What is your best initial recommendation for this patient

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A 60-year-old male with a BMI of 35 presents to the clinic complaining of bilateral knee pain. The pain has been going on for several years and is worse at the end of the day, and he finds himself sitting down often to relieve the pain. He complains of some mild swelling in both of his knees. You order an x-ray of both knees. The x-ray report suggests mild loss of joint space. what is your best initial recommendation for this patient?

Reference no: EM133692360

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