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Although gout can be considered an acute consequence of periods of hyperuricemia and is easily recognizable by the associated severe joint pain, particularly in the large toe joints, there are many metabolic disturbances that result from chronic hyperuricemia that are far more problematic from the perspective of morbidity and mortality

ncbi.nlm.nih.gov/pmc/articles/PMC9309474/ #6

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Albumin data were obtained from the KORA study (Shin et al., 2014)

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