I'm a gout victim, too. Had it since I went from working as a truss monkey (very active lifestyle, no money for food) to computer work (sedentary). It got so bad that I went through a period about a year and a half ago wherein I was almost continually in a state of low-grade attacks (with really acute ones every week or so), and it was driving my doctor crazy.
The main thing that was driving her crazy was that I didn't do any of the things that should cause gout. I'm only 33, don't eat red meat or shellfish (gave them both up years before the gout ever appeared) or drink. I was (and still am) a little over my 'ideal weight,' but not particularly obese. She tested me for just about everything. Diabetes, too much Iron in the blood, Renal meltdown, Karmic imbalance, and Gremlins...if you could conceivably link it to gout, I got poked and prodded for it. Nothing. When we moved out of the area, after three years of almost constant testing, she was no closer to figuring out why I seemed to prone to gout than when she started. The only indicator we were ever able to come up with was that I've had frequent and multiple bone breaks, all over my body. That, and something else I've recently realised, help to explain why I got gout in almost every extremity below my neck at one time or another in the last ten years.
What was the other realisation? Circulation. Uric acid is delivered into the joints by blood. It seems to precipitate out of the blood and settle in the joints because of varying levels of dehydration and sluggish circulation. My resting pulse rate has been as low as 25-30 bpm, when I was at the nadir of fitness! I noticed, though, that when I was working out, pushing myself to try and get into Police Academy, my attacks stopped altogether. When that effort petered out, the attacks came back, worse than before. I didn't really think too much about it until recently, because I was working out at other times, and it didn't seem to help. I'm guessing that my particular system needs to be pushed pretty hard to get my heart rate up and keep the ol' red wine sluicing. I went into academy after we moved, to become a Correctional Officer. Very PT-oriented, and I haven't had a gout attack in months. Not a full-blown one, at least. I would get twinges, when I got home, where I felt like it was coming on after I peeled out of my shoes. Now that I'm on the job, and on my feet for thirteen hours or more each day, I notice it even more.
If I tie my boots too tight, when my feet swell during the day, it restricts blood flow, and my joints start to ache up. If it gets too bad, I'll pop an Indocine when I get ready for bed (man, that stuff is great for swelling and pain, but it knocks me on my BUTT with dizziness and drowsiness!! :grumpy: ). Then the next day, I remember to keep my shoes looser. It's been a fine line, so far, between blisters and gout

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This is just my observation...YMMV. Also, I keep several bottles of Black Cherry Juice in the pantry, in the event of attack. I find that it does the same thing as Colchicine (even the diarrhea part), but it only costs about $3 a bottle, instead of $25 for a bottle of twenty pills. I find that about two bottles is enough to Roto-Root my system utterly. Draws that Uric acid right out...just make sure you drink plenty of water, or else you're at cross purposes because of the dehydration. Isn't gout fun?!?
Welcome to the Brotherhood of the Toe. Wish you weren't here!
