1. Dr. Karen Vieira & Shawn Stevenson
Gout
Dr. Karen Vieira & Shawn Stevenson

2. What is Gout? Gout is inflammation in a joint or joints
It is like a type of arthritis  
It's accurately referred to as Metabolic Arthritis
It's a result of a build-up throughout the body of a metabolic waste product known as uric acid
Occurs more commonly in men than women
Becomes more likely to occur as you age

3. The Symptoms Of Gout Swollen joints Tenderness Redness Strong pain
Heat
Fatigue
Fever
Elevated levels of uric acid

4. The Chemistry Behind Gout

5. The Causes Of Gout Improper elimination of urate (salts of uric acid)
Overproduction of uric acid
Obesity
Hypertension
Insulin resistance
Sleep apnea

6. Blood Tests Check For Gout
Uric acid blood test will identify your current uric acid level
This is a strong predictor of gout
High uric acid means your pain and inflammation is likely gout
Low uric acid levels means your pain and inflammation is likely not gout

7. Medications and Problems With Them
NSAIDS (except aspirin) to relieve pain during attacks [side effects: kidney failure, liver failure, ulcers, uncontrollable bleeding, cardiovascular events]
Colchecine - an anti-inflammatory to relieve pain during attacks [side effects: low white and red blood cell count, nerve damage in arms and legs]
Glucocorticoids are steroid hormones to relieve pain during attacks
Probenecid or allopurinol to lower uric acid levels [side effects: anemia, liver failure, joint pain, kidney stones]

8. Dietary Changes
Keep channels of elimination clean and functioning properly
VIGOROUSLY ensure proper gut environment
Some uric acid is eliminated by beneficial bacteria in the gut.
Stay super-hydrated -> this will prevent uric acid from becoming too concentrated
Use proven systemic alkalinizing practices
AVOID activities that decrease uric acid metabolism (esp. alcohol, oxidized fats, processed carbohydrates)

9. Lifestyle Changes Exercise (the double-edged sword for gout) Sweat
Body work
Clearing up channels of elimination

10. Supplements & Foods to Incorporate
Apple cider vinegar
Noni - COX-2 inhibitor, clinically shown to inhibit xanthine oxidase (XO) enzymes
Tart cherries
Dandelion
Alkaline superfood blends (in some cases) 
Turmeric or curcumin