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My own conjecture (which may be wrong): I would be worried about extra torque - the weight belt is the farthest from the core. And, it is "dead" weight that does not follow one's muscle movement quite like the same amount of body fat would. From what I understand, "dead" weight is harder on the body - just go backpacking with a heavy pack to understand the impact that dead weight and with a center of gravity away from one's body can have. It's not a nice thing.
So, taken all of that - I am kinda reluctant to use a weight belt with my knee problems.
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