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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Bad Gout In Both Toes. Eating Healthy. Given Up Smoking. Cause?

Hi, I am experincing extremley bad gout in both toes ( i have had once before many years ago) but my diet is healthy and I ve only drunk alchohol twice in the last month. I have recently given up smoking and currently use 4mg nicotine lozenges (around 8 a day) do you think this may be causing the issue at all. Regards J
posted on Sun, 27 May 2012
Twitter Tue, 29 May 2012 Answered on
Twitter Wed, 20 Jun 2012 Last reviewed on
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Addiction Medicine Specialist,  's  Response
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.
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Experiencing Bad Gout In Both Toes. Eating Healthy. Given Up Smoking. Cause?

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.