Many people ask me similar questions, I have not had time to organize, today together, I hope to benefit more people: 1, the generation of uric acid, exogenous (mainly refers to diet) accounted for only 20%, endogenous accounted for 80%, that is, most of the uric acid is generated by internal metabolism, and eat what has little to do with, so even if you do not eat and drink, blood uric acid at most 60umol / L lower, can only be counted Even if you don’t eat or drink, your blood uric acid will be reduced by at most 60umol/L, which is only 20% controlled, and you may still have an attack of gout due to endogenous uric acid increase. This is something that should be looked at discriminately: first, although diet control is not weighted heavily, it is certain that without diet control, a large intake of purines will trigger a gout attack. Secondly, once gout is formed, the diet must be controlled, but not just by controlling the diet can be solved, and patients who still have attacks after adjusting their habits + controlling their diet should use drugs. The cure depends on medicine, but the health care depends on food therapy. 2, people who have not had a gout attack, the level of uric acid is very meaningful to the gout attack, that is, the higher the uric acid, the greater the probability of gout, low uric acid, the probability of gout is small. In addition is the specificity of the body, certain body, more sensitive to sodium urate crystals, more prone to gout, so not all patients with hyperuricemia will develop gout. 3. In people who have already had an attack of gout, the fluctuation of uric acid is more significant to the attack of gout than the high or low uric acid. That is, if the uric acid is a little higher but the uric acid level is stable, it is less likely to flare up gout. If the uric acid is not high but fluctuates greatly, with high and low fluctuations, it is likely to trigger a gout attack. Even if the uric acid is normal and fluctuates significantly, gout can still occur. This is because once gout occurs, it means that there are already deposits of uric acid crystals in the joint area, and the coordinating factors that prompt a gout attack are all in place, so as long as uric acid fluctuates, there will be precipitation and deposition of uric acid crystals, and this dynamic process is the key to triggering gout. In people who have not had a gout attack, there may also be deposits of uric acid crystals, but in some cases, the uric acid crystals alone are not enough to trigger a gout attack, and factors such as free fatty acids are needed to provide a synergistic stimulus signal for a gout attack to occur. In other words, people who have not had a gout attack, although they also have fluctuations in uric acid, will not develop gout because of the lack of synergistic stimulation factors. 4, please be sure to remember that disease is disease, disease is treated by medicine, “diet, exercise” can only be used as a complementary treatment. It is not that adjuvant treatment is not important, but it is not the mainstream in the treatment of “disease”, but in the prevention and rehabilitation of “disease” “diet and exercise” can become the mainstream. So do not believe in health care products, do not believe that health care products can cure diseases, if it can cure diseases, he is not health care products, but medicine. 5, my view is the diet “balance”, never advocate excessive control. A balanced diet is the basis for maintaining basic life activities. Do not think that uric acid, blood lipids, these are “waste”, the lower the better, must maintain the “degree”, within a certain range, these are treasures.