9-Keel Unified Theory Series: Gout

This work is part of the 9-Keel Unified Theory Series, presenting a unified theoretical interpretation of Gout based on the TOFD framework. The paper proposes a falsifiable model framing gout as a systemic repair failure syndrome, where tissue urate filtration deficit exceeds homeostatic repair capacity. It adheres to the Cell Innocence Principle, rejecting the "crystal-induced inflammatory arthritis" narrative and suggesting crystal formation reflects functional insufficiency rather than primary inflammatory pathology. The full foundational principles of the 9-Keel Unified Theory are detailed in the series overview paper. Disclaimer: This work is presented for theoretical and academic purposes only and does not constitute medical advice. Individuals with gout should not alter prescribed care or medication without consulting a licensed physician.