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Gout Lifestyle Advice — SCE Rheumatology MCQ

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HardCrystal ArthropathyGout Lifestyle AdviceSCE Rheumatology

A patient with gout asks which diet will prevent future flares. What counselling best follows NICE guidance?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Support balanced eating with reduced excess alcohol

The best answer is “Support balanced eating with reduced excess alcohol”. NICE found insufficient evidence that a particular diet prevents flares or lowers serum urate, but advises healthy eating and avoiding excess alcohol. Extreme fruit or dairy restriction and increased red meat are unsupported, and dietary measures do not replace indicated treat-to-target urate-lowering therapy.

Reference: NICE NG219 gout recommendations: https://www.nice.org.uk/guidance/ng219/chapter/Recommendations