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Robert Kimelheim

| Aug 18, 2016 3:48 am

Jack...thanks for posting this. The relation of sodium fluctuations to flares tweaked my interest, as the flare precipitants are often unclear, yet, the sodium in beer and soft drinks is high. Although the typical "gout" diet can lower Uric acid about 1 mg/dl, (and virtually impossible to stay on ), I wonder if these diets would be additive? However I suspect that beer, etc was not included in their study, fish and not seafood were staples, etc. and, that some weight reduction was seen - another factor in gout management. I read a comment elsewhere saying that this diet approaches pharmacological intervention - I should hope we do much better than the 1 mg decrement! Especially with my patient earlier carrying around his 9.8 Uric Acid. And, as reduction in flares is the ultimate outcome,were these reduced at UA levels typically considered above target values? Now, that would be interesting!