Welcome to the Dr. Berg's Healthy Keto and Interminute Fasting Podcast, where Dr. Berg takes you on the journey for the truth about getting healthy and losing healthy weight.

I had another question from someone that wanted to know, why am I getting gout in my big toe?

Why isn't it in my less shoulder?

So we're going to cover that today.

First of all, what is gout?

That is a situation where you have uric acid crystals that are depositing

in certain joints, okay, and it's causing pain. Now, what causes this to happen is a mystery.

In fact, researchers have a big problem trying to understand this because the minority of people

with gout attacks have high uric acid. So in other words, the 10% of the population that

has high uric acid, only half a percent, 0.5% of them get the actual gout attacks. Okay? So that's kind of a

mystery. You would think it would just be the opposite. And on top of that, most of the gout attacks

occur when people have normal levels of uric acid. The other point about this is the uric acid crystals are not in the exact

location of where the person is feeling the inflammation. In other words, they're located in the

extracellular area. Okay? The inflammation is inside the cell. So that throws a little wrench into the whole theory. And so what they basically

concluded from that is that it's an immune reaction that is transmitting through this membrane.

So your immune system is reacting to the uric acid crystals, creating inflammation. And they also know

that people with gout, they have a problem eliminating uric acid

from the kidney. So the kidney is not getting rid of uric acid. And that could be from various reasons.

It could be because you're diabetic or a pre-diabetic or have insulin resistance. And that alone

weaken the kidneys because kidneys are a target

from having high amounts of sugar in the diet. And they also know that these gut attacks

occur usually at night after you have consumed alcohol like beer, especially beer, meat,

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