Bill an MBSS or FEES with no documented clinical evaluation first and you draw a CO-50
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
doi: 10.1136/bmj.c869 Summary Keywords obesity, GLP-1, GLP-1 receptor analog, exenatide, pediatrics, glycemic control, GLP-1 receptor agonist, treatment Citation Stenlid R, Cerenius SY, Wen Q, Aydin BK, Manell H, Chowdhury A, Kristinsson H, Ciba I, Gjessing ES, Mrwald K, Gomahr J, Heu V, Weghuber D, Forslund A and Bergsten P (2023) Adolescents with obesity treated with exenatide maintain endogenous GLP-1, reduce DPP-4, and improve glycemic control
Endocrinology and metabolism , 282 (2), E474E482