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We tapped on "this gout" and "this inflammation and pain", which brought it down to a one. Then on impulse I had him tap on "this fear of taking a step" and "this fear of moving ahead in my life" and "putting my best foot forward". That took it all the way down to zero. He was very happy!
I really love seeing these physical problems vanish. I've been reading a great book The Genie In Your Genes, which explains how that's possible.