Just came back from the specialist, you are right 0.40 is still too high.
The MAGIC number is apparently 0.36 beyond this the crystals will form
So apparently if I diet like a month it will only bring it down by 0.05 !!!
So 0.40(current) – 0.36(Target) = 0.04
So theoretically maybe I can get it down with diet , although the specialist disagrees with me.
She said if I don’t take the medicine(Febuxostat now) then what will happen is the frequency of attacks will increase and the time between attacks will shorten , until I will have daily pain.
She did give me an attack plan for the attacks though
Colchicine 500mcg twice daily
Arcoxia 60mg daily
Until pain stops
My uncle takes Arcoxia when he has attacks and he says the pain relief is great, so this is another med I have not heard of.
So she will see me in 3 months time and then evaluate.
But it seems like I will have no choice but to try Febuxostat and see if I have any wheezing or other side effects !!