{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T18:33:47Z","timestamp":1792953227599,"version":"4.5.0"},"reference-count":65,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Vanier Canada Graduate Scholarships","award":["201911CGV-433693-214488"],"award-info":[{"award-number":["201911CGV-433693-214488"]}]},{"DOI":"10.13039\/501100001804","name":"Canada Research Chairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ontario Graduate Scholarship"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health (London)"],"abstract":"<jats:p>Bariatric surgery remains the \u201cgold standard\u201d treatment for obesity, according to the American College of Surgeons in 2025; however, while evidence shows that surgery can improve health and increase lifespan for many, most available data focus on short-term outcomes, and high-quality long-term research remains limited. Furthermore, patients and providers seemingly experience uncertainty regarding postoperative outcomes, frequently attributing suboptimal results to each other. To explore these uncertainties alongside broader elements of the surgical experience, we conducted semi-structured qualitative interviews with Canadian women who had received surgery at least 1\u2009year prior and registered dietitians who currently or previously worked in bariatric surgery in Canada, using reflexive thematic analysis and thinking with theory to analyze data. We constructed three themes: (1) Surgical uncertainty and \u201cmisplaced\u201d optimism; (2) Promise of certainty through pathologization; and (3) (Dis)honesty: Nondisclosure as uncertainty management. We argue that bariatric professionals must engage more transparently with uncertainty and evidentiary gaps to mitigate medical bias and provide more meaningful support to patients considering or living with the outcomes of the procedure.<\/jats:p>","DOI":"10.1177\/13634593261492995","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:26:46Z","timestamp":1792668406000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cThere\u2019s more that we don\u2019t know than we do know\u201d: Unpacking uncertainty in bariatric surgery"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1481-3902","authenticated-orcid":false,"given":"Meredith","family":"Bessey","sequence":"first","affiliation":[{"name":"University of Guelph, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7490-8749","authenticated-orcid":false,"given":"Carla","family":"Rice","sequence":"additional","affiliation":[{"name":"University of Guelph, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1515\/9780748691142"},{"key":"e_1_3_5_3_1","doi-asserted-by":"crossref","unstructured":"Alberga AS Nutter S MacInnis C et al. (2019) Examining weight bias among practicing Canadian family physicians. Obesity Facts 12: 632\u2013638. https:\/\/doi.org\/10.1159\/000503751","DOI":"10.1159\/000503751"},{"key":"e_1_3_5_4_1","unstructured":"American Medical Association (2023) AMA adopts new policy clarifying role of BMI as a measure in medicine. Available at: https:\/\/www.ama-assn.org\/press-center\/ama-press-releases\/ama-adopts-new-policy-clarifying-role-bmi-measure-medicine"},{"key":"e_1_3_5_5_1","unstructured":"Anesthesiology News (2025) Surgery still gold standard in the age of GLP-1s experts say. Available at: https:\/\/www.anesthesiologynews.com\/Medical-Monitor\/Article\/02-26\/Bariatric-Surgery-Gold-Standard-in-GLP1-Era\/79604"},{"key":"e_1_3_5_6_1","doi-asserted-by":"crossref","unstructured":"Arterburn DE Telem DA Kushner RF et al. (2020) Benefits and risks of bariatric surgery in adults: A review. Journal of the American Medical Association 324(9): 