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      <image:caption>Achieve the lifestyle you&apos;ve always wanted</image:caption>
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      <image:caption>Portrait of Dr. Matthew Fitzer, board-certified bariatric surgeon at Virginia Bariatric Center</image:caption>
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      <image:caption>Portrait of Dr. Matthew Fitzer, board-certified bariatric surgeon at Virginia Bariatric Center</image:caption>
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      <image:caption>Virginia Bariatric patient shown before and after her bariatric surgery weight-loss journey</image:caption>
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  <url>
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      <image:caption>Paula C.&apos;s side-by-side weight-loss transformation after bariatric surgery with Dr. Matthew Fitzer in Northern Virginia.</image:caption>
      <image:title>Paula C. — before and after weight-loss surgery (#paula-c-1)</image:title>
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    <image:image>
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      <image:caption>An anonymous patient&apos;s before-and-after weight-loss result following bariatric surgery at Virginia Bariatric Center.</image:caption>
      <image:title>An anonymous Virginia Bariatric patient — before and after weight-loss surgery (#an-anonymous-virginia-bariatric-patient-2)</image:title>
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    <image:image>
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      <image:caption>An anonymous patient back on the dance floor after weight-loss surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>An anonymous patient who got her groove back — before weight-loss surgery (#an-anonymous-patient-who-got-her-groove-back-3)</image:title>
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    <image:image>
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      <image:caption>An anonymous patient back on the dance floor after weight-loss surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>An anonymous patient who got her groove back — after weight-loss surgery (#an-anonymous-patient-who-got-her-groove-back-3)</image:title>
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    <image:image>
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      <image:caption>A before-and-after comparison of an anonymous Virginia Bariatric Center patient.</image:caption>
      <image:title>An anonymous transformation — before weight-loss surgery (#an-anonymous-transformation-4)</image:title>
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    <image:image>
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      <image:caption>A before-and-after comparison of an anonymous Virginia Bariatric Center patient.</image:caption>
      <image:title>An anonymous transformation — after weight-loss surgery (#an-anonymous-transformation-4)</image:title>
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    <image:image>
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      <image:caption>Another before-and-after comparison of an anonymous bariatric surgery patient in Northern Virginia.</image:caption>
      <image:title>Another amazing anonymous transformation — before weight-loss surgery (#another-amazing-anonymous-transformation-5)</image:title>
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    <image:image>
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      <image:caption>Another before-and-after comparison of an anonymous bariatric surgery patient in Northern Virginia.</image:caption>
      <image:title>Another amazing anonymous transformation — after weight-loss surgery (#another-amazing-anonymous-transformation-5)</image:title>
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    <image:image>
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      <image:caption>An anonymous patient&apos;s before-and-after change following weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>An anonymous patient’s one-year change — before weight-loss surgery (#an-anonymous-patient-s-one-year-change-6)</image:title>
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    <image:image>
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      <image:caption>An anonymous patient&apos;s before-and-after change following weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>An anonymous patient’s one-year change — after weight-loss surgery (#an-anonymous-patient-s-one-year-change-6)</image:title>
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    <image:image>
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      <image:caption>M. M. before and after weight-loss surgery with Dr. Matthew Fitzer at Virginia Bariatric Center.</image:caption>
      <image:title>M. M. — before weight-loss surgery (#m-m-7)</image:title>
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    <image:image>
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      <image:caption>M. M. before and after weight-loss surgery with Dr. Matthew Fitzer at Virginia Bariatric Center.</image:caption>
      <image:title>M. M. — after weight-loss surgery (#m-m-7)</image:title>
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    <image:image>
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      <image:caption>L. S. photographed before and after bariatric surgery in Northern Virginia.</image:caption>
      <image:title>L. S. — before weight-loss surgery (#l-s-8)</image:title>
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    <image:image>
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      <image:caption>L. S. photographed before and after bariatric surgery in Northern Virginia.</image:caption>
      <image:title>L. S. — after weight-loss surgery (#l-s-8)</image:title>
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    <image:image>
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      <image:caption>JDB&apos;s before-and-after weight-loss result following surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>JDB — before weight-loss surgery (#jdb-9)</image:title>
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    <image:image>
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      <image:caption>JDB&apos;s before-and-after weight-loss result following surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>JDB — after weight-loss surgery (#jdb-9)</image:title>
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    <image:image>
