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The opening song More Heart Than Horses illustrates this well and outlines a man who broke more hearts than horses in his life

doi: 10.1093/NTR/NTZ220 51 PalapattuG

(See Figure 4 for overall approach to treatment and prevention of gout.) Treatments used for prevention, such as allopurinol (see below) can actually make things worse if given during a flare, and so need to be held back until the flare has resolved for several weeks

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