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Communication barriers can make resolving quality issues difficult

Bariatric surgery Weight loss surgery is a safe and common approach to addressing obesity

Patients should be reassured that experiencing some degree of tiredness during the initial treatment phase is not uncommon and does not necessarily indicate treatment failure or serious adverse effects

3 Results 3.1 Characteristics of the included studies The search included 331 potentially relevant articles after examining the titles/summary, excluding 290 studies because they were duplicate publications or because they did not evaluate the purpose of this study