What would you say is the very best medicine you can take, and can your diet affect gout?

Allupurinol: You should first be evaluated for your gout. A rheumatologist is the best to evaluate this condition. There are several medications but the long range medication to prevent acute gouty attacks is allopurinol.

Gout and diet: Lowering uric acid: Adjust diet. Take in tart cherry juice +tart cherries, 20/day. Add Lemon extract 4 tblspns/day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz/day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L /day.