Originally Posted by bluegoatwoods

You can eliminate, or at least reduce, your medications with exercise. But the professionals can't really help you with that. You are on your own. You do not want to go with plan C; it'll use up the remainder of your life-span to, likely, no purpose. Plus they'll cut you nearly in half and rearrange your insides. That's a last resort and, maybe, not even worth it under any circumstances.

So ride, ride and ride some more. Put a smile on your face and a sense of pride in your soul. Be gentle on your knees until you get in shape. Don't be too proud to downshift and proceed at a slow pace when needed.

Odds are that it will reward you very handsomely. Nothing else stands any realistic chance of managing this.