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Imaging X-rays : Erosions with overhanging edges (rat bite lesions) Ultrasound : May show double contour sign (urate on cartilage) DECT scan : Visualizes urate deposits (used in atypical or chronic cases) FUNCTIONAL MEDICINE WORKUP Functional medicine views gout as a symptom of broader metabolic dysfunction

Then reassess

S.LiuH.et al (2013)

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Supporting glutathione is part of that strategy, particularly for men who are also managing other medications or have elevated liver enzymes at baseline