Well after 2.5 months since last falre up I got the early signs a few days ago (tightness around the knee) so started the high dose IBU (800mg x 3 per day), seems to be staving off the swelling.

Now the funny thing is last weekend I had 2 x 600ml American style pale ales over 2 days.

I can safely say without a doubt now that those american IPA (APA) beers set if off. This will be 3rd time now.