Yes, you "dunno" as you indicate. I suspect you are informed by the ideology "medicine bad" and "supplements good." Not is the case.!Celery seed has problems as well! https://www.webmd.com/vitamins/ai/ingredientmono-882/celery
Let's move on to the list you provided: Substantially Higher than the dose I take! The Allpurinol typically prescribed is 100 not 300 or 800 mcg! My father took it for years and years once he could no longer control the uric acid by his natural remedies. He died of his kidneys shutting down at 87. My aunt and grandmother stopped "moving" in their later 60s. I am just getting started at 69 and want to MOVE to offset the deterioration of a sedentary life.
PLUS, all these other "unseen" problems have now been fixed...like UTI and Interstitial Cystitis (IC). PLUS I can open the mail, weed for a few hours and exercise without the consequences of an inflammatory reaction which shuts my body down. It was all so painful!!!
So, while your body is possibly continuing to build damaging joint crystals mine is now controlled by bringing my uric acid production to PERFECTLY middle - with none of the side effects mentioned!
My doctor told me it could get worse (like your info suggests) but because I was on a low purine diet nothing adverse happened! The opposite --Its been 100% remarkable! I went to a top drawer hand/arthritis surgeon. (I am an artist). My left hand was imobilzed. There was so much arthritis he couldn't offer/recommend a surgery to fix any part of my fingers, thumb, hand, wrist. Fortunately, soon after I figured out it was gout from the Tart Cherry Capsule recommendation! Here I sit typing away and painting on a work commission with ZERO pain after 30 years of stiffness and pain! The nodules at my joints stopped increasing in size and inflammation, too. They looked like sausages two years ago!
I want my uric acid levels NORMAL. The long-term side effects of hyperuricemia (gout) are enormous and WON'T be reversed. That should concern you: https://my.clevelandclinic.org/health/diseases/17808-hyperuricemia-high-uric-acid-level
Lets talk about fish! You certainly DO NOT give up fresh fish! Just the fish which have purines! Comeon, get with the science here:
https://www.verywellhealth.com/fish-and-gout-5093098
fish, fresh caught and not farmed, white fish are a crucial part of my diet. It keeps my cholesterol/triglycerides all in check. (the fish oil supplements do zero for me) but fresh white fish drops my cholesterol to 179 -190 in short order (3 months).
I do believe in "food as medicine" however, DISEASES have special requirements. I've had a couple of "diseases" and surgeries that required medicines. Are you not going to treat Hep C with the chemo meds that cure it? A pulmonary embolism with the blood thinners, which break up the clot that dislodged after spine surgery?
The Metformin for insulin resistance so it does not go into a diabetic state?
I had a strong science, nutrition, chemistry, and health background at SDSU. I did my best during menopause 40 - 60 to go with the supplements. Now I have an old person's body and the countermeasures needed are stronger in order to live with a great quality of life, keep working and moving. Its a really delicate balancing act now.
By the way, my dad drank a squeeze of lemon in his water (all day long and that was it), and that controlled his gout until he was 80! I come from a very "natural" family that believed in natural healing methods.
Oh, my glaucoma eye pressure dropped to normal when I went on the allopurinol. So many great things!