Why would hco3 or sodium bicarbonate be elevated in a persons labs if they have gout?

They shouldn't: Gout occurs when uric acid is produced often in an acidic environment. Hco3 can be used as a buffer when added to water creating more alkalinity in the blood, preventing uric acid deposition in the joints. Perhaps your bodywork was performed after trying this treatment? Using hco3 can dangerously raise your bloodpressure, so be careful.

Serum bicarb: Elevated serum bicarbonate (sodium bicarbonate) and gout are not directly linked. However, if taking a diuretic, both compounds are elevated as a side effect.