stress you are (your metabolism and its functions are very much influenced by that;) and there be may other factors I haven't thought about. In any case, it's very doubtful that you or anyone, for that matter, will be able to pinpoint the reasons for up or down of the SUA value. E.g. While starting Allopurinol/Uloric medication, the SUA generally goes first up because deposited UA in form of MSU (the salt of the acid, called tophi) is being dissolved and put back into the blood stream.

I think you are on the right track: Monitoring/managing your SUA. Unless you know where that is there is no telling what's happening. One more thing: Have regular lab tests (6 or 12 months) confirm your home tests and have metabolic tests done at the same time to monitor liver and kidney functions. Some medications can affect those organs negatively.

Good luck.

[hansinnm]

ctrlkeys said:

Hey Hans

?

I might give that a try I got Naproxen here, I just found that Indomethacin was more potent but I think my main problem was I let the attack settle in, I refused to believe I was having a serious attack because I was on allopurinol and since starting ive not had a major attack, I thought it was going to pass through the night, and started the colchcine/indomethacin when the attack was fully instigated, the result was just having to ride the pain out.

?

I may try Naproxen next time along with a small dosage of colchcine, that might be the way to go as with Naproxen you can keep using it for weeks in a row, the problem with Indomethacin is you are suppose to cut it down as soon as possible.

?

thank you for your comment by the way 🙂

---

Hello Imran,

You are welcome.

You are still very young and you don't want to get where I was: Ignoring (not knowing) about the build-up of SMU (the salt of the Uric acid) as tophi which eventually destroy your joints if you don't take car of it in time.

So make sure that your dosis of Allo will reduce/keep your SUA at 5mg or less.

Second only take your Colchicine for as long as your inflammation lasts. That time and amount depends on the severity of your inflammation.

Third, take the Naproxen only when your pain level gets past unbearable and quit when you can endure the pain. It has worked for me for 25+ years. The thing I didn't do was taking or being prescribed Allo when my gout attacks started.

Fourth, keep an eye on your liver and kidney functions to assure that the meds are not harming them.

[hansinnm]

ctrlkeys said:

… attack dispite 2mgs of colchcine and 50mg of indomethacin, …

---

I don't know if this is of any help: 2-0.6mg Colchicines (1 in AM,1 in PM) and 2-500mg Naproxen (or Aleve) did the trick for me during a real bad attack. Mind you:That's ME. I never took Indomethacin, so I can't comment on that.

[hansinnm]

ltjuggernaut said:

Thank you Keith. I dont consider my doctor a fool but Im really glad she sent a referal for me to see a Joint Specialist. Sorry I didnt mention that; my apology. Its just sucks cause im have an gout attack right now.

---

Vincent, you may not consider your doctor to be a fool, but, if you don't mind me saying so: I think YOU are the fool. Please, don't chop my head off!!! (I mean well.) THINK: You said on Oct.8, that 1 1/2 months ago (~ end of August) your SUA was 6.74mg/dL. Zip and I questioned that figure. Yesterday, Dec.22, you tell us that b/4 Allo your level was 12.2, (you must give us the correct units of measurement, otherwise, all figures are meaningless)? and I guess you meant 12.2 mg/dL. This is an extremely high level for a GOUTIE, and YOU are a goutie. Your Oct/Aug figure could be 0.67mmol/L or 674 ?mol/L which would translate into ~11.4 mg/dL. In other words: You have been at a dangerously high SUA level and your doctor will not increase your medication. In addition: She sends you to a joint specialist instead of a rheumatologist, the “specialist” most qualified to deal with GOUT, YOUR GOUT.

Keith already gave you his assessment and advice for your condition (with his knowledge and personal gout experiences, he'd make a hell lot better gout doctor than most GP's on this planet), all I can and will say: Either get your doc to play ball with you and up your Allo or get another GP, and above all, see a rheumatologist instead of a GP.

[hansinnm]

tonyccc said:

Doctors Robert Lustig,Richard Johnson? and Dr ?Mercola would definitely disagree with all your shit.

…

---

tonyccc, before you speak for Dr Lustig, you better take another look for what he stands:

“Robert H. Lustig, MD, UCSF Professor of Pediatrics in the Division of Endocrinology, explores the damage caused by sugary foods. He argues that fructose (too much) [especially, HFCS] and fiber (not enough) appear to be cornerstones of the obesity epidemic through their effects on insulin.”

His fight is against obesity and diabetes, concentrating on children, primarily, not gout.

Re Dr Richard Johnson: About which Dr Johnson are you talking? 1) ?Richard P. Johnson, Ph.D. ; 2) Dr. Richard W. Johnson, MD, Kew Gardens, NY ; 3) Dr. Richard J. Johnson – University of Florida Department of Medicine; 4) Richard F. Johnson, MD; 5) Dr. Richard Johnson, DC, ?West Bloomfield, MI,; 6) ?Dr. Richard A. Johnson – Idaho State University; 7) Dr. Richard R. Johnson – NC State University???

I'd be careful, quoting public figures without properly identifying them and for what they stand.

[hansinnm]

Thank you, Keith, for your vote of confidence.

[hansinnm]

[hansinnm]

zip2play said:

…

1) Gee, ?I should have GUESSED they'd do ULORIC as a teardrop.

?

2) Oh greed, thy name is BIG PHARMA.

---

1) The 40mg is round but the 80mg is teardrop.

2) You got them all wrong, Zip. BIG PHARMA is all heart. They are trying to save you from spending all your teardrops (you know they are so important to the well-being of your eyes) over all the money they so cleverly suck out of you. They figure your eyes are more important and you need them more than your money. So you see, not only are they saving you your teardrops, they are giving you some more to boot.

[hansinnm]

zip2play said:

..

What's next? Febuxostat is a round pill that will not lodge in your pyloris causing a slow death like? those other deadly SQUARE pills?

?…

---

Naw, Zip. You missed this one. I am going to live to be 150, because I am taking the teardrop “Febuxostat” pill which will not lodge anywhere.

[hansinnm]

zip2play said:

Hans,

?

1) I think it has to do with the lowered solubility in our extremities. I guess there's no way to find out the REAL temperature in the distal joints of my fingers, but it is certainly below 98.6 degrees, perhaps FAR below?

So? maybe??there's no solace in solubility of urate of 6.7 at an artificial generalized “body temperature.”

?

2) On the other hand perhaps the SWINGS in uric acid are dramatic over a day. I am going to do an experiment when I see my doctor again in January (when my new insurance kicks in.) Since I always have my cholesterol checked, I am ALWAYS fasted when my blood is drawn. Next time I will pig out at lunch and have a blood draw in the afternoon. That will be my first full stomach urate reading ever. Perhaps it will be dramatically higher than usual?

3) But I DO need my cholesterol checked…a dilemma.

I'll work something out.

---

Ad 1) I am sure that there is a difference between body blood temperature and?distal joints of fingers. I do know, when I am sitting in my sail boat, sweating my balls off in my wet suit and my fingertips are as white and stiff as pieces of chalk, that the temperature difference between those extremes is more than one degree, and probably more than 20 degrees. However, I am not forming any tophi now nor any of the bubbles
filled white, “pussy liquid”. I am calling it “pussy” because it looks like pus only it is whitish instead of yellowish.

Ad 2) Zip, I don't think that you'll get a decent, logical mg reading of your SUA. Reason: For food to be completely digested and ingredients absorbed by the blood system, close to eight hours pass, which means between lunch and blood draw not enough time has passed to result in a significant, reliable figure.

Ad 3) You do need to be w/o food for at least 8 hours for the cholesterol check, don't you?

[Author]

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