@gypsyblue I’m so glad you’re finding relief! Never give up and keep it going. The gout and the insulin resistance came as quite a shock because I controlled them so well the doctors did not continue to focus on them. For example, sugar is considered inflammatory. I did not have an inflammatory reaction (even though I cut sugar out of my diet for the most part, if not all of my diet at times.) . It was the same with the gout. I never saw Atlantic farmed salmon as an inflammatory problem. The doctors of course did not point it out. I would only read about it. Eventually, as I started to get a handle on things after 30 years all of a sudden, I could see an inflammatory reaction from eating sugar and eating farmed salmon. It’s because the rest of me was getting so lean, honed, and minimal that finally I could feel the effects of what was causing the inflammation! It only took 30 years, but now I am 30 years younger on the gout medication and the insulin resistant medication. There is pain that will never go away with my table bone and my piriformis disorder so basically a place that’s a non-surgical and muscles that stay in spasm. But I can deal with that as long as I have my life back from control of debilitating inflammation. Because it didn’t fit into the nice neat box of a rheumatology disorder. They just would shrug their shoulders and say it’s not rheumatoid. And then let me go downhill with no concern. I don’t have an answer except for there is an answer and you just have to keep advocating for yourself Until that answer becomes apparent.!