I used to use specialized bg shoes with a combination of ITS wedges (in the shoe) and cleat wedges. Worked perfectly when set up as part of a dynamic bike fit that tracked the knee.
Then I saw a biomechanist who made some hard nylon orthotics and prescribed certain core exercises. I’ve since been back for a fit with the same guy and no longer need wedges inside or outside the shoe.
My conclusion? They’re great for compensating around a problem but it’s still better to address the root cause if you can. (problem is, a lot of the time, the medical profession think naming a problem is the end of the job instead of working to correct alignment and muscle imbalance.)