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The positive changes in psychosocial status are not universal. Just as some patients experience medical complications, some will also experience poor behavioral or psychological outcomes. (Sogg and colleagues27 discuss untoward psychological outcomes with regard to marital and sexual behavior, whereas the current article focuses on depression and suicide, suboptimal weight loss, disordered eating, body image dissatisfaction, and substance abuse.) Depression and Suicide Numerous studies have identified a relationship between depression, suicidality, and obesity.
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