A 62 year old woman attends her GP with six months of intermittent pain in both kness, worse on the left than the right. She has occasional pain at night. She has some stiffness in her knees in the morning which wears off after 15 to 20 minutes. She drinks 20-30 units of alcohol per week.She has some swelling of the right knee and crepitus in both knees on passive flexion. Her BMI is 30.Her pain is improved by paracetamol.Which additional management is appropriate to improve her joint symptoms?☐ A. Add non-steroidal anti-inflammatory drug☐ B. Give weight loss advice☐ C. Increase dietary calcium intake☐ D. Restrict red meat and seafood consumption ☐ E. Start oral vitamin D supplements

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