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NHS and NICE (NG219) guidance advise avoiding crash dieting and fasting in people with gout for this reason

Your doctor can also either diagnose or provide a referral to a specialist to help you determine if surgery is the right option for you

doi: 10.1503/cmaj.250502 150 Chvez-ManzaneraEAVera-ZertucheJMKaufer-HorwitzMVzquez-VelzquezVFlores-LzaroJRMireles-ZavalaLet al

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The program includes ongoing consultation with a registered dietitian who will help you implement your personalized program and guide you in establishing long-term healthy habits