A close friend of mine suffered from gout since 2012 and it got aggravated since last two years. He also was severely obese with a BMI around 37. Last year his SGPT and SGOT levels really spiked up drastically and doctor suggested it was the beginning of Fibrosis and asked him to reduce weight.
He started intermittent fasting 18:6 and religious intake of ~3 litres (250 ml per kg). He reduced 20 kgs in last 8 months.
He is totally off allopurinol and the gout seems to have vanished. His uric acid levels and the SGPT SGOT levels are back normal.