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It is an honest characterization of where the science stands

Gout, as well as other crystal-induced diseases, is mediated by host and diet and lifestyle factors that modulate inflammation ( Pharmacologic Urate-Lowering Therapy ), and is driven by activation of innate immune inflammatory responses by tissue deposits of crystals

These original observations led directly to entirely new concepts of the causation of disease by autoimmunization

Elevated insulin levels, stemming from insulin resistance and -cell dysfunction, may enhance the renal reabsorption of uric acid

This is especially critical in the lungs, since the lungs are particularly sensitive to the effects of both oxidation and inflammation

Sterile water lacks antimicrobial agents and increases contamination risk in multi-dose vials