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      <image:caption>Jack A. before and after his bariatric surgery journey at Virginia Bariatric Center.</image:caption>
      <image:title>Jack A. — before weight-loss surgery (#jack-a-10)</image:title>
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    <image:image>
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      <image:caption>Jack A. before and after his bariatric surgery journey at Virginia Bariatric Center.</image:caption>
      <image:title>Jack A. — after weight-loss surgery (#jack-a-10)</image:title>
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    <image:image>
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      <image:caption>Shelly T.&apos;s side-by-side weight-loss transformation after surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Shelly T. — before weight-loss surgery (#shelly-t-11)</image:title>
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    <image:image>
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      <image:caption>Shelly T.&apos;s side-by-side weight-loss transformation after surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Shelly T. — after weight-loss surgery (#shelly-t-11)</image:title>
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    <image:image>
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      <image:caption>Alfred and Patricia Crews, a couple who had weight-loss surgery together at Virginia Bariatric Center.</image:caption>
      <image:title>Alfred and Patricia Crews — before weight-loss surgery (#alfred-and-patricia-crews-12)</image:title>
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    <image:image>
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      <image:caption>Alfred and Patricia Crews, a couple who had weight-loss surgery together at Virginia Bariatric Center.</image:caption>
      <image:title>Alfred and Patricia Crews — after weight-loss surgery (#alfred-and-patricia-crews-12)</image:title>
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    <image:image>
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      <image:caption>Amanda G. showing her weight-loss progress after bariatric surgery in Northern Virginia.</image:caption>
      <image:title>Amanda G. — before and after weight-loss surgery (#amanda-g-13)</image:title>
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    <image:image>
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      <image:caption>Amanda G., another view of her weight-loss results with Dr. Matthew Fitzer.</image:caption>
      <image:title>Amanda G., another view — before weight-loss surgery (#amanda-g-another-view-14)</image:title>
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    <image:image>
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      <image:caption>Amanda G., another view of her weight-loss results with Dr. Matthew Fitzer.</image:caption>
      <image:title>Amanda G., another view — after weight-loss surgery (#amanda-g-another-view-14)</image:title>
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    <image:image>
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      <image:caption>Amanda R. before and nearly two years after her gastric sleeve surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Amanda R. — before weight-loss surgery (#amanda-r-15)</image:title>
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    <image:image>
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      <image:caption>Amanda R. before and nearly two years after her gastric sleeve surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Amanda R. — after weight-loss surgery (#amanda-r-15)</image:title>
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    <image:image>
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      <image:caption>Ban H.&apos;s before-and-after weight-loss comparison following bariatric surgery in Northern Virginia.</image:caption>
      <image:title>Ban H. — before weight-loss surgery (#ban-h-16)</image:title>
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    <image:image>
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      <image:caption>Ban H.&apos;s before-and-after weight-loss comparison following bariatric surgery in Northern Virginia.</image:caption>
      <image:title>Ban H. — after weight-loss surgery (#ban-h-16)</image:title>
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    <image:image>
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      <image:caption>Chad Beckhert one year after his weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Chad Beckhert — before weight-loss surgery (#chad-beckhert-17)</image:title>
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    <image:image>
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      <image:caption>Chad Beckhert one year after his weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Chad Beckhert — after weight-loss surgery (#chad-beckhert-17)</image:title>
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    <image:image>
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      <image:caption>Cynthia Welgoss, who began her surgical weight-loss journey with a BMI of 35, before and after.</image:caption>
      <image:title>Cynthia Welgoss — before weight-loss surgery (#cynthia-welgoss-18)</image:title>
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    <image:image>
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      <image:caption>Cynthia Welgoss, who began her surgical weight-loss journey with a BMI of 35, before and after.</image:caption>
      <image:title>Cynthia Welgoss — after weight-loss surgery (#cynthia-welgoss-18)</image:title>
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    <image:image>
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      <image:caption>E.M. and his mother, both weight-loss surgery patients of Dr. Matthew Fitzer.</image:caption>
      <image:title>E.M. and his mom — before weight-loss surgery (#e-m-and-his-mom-19)</image:title>
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    <image:image>
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      <image:caption>E.M. and his mother, both weight-loss surgery patients of Dr. Matthew Fitzer.</image:caption>
      <image:title>E.M. and his mom — after weight-loss surgery (#e-m-and-his-mom-19)</image:title>
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    <image:image>
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      <image:caption>A Virginia Bariatric Center patient in Halloween costume before and after weight-loss surgery.</image:caption>
