My sisters, who are vegetarians, put a small amount of peanut butter in their smoothies for add'l protein and flavor. I've tried it, and it tastes pretty good. (This is coming from someone who doesn't really like peanut butter.)
For the knee replacement info, I recommend checking out the subreddit: https://www.reddit.com/r/Kneereplacement/
It's a supportive community with good info; however, I do see bad medical info posted there sometimes. So always scrutinize what you read there.