Thursday, January 10, 2019

Can we blame gout’s resurgence on ketosis?

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“My toe hurts so bad, even looking at it is painful!” I was a third year medical student when I heard the obese 50ish-year-old man screaming in the emergency room about his pain. At first I thought he must be overreacting to get better pain medicines. But then I remembered all the textbooks mentioning how incredibly painful gout is. My attending confirmed that, yes, this was a common presentation for gout and I have never forgotten that. Gout hurts! Traditionally, gout has been associated with the “opulence” and “indulgence” of the upper class aristocrats. Now, however, gout is an equal opportunity offender striking individuals of all socioeconomic classes. The Cut: Why gout is making a comeback In fact, the article in The Cut suggests a resurgence of gout not just in obese Americans, but also in young, otherwise healthy individuals who start a ketogenic diet: Doctors largely attribute this rise to the increasing prevalence of obesity and hypertension. But Dr....
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Can we blame gout’s resurgence on ketosis? was originally posted by Ketogenic Diet

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