Interested in gout

I do not remember if I had any sort of carbohydrate
rebound or not.
This would be true only if carbohydrates had an effect
on purine excretion. I don't think any has been proven
yet.
I have a marked inability to sense 'thirst' or to
react to a sense of thirst.
I am most definitely in the USA. Most definitely
dealing with a doctor who is hesitant to prescribe ANY
medication until another attack is suffered and
hesitant to prescribe ANY medication in view of his
inability to successfully aspirate any synovial fluid.
He is most particularly hestitant to prescribe
Allopurinol.
Yes, perhaps so. Though I have always been a poor
responder to a sense of thirst.
But the diet involved sausage and liverwurst and these
are high purine foods, so it could well be a
combination of purine intake and failure to 'wash out'
with high water intake. Though I am most curious as to
how there could have been such a long time between the
weight loss/ dietary purine increase and the onset of
symptoms of gout.