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I did a pretty deep dive on that question and what I found was they just blamed everything kings ate. Because back in the day pretty much only royalty got gout.

Jared Leto needed to gain a bunch of weight for a role so he gorged himself on carbs and got gout. When he cut out the carbs the gout went away.
bro 100%. It’s hard for me to put to words, because I do think modern medicine is incredible, but it seems like they β€œoveract” sometimes. Most healing comes from getting homeostasis back and letting the body do its thing. Sometimes
that’s β€œimpossible” (is it though?), and that’s when things go off the rails. I started getting into chiropractors and naturopathic stuff a few years ago after doctors couldn’t diagnose an injury that an LMT detected (hip/glute) while working on my neck. Nobody even thought to check for fascia issue while I had two doctors and two nurses fondling my balls looking for a hernia.

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When you realize Obesity, Type 2 diabetes, Heart attack (and high blood pressure & hardening of the arteries), cancer, PCOS, dental caries, Alzhiemers (sp), and a few other things are considered metabolic diseases (diseases of catmrbohydrates) it really changes the picture.

And several dr/profs have studied hunter gatherers do not get these things
All my reading and thinking has led me back to homeostasis as foundational truth of health (at least).

Focusing on homostasis as prime importance means taking away things that prevent health is number one. Over-eating? bad food? bad sleep? too much sedentary time? too much blue light? stale air? corrupted water? Too many "suppliments"?

it takes the focus away from the germ or the faulty gene or nucleotide and puts the onus upon the person, returning the power and responsibility into their own hands rather than a medical priest.

This philosopy pre-supposes that the body naturally knows how to be healthy.