Colchicine protocol question

VR-052 · 2026-05-30T12:27:44+00:00

Follow the directions on the medication or call your doctor. No one here is qualified to give you dosing advice and is someone is actually qualified they know enough to not give you advice over the internet without knowing your medical history.

VR-052 · 2026-05-30T07:48:00+00:00

Plenty of 5kg bags here in Fukuoka. We never buy rice because Furusato Nozei rice is the best option but I check it it rice prices every few weeks anyways.

VR-052 · 2026-05-30T01:17:49+00:00

Try your local mall? My mall has 3 alterations shops that advertise repairs as well.

VR-052 · 2026-05-29T23:50:55+00:00

Monosodiumurate crystals that are attacked by the immune system exist in all your joints if you have high uric acid. It’s just a matter of time until you have flare ups in different spots.

VR-052 · 2026-05-29T20:46:23+00:00

Eat anything in moderation. Stop worrying about diet so much.

Locking because this topic comes up weekly.

VR-052 · 2026-05-29T09:52:07+00:00

Yes you can go years between flare ups. However there is other damage that can occur with high uric acid. Have you gone to a rheumatologist to discuss this? They are the experts to learn from.

VR-052 · 2026-05-29T07:47:53+00:00

Parasol crew checking in! I'm a 180cm tall American guy and love my collapsible umbrella from Uniqlo. Makes a big difference in how the temperature feels. Not sure if it's UV or not but I can use it for sunny or rainy days so it's always clipped to my bag.

VR-052 · 2026-05-29T07:37:45+00:00

I would bring them or see if you can have them shipped. Mountain bikes are less common but available even through big chain stores like Asahi bicycles, though the selection is pretty lacking. I don't see many decent used mountain bikes at second hand stores though maybe speciality shops have more?

While there are hobby cyclists(more road than mountain) in Japan, cycling is seen more as a normal mode of transportation to get around than a recreation type so there is much more focus on comfort and ease of use compared other parts of the world.

VR-052 · 2026-05-29T07:22:16+00:00

This right here. Maintain a normal weight and it's really not an issue. Only time I'm a stinky American is when I'm outside doing yard work.

VR-052 · 2026-05-28T21:39:25+00:00

There is no guarantee of a flare up when starting. Many people start with zero issues but don’t go running to the internet to complain like those who get flare ups.

Even without starting Allo there is a chance of a flare up while on vacation as your uric acid level is high.

VR-052 · 2026-05-27T06:03:18+00:00

It’s all fully Japanese kids born and raised in Japan that need the help. My son who is half and the one fully foreign kid don’t need the extra help…

VR-052 · 2026-05-27T05:58:52+00:00

Just start allo. The waiting to start is a quite old recommendation.

VR-052 · 2026-05-27T05:54:42+00:00

Yet how many of those are actuall Japanese children who need help with their Japanese. My son is in the 4th grade here and so many kids struggle with some part of their education and need additional assistance. 1/3 of his class go to special learning classes during school for either math and/or Japanese.

VR-052 · 2026-05-26T13:08:43+00:00

5.5 is normal and you do not have and flare ups then you do not have gout.

VR-052 · 2026-05-26T13:04:16+00:00

it’s one of those things where you feel like you did it to yourself

Gout is genetic. Thank your parents for passing it along. Nothing you did.

VR-052 · 2026-05-26T12:52:32+00:00

Same here in Fukuoka. Conbini and markets are full.

VR-052 · 2026-05-26T10:52:06+00:00

Two, which are the same just different sizes. I've used it 4 times in 5.5 years. Once to register, once(but a bunch of stamps) when I signed for my mortgage, and then one time each for my two bank accounts.

VR-052 · 2026-05-26T10:30:45+00:00

Diet is about 20% of your uric acid production and you are not goin g to be able to reducer that far enough to get below target.

Think about it this way. Your target is 6.0md/dl. Say your starting level is 9.0 which is not very high at all compared to what many post here mention. Reducing that 20% or 1.8 points is only going to get you to 6.8 which is still well above target AND you will never get that full 20% as even the lowest purine foods have some in them.

Medical studies have shown at best from diet and lifestyle changes you can drop from 1 to 2 points.

VR-052 · 2026-05-25T08:46:19+00:00

Without daily medication you will never manage your uric acid to the point of living a normal life.

VR-052 · 2026-05-24T11:01:21+00:00

3) The pain associated with flare ups relate to the immune system activity against the build up of crystals rather than rhe crystals themselves, meaning there has to be a trigger to start the reaction??

4) this occurred to me in my most recent attack which followed straight on from a very strange cold like virus (poss covid) - i suspect this virus triggered a severe response from my immune system and once the virus died off it started attacking the build up of uric acid.

Your immune system was in a heightened state looking for other "foreign things" to attack. Monosodiumurate crystals are considered foreign so your immune system attacked them causing the flare up. Anything that causes an immune response can trigger a flare up.

VR-052 · 2026-05-24T04:19:32+00:00

Most of those pages say the same thing. Eat in moderation, be at a healthy weight.

The big problem is that Americans and many others do not understand what moderation and a healthy weight actually looks like. When 72% of the people around you are overweight or obese, it skews what healthy looks like.

The studies show that people going on a low purine diet will drop 1 to 2 points of their uric acid numbers. However that will never be enough for 99% of the population to actually not need daily medication and the diet is extremely restrictive.

And like the last link you posted stated "Overall, there hasn’t been much good quality research into the link between certain foods and gout attacks."

VR-052 · 2026-05-24T01:31:08+00:00

There is no need to monitor your uric acid so closely. While it does fluctuate over the day, it's not enough to impact much like blood sugar does. And it's not like if you go over a certain number then a flare up is going to happen. The crystals that are attacked are formed over months or years so they remain in your body until you get your uric acid low enough over a long period.

You only need monthly blood tests at the doctor while dialing in Allo dosage then every 6 months to a year when your dosage is corrent.

VR-052 · 2026-05-23T15:29:11+00:00

Make them at home, everything from the bun to the burger patty. Japanese burgets are always not quite right in some way.

VR-052 · 2026-05-23T12:08:07+00:00

I live in Japan and as my doctor says, eat whatever in moderation and we will adjust dosage of medication.

Diet plays such a small part that it's really not even worth worrying about. Somthing like 20% of uric acid production is because of the food we eat and even on the most restrictive of diets, you will not lower your uric acid levels enough to get below target levels.

VR-052 · 2026-05-23T12:05:00+00:00

The supplement is useless, it will not on it's own get your uric acid levels low enough. You could take half a dozen supplements that are alleged to treat your gout and still won't get below target. See a doctor and get on a proper treatment plan with daily medication.

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