Approximately 90% of individuals with gout problems are under-excreters of uric acid due to reasons like insulin resistance, fructose intake, or alcohol consumption.

“90% of people who have problems with gout are under excrete for one of these reasons insulin resistance fructose alcohol consumption”

“my hypothesis what I would posit in this video is that in the absence of insulin resistance in the absence of fructose consumption or excessive fructose consumption which I would define as anything greater than maybe 15 or 20 grams of fructose a day would be excessive or in the absence of alcohol consumption eating a ton of meat eating a ton of purines in your diet is not going to cause uric acid to rise or cause gout”

“I think that the main things that are causing uric acid to rise in people's bodies are insulin resistance excess fructose consumption and alcohol consumption”