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That’s why I asked. Bone on bone = replacement.
Has he maybe looked into some diabetes meds or something like Ozempic/mounjaro? Is he overweight?
He was hospitalized last year after ignoring his diabetes diagnosis for years. I think almost a decade. It was ridiculously high. High 20s mmol/L. He spent a few weeks getting insulin injections and then was able to stabilise under 9 mmol/L using just drugs.
He's not overweight. The heart medication he is able to take is for overweight high blood pressure people and he has always been a low weight, low blood pressure (until his heart started giving out) person. The diabetes medication seems to be the same. So he gets the runs on the diabetic medication every few days.
We're able to get it under control if he observes proper diet. When I cook for him I converted everything to multi grain, bean based noodles, or at least whole wheat. I haven't used potato for him for months. White rice was ditched for wild/brown rice. I usually just make mashed cauliflower/turnip/rutabaga for him. Anyway if he follows the diet routine the drugs are enough. The problem is he started cheating because he had all these other issues so he wanted to eat food he used to eat because he assumed he was dying.
Follow your doc's advice.
However 8 years ago a member of my family was told by a Canadian doctor that she needed a knee replacement but that she could also try an injection and supplements.
She took ( and still takes)glucosamine and chrondroitin and had the injection below. It worked.
They were afraid to give him a cortisone injection because of potential infection. My father said it was a surgeon so my thought is going to a plumber you only get recommendations using a wrench. He's back to the family doctor later.
I'll bring up the injection.