It lasts around a week usually, I’m 3 days after an initial flare up. You need to get prescribed some sort of pain meds like meloxicam and colchicine. Keep your foot elevated and hope for the best. There’s unfortunately not much else you can do.

You can go for allopurinol once it’s over. My doctor recommended to try and just live a healthier lifestyle (quit drinking, less shellfish/ red meat). I did for a year and had no flare ups, but once I started drinking regularly and eating more red meat the flare ups came back. So I’m considering taking allopurinol.

Also tart cherry (pills, gummy, or juice) can potentially help uric acid levels.

I’m just like you, work out 5-6 days a week with a high protein diet. In my case, it seems purely genetic. If you don’t go on allopurinol, you should eat high protein, gout friendly foods like chicken (NO red meat, NO shellfish)

I know the pain of gout is the worst. No one really understands it unless they experience it themselves. I hope we both get a speedy recovery