doctor saheb,
i think u got confused between goitre and gout.Gout has nothing to do with iodine rich salt or iodine at all. Gout is due to the high metabolism rate of proteins. The best way is to take controlled amount of proteinrich substances like meat, cheese and milk produces.Alkohol should also be controlled.(it builds acids afer breakdown).Due to excessive breakdown of purine , more and more uric acid are produced and they start forming crystalls.Due to the hight density of crystalls they start to gather at the lower extremities, specially halux(toe)and joints later on. The formation of uric acid can be inhibitted with medicines like allopurinol. it stops the activity of enzyme called xanthinoxidase.

astu: