your achy knees (mentioned multiple times) are simply orthopedic, or musculoskeletal, not AMS, and not necessarily even local fluid retention related either.
You mentioned joint effusions so that wording suggests you might be in the medical field, but joint effusions are not part of the AMS solar system.
you have a lot of varying and unrelated scenarios in there, and as a first time poster it makes me think about an internet troll.
