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Despite advances in understanding the pathophysiology of gout, it remains common and challenging which may be associated with untimely treatment and lack of understanding about the role of urate-lowering therapy (Stamp and Dalbeth, 2019)

- 428.6 mg of horsetail extract titrated to 30 mg of silica with an extraction ratio of 6:1 , equivalent to 2,600 mg of dried plant

In not uncommon cases, the intake of medication such as insulin, antihypertensives or painkillers can be reduced or even stopped completely after consultation with the attending physician