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This occurs when the ligament holding the esophagus and stomach to the diaphragm breaks down and can cause symptoms of acid reflux, difficulty swallowing, regurgitation of food, or cause the stomach to be cut off from its blood supply

The goal is not to eliminate the normal inflammatory response to training but to support recovery when irritation becomes excessive or prolonged

My personal feeling is that herbal and other alternative/complementary approaches may well ultimately prove to improve inflammation in gout, but that lowering uric (with FDA-approved medications such as allopurinol) is the key to success in gout management

Bruce Horovitz is a contributing writer who covers personal finance and caregiving