879\u2013887. https:\/\/doi.org\/10.1001\/jama.2020.12567","DOI":"10.1001\/jama.2020.12567"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822394716"},{"key":"e_1_3_5_8_1","doi-asserted-by":"crossref","unstructured":"Bessey M Rice C (2026a) Body-mapping the affective politics of bariatric surgery. International Review of Qualitative Research 18(4): 442\u2013469. https:\/\/doi.org\/10.1177\/19408447251334614","DOI":"10.1177\/19408447251334614"},{"key":"e_1_3_5_9_1","doi-asserted-by":"crossref","unstructured":"Bessey M Rice C (2026b) A feminist neomaterialist exploration of bariatric surgery in Canada. Body & Society. Epub ahead of print 11 September 2026. https:\/\/doi.org\/10.1177\/1357034x261480061","DOI":"10.1177\/1357034X261480061"},{"key":"e_1_3_5_10_1","doi-asserted-by":"crossref","unstructured":"Blanchette F (2026) GLP1s and antifatness: On the medicalization social construction and future of fatness in the Ozempic era. Fat Studies 15(2): 87\u201389. https:\/\/doi.org\/10.1080\/21604851.2025.2551995","DOI":"10.1080\/21604851.2025.2551995"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1215\/9780822391258-012"},{"key":"e_1_3_5_12_1","doi-asserted-by":"crossref","unstructured":"Bombak AE Eckhart N Bensley JH et al. (2021) Bariatric surgery as prophylaxis: An emerging protection discourse. Social Theory & Health 19: 282\u2013297. https:\/\/doi.org\/10.1057\/s41285-019-00121-0","DOI":"10.1057\/s41285-019-00121-0"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_3_5_14_1","doi-asserted-by":"crossref","unstructured":"Breuing J K\u00f6nsgen N Doni K et al. (2022) Information needs of patients undergoing bariatric surgery in Germany: A qualitative study. BMC Health Services Research 22: 515. https:\/\/doi.org\/10.1186\/s12913-022-07950-2","DOI":"10.1186\/s12913-022-07950-2"},{"key":"e_1_3_5_15_1","doi-asserted-by":"crossref","unstructured":"Brown RCH de Barra M Earp BD (2022) Broad medical uncertainty and the ethical obligation for openness. Synthese 200: 121. https:\/\/doi.org\/10.1007\/s11229-022-03666-2","DOI":"10.1007\/s11229-022-03666-2"},{"key":"e_1_3_5_16_1","doi-asserted-by":"crossref","unstructured":"Cadena-Obando D Ram\u00edrez-Renter\u00eda C Ferreira-Hermosillo A et al. (2020) Are there really any predictive factors for a successful weight loss after bariatric surgery? BMC Endocrine Disorders 20: 20. https:\/\/doi.org\/10.1186\/s12902-020-0499-4","DOI":"10.1186\/s12902-020-0499-4"},{"key":"e_1_3_5_17_1","unstructured":"Canadian Geographic (2026) Indigenous peoples Atlas of Canada: M\u00e9tis. Available at: https:\/\/indigenouspeoplesatlasofcanada.ca\/section\/metis\/ (accessed 16 July 2026)."},{"key":"e_1_3_5_18_1","unstructured":"Canadian Institute for Health Information (2015) Bariatric surgery in Canada. Available at: https:\/\/www.cihi.ca\/sites\/default\/files\/bariatric_data_051415_en_0.xlsx (accessed 16 July 2026)."},{"key":"e_1_3_5_19_1","unstructured":"Canadian Institute for Health Information (2026) Health workforce in Canada: Overview. Available at: https:\/\/www.cihi.ca\/en\/health-workforce-in-canada-overview (accessed 16 July 2026)."},{"key":"e_1_3_5_20_1","doi-asserted-by":"crossref","unstructured":"Carlsson LMS Sj\u00f6holm K Jacobson P et al. (2020) Life expectancy after bariatric surgery in the Swedish Obese Subjects study. New England Journal of Medicine 383(16): 1535\u20131543. https:\/\/doi.org\/10.1056\/nejmoa2002449","DOI":"10.1056\/NEJMoa2002449"},{"key":"e_1_3_5_21_1","doi-asserted-by":"crossref","unstructured":"Chastain R Meadows A Adams L (2026) GLP-1 medications for weight-loss: A triumph of marketing over patient care. Fat Studies 15(2): 