It might e worth looking to the experience of Shawn Baker. He’s a doctor and world class athlete who’s been a carnivore for many years. More importantly he’s tracked researched and talked to many thousands of people the last decade about their health and carnivore diet. He’s actually pretty open minded about it.
Short version from memory….gout could be possible in the short term after eating large amounts of meat, but doesn’t appear to be the underlying problem. Eliminate the sugar, grains, alcohol completely (and maybe even carbs altogether) and the underlying conditions for gout seem to go away.
FWIW, I went about 98% carnivore for 3.5 years. The gout my doctors promised never materialized. Nor the scurvy, constipation, diabetes, cancer, massive nutrient deficiencies, low energy, kidney failure, etc. All that happened was I kept off 35 of fat, got lean, really strong (30 hanging pull ups), great digestion, no gingivitis anymore, skin cleared up, good sleep, no cravings, excellent energy and got raging erections.
I became pretty disillusioned with doctors after that. The default acceptance of the medical profession’s conventional wisdom was not an option anymore. Common sense and direct clinical experience seem a better bet to me.
Anyway, I’ve heard reports of gout flare ups after switching to just eating meat (after immediately going cold turkey from a standard American diet), but more common it seems that the long time gout sufferers find it goes away.