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I had a setback over the last few days but today seems to be an improvement. I'm able to flex my knee a little better and with Ibuprofen I could shower and change my clothes.
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Today I am able to walk with less pain. My knee is still too immobile to climb stairs. The swelling still modulates but to lesser degrees. I give myself two more days before I can finally go get my mail.
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Cherry consumption has been shown to successfully prevent gout arthritis attacks, but what about cherry juice concentrate? 

Click the link to watch the video: http://nutritionfacts.org/video/treating-gout-with-cherry-juice
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Yesterday I suddenly had a massive gout attack on my left foot. Severe pain but not swelling, at least not yet.

I just returned from a trip to visit family and at one point I had to run the length of the Detroit airport to catch my connecting flight which started boarding before my previous flight landed. It pretty much ruined my trip. On the trip I was dragged on long walks every morning. My feet were hurting constantly.

After I returned the pain subsided after resting for a couple of days, but then the gout hit me again. The pain excruciating overnight and then began to fade during the day, but the fatigue persists and the pain is starting to ramp up again as the sun goes down tonight.
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I've been restricting my diet to shredded lettuce, onions and shredded broccoli on a soft tortilla with a little sour cream, ground black pepper, garlic powder and Dill Weed and Tabasco sauce. I feel much better.

Occasionally however, I will get a protein craving and pound down some chicken. I think I'm starting to lose weight, but at this point I'm not going to watch it because it will only frustrate me.
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 Fast weight loss can increase uric acid levels in the body. Purines are stored in fat cells. When they are released too quickly, overload is inevitable. Your body needs the time to slowly deal with the purine release in order to excrete it from the body and avoid even more uric acid production and storage.  Excessive food source shortages can backfire.  This leaves us between a rock and hard place when it comes to making dietary choices during an attack.  http://www.goutcure.com/goutcausfood.html
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Again, more questions than answers about Omega-6 
I thought I would eat a healthy low-sodium, low-sugar diet by eating nuts. Well maybe that's not such a good idea. It turns out nuts contain extremely high amounts of Omega-6 which contributes to inflammation. The University of Maryland Medical Center suggests "some" Omega 6 contributes to inflammation http://umm.edu/health/medical/altmed/supplement/omega6-fatty-acids . Another site, Mark's Daily Apple suggests that any nut you buy in the store that isn't whole in the shell is no good for you at all. http://www.marksdailyapple.com/nuts-omega-6-fats/#axzz2wzhRILhz

I'm going to move forward with the Walnuts, Almonds, Cashews, Pecans and Macadamia nuts I already bought and see where it takes me. Wish me luck.
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Monday I noticed some swelling in my left knee. Gradually it swelled up to the size of a grapefruit by Thursday. I live up a flight of stairs. Luckily I can have my groceries delivered. Unfortunately I can't take out the trash.
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Saturday (today) I can sometimes walk without a crutch, but not without the aid of Ibuprofen (800 mg) Sometimes it seems the swelling goes down about 15% but then after sleeping about two hours the swelling returns about 10%. It;s going to be a very long possibly two week recovery. 
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Cherry consumption has been shown to successfully prevent gout arthritis attacks, but what about cherry juice concentrate?
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My gout has been persistent to this day. The pain and swelling goes up and down but it has yet to go away. Moving between my toe and my heel on the same foot.
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Thom Hartmann said on one of his shows that Sugar is directly related to Inflamation. He also said that Carbohydrates are converted into sugar by the Liver.

Well well, I've been eating soft tortillas with my meals thinking that because they only had 1 gram of sugar (see the label*) that they were safe, but a soft 10 inch wide tortilla has 36 grams of Carbohydrates, or 9 teaspoons of sugar.

After cutting as much Carbohydrates as possible out of my diet, I'm no longer hungry every two hours.

Here's more: I'm adding a search link for Sugar that may shock you.

*Label found at : http://nutritiondata.self.com/facts/baked-products/5120/2
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My left toe is starting to hurt again. Right in my left big toe Distal Phalanges. Just like the photo again.

I just noticed it as I got out of bed this morning. I think I didn't drink enough water yesterday. The last couple of days I've been watching my weight and rationing my meals. I think my fat cells are releasing something in response to my drop in caloric intake that's causing this attack.

I've been pain-free since my last post, but I've been putting on the pounds. It seems like eating is keeping me from having attacks but my weight is out of control.
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When is the first day of Spring? I'm starting to see a seasonal pattern emerge.
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Today I am feeling better than I have in a very long time. My right knee is almost back to normal and my lungs are almost clear. I'm still concerned that it took this long to recover though.
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An aggregate of online research regarding Gout
Introduction
I was diagnosed with "Chronic Gouty Arthritis" and suffered from attacks since 1999. Doing research online I found that no one seems to have a straight answer. I couldn't understand why no site seemed to be in agreement with another until I saw the pattern emerge that most sites are simply trying to sell you something and they try to distinguish themselves from other sites by making claims that don't match the other sites.

I am posting my own experiences with this condition. Accounts of treatments and remedies are unique to my physiology and metabolism. Consult your physician before attempting any remedy suggested here.