I had a flare up of gout buy had arthiritis in large toe before but with wax bath had no pain.Was to doctor on April 26 and inflammation went down with medication and pain killers. Only too 2 pain killer, as could sleep without them finished inflammation med and today it is back inflamed again No alchol, just one cup coffee, had bit of lamb, no fish, , ate broccoli, spinach mushrooms last week small dab of hamburger this week salmon last night and today noon. Take supplements as well I don t know rh YYYY@YYYY