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The honest gout files

Articles

Evidence-graded, no hype, written by someone with gout. New pieces regularly. Start with the book's free chapters: Chapter 1 and Chapter 2.

Why don't people want to take allopurinol?The real reasons people delay or quit uric acid lowering medication, what the regret arc actually looks like, and the honest way to find out what you need.4 min · 2026-09-29Beer, wine, or spirits: which is least bad for gout, and when can I drink again?Beer, wine, or spirits: the honest, graded ranking for gout, why beer is worst, and when it is safe to drink again after a flare.4 min · 2026-09-25I quit drinking (or cleaned up my diet) and then got a flare. Why?You finally did the hard, right thing and got a flare anyway. Here is the honest, graded mechanism, and why it is a sign of progress, not failure.5 min · 2026-09-22Do uric acid crystals go away, and is the joint damage permanent?Crystals do dissolve, but a flare ending is not proof they did. The honest, graded answer on crystal dissolution and permanent joint damage.4 min · 2026-09-18What foods actually trigger gout flares? Is it the meat or the sugar?The honest, graded answer on which foods trigger gout flares, purine heavy meat and seafood versus sugar and fructose, and why they work differently.4 min · 2026-09-15Can I walk, work, or drive during a gout flare, and when can I wear a shoe again?Honest, graded answers on walking, calling in sick, driving, and shoes during a gout flare, plus the red flags that mean call a doctor instead.4 min · 2026-09-11How long does a gout flare last, and why is mine still sore weeks later?Gout flares usually ease within two weeks. The honest day by day curve, why week three still feels wrong, and when lingering soreness means see a doctor.5 min · 2026-09-08Does non-alcoholic beer cause gout flares?Does non-alcoholic beer raise uric acid? The honest, graded answer on the purines, the alcohol, and whether it is safe during a gout flare.5 min · 2026-09-04Can gout be cured? Is this forever?The honest answer to whether gout can be cured, what medicine actually achieves, what it costs, and whether a gout diagnosis really is forever.5 min · 2026-09-01Why isn't allopurinol stopping my gout flares?Still flaring on allopurinol? Three honest, graded reasons why: you may not be at target, it takes months to work, and starting it can trigger flares.5 min · 2026-08-28Why Is Gout on the Rise? The Real Reasons Behind the NumbersGout is more common than it used to be, and it is not mainly about diet. Here is what is actually driving the rise, graded honestly.4 min · 2026-08-21Uric acid lab test: cost, Labcorp, Quest, and what the number meansWhat a uric acid lab test costs at Labcorp and Quest, how to order it without a doctor visit, and how to read the number. Free, no email.5 min · 2026-08-19Why are fit guys in their 30s getting gout?Gout used to be pictured as an old man's disease. Here's why healthy, disciplined men in their 30s are getting hit with it, and what's actually driving the flares.4 min · 2026-08-17It is 3am and your toe is on fire. Here is how to get to morning.What is actually happening during a nighttime gout flare, how to get through tonight honestly, and the warning signs that mean you need a doctor today, not a blog.4 min · 2026-08-14Does creatine cause gout? The honest answerDoes creatine raise uric acid or trigger gout flares? The mechanism-based answer, honestly graded, from someone with gout who has never taken it.4 min · 2026-08-13Gout and cutting weight: the flare window nobody warns lifters aboutCutting, fasting, and hard training open a gout flare window right when you feel healthiest. Why it happens, what actually helps, and what I learned cutting with gout.4 min · 2026-08-12