@kjoed53 did you have your uric acid level tested? There are two kinds of gout by the way. One responds to purines, and is triggered by purines; the other is psuedogout, and only anti-inflammatories ease the pain. I had all the other stuff too... (except the bone marrow biopsy). Somehow, even with my 2 hospitalizations, it slipped through the cracks. I used to test low for uric acid because I could control my purines but no longer.
Its real easy to try moving your body alkaline with lemon water and tart cherry juice (I prefer the tablets). I went to so many arthritis doctors over 25 years it is just crazy.