Next to alcohol, it seems like gout might be related more to insuline resistance and fructose consumption https://tim.blog/2009/10/05/gout/
Yes.
I don't have insulin resistance, my insulin response is wicked solid, and I don't consume much fructose (I love fat, sour and bitter, like a good German... sweet isn't my thing). But yes, for many this is the pathway that gave them gout. For me, I was eating lots of lamb -- I raise sheep so it's essentially free food for me. Lots of lamb. So for me, that was probably how I got gout.
Your gout is an interesting puzzle where all the usual pieces don’t fit when they usually go. The only thing I can think of is metabolite concentrations are too high because you’re eating too often. Gout as a general condition isn’t exclusively caused by uric acid, though that is the most common culprit. I also wonder if it isn’t caused by something in your water? Personally I would change all my dietary routines drastically one at a time until I found the source of the problem. It might take a while, but gout can be a lifetime lasting painful problem. Worth it!
