Table 7.

Management of lifestyle factors^*

Recommendation	PICO question	Certainty of evidence
For patients with gout, regardless of disease activity, we conditionally recommend limiting alcohol intake.	41	Low
For patients with gout, regardless of disease activity, we conditionally recommend limiting purine intake.	42	Low
For patients with gout, regardless of disease activity, we conditionally recommend limiting high-fructose corn syrup.	43	Very low
For overweight/obese patients with gout, regardless of disease activity, we conditionally recommend weight loss.	46	Very low
For patients with gout, regardless of disease activity, we conditionally recommend against adding vitamin C supplementation.	48	Low
Strongly recommend Conditionally recommend Strongly recommend against Conditionally recommend against

^*PICO = population, intervention, comparator, outcomes.