Case of chronic gout pain
48 year old teacher came in with chronic gout for almost 10 years. His daily pain score was 7 to 8. He was on zyloric only. His uric acid level was 19.3, RBS 6.7, HbA1c 8.1%.
I started him with low dose gout combo, low dose klebsiela nosode, low dose E.coli nosode, low dose leptin resistance, curzinc, akkermansia and Imusil. And advised to go on low carb diet.
After 3 weeks his uric acid dropped to 3.2; pain is much lesser now and he lost 4 kg within 3 weeks
His IL 6 was 144, so I started him on Anti IL 6 and DNAse today.