However, there are alternate therapies that may be considered first. Providing an anti-obesity drug to overweight patients with diabetes has been estimated to cost $8,327. Certain studies have indicated that there may be available a variety of cost-effective anti-obesity interventions (Cawley 2006: 74). Furthermore, extreme obesity usual requires a multi-dsici0plamnry approach and more than surgery is often required to complete the process (Folope, et.al. 2008).

For decades, the psychological literature has promoted a causal link between obesity and psychological problems. Obesity has been attributed to pathologic denial, lack of impulse control, depersonalization, existential vacuum, problems in personality development, and excessive orality. However, the mounting biological evidence brings into question the validity of these etiological theories. In addition, several research studies have found that obese people do not experience any more psychopathology than nonobese people. Melcher and Bostwick 1998)

There is an explosion of bariatric surgery clients. It may be necessary...
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