Weight Loss Therapists in Commack, NY
![Photo of Willo Wisotsky, PhD, Psychologist](https://photos.psychologytoday.com/3f787248-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a NYS Licensed Clinical Health Psychologist specializing in obesity, eating disorders and coaching through daily obstacles. Throughout treatment, I emphasize problem solving, planning skills, goal setting, coping and behavioral strategies for clients. I have practiced, studied, researched, lectured and published on the topics of obesity, eating disorders and the behavioral factors with such diseases. As a leader in the field of Obesity, I offer comprehensive psychological evaluations for weight loss surgical candidates to addresses the psychological antecedents, behaviors and consequences of obesity.
I am a NYS Licensed Clinical Health Psychologist specializing in obesity, eating disorders and coaching through daily obstacles. Throughout treatment, I emphasize problem solving, planning skills, goal setting, coping and behavioral strategies for clients. I have practiced, studied, researched, lectured and published on the topics of obesity, eating disorders and the behavioral factors with such diseases. As a leader in the field of Obesity, I offer comprehensive psychological evaluations for weight loss surgical candidates to addresses the psychological antecedents, behaviors and consequences of obesity.
![Photo of Roxanne Gonzalez-McGivney, PsyD, Psychologist](https://photos.psychologytoday.com/a203f534-3d0f-45eb-bbc2-bc41b9fbe85e/2/320x400.jpeg)
Hello, I am a bilingual, Spanish-speaking, licensed clinical psychologist with over 15 years of experience working with adults to help them lead healthier and more fulfilling lives. I specialize in helping people work through: depression, anxiety, PTSD, adjustment problems, acute chronic stress, family and relationship stressors, self-esteem difficulties, phobias, difficulties managing health problems, difficulties coping with aging and end-of-life transitions, and various other concerns that are part of everyday life in an often hectic and difficult to navigate world. My overall goal is to help you find more joy in your life!
Hello, I am a bilingual, Spanish-speaking, licensed clinical psychologist with over 15 years of experience working with adults to help them lead healthier and more fulfilling lives. I specialize in helping people work through: depression, anxiety, PTSD, adjustment problems, acute chronic stress, family and relationship stressors, self-esteem difficulties, phobias, difficulties managing health problems, difficulties coping with aging and end-of-life transitions, and various other concerns that are part of everyday life in an often hectic and difficult to navigate world. My overall goal is to help you find more joy in your life!
![Photo of Melissa Schroeder, PsyD, BCBA, Psychologist](https://photos.psychologytoday.com/078419d3-0795-4bb5-b9bf-b762bfdfb7ff/1/320x400.jpeg)
Understanding and making meaning of experiences is important to heal and move forward in life. There are times when we all feel off balance, unfocused, afraid, and alone. I work with children and adults to help them learn skills to make meaning of experiences and feelings, find what matters to them, and manage the tough and uncomfortable things that we all often push aside. I take an active approach to therapy, helping clients to identify values, goals, and changes to make them feel fulfilled. Whether I'm working with a 3 or 30 year old, I strive to be curious, empathetic, and respectful of the unique human that you are.
Understanding and making meaning of experiences is important to heal and move forward in life. There are times when we all feel off balance, unfocused, afraid, and alone. I work with children and adults to help them learn skills to make meaning of experiences and feelings, find what matters to them, and manage the tough and uncomfortable things that we all often push aside. I take an active approach to therapy, helping clients to identify values, goals, and changes to make them feel fulfilled. Whether I'm working with a 3 or 30 year old, I strive to be curious, empathetic, and respectful of the unique human that you are.
![Photo of Jessica Cannone, PsyD, Psychologist](https://photos.psychologytoday.com/a78c72e1-788c-446d-a891-4c6cadbf1cde/2/320x400.jpeg)
I am Dr. Cannone, a licensed clinical psychologist, and I specialize in evidence-based individualized interventions for adults. I believe that there is more right with you than you may believe there is. Together I can help you to create the fulfilling life you are hoping to live. My goal is to help my patients discover and utilize their inner strengths to enhance all elements of well-being. There are never two of the same presentations of psychological problems, which is why I tailor each treatment plan to the individual needs, capabilities and desires of each patient.
