A 59-year-old with recurrent gout flares and serum urate 9.0 mg/dL has CKD stage 3a (eGFR 52). Which long‑term approach is recommended?AProbenecid monotherapy as first‑line ULTBInitiate allopurinol as first‑line ULT with low starting dose and titrate to serum urate <6 mg/dL with anti‑inflammatory prophylaxisCFebuxostat is first‑line only if CKD is presentDAvoid ULT until ≥6 flares per year occurEColchicine for flares only; avoid ULT due to CKDCheck my answer