In recent years, due to the increase in the intake of meat and other high-protein diets, more and more people are suffering from gout, and there is a trend of younger people. Many gout sufferers have experienced the “pain to the bone” and have come to understand the close relationship between gout and diet, and have begun to avoid high purine foods. This has led to a significant reduction in the number of attacks in some patients with gout, but there are still some patients who have recurrent attacks. Therefore, many patients have this question, “I’ve been very strict about avoiding food, why do I still have recurrent gout attacks?” As we know, gout is caused by high uric acid, and 20% of uric acid in the body comes from food, while the remaining 80% is self-generated. A high purine diet and other mechanisms such as increased production and reduced excretion of uric acid in the blood due to genetic factors can raise blood uric acid. Therefore, food has a limited effect on uric acid, and the body produces a lot of uric acid even if you don’t eat or drink. If blood uric acid is elevated, crystals will form in the joints, and when the crystals dissolve, pain and gout attacks will occur. Therefore adopting a low purine diet, controlling seafood, animal offal, etc., eating less non-vegetarian food, not drinking alcohol, etc., can certainly lower blood uric acid levels and reduce the number of gout attacks. However, gout will still attack. Therefore, strict diet alone can at most reduce blood uric acid by 10-20%, and if blood uric acid remains at a high level, gout flare-ups will continue. In addition, patients with recurrent gout attacks often have a large number of gout crystals deposited in the joint cavity, so if the blood uric acid level is not lowered to meet the standard and these gout crystals are gradually dissolved and discharged, gout will not really be controlled by diet control alone. To sum up, diet control for gout patients is the basis of treatment and should be used throughout the treatment. However, diet control alone cannot control gout attacks, but rather, appropriate medications should be selected under the guidance of a specialist to lower uric acid to meet the standard consistently. Our goal is to maintain blood uric acid level below 360umol/L; for chronic gout that has been repeatedly attacked many times, or already has gout stones, blood uric acid should be reduced to below 300umol/L and maintained for a long enough period of time. Therefore, do not imagine that simply controlling the diet will cure gout, but standardize the treatment under the guidance of a doctor.