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I did a pretty deep dive on that question and what I found was they just blamed everything kings ate. Because back in the day pretty much only royalty got gout.

Jared Leto needed to gain a bunch of weight for a role so he gorged himself on carbs and got gout. When he cut out the carbs the gout went away.
bro 100%. Itโ€™s hard for me to put to words, because I do think modern medicine is incredible, but it seems like they โ€œoveractโ€ sometimes. Most healing comes from getting homeostasis back and letting the body do its thing. Sometimes
thatโ€™s โ€œimpossibleโ€ (is it though?), and thatโ€™s when things go off the rails. I started getting into chiropractors and naturopathic stuff a few years ago after doctors couldnโ€™t diagnose an injury that an LMT detected (hip/glute) while working on my neck. Nobody even thought to check for fascia issue while I had two doctors and two nurses fondling my balls looking for a hernia.

Iโ€™m not exaggeratingโ€” I was getting a massage for shoulders and neck killing thirty minutes and the dude was like โ€œhey, thereโ€™s a weird response in this part of your trapโ€ฆ Iโ€™m going to follow this down, tell me if it gets worse.โ€ He traces it and then stops once he gets near my rear and asked if I had any injuries. I tell him and then he found it in like 15 seconds. Most painful thing of my life followed by relief of pain I had dealt with for years.