Hello and welcome to HCM
Since, you have a history of mesenteric thrombosis
and family history of stroke, you are at high risk of stroke and heart attack
You need to get your lipid profile
done-Cholesterol, LDL, HDL, Triglycerides, homocyteine and lipoprotein (a).
If there are derangement then you need to start medications.
Regarding gout, medications have to be started (you must be taking them) and low protein diet
Thanks and take care
Dr Shailja P Wahal