Can you include a photo? Moat likely these are buds setting for next spring. If they're on a sacrifice branch, it's ok to let them stay. If they're on a final branch, you'll want to reduce them to a pair, evenly-sized, and positioned across from each other, rather than one above another.
The buds in the picture are set for the winter and based on your relatively northern location should not open until spring. One can select and remove some of these buds this fall.