I am Dr. Cannone, a licensed clinical psychologist, and I specialize in evidence-based individualized interventions for adults. I believe that there is more right with you than you may believe there is. Together I can help you to create the fulfilling life you are hoping to live. My goal is to help my patients discover and utilize their inner strengths to enhance all elements of well-being. There are never two of the same presentations of psychological problems, which is why I tailor each treatment plan to the individual needs, capabilities and desires of each patient.
![Photo of Arnold P Eisman, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/50b3a1b0-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Arnold P Eisman
Clinical Social Work/Therapist, LCSW
Verified Verified
Commack, NY 11725 (Online Only)
Welcome to the practice of a highly experienced therapist who brings warmth and empathy to helping people address their conflicts. A former Social Work Associate Professor at Fordham University, I bring an array of tools to address anxiety, depression, addictions, trauma, marital stress and other concerns. A 25 year practitioner of (EMDR) Eye Movement Desensitization and Reprocessing, we can address a wide range of issues from Posttraumatic Stress to phobias, social anxiety and performance enhancement. Cognitive-Behavioral and Psychodynamic approaches are blended into a style that most people will enjoy and have confidence in.
Welcome to the practice of a highly experienced therapist who brings warmth and empathy to helping people address their conflicts. A former Social Work Associate Professor at Fordham University, I bring an array of tools to address anxiety, depression, addictions, trauma, marital stress and other concerns. A 25 year practitioner of (EMDR) Eye Movement Desensitization and Reprocessing, we can address a wide range of issues from Posttraumatic Stress to phobias, social anxiety and performance enhancement. Cognitive-Behavioral and Psychodynamic approaches are blended into a style that most people will enjoy and have confidence in.
![Photo of Judith H. Grodinsky, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/99538e06-f324-4338-9532-4ad626e53ae7/1/320x400.jpeg)
Judith H. Grodinsky
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Commack, NY 11725 (Online Only)
My name is Judy and I am a Licensed Clinical Social Worker-R/Therapist with over 23 years experience in private practice. I specialize in counseling children, adolescents, and adults in individual, family, and group modalities. I assist these individuals navigate life's rapids helping them experience joys while confronting challenges of life's transitions. I aid parents in helping their children navigate the land mines of contemporary childhood. I believe in the work I do and I sincerely want to help people live richer, more satisfying lives. I am committed to supporting my clients in achieving their fullest potential.
My name is Judy and I am a Licensed Clinical Social Worker-R/Therapist with over 23 years experience in private practice. I specialize in counseling children, adolescents, and adults in individual, family, and group modalities. I assist these individuals navigate life's rapids helping them experience joys while confronting challenges of life's transitions. I aid parents in helping their children navigate the land mines of contemporary childhood. I believe in the work I do and I sincerely want to help people live richer, more satisfying lives. I am committed to supporting my clients in achieving their fullest potential.
![Photo of Michelle Hofman, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/646da333-d68c-4bbe-a83e-93c531b7ef32/2/320x400.jpeg)
If you are feeling overwhelmed by issues such as anxiety, re-experiencing past events, or feeling generally stuck I can offer you a relaxed environment in which to overcome your struggles. Together, we will find a balance between understanding, acceptance, and change. In therapy a supportive relationship is fundamental, and we will explore together how to best help you reach your goals. I am EMDRIA certified and use the framework that our past experiences can be contributing to our present discomfort. I have worked with people on a variety of issues, and I look forward to speaking with you to discuss your situation.
If you are feeling overwhelmed by issues such as anxiety, re-experiencing past events, or feeling generally stuck I can offer you a relaxed environment in which to overcome your struggles. Together, we will find a balance between understanding, acceptance, and change. In therapy a supportive relationship is fundamental, and we will explore together how to best help you reach your goals. I am EMDRIA certified and use the framework that our past experiences can be contributing to our present discomfort. I have worked with people on a variety of issues, and I look forward to speaking with you to discuss your situation.
