Doc says I need a knee replacement due to osteoarthritis. I'm 55, and had a hip replaced 20 years ago. I've been Paleo for about 7 months, and over the last year have lost 130 pounds with about 50 more to go, I suppose. My diet is an average of 70% fat, 25% protein, and 5% carb - no dairy except a little Kerrygold butter, virtually no fruit (<1 x week, generally a few berries), vegs are mostly leafy greens, cruciferous, some nightshades (tomato, peppers - no potatoes), grass feed beef with a little pastured pork/chicken/eggs, few nuts 1-2x/week (that's my "cheat"!). About1500 calories per day - I'm still in weight loss mode. A couple weeks ago I started IF, mostly skipping breakfast, then eating lunch about noon and dinner about 7. I take 4000 units of Vit D, Glucosomine/Condrotin/MSM, Calc/Mag, and Meloxicam (for arthritis). I see a good PT who works with functional movement monthly. I do CrossFit 5 days per week, and recently have incorporated a little (very little - like 200 meters at a time) running and some rope jumping which until then had been scaled out of my workouts.
Sleep - still some issues there, but much, much better than its been for the last 20 years or so, and working on it continually. Probably average 6 hours per night, but some nights it is 3 and others it is 8. Tonight's sleep was interrupted because of knee pain. What else can/should I be doing to mitigate knee pain?