For some obese patients, bariatric surgery is a necessary step to lose weight and begin to lead a more healthful life. Although those patients may lose weight in the beginning, the surgery itself is not enough. "Exercise is a big piece of the success in bariatric surgery over the long term," says Patrick Brillantes, director of metabolic, orthopedic and neuroscience services at Sparrow Health System, Lansing, MI. "A lot of people don't succeed because they don't change ...

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