I'm wondering if anyone has woken up in the middle of the night with a joint that felt like you had the worst sprain ever? Big toe, ankle, knee? I think I just had a case of gout. From my understanding it is typically male, 40-50's and your kidneys have not filtered out enough uric acid many times from lack of hydration especially if one is losing weight. The uric acid turns into needle like urate crystals in the ankles or toes and the connecting tissue causing extreme pain.Anyone else have experience with this and or have recommendations? I think the key for me is to stay HYDRATED!