I thought Dr Green's attitude toward his um incident was illuminating. "No harm no foul". What? His body has just been through a lot. I would assume this could be a call to deep thought. Makes me appreciate Ray Peat's way.There is a connection with Rapamycin and gout. mTOR inhibitors seem to increase uric acid levels.
Not everyone develops gout with high uric acid, but low thyroid function seems to help those crystals form, causing gout in those circumstances. I remember reading a study referring to the fact a 1 degree drop in body temp was enough to cause the crystals to form when uric acid levels are elevated.
Alcohol is also an mTOR inhibitor and it is well known those who frequently develop gout should avoid alcohol. And those who use alcohol regularly, are also known to have higher incidence of gout vs. those who don't.