I am 36 and just had my first alleged attack. I say alleged because it was not confirmed by seeing the crystals, and bloodwork regarding uric acid levels is not back yet. I am overweight, though not terribly so. I was dehydrated for a couple days before hand. I generally eat a pretty good diet, not alot of red meat. I love both beer and wine, although I had not had beer much these days, but did have a few before my symptoms. I had also eaten a significant amount of asparagus (high in purines) in the days before.
For my preferences, if I had to give beer or wine up, I'd give beer up first. I'd also switch to an entirely vegetarian diet rather than giving up wine. I also have no problem exercising & losing weight - I gained it being sort of sedentary the past year while my wife was pregnant (mercy weight).
My doctor suggested to me to cut back to 1 glass of wine per day. Also wants me to get my BMI back under 30.
I've seen the research studies, and I'm wondering how good of a job is done isolating variables? For example, the men in the study... were they also overweight? Were they eating a meat heavy fast food laden diet? And did they also drink wine?
I don't smoke, don't do drugs. I'm hoping I can save my one alleged vice, which is wine.