183\u2013200. https:\/\/doi.org\/10.1080\/21604851.2026.2646492","DOI":"10.1080\/21604851.2026.2646492"},{"key":"e_1_3_5_22_1","doi-asserted-by":"crossref","unstructured":"C\u00f4t\u00e9 M Forouhar V Sacco S et al. (2025) Weight bias stigma and discrimination: A call for greater conceptual clarity. Frontiers in Psychology 16: 1710851. https:\/\/doi.org\/10.3389\/fpsyg.2025.1710851","DOI":"10.3389\/fpsyg.2025.1710851"},{"key":"e_1_3_5_23_1","doi-asserted-by":"crossref","unstructured":"Coulman KD MacKichan F Blazeby JM et al. (2017) Patient experiences of outcomes of bariatric surgery: A systematic review and qualitative synthesis. Obesity Reviews 18(5): 547\u2013559. https:\/\/doi.org\/10.1111\/obr.12518","DOI":"10.1111\/obr.12518"},{"key":"e_1_3_5_24_1","doi-asserted-by":"crossref","unstructured":"Danaher J (2022) Techno-optimism: An analysis an evaluation and a modest defence. Philosophy & Technology 35: 54. https:\/\/doi.org\/10.1007\/s13347-022-00550-2","DOI":"10.1007\/s13347-022-00550-2"},{"key":"e_1_3_5_25_1","unstructured":"Doctors of BC (2020) What patients lie to their doctors about and why. BC Medical Journal 62(3): 110. https:\/\/bcmj.org\/news\/what-patients-lie-their-doctors-about-and-why"},{"key":"e_1_3_5_26_1","doi-asserted-by":"crossref","unstructured":"Elzayyat M Kermansaravi M Fakhro J et al. (2025) Artificial intelligence in bariatric surgery: Optimizing personalized decision-making predictive monitoring and postoperative outcomes. Obesity Surgery 35(10): 4531\u20134533. https:\/\/doi.org\/10.1007\/s11695-025-08097-9","DOI":"10.1007\/s11695-025-08097-9"},{"key":"e_1_3_5_27_1","doi-asserted-by":"crossref","unstructured":"Evans JE (2004) Why the medical model needs disability studies (and vice-versa): A perspective from rehabilitation psychology. Disability Studies Quarterly 24(4). https:\/\/doi.org\/10.18061\/dsq.v24i4.893","DOI":"10.18061\/dsq.v24i4.893"},{"key":"e_1_3_5_28_1","doi-asserted-by":"crossref","unstructured":"Geliebter A (2025) Increased alcohol intake and alcohol use disorder following bariatric surgery: Potential mechanisms. Physiology & Behavior 302: 115094. https:\/\/doi.org\/10.1016\/j.physbeh.2025.115094","DOI":"10.1016\/j.physbeh.2025.115094"},{"key":"e_1_3_5_29_1","doi-asserted-by":"crossref","unstructured":"Gibson G (2022) Health(ism) at every size: The duties of the \u201cgood fatty.\u201d Fat Studies 11(1): 22\u201335. https:\/\/doi.org\/10.1080\/21604851.2021.1906526","DOI":"10.1080\/21604851.2021.1906526"},{"key":"e_1_3_5_30_1","doi-asserted-by":"crossref","unstructured":"Hoffmann TC Del Mar C (2017) Clinicians\u2019 expectations of the benefits and harms of treatments screening and tests: A systematic review. JAMA Internal Medicine 177(3): 407\u2013419. https:\/\/doi.org\/10.1001\/jamainternmed.2016.8254","DOI":"10.1001\/jamainternmed.2016.8254"},{"key":"e_1_3_5_31_1","doi-asserted-by":"crossref","unstructured":"Hunger JM Major B Blodorn A et al. (2015) Weighed down by stigma: How weight-based social identity threat contributes to weight gain and poor health. Social and Personality Psychology Compass 9(6): 255\u2013268. https:\/\/doi.org\/10.1111\/spc3.12172","DOI":"10.1111\/spc3.12172"},{"key":"e_1_3_5_32_1","volume-title":"Thinking With Theory in Qualitative Research","author":"Jackson AY","year":"2012","unstructured":"Jackson AY, Mazzei LA (2012) Thinking With Theory in Qualitative Research. Routledge."