Your position goes against extensive, well-documented medical research. The reality is that contemporary studies have identified numerous genetic markers directly linked to even secondary (or “dietary”) gout. It’s nearly impossible to have gout without some genetic predisposition. When secondary gout occurs it’s secondary to disease or medication, not diet – this is part of why is it’s referred to as secondary gout rather that dietary gout in contemporary literature on the topic. Yes, diet can impact flare-ups, but attributing the entire condition to lifestyle choices misses the mark on what actually causes gout at its core.

Attributing gout solely to diet isn’t just outdated; it’s misleading and contributes to misunderstandings about managing the condition. This is why you end up with people having chronic gout flares, because instead of getting on ameliorative and preventative medication, they’re trying to lower sugar, alcohol, shellfish intake, drink tart cherry juice and whatever else while still suffering from high uric acid. Gout can and will cause permanent joint damage. I’m not going to sit and bicker with you about this. You’re clearly very defensive about it, but you’d likely benefit from an updated perspective and, honestly, maybe a second opinion from a doctor who’s keeping up with current research.