Can Allopurinol Help Your Fatty Liver? What the Research Actually Shows A patient asked me something last week that I couldn’t answer off the top of my head. He has gout, takes allopurinol, and just found out he has fatty liver disease. Could one pill do double duty? I told him I’d look into it. … Read more
Here is something I hear all the time from readers: “My uric acid test came back normal. So why does my joint still feel like it is on fire?” If that sounds familiar, you are not losing your mind. Plenty of people with gout walk into their doctor is office with a lab report that … Read more
You have done it. Twenty pounds gone. You feel lighter, your energy is up, your blood sugar is more stable. Then, out of nowhere, your knee starts throbbing. By morning, you can barely walk on it. You have not changed anything else. What gives? If you have been doing a ketogenic or very-low-carb diet, there … Read more
Before we get into specifics, let’s understand what’s happening in your body when you drink. Your liver processes alcohol before almost anything else. When it’s busy breaking down ethanol, it slows down how quickly it clears other waste products, including uric acid. Think of your liver like a crowded construction site. When one big project … Read more
The Short Answer Good news for the coffee lovers out there. If you have gout, you probably don’t need to give up your daily cup (or three). In fact, research suggests coffee might actually lower your uric acid levels and reduce your risk of gout attacks. But here’s the thing: how you drink it matters … Read more
Your foot looks like someone inflated it with a bicycle pump. The joint is angry red, hot to the touch, and you can barely stand. Is this an emergency? Here’s what I’ve learned from talking to rheumatologists and ER doctors: most gout flares don’t need emergency care. But some situations truly do, and knowing the … Read more