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Ultrasound Signs of acute joint inflammation Bone erosions Signs of urate crystal deposition Double contour sign: a hyperechoic band of crystals covering the surface of the hypoechoic articular cartilage, which is over the hyperechoic bone contour Tophi (pathognomonic for chronic gout) X-ray Acute gout: typically normal
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Adding a delivery method that isn’t proven to absorb well is a risk most patients don’t realize they’re taking until a lab result comes back low
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