Thanks Kristie. Sounds like you have a Wellness coaching aspect to your practice. I like seeing this trend and referrals to health/wellness specialists who have the time to help the client manage health/eating/exercise/medical/behavioral issues. One example where patients fail is in the referral to specialists, in this case for knee pain. As you know many will end up in knee pain management situations when surgery is not an option. At that point, specialists are limited and the client has no where to turn unless they are working with a skilled wellness health who coach who can help the person manage chronic conditions. Physical therapists help with this but do not provide the 360 degree coaching with weight management and physical limitations. I agree that negative sentiment towards heavy people needs to change. Some commercials are finally integrating different body shapes in their advertising. Best to you...