Weight loss, carbohydrate rebound?
I do not remember if I had any sort of carbohydraterebound or not.
This would be true only if carbohydrates had an effecton purine excretion. I don’t think any has been provenyet.
I have a marked inability to sense ‘thirst’ or toreact to a sense of thirst.
I am most definitely in the USA. Most definitelydealing with a doctor who is hesitant to prescribe ANYmedication until another attack is suffered andhesitant to prescribe ANY medication in view of hisinability to successfully aspirate any synovial fluid.He is most particularly hestitant to prescribeAllopurinol.
Yes, perhaps so. Though I have always been a poorresponder to a sense of thirst.But the diet involved sausage and liverwurst and theseare high purine foods, so it could well be acombination of purine intake and failure to ‘wash out’with high water intake. Though I am most curious as tohow there could have been such a long time between theweight loss/ dietary purine increase and the onset ofsymptoms of gout.
Malia Berthelette on October 2nd, 2007
another attack is suffered and hesitant to >.prescribe ANY medication inview of his inability to successfully aspirate any synovial fluid. He ismost particularly
I am in Alberta, Canada and also have the experience of a GP who wasreluctant to prescribe allopurinol for what I thought were very goodreasons. His reasoning is that unless you have attacks of gout morethan once a year for a two day period - my first three attacks were likethis - treating it with medication may be “overprescribing.” Instead,he suggested I treat my own body with more respect, by eating morehealthily, getting more exercise, and reducing business related stress.Now that it has clearly become chronic, probably due to my not followinghis previous advice very well, he is quite comfortable prescribingallopurinol, so that I can pursue the exercise I have recently beenavoiding due to pain/attacks.
This seems like very reasonable medical advice to me. I would alwayssuggest that you follow the advice of a doctor that you trust. If theybelieve that you should be on allopurinol and you trust their reasoning,go for it!