One of the great privileges of practicing medicine is the opportunity to learn from patients. I had a patient recently who told me a wonderful story of controlling gout flares by lowering uric acid in the blood naturally. I wondered if there were any randomized trial evidence.
Usharani P, Nutalapati C, Pokuri VK, Kumar CU, Taduri G. A randomized, double-blind, placebo-, and positive-controlled clinical pilot study to evaluate the efficacy and tolerability of standardized aqueous extracts of Terminalia chebula and Terminalia bellerica in subjects with hyperuricemia. Clin Pharmacol. 2016 Jun 22;8:51-9. doi: 10.2147/CPAA.S100521. PMID: 27382337; PMCID: PMC4922806.
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