J, I don't think the nicotine
gum is causing the gout
. You simply may have a deficiency that affects the way you break down proteins
, leading to higher levels of uric acid in your blood. I think you should keep using the nicotine replacement treatment and taper it slowly over time to increase your chances of maintaining tobacco abstinence. Meanwhile, get some blood work done to check your uric acid levels and watch your intake of alcohol and high protein foods. If this becomes a chronic problem for you, there is always daily suppressive treatment available to keep the uric acid levels down.