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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.

I joke but the issue with modern medicine is that the massive groundbreaking humane advancements (antibiotics, safe general anesthesia making all types of surgery possible, MRI/CT/angiography revolutionizing radiology, typed and crossmatched blood transfusions) are always overshadowed by infinite quackery

So someday even psychiatry may be a respectable field?

I jest but I knew a young psychiatrist once who was beyond frustrated at not being able to help the truly ill patients she had to treat. Not the other ones. The genuinely ill. She'd joke that she should have gone into orthopedics.

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