Peter Attia· MD
but i always start aloperinal when the uric acid is like eight or higher and certainly when it's nine or higher when it's between five point five and eight i'll talk to them about the pros and cons but we don't have full proof yet but i tend to do it especially with patients with kidney disease where the data is probably the strongest to start treating i'll even do it with uric acid of six and a half for example with chronic kidney disease