},{"key":"e_1_3_5_33_1","doi-asserted-by":"crossref","unstructured":"Jensen SD Gualano B Andreassen P et al. (2025) Beyond the prescription: Global observations on the social implications of GLP-1 receptor agonists for weight loss. PLOS Global Public Health 5(12): e0005516. https:\/\/doi.org\/10.1371\/journal.pgph.0005516","DOI":"10.1371\/journal.pgph.0005516"},{"key":"e_1_3_5_34_1","doi-asserted-by":"crossref","unstructured":"Jiretorn L Engstr\u00f6m M Laursen C et al. (2024) \u2018My goal was to become normal\u2019\u2014A qualitative investigation of coping with stigma body image and self-esteem long-term after bariatric surgery. Clinical Obesity 14(3): e12657. https:\/\/doi.org\/10.1111\/cob.12657","DOI":"10.1111\/cob.12657"},{"key":"e_1_3_5_35_1","doi-asserted-by":"crossref","unstructured":"Kendig MD Morris MJ Samaras K (2021) Mendacity: The tendency to lie or deceive. A cautionary tale in obesity research stigma and headlining. Frontiers in Endocrinology 11: 598713. https:\/\/doi.org\/10.3389\/fendo.2020.598713","DOI":"10.3389\/fendo.2020.598713"},{"key":"e_1_3_5_36_1","doi-asserted-by":"crossref","unstructured":"Keyte R Mantzios M Hussain M et al. (2024) \u2018Surgery is my only hope\u2019: A qualitative study exploring perceptions of living with obesity and the prospect of having bariatric surgery. Clinical Obesity 14(3): e12643. https:\/\/doi.org\/10.1111\/cob.12643","DOI":"10.1111\/cob.12643"},{"key":"e_1_3_5_37_1","doi-asserted-by":"crossref","unstructured":"Ko TYL Cohen RV Le Roux CW (2026) Can obesity medications replace metabolic and bariatric surgery? A comprehensive review. Proceedings of The Nutrition Society. Epub ahead of print 21 April 2026. https:\/\/doi.org\/10.1017\/s0029665126102973","DOI":"10.1017\/S0029665126102973"},{"key":"e_1_3_5_38_1","unstructured":"Lau DCW Wharton S (2020) Canadian adult obesity clinical practice guidelines: The science of obesity. Available at: https:\/\/obesitycanada.ca\/healthcare-professionals\/adult-clinical-practice-guideline\/"},{"key":"e_1_3_5_39_1","doi-asserted-by":"crossref","unstructured":"MacLellan WC Johnson JM(2021) Laparoscopic gastric bypass: Still the gold standard? Surgical Clinics of North America 101(2): 161\u2013175. https:\/\/doi.org\/10.1016\/j.suc.2020.12.013","DOI":"10.1016\/j.suc.2020.12.013"},{"key":"e_1_3_5_40_1","doi-asserted-by":"crossref","unstructured":"Malterud K Ulriksen K (2011) Obesity stigma and responsibility in health care: A synthesis of qualitative studies. International Journal of Qualitative Studies on Health and Well-Being 6(4): 8404. https:\/\/doi.org\/10.3402\/qhw.v6i4.8404","DOI":"10.3402\/qhw.v6i4.8404"},{"key":"e_1_3_5_41_1","doi-asserted-by":"crossref","unstructured":"Masnyj SV Shea BJ Khaitan L (2020) Predictors of success in bariatric surgery. Current Cardiovascular Risk Reports 14(3): 1\u20139. https:\/\/doi.org\/10.1007\/s12170-020-0637-6","DOI":"10.1007\/s12170-020-0637-6"},{"key":"e_1_3_5_42_1","doi-asserted-by":"crossref","unstructured":"Nutter S Eggerichs LA Nagpal TS et al. (2024) Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation. Obesity Reviews 25(1): e13642. https:\/\/doi.org\/10.1111\/obr.13642","DOI":"10.1111\/obr.13642"},{"key":"e_1_3_5_43_1","doi-asserted-by":"crossref","unstructured":"Ogden J Avenell S Ellis G (2011) Negotiating control: Patients\u2019 experiences of unsuccessful weight-loss surgery. Psychology and Health 26(7): 949\u2013964. https:\/\/doi.org\/10.1080\/08870446.2010.514608","DOI":"10.1080\/08870446.2010.514608"},{"key":"e_1_3_5_44_1","unstructured":"Ontario Bariatric Network (2024) Surgical program. Available at: https:\/\/www.ontariobariatricnetwork.ca\/our-programs\/surgical-program"},{"key":"e_1_3_5_45_1","doi-asserted-by":"crossref","unstructured":"Ortiz SE Kawachi I Boyce AM (2017) The medicalization of obesity bariatric surgery and population health. Health 21(5): 498\u2013518. https:\/\/doi.org\/10.1177\/1363459316660858","DOI":"10.1177\/1363459316660858"},{"key":"e_1_3_5_46_1","doi-asserted-by":"crossref","unstructured":"O\u2019Brien