Kerensky18, I had a doctor put me on Allopurinol years ago for gout and beside from having a major bout right after going on it (a known outcome), I haven't had another attack in 5 years or so. I had always heard that it was an NSAID, so when my Dr. said no more NSAID I was worried about going off of it, however, when reviewing my meds I was told it was fine. You might want to see if that is something that would help you. My gout attacks were far worse than any discomfort I've had in the week and a half since my sleeve. Good luck to you. So my problem is my knees, I was taking Aleve to cope with that pain for some time. No one would attempt a TKR at my weight, and it hit me the first time the other day that the pain is back. I assume that as I lose more weight the pain may mitigate some but I still anticipate having to have replacements at some point.