I know the pain you describe all too well. Being one who suffers with gout as well (since December 2002), mine has acted up in the past to a point where I can't even get up and hobble. I have prescriptions for both Indomethicin and Colchicine (standard gout meds), and I HATE popping pills.
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On the plus side, the large doses of ibuprofin seem to be having the desired effect. I can limp now :)
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Alternate ideas?
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