"May 2016, white male 51 yrs old, first gout attack. I was lifting heavy about 2 weeks ago and I over did red meat, chicken, salmon, two protein shakes per day at 30 grams each, aspirin almost daily and a 5 hour energy drink, junk food in there for good measure. Drink instant coffee excessively daily Did not like to drink water so likely became hydrated as well. I feel I brought this on with my eating habits but blood test came back uric acid which was within normal range. I in total pain and missed 2 weeks of work. Doctor put me on Indomethacin after weeks of Advil, water, cherries, cherry juice, no red meat or alcohol, etc with no relief. Felt relief first hour. Did get a little dizzy but pain is almost gone after 1st pill."
Hyperuricemia is a classic feature of gout, but nearly half of the time gout occurs without hyperuricemia and most people with raised uric acid levels never develop gout.   Thus, the diagnostic utility of measuring uric acid levels is limited.  Hyperuricemia is defined as a plasma urate level greater than 420 μmol/l ( mg/dl) in males and 360 μmol/l ( mg/dl) in females.  Other blood tests commonly performed are white blood cell count , electrolytes , kidney function and erythrocyte sedimentation rate (ESR). However, both the white blood cells and ESR may be elevated due to gout in the absence of infection.   A white blood cell count as high as ×10 9 /l (40,000/mm 3 ) has been documented.