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Yes, alot of Osteoporosis Specialists see "overweight" in first line when they see overweight patients and advise them to lose weight.   I want to tell you an earlier about my hubby but I didn't because my hubby is not overweight which it's not related on your thread.   Now I tell you about my hubby. Yes you were right that arthritis is not alway affect overweight but underweight or normal weight due heavy work.  My hubby is one of them.  I withnessed how pain he suffer...   Osteoporosis specialist can't advise my hubby to lose weight because he's very slim so he received special treatment to warm and freeze his knee for 6 months including painkiller shots but it doesn't work so they have to operate my hubby's knee that's time Danny was one year old.