The Daily Dose: Maintenance Protocol

The Daily Dose: Maintenance Protocol

✦ Educational content — not medical advice. Consult your physician.

Clinical Maintenance Protocol

Every flare you've survived
was a warning. This one ends it.

Gout recurrence is nearly universal without ongoing management. The maintenance protocol keeps serum uric acid below the 6.8 mg/dL crystallization threshold — daily — before pain ever begins.

Daily Dosing Schedule

Upon Waking
1 Capsule Empty stomach · Wait 60 min before eating
Evening
1 Capsule Empty stomach · Wait 60 min before eating
Continue daily — minimum 90-day cycle for full effect
01
Dose
1 capsule
empty stomach
02
Wait
60 min
before eating
03
Activate
Enzymes enter
bloodstream intact
04
Protect
Uric acid held
below 6.8 mg/dL
Empty stomach vs food: enzyme absorption
With food — enzymes are consumed by digestion. They never reach the joint.  Empty stomach — enzymes cross the gut-blood barrier intact and enter systemic circulation.
The Mechanism Behind Maintenance
Chanca Piedra
Supports urate excretion through the kidneys. Clinically studied for reducing circulating uric acid levels over 30–60 day cycles.
Quercetin
Inhibits xanthine oxidase, the enzyme that converts purines to uric acid. Works alongside excretion to reduce production at the source.
Serrapeptase
Prevents fibrin accumulation between episodes — the biological "glue" that traps urate crystals in tissue and makes subsequent flares worse.
Uric acid crystallization threshold — maintained below danger zone
The crystallization threshold: serum uric acid at 6.8 mg/dL. Above it — crystals form, flares begin. Below it — synovial fluid remains clear. Daily maintenance keeps you in the safe zone indefinitely.
Important Warnings

Do not exceed the recommended dose. Consult your healthcare provider if pregnant, nursing, taking medication, or have a medical condition. Discontinue if adverse reaction occurs. Not a substitute for medical advice.

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