![Photo of Lisa A. Vecchione - Lisa A. Vecchione LCSW, PLLC, LCSW, Counselor](https://photos.psychologytoday.com/95742420-174c-45f0-9b2b-bd7266af5172/1/320x400.jpeg)
Lisa A. Vecchione LCSW, PLLC
Counselor, LCSW
Verified Verified
1 Endorsed
Commack, NY 11725
Waitlist for new clients
I have always been a compassionate person and a champion for the underdog. We learn many things in school, but compassion, empathy and integrity cannot be taught. You either have it or you don't. This is the cornerstone of all I do. Every major decision starts with one small step in the right direction . Making the call or writing the email to discuss how your life can be better is that first step . I will be there to help assist you make those changes . Believe it ! It’s truly possible ! There is no shame in therapy. You get to do the work but it’s well worth it .
I have always been a compassionate person and a champion for the underdog. We learn many things in school, but compassion, empathy and integrity cannot be taught. You either have it or you don't. This is the cornerstone of all I do. Every major decision starts with one small step in the right direction . Making the call or writing the email to discuss how your life can be better is that first step . I will be there to help assist you make those changes . Believe it ! It’s truly possible ! There is no shame in therapy. You get to do the work but it’s well worth it .
![Photo of Lauren Miceli - Lauren Miceli Counseling, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f1855d6-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Lauren Miceli Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Commack, NY 11725
Lauren Miceli Counseling is a group practice comprised of eleven therapists. Therapy is an investment in yourself, your relationships, and your future. Talking about your thoughts and feelings with a supportive person has the ability to make you feel better. The therapy process can be healing by providing you a voice for worries or to talk about something that's weighing on your mind. We are committed therapists who can help you get to the root of your problems, overcome emotional challenges, and make positive changes in your life.
Lauren Miceli Counseling is a group practice comprised of eleven therapists. Therapy is an investment in yourself, your relationships, and your future. Talking about your thoughts and feelings with a supportive person has the ability to make you feel better. The therapy process can be healing by providing you a voice for worries or to talk about something that's weighing on your mind. We are committed therapists who can help you get to the root of your problems, overcome emotional challenges, and make positive changes in your life.
![Photo of Stacy Messmer, LCSW-R, CASAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/12f443c1-7078-473f-b589-6054255fcbdf/1/320x400.jpeg)
Stacy Messmer
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
1 Endorsed
Commack, NY 11725 (Online Only)
My goal is to support you on your journey towards emotional well-being and personal growth. I am committed to providing a compassionate and supportive environment where you can feel heard and understood. I understand the courage that it takes to reach out for support and guidance. I have treated anxiety, depression, relationship issues, self-esteem issues and worked with family members of substance users for 18 years. I utilize a holistic, evidence based method to therapy tailoring my techniques to fit the unique needs of each client. I empower my clients by building coping strategies, enhancing self-awareness, and resilience.
My goal is to support you on your journey towards emotional well-being and personal growth. I am committed to providing a compassionate and supportive environment where you can feel heard and understood. I understand the courage that it takes to reach out for support and guidance. I have treated anxiety, depression, relationship issues, self-esteem issues and worked with family members of substance users for 18 years. I utilize a holistic, evidence based method to therapy tailoring my techniques to fit the unique needs of each client. I empower my clients by building coping strategies, enhancing self-awareness, and resilience.
![Photo of Karen Ness, LCSW, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/44af44fa-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Karen Ness
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Commack, NY 11725 (Online Only)
Therapy is an opportunity to face what is challenging you in a supportive environment by enabling you to live your life the way you want. If you're looking for extra support through a difficult time or you're just ready to move in a new direction, I look forward to working with you. I provide individual, couples, and family therapy for children, adolescents, and adults. My treatment approach is collaborative, working with clients to discover the most helpful ways to work through obstacles and achieve healthy lasting changes.
