Osteoarthritis is a common condition today. It is often referred to as "degenerative" or "wear and tear" arthritis, but this label is misleading. It is better understood as a metabolic disease that impairs the tissue's ability to produce and use energy. We should always take a multimodal and holistic approach to healing and be our own health advocates. Optimizing metabolic health to support all aspects of health, including joint and musculoskeletal health, and to support healing and regenerative capabilities, is crucial.