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I am diabetic and use splenda with no problems. I do not like the taste of stevia and cannot take the sugar. I think every option has its positives and negatives. You need to decide what is important to you.
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Re total knee replacement. I had TNR at the age of 45. If you press the doctors and tell them that a sedentary lifestyle is dangerous to your health, they usually can be turned around. It took about 20 months for me to recover and to be able to exercise without pain, but it was worth it. Good luck to you.