Therapy is an opportunity to face what is challenging you in a supportive environment by enabling you to live your life the way you want. If you're looking for extra support through a difficult time or you're just ready to move in a new direction, I look forward to working with you. I provide individual, couples, and family therapy for children, adolescents, and adults. My treatment approach is collaborative, working with clients to discover the most helpful ways to work through obstacles and achieve healthy lasting changes.
![Photo of Rachelle Iphael-Alphonce, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/d3bef74d-76f3-41c4-8459-e6605b199d3c/1/320x400.jpeg)
I am an avid advocate for immigrants and those who English isn't their first language. I am also fluent in Haitian Kreyol. My therapeutic approach is based on the needs of the client. I believe that there is not just one therapeutic approach to fit the needs of every client. We are all different in our own unique and beautiful ways. I find that working together with the client collaboratively, will help us find a compatible therapeutic theory. Which will help the needs of the client, to be met with trust and patience.
I am an avid advocate for immigrants and those who English isn't their first language. I am also fluent in Haitian Kreyol. My therapeutic approach is based on the needs of the client. I believe that there is not just one therapeutic approach to fit the needs of every client. We are all different in our own unique and beautiful ways. I find that working together with the client collaboratively, will help us find a compatible therapeutic theory. Which will help the needs of the client, to be met with trust and patience.
![Photo of Brooke Harris, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/60628b58-aae8-4081-80fc-0163f7a8e5ae/1/320x400.jpeg)
Brooke Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Commack, NY 11725 (Online Only)
I understand that it can be difficult to make the decision to seek counseling and to find a therapist that you feel most comfortable with. My ultimate goal is to provide a safe, therapeutic space for clients to process, offer guidance, instill hope, and assist with strengthening one’s toolbox to navigate life’s challenges.
I understand that it can be difficult to make the decision to seek counseling and to find a therapist that you feel most comfortable with. My ultimate goal is to provide a safe, therapeutic space for clients to process, offer guidance, instill hope, and assist with strengthening one’s toolbox to navigate life’s challenges.
![Photo of Richard M Kaufman, MS, LMHC, Counselor](https://photos.psychologytoday.com/6598ba62-726c-496a-b533-6b2ac28e3fc4/1/320x400.jpeg)
Perhaps the most important aspect of our work together will be your sense of comfort and support. I strongly believe in maintaining a compassionate and supportive environment both physically and emotionally where you can feel safe, heard and understood. My goal is facilitate a judgement free and empathic space where you feel free to explore your thoughts, emotions and experiences. Your empowerment to gain insight, discover your strengths and develop effective coping strategies will lead to lasting and productive change. You can have the life you want...it is all within your reach.
Perhaps the most important aspect of our work together will be your sense of comfort and support. I strongly believe in maintaining a compassionate and supportive environment both physically and emotionally where you can feel safe, heard and understood. My goal is facilitate a judgement free and empathic space where you feel free to explore your thoughts, emotions and experiences. Your empowerment to gain insight, discover your strengths and develop effective coping strategies will lead to lasting and productive change. You can have the life you want...it is all within your reach.
![Photo of Lisa Cohen, LMHC, Counselor](https://photos.psychologytoday.com/2b9dba09-a0d5-48f9-b4fc-4f5df3a54f09/1/320x400.jpeg)
My approach is positive, practical and proactive. I have been working in the counseling field for over 20 years. While I enjoy working with individuals of all ages, I have a passion for working with women guiding them to regain and increase self-awareness, encourage self-esteem and self-love and ultimately make positive changes to become happier individuals. I specialize in issues including codependency, anxiety, PTSD, as well as developmental disorders and relationship issues. I believe that our behavior is often influenced by our inner experiences, and understanding this connection is crucial in fostering change.
