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Its toxic byproducts, acetaldehyde and malondialdehyde, react with proteins to form malondialdehyde-acetaldehyde (MAA) adducts

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Trends Mol Med 24: 187196, 2018

There was no consistent pattern of acquisition method used across studies

The role of diet in gout prevention Dietary control may be sufficient in a patient with mildly elevated uric acid, for example, 7.0 mg/dL (noting that any uric acid level above 6.0 is considered elevated for a patient with gout, even if within what the lab calls the normal range.) For those with a higher level, for example, 10.0 mg/dL, diet alone will not usually prevent gout