I can't take any strong NSAID because it tears up my stomach. The doctor went through all kinds of stuff to relieve my gout before she gave me a steroid to relieve the inflammation. She said treat it like it is - a form of arthritis. I have sworn off all shellfish and try not to each much red meat but my primary weakness is beer - a habit that I have had for 40+ years. It's hard. I like beer. It makes me happy.