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Others offer it as an optional add-on

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Preparation of Saline: Dissolve 0.9 g sodium chloride in ddHO and dilute to 100 mL to obtain a clear Saline solution

Inquiry should be made regarding a history of kidney stone , since a patient with gout and kidney stones will likely require faster and more aggressive lowering of uric acid (see below) than one without stones, to try and prevent recurrent stone formation