When big efforts at weight loss through diet and exercise over a period of time have failed to have achieve sustained weight loss, surgery may be the answer.

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For many patients, the decision to pursue weight loss surgery isn't an immediate one - it's a process that unfolds over the course of months or years. That was the case for Mark, who began looking at bariatric surgery many years ago. "I looked into it probably 10 or so years ago," he said. "At that...

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