And then I went to vacation to Maldives for a couple of weeks. Not much chance to exercise when you are locked on a tiny island.
I surely lost some fat during these 2 weeks, but the amount of muscles I lost? Jeeez! I think it offset my training goals by 2 months.
I realized how unhealthy it was, you are literally starving and not feeling it, and I kept myself on a low dose!
When you consume food it's not just calories, it's also nutrients, if you eat a lot less you are body is missing out on all the essentials!
So it might be a magic pill in some sense, but in other it's extremely unhealthy.
Later that year I have actually lost more weight by doing more long-distance running, that motherfucker burns calories big time and in a healthier way.
Overall, it's really not clear how this can be optimized. It's... cache... You could have less cache writes, but it means your users see stale content, which isn't an acceptable solution.
The wording that 92% of people see smaller bills since many people host projects that aren't really being used, anyone who has traffic is going to get higher bills.
A generic advice that I learned is that muscle-strengthening exercises help A LOT. Basically muscles form a protective corset around your knee and reduce the stress on your joints by a lot.
Also, arthritis often happens due to low blood flow, so as painful as it may be, you have to keep moving, try not to sit too much.
Another generic piece of advice is controlling your weight, this is just simple math, the less you weigh, the less stress your knee receives.
What also worked for me was hyaluronic acid injections, when I was in a lot of pain and it was hard to work on my muscles, hyaluronic acid helped to reduce this pain by being a good lubricant. Probably I am going overboard with it now, but I keep having injections every 3 months just to be safe. It can be of different concentration and volume. If you inject something with a smaller % you have to do it multiple times in a row with 5-7 days between, if you inject something with a higher % then a single injection is okay.
The PRP / SVF part you already read about. I am also a 31 yo, so while I am young my body is better at regeneration, I don't think elderly people get the same effect from these. I did 3 sessions x 5 PRP injections with 6 months between sessions. The effect is by no means immediate.
It's certainly a hard road, but better than a wheelchair.
I think it's worth it considering getting a paid surgery in a "2nd world" country, like Kazakhstan, Turkey, Russia (pre-war, feels uneasy going there now) and etc. Things there cost 10 times less and most surgeries, where hospitals don't need very advanced equipment, are probably done on the same level as "1st world" countries.
There was no pain during them, but once you cool down you feel all the beating you received.
I mean, I am still not 100% healthy, I get some swelling after exercise, and I don't think I can compete with anyone doing it seriously, I just can't get the same volume of exercise a healthy person can. Like, I can only run 10-16km every 2 days, because I need to give my knee time to recover, while a healthy person can run it every day.
But hell, just some time ago I was looking with jealousy at people running at all.
I was doing them back in Russia and a PRP injection there would cost around $80.
I keep doing hyaluronic acid injections every 3 months just to be safe, whatever I am doing it seems to be working, so I continue doing them. Right now I live in Georgia they cost around $105 here ($90 for the syringe, $15 for the doctor).
SVF seemed to have a much stronger effect than PRP, it's hard to quantify, but I would say a single SVF felt close to all the PRPs I did before.
Though if Indonesia has blocked VPNs only now, possibly they only block major providers and don't try to detect the VPN protocol itself, which would make self-hosting any VPN possible.