Gout is triggered by liquor and hops. If he stuck to wine and Natty Lite, he’d be good.
Picturing Puggsley drinking Natty Lite is my new happy place.
Gout is triggered by anything. Working in overheat environment and not drinking a lot of water might be a reason even if your diet is proper.
Technically gout builds up when your kidneys unable to evacuate most of the uric acid from your system. It maybe either too much uric acid in a system or bad kidney function. Surplus acid in a blood tends to make into joint fluid and crystallizes into a salt there deforming joints and producing enormous pain.
Or, as the French would say, "Chacun a son gout."