I’ve had about 6 or so gout flares over the last 10 years. A couple weren’t too bad. A couple were middling and then a couple were practically crippling and extremely painful for 5-6 days. I’ve tried cutting way back on various things....shellfish, red meat, especially processed meats like bacon, sausages, etc. What I really cut back on after the last time is all alcohol but most especially beer. I’ve had about 4-5 drinks in the last 8 months. So far so good, but I hate it because I really do enjoy an occasional beer or two.
Try cutting out wheat products, bread, cakes, cookies, anything with flour, even as a small amount................
One of our contractors figured out if he did not drink beer, he did not have gout. He can have an occasional beer, only.
That said, I had no problem giving up the sardines and live a thousand miles from the nearest coast so have no problem giving up fish. Beef on the other hand...