Abstract
Abstract Obesity is a complex phenomenon that continues to defy one unifying scientific explanation. Behavioral, psychological, environmental, physiologic, metabolic, and genetic explanations are just some of the possibilities identified as contributing to or causing obesity; yet, each explanation encounters controversy and no one explanation has gained unanimous consensus. Ideally, once a patient has had weight loss surgery (WLS), he or she loses excess weight in a controlled, healthy manner and complies with all the components of the recommended bariatric treatment program; sometimes, however, patients “modify” their post-surgical instructions. The ability to identify program modifications may be initially camouflaged if patients continue to lose weight and their laboratory values and other medical tests indicate that their weight loss status is smoothly progressing. On the surface it may seem that all is well, but appearances may be deceiving. A dysfunctional relationship with food and other substances...
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