This is a really thoughtful response. Thank you! I had my first gout attack over twenty years ago. I have mainly controlled it by diet. But I love fish and usually get in trouble by going overboard with it. But it is normally a mild attack and quickly resolved. This time fish was only one of the combined factors of stupid that have earned me the second worse attack I've ever had.

Maybe the concept of a "cheat month" was very poorly conceived....