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MediumRheumatologyGout long-term managementca-mccqe1ca-ccfp

A 63-year-old man presents with recurrent episodes of acute monoarthritis of the first metatarsophalangeal joint. Synovial fluid from a prior episode showed monosodium urate crystals. He has stage 3 chronic kidney disease and hypertension. He experiences at least four flares per year. According to Canadian gout management recommendations, which long-term strategy is most appropriate?

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