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High uric acid levels, and uric acid crystals may accumulate in the kidneys and form kidney stones, or in the bladder. However kidney problems are not necessarily caused by high uric acid as high uric acid levels may be the result of renal insufficiency.

Yes,it can if crystals are formed as a result of uric acid in the situation where gout becomes a problem can diminish the function of the kidney, the kidney by the way is also the main organ required to filter out uric acid.

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