What actually changed things for you: diet, medication or both?

Medication, for me. I'm on allopurinol, 200 mg a day, and it's the reason I get to live a pretty normal life. Flares are rare now. Still terrible when one shows up, but rare.

I was pretty anti-medication at first. I tried DASH (basically vegetarian) and it barely moved my uric acid. I also work out most days and I'm about 170 lb at 5'11", so there wasn't a ton to fix there either.

The research I read building GoutSafe says diet moves uric acid by about 1 mg/dL on average. Tracks with me. It still matters around the edges - I went from 3 or 4 drinks a week to 1 or 2 a month.

I'm not a doctor, so talk to yours before changing anything. This is just what happened for me.