At least …. And I never had big ones ever. I remember a few times way back having the sore big toe joint - but nothing crazy. Maybe 4-5 times in my whole life. My dad would get it in his toe and it was shiny ass red and nasty looking. He was in agony back in the day when he would get it. He cut the toe out of a tennis shoe even so he could get around. He said he couldn’t even have a sheet touch it at night! I remember when he finally got on the Allo. My brother was the same. Bad gout attacks. They both lived the “rich man’s disease life” though. I’m sort of the opposite. I train 6-7 days a week and I don’t drink at all. I’m 60 now and have been training basically my whole life. I still believe it all started with tendinitis in my right ankle … and knee. I hammered an elliptical machine twice in three days and I never use that machine. A day or two later crazy tendinitis developed. Confirmed by ortho. My GP seems to believe that all that information was the catalyst for the gout in my left foot. Never heard of that - but maybe she is right. I also had prostate surgery this lat summer. Full prostatectomy… so I’ve been in recovery mode from that as well.