My approach is positive, practical and proactive. I have been working in the counseling field for over 20 years. While I enjoy working with individuals of all ages, I have a passion for working with women guiding them to regain and increase self-awareness, encourage self-esteem and self-love and ultimately make positive changes to become happier individuals. I specialize in issues including codependency, anxiety, PTSD, as well as developmental disorders and relationship issues. I believe that our behavior is often influenced by our inner experiences, and understanding this connection is crucial in fostering change.
![Photo of Roy W. Berman, LCSW, BCD, CASAC, CSAT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b6c7585-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Roy W. Berman
Clinical Social Work/Therapist, LCSW, BCD, CASAC, CSAT
Verified Verified
Commack, NY 11725
My name is Roy Berman, L.C.S.W., B.C.D. , C.A.S.A.C., C.S.A.T. I have been a psychotherapist over forty years and I was clinically trained at Columbia University School of Social Work. I also have over two thousand hours of training in the addictions. My areas of specialty are alcoholism, substance abuse, gambling, sex addiction, compulsive over-eating, co-dependency and how these disorders affect the family. I am a psychodynamic and interactive psychotherapist. I actively get involved with my clients, constantly offering feedback and interpretation, not afraid to actively participate in the therapeutic process.
My name is Roy Berman, L.C.S.W., B.C.D. , C.A.S.A.C., C.S.A.T. I have been a psychotherapist over forty years and I was clinically trained at Columbia University School of Social Work. I also have over two thousand hours of training in the addictions. My areas of specialty are alcoholism, substance abuse, gambling, sex addiction, compulsive over-eating, co-dependency and how these disorders affect the family. I am a psychodynamic and interactive psychotherapist. I actively get involved with my clients, constantly offering feedback and interpretation, not afraid to actively participate in the therapeutic process.
![Photo of Marlene N Kasman, PhD, CGP, Psychologist](https://photos.psychologytoday.com/3b7939af-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Day to day challenges or unrepaired past hurts may cause anxiety, depression, or health issues, and can interfere with every aspect of your life. Infidelity, family discord or job issues may leave you feeling dissatisfied or trapped. I can help you develop a better understanding of yourself and others and learn more effective coping and communication skills. Doing so will help you address these issues and create more satisfying, mutually respectful relationships at work or home. These desired life changes may eventually reduce your level of stress and lead to an improved sense of emotional and physical well being.
Day to day challenges or unrepaired past hurts may cause anxiety, depression, or health issues, and can interfere with every aspect of your life. Infidelity, family discord or job issues may leave you feeling dissatisfied or trapped. I can help you develop a better understanding of yourself and others and learn more effective coping and communication skills. Doing so will help you address these issues and create more satisfying, mutually respectful relationships at work or home. These desired life changes may eventually reduce your level of stress and lead to an improved sense of emotional and physical well being.
![Photo of Georgia Yesmont, PhD, Psychologist](https://photos.psychologytoday.com/3ba8935a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you getting worn out by worries and stressful situations? I help people who have worries and confusion identify and resolve their problems. This process can be very empowering and reassuring. We can look at issues clearly and apply helpful strategies. You deserve a more peaceful and joyful life. Clients often express relief and new hope after only the first session. My style is warm, focused and interactive. I have an empathetic style with specialized, up-to-date techniques to help people sort out relationship difficulties and life goals.
Are you getting worn out by worries and stressful situations? I help people who have worries and confusion identify and resolve their problems. This process can be very empowering and reassuring. We can look at issues clearly and apply helpful strategies. You deserve a more peaceful and joyful life. Clients often express relief and new hope after only the first session. My style is warm, focused and interactive. I have an empathetic style with specialized, up-to-date techniques to help people sort out relationship difficulties and life goals.
![Photo of Yael Roth, MA, NY-LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/023cee1f-0c88-4417-8930-989eccbeb66d/2/320x400.jpeg)
Coaching and/or short-term, solution focused therapy in a warm and caring environment. I am a coach as well as a NY-licensed marriage and family therapist focused on solutions. If you are dealing with any unhealthy emotions, individual, couple or relationships problems with family, friends or at work, if you are having parenting difficulties, a school related problem, or if you are dealing with divorce and the children of divorce--don't wait, call me!
