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hello mate, all that i can say is that my work consists of pyhsical exercise (i'm a machine mechanic) so i do a lot of hammering, cutting, dismantling, adjusting etc… and recently by accident i hammered my hand which (apparently) was responsible for causing GOUT in my right elbow the following day. I've always been fit, the correct weight for my height and no one in my family history has ever had GOUT but i've always drank alot of alcohol (especially beer & wine).
I've cut out drinking beer and only have a few glasses of wine during the week, take care of what i eat (low purine foods) and drink plenty of water…………….and my elbow has gone back to it's normal size barr a larger elbow joint (more pointy) and i have lesss pain. 80% better but not cured.
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In your case i reckon stress is a big contributing factor.
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All the best,
