Is gout permanent or can it be reversed?

DEPENDS. Patients with gout can be classified as "overproducers" or "underexcretors" of uric acid. Lab tests are used to distinguish between the two; this could then guide treatment.
Depends. Most gout is reversible. If there has been joint destruction by erosions, that part may not go back to normal.
Modify diet. Gout develops when too much uric acid accumulates in the blood, soft tissues, or joints due to acidic foods. Try to maintain alkaline diet and body pH between 6.8-7.4 take plant based lithium products called li-zyme from biotics research this is made with lentils, broad beans and peas.