Hi Jeff, I hope you got my message I sent back to you. I know what it's like to be in so much pain and can't continue to live like that. I have been overweight for a long time, my drs kept saying my knee pain was related to weight. I lost 80lbs and guess what that didn't solve my problem. I know many people have been turned down by drs to have knee replacement done unless they lose weight, but honestly if your knees are so bad they grind, there is no cartligage left and you have bone spurs, weight loss isn't going to stop the pain. I went with TOC here locally, my dr referred me, my surgeon was Dr Thomasson https://www.visittoc.com/people/thomas-thomasson/ and I liked him a lot. My knee is doing great a year out, life is normal and I feel like I can live life again without pain. Don't delay on at least meeting with a surgeon and talk your options out and do what is best for yourself. Good luck!