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I developed painful gout at 40. Now 10 years later, I hardly ever have any pain at all.

Lots of research link gout to different makeups of gut bacteria:

https://www.nature.com/articles/srep20602

And I certainly changed my diet over the past 10 years, and my gut bacteria has become more diverse and presumably more healthy as a result. I've verified this through various stool tests and 3rd party microbiome trackers over the years (uBiome, Thryve)

I don't want to get into pseudoscience or offer anyone advice, but I can tell you that my experience with increasing specific bacteria that increase butyric acid within the gut has seemed to work for me. In theory, one could do this by eating butyrate promoting foods such as almonds, apples, barley, kiwifruit, and more, or take a bifidobacteria-enhancing fiber such as GOS.







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