If you take between 10 mgs and 40 mgs of folic acid a day, you won't get gout. Eating cherries helps too. Stay away from beef, and shellfish. You can eat fish.
My reco is to start with 12,000 mcgs of folic acid a day. If that works you won't have to increase the amount. Between 5,000 mcgs and 10,000 should be a maintenance dose. If you get an attack, drink all the black-wine red no sugar fruit juice you can get your hands on, cranberrie, pomegranate, blackberry, cherry, and eat lbs of cherries. Take 16 mcgs of folate a day. The attack should fade in a day or two completely.
(12 1000 mcg tablets. There is no overdose in folic acid. Since B vitamins can be perceived as deficient, you must take at least 2000 mcg of B12 to balance the folic. (For other reasons as well.). Since there are a raft of B vitamins, and these the body could miss with the excess folic, it would be wise to take a good multi that had a good supply of the other B's. Multi Basics 3 from aor.ca is such a vitamin. I would take 3 to 5 tablest of those a day. As well take about 250 mgs of Ester C, 6 times a day with food. Avoid all other diuretics.
I find I can drink red wine and tea once the gout is under control. If you feel a twinge of stiffness, up the folate.
This info is from Michael T. Murray's Encyclopedia of Natural Medicine. It works. MD's won't Rx it, but NA's sometimes will. I used to have severe recurrent gout and that cured it.
Gout could be related to hypertension, and sleep apnea. To avoid apnea, you should start a program of weight reduction, with an anti-syndrome X, low fat, low white food diet, and appropriate supplements such as fenugreek, r+ alpha-lipoic acid, and chromium-vanadium. Take magnesium, celery, garlic, onions, celery, cheese blackberry, cherries, and cranberries.
Perhaps you could try sodium bicarbonate during and attack if you are advised that sodium is ok. If it raises BP, don't do it.
Don't intake salt, and avoid canned food, as they sodium could make you ill if you are a hypertensive salt responder.
Colchicine is dangerous and unnecessary as are NSAIDs, with their bad effect on the stomach lining and possible stroke threat.
Ditto Allupirinol.
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