Very few breast cancers fall into this category. However, if this is the case for you your specialist will discuss with you whether letrozole is appropriate. If your cancer is hormone receptor negative, then letrozole will not be of any benefit.
Knowing what can trigger the uric acid to build up in your body may help you avoid future gout attacks. Common Gout Triggers. There are some things that are likely to trigger flares in most people with gout, also known as gouty arthritis. If you know you have gout, you should try to stay away from these gout triggers. Foods -- Foods that are high in a substance called purines can raise the uric acid level in your blood. This includes organ meats like liver; seafood like sardines, anchovies, mussels, and salmon; and even some vegetables such as spinach. Eating just one of these foods or several of them together, can cause a gout flare.
Purines are natural substances in food that your body breaks down into uric acid. Too much uric acid in your blood causes gout. Some foods, like organ meats, sardines, and anchovies, have a lot of purines and can cause flare-ups. But many healthy options, like beans, lentils, and asparagus, have less. Talk to your doctor about what you can safely eat.