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Patients may also have tophi on exam, which are nodules that represent the chronic inflammatory granulomatous response to the monosodium urate crystals, often occurring over the first MTP, Achilles tendon, peroneal tendon, helix of the ear, olecranon bursa, and finger pads

Winters in the Niagara region mean limited sun exposure for months, and oral D3 supplements are notoriously hard to absorb

Licorice ( Glycyrrhiza glabra ) has been used traditionally to combat viral infections

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Data collection and processing statistics are provided in Appendix Table S1

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