Chanca piedra is a better remedy for gout. I have tried ACV, tart cherry juice and some others but I find chanca piedra most effective. I mixed a teaspoon of chanca piedra powder in a glass of warm water and drink the mixture. You should feel the pain lessen in a few hours. Twice a day if you are already suffering from gout. The mixture is quite bitter or take chanca piedra in capsule form, without the bitterness.