I found for mine, increasing blood flow (agmatine, citrulline), keeping blood sugars low, and bihrakti ( i think that is how you spell it... found in triphala) helped quite a bit. Also, if uric acid is not the only compound that can crystallize to give gout symptoms. Oxalates can do the same. When your microbiota is out of whack (specifically your lactobacillus) are low, the gut will actually produce more oxalates when consuming foods such as spinach and beets instead of sending them out of your body. This would mean the difference between getting 10-20% of the oxalate load from your diet and getting 100-150% of the oxalate load of your diet.