Core Viewpoint - The article addresses common misconceptions about gout and hyperuricemia, emphasizing the importance of proper management and treatment to improve the quality of life for patients. Misconceptions about Gout and Hyperuricemia - Misconception 1: Hyperuricemia equals gout. Hyperuricemia is defined as uric acid levels above 420 umol/L for men and 360 umol/L for women, but not all patients with high uric acid develop gout, with only about 10% progressing to the condition [2]. - Misconception 2: Asymptomatic hyperuricemia does not require attention. Even without symptoms, high uric acid can lead to gout flares and increase the risk of other metabolic diseases such as diabetes and hypertension [3]. - Misconception 3: Uric acid-lowering medications are harmful to the liver and kidneys. Medications undergo rigorous testing for safety, and the risks of untreated high uric acid are far greater than potential side effects from medications [4]. - Misconception 4: Patients can stop medication once uric acid levels are normal. Gout is a chronic condition, and most patients require lifelong treatment to maintain uric acid levels [5][6]. - Misconception 5: Uric acid medications should be taken during acute gout attacks. Anti-inflammatory medications should be used instead, as uric acid medications can worsen symptoms during an acute flare [7]. - Misconception 6: Normal uric acid levels are sufficient. Patients with a history of gout should aim for lower uric acid levels, ideally below 360 umol/L, and even lower for those with kidney stones [8]. - Misconception 7: Pain relief is the only concern. Continuous uric acid management is crucial to prevent recurrent gout attacks [9]. - Misconception 8: Lower uric acid levels are always better. Extremely low levels can pose health risks, and a target level above 180 umol/L is recommended [10]. - Misconception 9: Intense exercise helps lower uric acid. Moderate aerobic exercise is beneficial, but excessive intensity can trigger gout attacks [11][12]. - Misconception 10: Drinking soda or restricting high-purine foods is enough to manage uric acid. Most uric acid is produced internally, and dietary changes alone are often insufficient [13]. - Misconception 11: Gout patients must avoid all meat. Controlled consumption of certain meats is acceptable, focusing on lean poultry and fish while avoiding red meats and organ meats [14]. - Misconception 12: Vegetables and fruits can be consumed freely. Some vegetables and high-fructose fruits can elevate uric acid levels and should be consumed in moderation [15]. - Misconception 13: Beer is forbidden, but white liquor is acceptable. All alcohol can raise uric acid levels, and patients should ideally abstain from alcohol [16]. - Misconception 14: Soy products and dairy are harmful. In moderation, soy products and low-purine dairy can be beneficial for gout patients [17].