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Imaging X-rays : Erosions with overhanging edges (rat bite lesions) Ultrasound : May show double contour sign (urate on cartilage) DECT scan : Visualizes urate deposits (used in atypical or chronic cases) FUNCTIONAL MEDICINE WORKUP Functional medicine views gout as a symptom of broader metabolic dysfunction

Supporting glutathione is part of that strategy, particularly for men who are also managing other medications or have elevated liver enzymes at baseline

GSH from the intestinal lumen plays different important roles such as reduction of dietary disulfides, detoxification of xenobiotics, metabolism of peroxidized lipids and maintenance of the mucus fluidity[29,34,41]

Then reassess