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Table 4: Reasons to use medication to lower uric acid Gout with more than two flares a year, whether due to overproduction of uric acid or difficulty excreting it Chronic visible collections of uric acid (tophi) High uric acid in the urine (over 800mg per 24 hours), especially if history of kidney stone Failure of other options to control the arthritis of gout (for example, failure of probenecid) When a person is receiving chemotherapy for a leukemia or a lymphoma and it is expected that many tumor cells will be killed (since one of the breakdown products of cells is purine which gets broken down to uric acid) iii

If you dont get enough vitamin B12, you could get anaemia

Vitamin B12 sources: Dairy products (milk, curd, paneer), eggs, fish, chicken, and fortified cereals

It also supports important cellular repair processes and activates proteins called sirtuins, which are involved in healthy aging, DNA repair, and cellular regeneration