A 40-year-old, robust man, heavy legs, suddenly c/o pain on touching tendoachielis, there's a tuberosity like projection on tendoachielis, which makes him unable to walk. XRAY and USG reports of ankle posted. ESR 35, uric acid 6.9 mg, sugar normal, he is Hypertensive and hyperacidity GERD Patient.

Consuming pantoprazole from ten years besides AMLODIPINE and Telmisartan. He is a hardcore foody man with less physical activity. Wt is 115kg, who is a culprit for this problem with regard to body weight, eating habits, less physical activity, and drugs.