PE Hindle A Brennan L et al. (2019) Long-term outcomes after bariatric surgery: A systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obesity Surgery 29(1): 3\u201314. https:\/\/doi.org\/10.1007\/s11695-018-3525-0","DOI":"10.1007\/s11695-018-3525-0"},{"key":"e_1_3_5_47_1","doi-asserted-by":"crossref","unstructured":"O\u2019Connor AM Frias JC (2025) Lying to your doctor: Exploring age differences and techniques to foster honest patient-doctor communication. Journal of Health Psychology 30(12): 3628\u20133640. https:\/\/doi.org\/10.1177\/13591053251321775","DOI":"10.1177\/13591053251321775"},{"key":"e_1_3_5_48_1","doi-asserted-by":"crossref","unstructured":"Parsons MA Clemens JP (2023) Eating disorders among bariatric surgery patients: The chicken or the egg? Journal of the American Academy of Physician Assistants 36(11): 1\u20135. https:\/\/doi.org\/10.1097\/01.JAA.0000979532.00697.1a","DOI":"10.1097\/01.JAA.0000979532.00697.1a"},{"key":"e_1_3_5_49_1","doi-asserted-by":"crossref","unstructured":"Pavone G Tartaglia N Porfido A et al. (2022) The new onset of GERD after sleeve gastrectomy: A systematic review. Annals of Medicine and Surgery 77: 103584. https:\/\/doi.org\/10.1016\/j.amsu.2022.103584","DOI":"10.1016\/j.amsu.2022.103584"},{"key":"e_1_3_5_50_1","doi-asserted-by":"crossref","unstructured":"Pomare C Churruca K Ellis LA et al. (2019) A revised model of uncertainty in complex healthcare settings: A scoping review. Journal of Evaluation in Clinical Practice 25(2): 176\u2013182. https:\/\/doi.org\/10.1111\/jep.13079","DOI":"10.1111\/jep.13079"},{"key":"e_1_3_5_51_1","doi-asserted-by":"crossref","unstructured":"Ramos Salas X Forhan M Caulfield T et al. (2019) Addressing internalized weight bias and changing damaged social identities for people living with obesity. Frontiers in Psychology 10: 1409. https:\/\/doi.org\/10.3389\/fpsyg.2019.01409","DOI":"10.3389\/fpsyg.2019.01409"},{"key":"e_1_3_5_52_1","doi-asserted-by":"crossref","unstructured":"Rinaldi J Rice C Kotow C et al. (2020) Mapping the circulation of fat hatred. Fat Studies 9(1): 37\u201350. https:\/\/doi.org\/10.1080\/21604851.2019.1592949","DOI":"10.1080\/21604851.2019.1592949"},{"key":"e_1_3_5_53_1","doi-asserted-by":"crossref","unstructured":"Spry G McIntosh A Gadd N et al. (2023) Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study. Obesity Science & Practice 9(6): 590\u2013600. https:\/\/doi.org\/10.1002\/osp4.691","DOI":"10.1002\/osp4.691"},{"key":"e_1_3_5_54_1","doi-asserted-by":"crossref","unstructured":"Temple Newhook J Gregory D Twells L (2015) \u2018Fat girls\u2019 and \u2018big guys\u2019: Gendered meanings of weight loss surgery. Sociology of Health & Illness 37(5): 653\u2013667. https:\/\/doi.org\/10.1111\/1467-9566.12219","DOI":"10.1111\/1467-9566.12219"},{"key":"e_1_3_5_55_1","doi-asserted-by":"crossref","unstructured":"TenHouten W (2023) The emotions of hope: From optimism to sanguinity from pessimism to despair. American Sociologist 54: 76\u2013100. https:\/\/doi.org\/10.1007\/s12108-022-09544-1","DOI":"10.1007\/s12108-022-09544-1"},{"key":"e_1_3_5_56_1","doi-asserted-by":"crossref","unstructured":"Throsby K (2008) Happy re-birthday: Weight loss surgery and the \u2018new me\u2019. Body & Society 14(1): 117\u2013133. https:\/\/doi.org\/10.1177\/1357034x07087534","DOI":"10.1177\/1357034X07087534"},{"key":"e_1_3_5_57_1","doi-asserted-by":"crossref","unstructured":"Throsby K (2012a) Obesity surgery and the management of excess: Exploring the body multiple. Sociology of Health & Illness 34(1): 