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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
how old are you?
any other medical issues?
This would be concerning for an autoimmune problem like gout or rheumatoid
do you have any of this in your family?
Yes, the red wine makes sense
I think you need to see a doctor for blood work
they can check for signs of this
I suspect gout
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