One way someone could edit a document in a word processor for publication as an ebook is to put a tag around the bold and italics manually, make sure they don't use hard breaks for anything other than paragraphs and when the file looks good save it to text (that's txt not rtf).
Next step, reload the document under a test name. Search for the markers for bold and italic. Change the bold and italic to bold... italic.
Now try saving the document as html.
This should remove a great deal of the excess formatting.
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