1\u201315. https:\/\/doi.org\/10.1111\/j.1467-9566.2011.01358.x","DOI":"10.1111\/j.1467-9566.2011.01358.x"},{"key":"e_1_3_5_58_1","doi-asserted-by":"crossref","unstructured":"Throsby K (2012b) \u2018I\u2019d kill anyone who tried to take my band away\u2019: Obesity surgery critical fat politics and the \u2018problem\u2019 of patient demand. Somatechnics 2(1): 107\u2013126. https:\/\/doi.org\/10.3366\/soma.2012.0044","DOI":"10.3366\/soma.2012.0044"},{"key":"e_1_3_5_59_1","doi-asserted-by":"crossref","unstructured":"Trainer S Brewis A Wutich A (2017) Not \u2018taking the easy way out\u2019: Reframing bariatric surgery from low-effort weight loss to hard work. Anthropology and Medicine 24(1): 96\u2013110. https:\/\/doi.org\/10.1080\/13648470.2016.1249339","DOI":"10.1080\/13648470.2016.1249339"},{"key":"e_1_3_5_60_1","doi-asserted-by":"crossref","unstructured":"Tylka TL Annunziato RA Burgard D et al. (2014) The weight-inclusive versus weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight loss. Journal of Obesity 2014: 983495. https:\/\/doi.org\/10.1155\/2014\/983495","DOI":"10.1155\/2014\/983495"},{"key":"e_1_3_5_61_1","doi-asserted-by":"crossref","unstructured":"van Rijswijk AS Evren I Geubbels N et al. (2021) Outcome expectation and risk tolerance in patients seeking bariatric surgery. Surgery for Obesity and Related Diseases 17(1): 139\u2013146. https:\/\/doi.org\/10.1016\/j.soard.2020.08.020","DOI":"10.1016\/j.soard.2020.08.020"},{"key":"e_1_3_5_62_1","doi-asserted-by":"crossref","unstructured":"Ward N Ogden J (2019) \u2018Damned one way or another\u2019: Bariatric surgeons\u2019 reflections on patients\u2019 suboptimal outcomes from weight loss surgery. Psychology and Health 34(4): 385\u2013402. https:\/\/doi.org\/10.1080\/08870446.2018.1529314","DOI":"10.1080\/08870446.2018.1529314"},{"key":"e_1_3_5_63_1","doi-asserted-by":"crossref","unstructured":"Webb H (2009) \u2018I\u2019ve put weight on cos I\u2019ve bin inactive cos I\u2019ve \u2018ad me knee done\u2019: Moral work in the obesity clinic. Sociology of Health & Illness 31(6): 854\u2013871. https:\/\/doi.org\/10.1111\/j.1467-9566.2009.01188.x","DOI":"10.1111\/j.1467-9566.2009.01188.x"},{"key":"e_1_3_5_64_1","doi-asserted-by":"crossref","unstructured":"Wharton S Lau DCW Vallis M et al. (2020) Obesity in adults: A clinical practice guideline. CMAJ: Canadian Medical Association Journal 192(31): E875\u2013E891. https:\/\/doi.org\/10.1503\/cmaj.191707","DOI":"10.1503\/cmaj.191707"},{"key":"e_1_3_5_65_1","volume-title":"An Uncertain Cure: Living With Leprosy in Brazil","author":"White C","year":"2009","unstructured":"White C (2009) An Uncertain Cure: Living With Leprosy in Brazil. Rutgers University Press."},{"key":"e_1_3_5_66_1","doi-asserted-by":"crossref","unstructured":"Xu Y Li W Zhu L et al. (2025) Bariatric surgery decision-making of adults with obesity: A grounded theory study. BMC Public Health 25: 2725. https:\/\/doi.org\/10.1186\/s12889-025-24035-x","DOI":"10.1186\/s12889-025-24035-x"}],"container-title":["Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13634593261492995","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13634593261492995","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13634593261492995","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T17:49:48Z","timestamp":1792950588000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13634593261492995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":65,"alternative-id":["10.1177\/13634593261492995"],"URL":"https:\/\/doi.org\/10.1177\/13634593261492995","relation":{},"ISSN":["1363-4593","1461-7196"],"issn-type":[{"value":"1363-4593","type":"print"},{"value":"1461-7196","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"article-number":"13634593261492995"}}