My 1st gout flair came on during a canoe trip along Blue Mesa reservoir shores. Many hours of paddling, balanced on toes. Many beers. Not many fish, just big 'uns. L big toe felt like there was lava in the joints, but no visible swelling. I was 23, understood gout as old timers' disease. Allopurinol daily greatly limited flares, which seemed influenced by drinking. When that stopped, the gout and allopurinol stopped as well. No recurrence in over 30 years.