My dad is 59 years old, 6' tall, and about 250 pounds (in process of losing weight). He had a gout attack in September on his knee, and it was very painful for him. He went to his doctor and was diagnosed with gout. Since then, he only had one gout-like attack (not painful at all) on the toe next to his big one, and only lasted a couple of hours. He isn't complaining about pain or anything, thankfully.. but I am still worried about gout in general.