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Dr. Karen Vieira & Shawn Stevenson
Gout Dr. Karen Vieira & Shawn Stevenson
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What is Gout? Gout is inflammation in a joint or joints
It is like a type of arthritis It's accurately referred to as Metabolic Arthritis It's a result of a build-up throughout the body of a metabolic waste product known as uric acid Occurs more commonly in men than women Becomes more likely to occur as you age
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The Symptoms Of Gout Swollen joints Tenderness Redness Strong pain
Heat Fatigue Fever Elevated levels of uric acid
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The Chemistry Behind Gout
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The Causes Of Gout Improper elimination of urate (salts of uric acid)
Overproduction of uric acid Obesity Hypertension Insulin resistance Sleep apnea
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Blood Tests Check For Gout
Uric acid blood test will identify your current uric acid level This is a strong predictor of gout High uric acid means your pain and inflammation is likely gout Low uric acid levels means your pain and inflammation is likely not gout
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Medications and Problems With Them
NSAIDS (except aspirin) to relieve pain during attacks [side effects: kidney failure, liver failure, ulcers, uncontrollable bleeding, cardiovascular events] Colchecine - an anti-inflammatory to relieve pain during attacks [side effects: low white and red blood cell count, nerve damage in arms and legs] Glucocorticoids are steroid hormones to relieve pain during attacks Probenecid or allopurinol to lower uric acid levels [side effects: anemia, liver failure, joint pain, kidney stones]
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Dietary Changes Keep channels of elimination clean and functioning properly VIGOROUSLY ensure proper gut environment Some uric acid is eliminated by beneficial bacteria in the gut. Stay super-hydrated -> this will prevent uric acid from becoming too concentrated Use proven systemic alkalinizing practices AVOID activities that decrease uric acid metabolism (esp. alcohol, oxidized fats, processed carbohydrates)
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Lifestyle Changes Exercise (the double-edged sword for gout) Sweat
Body work Clearing up channels of elimination
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Supplements & Foods to Incorporate
Apple cider vinegar Noni - COX-2 inhibitor, clinically shown to inhibit xanthine oxidase (XO) enzymes Tart cherries Dandelion Alkaline superfood blends (in some cases) Turmeric or curcumin
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