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diuretics or low-dose aspirin (see: “The appropriate selection and use of cardiovascular medicines”) Dietary factors that increase exposure to purines, such as excessive consumption of red meat, seafood (kaimoana), beer, spirits, sucrose or fructose-sweetened drinks The consequences of poorly-controlled gout are often overlooked Gout can be an intensely painful condition that prevents people from working, performing daily activities and participating in their communities

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Pharmacological interventions are indicated in patients with a BMI ≥ 30 kg/m 2 or ≥27 kg/m 2 in the presence of ≥1 obesity-related comorbidities 10