The author is regularly contacted by people with severe osteoarthritis, often farmers restricted by knee osteoarthritis, resulting in loss of mobility.
Severe osteoarthritis can cause a downward spiral of reduced exercise, weight gain, and lack of fitness, with joint replacement as the only option.
Intensive nutritional therapy is necessary, involving a 12-week programme with supplements, including:
Adding a 100% water soluble curcumin extract is very helpful due to its potent anti-inflammatory capacity.
Author's summary: Understanding severe osteoarthritis requires intensive therapy.