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Janet, I am so sorry you are not doing well.  Gastric by-pass may bring you the relief you need.  I know that just the 10 lbs I've gained in the past year has put a strain on my knees.  I am going to work this summer to get them off---as soon as I get this cast off my foot and heal from shoulder surgery scheduled for June 27th.  I don't think the knee replacement would be much of a benefit if you keep the weight on you.


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