Hi Henri. Gout here too, 22 years and Allopurinol. I remember the earliest symptoms of gout long before it was diagnosed, a little “tick” feeling in one big toe, back in 1986. Some stuff building up in that joint way back then.
Fat and salt don’t make any difference for me. We’re all individuals, of course. For me it’s alcohol plus meat and shellfish - the things that have higher purine content, and it’s purines from which the body makes uric acid, which causes the joint problems in the first place.
There have been times when totally fasting where I’ve had that, “uh-oh, here comes a gout attack,” feeling, even though there is no reasonable expectation that my uric acid levels would be higher then. Even weigh loss itself, alone, can sometimes cause gout attacks. It’s a complicated chemical dance that goes on inside the body and things are hard to fathom at times.
I’ve seen recommendations to limit fat when one has gout, but this never made sense to me - there’s never a mechanistic explanation of how higher fat is bad. I default to the ‘avoid organ meats, wild game, mussels, scallops, sardines, etc.’ Cut back on beef in favor of pork and chicken.
And you never know… There have been times when I’ve hammered booze and huge steaks, and never a twinge in a joint…