High uric acid can be brought down. The first step is to understand the cause of elevated uric acid. For primary elevated uric acid, life interventions as well as medication can be applied. For secondary uric acid elevation, the primary disease needs to be treated first. Most patients with primary uric acid elevation can be treated with lifestyle interventions to lower uric acid in the early stages. Patients need to adhere to a long-term low purine diet, avoid alcohol and control their weight in the normal range. Attention to blood glucose and blood pressure control as well as regular physical activity can help lower uric acid. Patients whose blood uric acid does not reach the normal range through lifestyle interventions, remains persistently elevated or is associated with other complications such as gouty arthritis, cardiovascular disease, or hypertension, need to be treated with uric acid-lowering medications. Secondary elevated uric acid is usually seen in kidney disease or myeloproliferative disorders, as well as the application of certain medications, which can treat the primary disease or discontinue the suspected medication.