New Gout Guidelines: Primary Care Pointers

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Hello. I can’t figure out the issue of gout. If a person's kidneys are fine and they are working as they should, then the problem is in the liver. And then I constantly hear from various doctors that they say the liver creates too many uric acid crystals from purines. And they say this is precisely the problem. But no, most likely not in this. We all have copper stellate liver cells someone has more of them, someone has less of them. It is these liver cells that destroy toxins, and uric acid is a toxin for the body. So, apparently, patients with gout do not have enough of these copper cells in the liver. After all, it is they who synthesize = create, build the copper-containing enzyme "uricase". Which breaks down uric acid into water-soluble molecules "allantoin". And these water-soluble molecules are excreted in the urine. It would seem that the issue has been completely resolved. Synthesize the copper-containing enzyme uricase in factories, and periodically put in a dropper to cleanse the body of uric acid. Practical without side effects. But no, for some reason this drug is not in use. Either it is expensive, or it is completely banned, as, for example, in E. S. At the same time in E. S. oligarchs with their corrupt politicians do not produce analogues of the pegloticase krystexxa. And what is prescribed to patients. That's right, pills with a wild amount of side effects of the 70s, 80s.) Well, what if not genocide? People, why do you think the Zion oligarchs are such finished children of the devil?, -

nirosta
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None of that works during a gout attack.

alex