Gout Prevention Gadsden AL

A by-product of protein metabolism called uric acid causes gout. At high concentrations in the blood it forms crystals, which end up in the joints, typically the big toe, causing razor-like pain and redness. Read on for more information on dealing with gout.

Lifetime Eye Health
(256) 435-9453
601 Pelham R S
Jacksonville, AL

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Thomas R Corley
(256) 546-2838
303 Bay St
Gadsden, AL
Specialty
Internal Medicine

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Ralph N Wesley
(256) 543-3930
311 South 5th Street
Gadsden, AL
Specialty
Internal Medicine

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Virenjan K Narayan
(256) 546-6200
503 S 5th St
Gadsden, AL
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

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Billie Kay Snell, MD
(256) 543-2894
501 Bay St
Gadsden, AL
Specialties
Pediatrics, Adolescent Medicine-Pediatrics
Gender
Female
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1983

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Caroline Feist, MD
(256) 413-1095
216 Monterey Cir
Gadsden, AL
Specialties
General Practice
Gender
Female
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1982

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Vicente Sj Torregosa
(256) 546-3345
1504b Rainbow Dr
Gadsden, AL
Specialty
Family Practice

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Thomas D Harper
(256) 546-5232
303 Bay St
Gadsden, AL
Specialty
Family Practice

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Courtney M Lowe
(256) 546-4868
303 Bay St
Gadsden, AL
Specialty
Family Practice

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Hilmon D Holley
(256) 547-0160
2108 Rainbow Dr
Gadsden, AL
Specialty
Family Practice

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Ask the Doctor - Gout

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By Mark Hyman, MD


Q My husband has been bothered by a tender big toe, which he attributes to arthritis. I think the rich food he loves has given him gout. How can we find out?


Gout is an ancient malady brought on by overindulgence. Charles Dickens wrote about it, and Rembrandt painted roly-poly characters with big red toes eating and drinking to excess. It is a totally preventable lifestyle disease.

A by-product of protein metabolism called uric acid causes gout. At high concentrations in the blood it forms crystals, which end up in the joints, typically the big toe, causing razor-like pain and redness.

Some people have genetic problems with uric acid metabolism, but most gout suffers bring the problem on themselves.

Most people don’t realize, however, that gout may presage a much more serious problem—insulin resistance or pre-diabetes. You can find out if you have gout by getting a blood test for uric acid, but you shouldn’t stop there. You should have a two-hour insulin and glucose tolerance test, which measures glucose and insulin levels after fasting and one and two hours after consuming a sugar drink. These will let you know if you have more serious problems.

Your husband faces some simple choices: He can keep enjoying his rich food, suffer from gout, get diabetes, be at risk for premature heart disease, cancer, and dementia, and take a medication such as colchicine, allopurinol, or indomethacin with significant side effects; or he can stop eating refined flour and sugar, cut out red meat, organ meats, and alcohol, and get more exercise to improve blood sugar metabolism.

While he’s waiting for his lifestyle changes to have effect, he can take cherry extract 2 to 3 three times a day for an acute attack or twice a day for long-term prevention.

Author: Mark Hyman, MD

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