Wall Mount Toilet

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I'm in the process of remodeling a bathroom. Discovered multiple joists severely notched from the time of original construction and they will need to be repaired. The best repair means using a wall mounted toilet. However, looking at install guides, the drain goes straight through wall plate. I can't do this because it will hit another joist - and there's no option to move the toilet. So my question is, can the drain in these systems be adjusted forward or could I use a 90 degree elbow? I'm willing to build a false wall for this purpose (creating a shelf behind toilet) but not for the entire unit (height of the wall). We haven't picked the unit so any suggestion in model that will help me do what I have in mind would also be great. TIA.
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