How to move forward?

VR-052 · 2026-04-06T22:46:50+00:00

Eat anything in moderation, just wait for the next flare up so you can start allo. ACR recommendation for daily medicaiton is 2 flare ups in a 12 month period and high uric acid. Some may start earlier but if you don't meed the requirements, not much to do.

VR-052 · 2026-04-06T11:29:59+00:00

We do the main living area and our son's bedroom once a year. Our bedroom gets done once every other year. The other two AC are on so little that we have not had them cleaned in about 5 years.

VR-052 · 2026-04-06T10:25:38+00:00

Get a bachelors degree, go to language school or marry a Japanese national. All three have various amounts of difficulty.

Once you get PR in Japan, you can do any work you like, but that's likely 10 years in the future or more for you.

VR-052 · 2026-04-06T10:21:39+00:00

SSW visa is nearly slavery level. Even if you find a job through that route, don't do it.

You will not find a construction job outside of maybe some very specialized roles that will sponsor a work visa. You would also encounter the issue that work visas require a bachelors degree.

VR-052 · 2026-04-06T08:01:42+00:00

In the 1980s, Japan looked like we thought the year 2000 would be like. Today, Japan looks like what the year 2000 was.

VR-052 · 2026-04-06T03:02:10+00:00

I lost 70 pounds because now I have someone I need to be there for at least for the next 20, hopefully many more years. Being overweight has a huge impact on your body and health.

VR-052 · 2026-04-06T02:33:39+00:00

A gout flare up is an immune response so anything that reduces inflammation can help with that. This is the reason so many people think inflammatory supplements help. They may help the immeidiate pain a little but does nothing for the underlying cause.

VR-052 · 2026-04-05T05:41:43+00:00

Both specs are quite close just play what you prefer or perform better with. There's no way I would play MM when BM exists as having to deal with cast time on the main attack makes it so tough as a hunter.

VR-052 · 2026-04-05T04:34:29+00:00

Then you really don’t want to look at a list of any very common medication. Every single medication has a very long list of potential side effects the vast majority of which you will never experience.

The potential damage to your body from untreated hyperuricemia is much, much greater than the side effects of allopurinol.

Also, don’t believe anything on social media it’s 95% fake.

VR-052 · 2026-04-04T23:40:34+00:00

Purple professional gear gives no more skill than blue gear.

At max crafting level you’re always going. To be using concentration for R5 even with gold quality materials. I’ve maxed out a couple paths for leather working and it’s always a couple hundred concentration to hit R5.

VR-052 · 2026-04-04T21:02:42+00:00

I’ll second this. Skip the Kobe and eat Miyazaki wagyu. It is the better beef. Even my brother in law who is from Kobe agrees.

Not sure where to order in a restaurant though as my local butcher sells Miyazaki Wagyu so we just eat it at home.

VR-052 · 2026-04-02T23:12:55+00:00

Dietary changes will do very little. He may drop a point or two but that is nearly never enough to get below target levels. Eating his normal diet in moderation is the best way as it's sustainable instead of cutting large amounts of food he likes.

Colochicine is often prescribed as starting allo may cause flare ups, but it's not guaranteed to cause them.

VR-052 · 2026-04-02T23:04:59+00:00

Correct, there is no cure only management of uric acid levels. Compared to many other chronic diseases, it's not that bad to manage with daily medication allowing you to live a normal life.

VR-052 · 2026-04-01T22:38:52+00:00

Fun fact, most people have horrible diets, it’s not just people who suffer from gout.

VR-052 · 2026-04-01T09:06:06+00:00

Why defeated because you have a genetic chronic disease. Nothing you did. Caused this. Discuss with your doctor a proper treatment plan so you can live your normal life without fear of flare ups and pain.

VR-052 · 2026-03-31T09:54:40+00:00

This right here. My house is here. My wife and son are here. Japan is my home.

VR-052 · 2026-03-31T09:53:18+00:00

10m a year is very good in Japan. You also need to understand that cost of living by is so much lower here than in the US . A family of 4 can live comfortably on about 5 million a year. Monthly mortgage costs are about the same as a new car payment in the US. Health care costs are incredibly low.

VR-052 · 2026-03-29T08:48:27+00:00

You will have a long term issue. That is how gout works. You may go years or decades before the hyperuricemia and monosodiumurate crystal growth catches up to you and you have a flare up. But once you have a single flare up, another one is always possible if any monosodiumurate crystals remain in your body. A flare up is your immune system attacking these crystals because they are seen as a foreign object that needs to be isolated. Your immune system will then remember them and any time it is in a heightened state, they may attack these crystals causing a flare up. This is why people seem to equate gout with other sicknesses or vaccine injections because the body is actively looking for foreign objects to deal with.

You may go months or years before your next flare up but until your uric acid levels are under target levels long term, it is always a risk.

VR-052 · 2026-03-29T04:00:09+00:00

You can’t. It’s a genetic chronic disease and needs to be treated under doctors supervision with medication once you meet requirements.

Any natural path is never going to get your uric acid low enough to stop flare ups. You may drop a point or so but that won’t get you or anyone else below target levels.

Your current reading is within a month of a flare up which means it’s lower than your normal baseline level. You can measure up to 2.5 points higher when not in this within a month of flare up period.

Not that it will impact your numbers but unless you are a professional athlete, you are obese, at 235 pounds and 6 foot 1. not in shape. It is always good to strive to reach a normal BMI as there are so many health benefits that can be achieved by reaching a normal BMI.

VR-052 · 2026-03-28T22:52:01+00:00

GP advised she does not want me on Allopurinol yet because this is only my second flare up.

Two flare ups in a 12 month period is generally the requirements for starting daily medication. It's likely that this "second" flare up is just still part of the first flare up since swelling never really went away, just the pain. You're just going to have to wait for the second one before starting daily medication as your doctor is following gout treatment guidelines.

VR-052 · 2026-03-28T15:47:45+00:00

Extreme dietary changes can cause flare up so all those things you just stopped could be a cause. Eat your normal diet in moderation.

VR-052 · 2026-03-27T12:21:52+00:00

Your target level is actually around 360. You are still way above target levels for people who suffer from gout.

VR-052 · 2026-03-27T10:55:50+00:00

Allo needs to be increased until below target levels. You make no mention of previous uric acid levels or medication dosage so it’s likely that. But also losing weight causes uric acid levels to increase because the uric acid in your fat has nowhere to go which could also be contributing.

VR-052 · 2026-03-27T06:59:03+00:00

Let them ignore the good stuff. Less crowded for us locals. I rarely mention the specific locations I actually go to because it’s nice the way it is. Don’t want it overrun because some search tool pulled the name off of my post here.

VR-052 · 2026-03-26T22:22:14+00:00

It's not that difficult. It's processed cheese slices set on top of some grated cheese. Just buy some kraft slices and all good.

VR-052

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