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After rapid weight loss, the loads are lighter, but the movement pattern is still heavy. Clients often: Stay in a wide, externally rotated stance Over-grip with toes Roll onto the outside or inside edges of the feet in old, familiar ways Knees & hips Obesity research shows: Greater and more variable knee joint loads and altered gait patterns in people with obesity compared to normal-weight controls

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It describes patients with documented depression or anxiety disorder already on sertraline who also have type 2 diabetes, prediabetes or weight-management goals