Coaching and/or short-term, solution focused therapy in a warm and caring environment. I am a coach as well as a NY-licensed marriage and family therapist focused on solutions. If you are dealing with any unhealthy emotions, individual, couple or relationships problems with family, friends or at work, if you are having parenting difficulties, a school related problem, or if you are dealing with divorce and the children of divorce--don't wait, call me!
![Photo of Kimberly A. Dorrien, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c77eef0-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Kimberly A. Dorrien
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Commack, NY 11725
Are you thriving or surviving in your life? Sometimes it can be difficult to cope with life's challenges and it's difficult to communicate emotions, thoughts and feelings. I can help deal with these issues by listening without judgement and help you, your child, spouse, family member or friend cope with them on a daily basis so that you can thrive in your life. I have been working with children, adolescents, families and adult for 13 years.
Are you thriving or surviving in your life? Sometimes it can be difficult to cope with life's challenges and it's difficult to communicate emotions, thoughts and feelings. I can help deal with these issues by listening without judgement and help you, your child, spouse, family member or friend cope with them on a daily basis so that you can thrive in your life. I have been working with children, adolescents, families and adult for 13 years.
See more therapy options for Commack
Nearby Weight Loss Therapists Searches for Commack
- Bay Shore
- Cold Spring Harbor
- Deer Park
- Dix Hills
- East Northport
- Greenlawn
- Hauppauge
- Huntington
- Huntington Station
- Northport
- Smithtown
- Stony Brook
Weight Loss Therapists
What is the relationship between weight management and mental health?
Mental health can be significantly influenced by one's physical health, so overall improvements in one's quality of life as a result of improved physical functioning from weight loss can have an overall positive impact on an individual's mental health and allow them to engage more readily in everyday activities. In addition, many strategies used to manage weight, such as exercise and maintaining a healthy diet, are also associated with reducing the symptoms of common mental health conditions, such as anxiety or depression. Individuals may also benefit from the improved self-esteem and self-efficacy that can come with successful weight management.
What is the psychological approach to losing weight?
While there are no specific therapy modalities specifically for weight loss, common psychological therapies can be highly effective in helping clients make lasting lifestyle changes. This may be called the "psychological approach" to weight loss because it does not rely on physical interventions, such as medication or weight loss surgery, to help clients lose weight. Weight loss counseling can be used in addition to or instead of such physical interventions. Some clients simply seek therapy to address the challenges that may accompany weight loss in general, including negative thoughts surrounding their body, disordered eating patterns, or difficulty completing daily tasks as a result of their weight challenges. In such cases, therapists will often utilize behavioral coaching or Cognitive Behavioral Therapy techniques to help clients understand how their thoughts may be influencing their diet and physical activity patterns.
What type of therapy is commonly used in weight loss counseling?
Weight loss counseling often involves a combination of therapy and psychoeducation. Common techniques used by weight loss counselors include journaling, thought diaries, and other Cognitive Behavioral Therapy strategies that encourage clients to consider how their feelings about their weight loss impact their mental health. Weight loss counselors may also teach clients mindfulness exercises, which can be used by clients during and after eating to be more aware of physical cues from their body surrounding eating. Some clients looking for weight loss therapy may also benefit from group therapy approaches, which utilize the power of social connection and accountability to help clients adhere to their weight loss plan.
Is therapy recommended for individuals undergoing bariatric surgery?
While therapy is not a requirement for individuals undergoing bariatric surgery, many individuals undergoing weight loss surgery may benefit from seeing a counselor. Prior to surgery, counselors can help clients decide whether surgical weight loss is a good fit for them and assist in surgery preparation. Post-surgery, counselors can assist clients with the psychological component of maintaining their weight loss, as well as help clients navigate any postoperative pain. Throughout the surgical process, therapists can help clients process body-image challenges that may come with dramatic changes in weight, as well as manage symptoms of anxiety or depression that may accompany the major life changes bariatric surgery can bring.