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Many patients with AHU have monosodium urate crystals and occur acute attacks of gout, however, several of them do not have this trend [6]

13 To manage this: Exercise in air-conditioned spaces or cooler times of day Use cooling vests or cold packs Keep cold water available during workouts Consider swimming or water-based exercise Fatigue MS fatigue is different from normal tiredness and affects about 80% of patients