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The question of surgery for gout most commonly comes up when a patient has a large clump of urate crystals (a tophus), which is causing problems

These effects make it an interesting candidate for women seeking to optimize fertility when tissue health is a factor, such as after uterine surgery, like cesarean scar repair, or after pelvic injury that impacts implantation or uterine blood flow

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It modulates inflammatory signaling, which is part of why it's used alongside injuries

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