The information on this page is educational. It describes how Reforge Health thinks about metabolic health. It is not medical advice, diagnosis, or a treatment recommendation. Consult a qualified healthcare provider before making changes to your health regimen.
Gout
Gout. The "rich man's disease" that is actually a metabolic signal.
Gout has been dismissed as a lifestyle disease for centuries: too much red meat, too much alcohol, too much excess. The metabolic spectrum reads it differently.
Hyperuricaemia (elevated uric acid) is linked to insulin resistance, fructose metabolism, renal function, and purine cycling. Uric acid itself is now studied as an independent cardiovascular risk marker. A gout flare is not a moral failing. It is a metabolic signal.
We read uric acid in context: alongside insulin, inflammatory markers, renal function, dietary patterns, and the genomic variants that affect purine metabolism. The intervention goes far beyond "avoid shellfish."
The spectrum does not wait for a diagnosis.
If you recognise yourself in any of these conditions, or in the spaces between them, the Metabolic Questionnaire is a good starting point. It is not a diagnosis. It is a structured way to map your symptoms and history so that the right conversation can follow.
