I didn't realize he was using an "All Living Things" UVB light, is it a tube or a compact or a coil? Many, many people use Reptisun 10.0 T5HO tube UVB lights with 40 gallon breeder tanks, all he needs is a 22" Reptisun 10.0 T5HO UVB tube in a 24" Fixture that must have a metal reflector behind the tube, and then a single, bright white basking bulb, probably 100 watts for a 40 gallon breeder tank in a dome or clamp lamp. That's it. It's very important you get him an adequate UVB tube, as the All Living Things UVB light must be within 6" of him to emit adequate UVB light to him, and if it's blocked by a mesh lid or a compact/coil UVB bulb, he's essentially gotten no UVB light at all since he was put under that light. Mesh lids block 40% of the UVB light, so when you already have a very weak, 13 watt compact UVB bulb or a T8 UVB tube being blocked by it, they are getting no UVB light, which is most likely the cause of the Gout, this is extremely common unfortunately.
Amazon.com gas 22" Reptisun 10.0 T5HO UVB tubes for $23 and a package deal can be added including a matching 24" fixture for the 22" tube (they fit in a 24" Fixture) for under $50. The T5HO is strong enough to sit on top of the mesh lid at a distance of no further away from the basking spot than 11". And a regular household halogen indoor flood bulb (they are all bright white) of 100 watts right alongside the UVB tube, both directly over his Basking Spot, will replicate natural sunlight for him.
Amazon.com gas 22" Reptisun 10.0 T5HO UVB tubes for $23 and a package deal can be added including a matching 24" fixture for the 22" tube (they fit in a 24" Fixture) for under $50. The T5HO is strong enough to sit on top of the mesh lid at a distance of no further away from the basking spot than 11". And a regular household halogen indoor flood bulb (they are all bright white) of 100 watts right alongside the UVB tube, both directly over his Basking Spot, will replicate natural sunlight for him.