Gout: Why Medication Alone Isn’t Enough with Spiro Koulouris

Gout is often treated as a simple problem of high uric acid — take medication, avoid a few foods, and carry on.

But for many people, that approach leads to recurrent flare-ups, worsening symptoms, and long-term health issues.

In this episode of Beyond The Pain, Leigh Brandon is joined by Spiro Koulouris to unpack what’s really driving gout and why medication alone is rarely enough.

Spiro explains:

• Why gout is fundamentally a lifestyle and metabolic condition
• How relying solely on medication can allow uric acid levels to keep rising
• The role of diet, hydration, stress, and daily habits in gout progression.
• Common misconceptions that prevent people from truly resolving gout
• What needs to change if someone wants long-term relief, not just symptom suppression

This conversation challenges the conventional narrative around gout and offers a more complete, root-cause perspective on managing — and potentially preventing — future flare-ups.

You can find Beyond The Pain on all major podcast platforms in video & audio versions including Apple, Spotify and  YouTube.