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Replies to "Would suggest the same thing for a 78 yr old who weighs 88 pounds ?"
Good Morning.
As another commenter suggested, speak to your doctor about it.
Quality of life is important. I have seen 65 and over perceived as "old" but that is not old! Older, maybe. We have potential to live a long life - why not work on the quality part.
As you shared some information, I would suggest, again as someone else put up here, speak to your doctor. If you are not engaging in proper fitness training and nutrition for your age and lifestyle I would work on that first with the appropriate professional (I am an exercise physiologist and nutritionist - will defer to your healthcare provider first!).
Surgery can be a great thing but it is also very demanding. Learn you options and progress towards feeling better!
If you're asking about getting a knee replacement, that question is best answered by your Dr and an orthopedic specialist.