      <image:title>A Halloween-costume transformation — before weight-loss surgery (#a-halloween-costume-transformation-20)</image:title>
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    <image:image>
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      <image:caption>A Virginia Bariatric Center patient in Halloween costume before and after weight-loss surgery.</image:caption>
      <image:title>A Halloween-costume transformation — after weight-loss surgery (#a-halloween-costume-transformation-20)</image:title>
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    <image:image>
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      <image:caption>Jason Lamprey before and after his bariatric surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Jason Lamprey — before weight-loss surgery (#jason-lamprey-21)</image:title>
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    <image:image>
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      <image:caption>Jason Lamprey before and after his bariatric surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Jason Lamprey — after weight-loss surgery (#jason-lamprey-21)</image:title>
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    <image:image>
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      <image:caption>Kristina and Sean, a couple who had weight-loss surgery together in Northern Virginia.</image:caption>
      <image:title>Kristina and Sean — before weight-loss surgery (#kristina-and-sean-22)</image:title>
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    <image:image>
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      <image:caption>Kristina and Sean, a couple who had weight-loss surgery together in Northern Virginia.</image:caption>
      <image:title>Kristina and Sean — after weight-loss surgery (#kristina-and-sean-22)</image:title>
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    <image:image>
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      <image:caption>Lori M.&apos;s before-and-after weight-loss result following surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Lori M. — before weight-loss surgery (#lori-m-23)</image:title>
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    <image:image>
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      <image:caption>Lori M.&apos;s before-and-after weight-loss result following surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Lori M. — after weight-loss surgery (#lori-m-23)</image:title>
    </image:image>
    <image:image>
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      <image:caption>Lorraine W. photographed before and after her bariatric surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Lorraine W. — before weight-loss surgery (#lorraine-w-24)</image:title>
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    <image:image>
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      <image:caption>Lorraine W. photographed before and after her bariatric surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Lorraine W. — after weight-loss surgery (#lorraine-w-24)</image:title>
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      <image:caption>Lucretia Dennington&apos;s side-by-side weight-loss transformation in Northern Virginia.</image:caption>
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      <image:caption>Lucretia Dennington&apos;s side-by-side weight-loss transformation in Northern Virginia.</image:caption>
      <image:title>Lucretia Dennington — after weight-loss surgery (#lucretia-dennington-25)</image:title>
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      <image:caption>Michael T. before and after the surgery he says changed his life.</image:caption>
      <image:title>Michael T. — before weight-loss surgery (#michael-t-26)</image:title>
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      <image:caption>Michael T. before and after the surgery he says changed his life.</image:caption>
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      <image:caption>Mr. G after his weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Mr. G — before weight-loss surgery (#mr-g-27)</image:title>
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      <image:caption>Mr. G after his weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Mr. G — after weight-loss surgery (#mr-g-27)</image:title>
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      <image:caption>Shona Gardner three years after her weight-loss surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Shona Gardner — before weight-loss surgery (#shona-gardner-28)</image:title>
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      <image:caption>Shona Gardner three years after her weight-loss surgery with Dr. Matthew Fitzer.</image:caption>
      <image:title>Shona Gardner — after weight-loss surgery (#shona-gardner-28)</image:title>
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      <image:caption>Tawana B.&apos;s before-and-after weight-loss comparison following bariatric surgery.</image:caption>
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      <image:caption>Tawana B.&apos;s before-and-after weight-loss comparison following bariatric surgery.</image:caption>
      <image:title>Tawana B. — after weight-loss surgery (#tawana-b-29)</image:title>
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      <image:caption>Tiffany W. before and after her weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Tiffany W. — before weight-loss surgery (#tiffany-w-30)</image:title>
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      <image:caption>Tiffany W. before and after her weight-loss surgery at Virginia Bariatric Center.</image:caption>
      <image:title>Tiffany W. — after weight-loss surgery (#tiffany-w-30)</image:title>
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      <image:caption>K. Campos before and after gastric sleeve surgery with Dr. Matthew Fitzer in Northern Virginia.</image:caption>
      <image:title>K. Campos — before weight-loss surgery (#k-campos-31)</image:title>
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      <image:caption>K. Campos before and after gastric sleeve surgery with Dr. Matthew Fitzer in Northern Virginia.</image:caption>
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      <image:caption>K. S.&apos;s full-length before-and-after weight-loss transformation at Virginia Bariatric Center.</image:caption>
      <image:title>K. S. — before weight-loss surgery (#k-s-32)</image:title>
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      <image:caption>K. S.&apos;s full-length before-and-after weight-loss transformation at Virginia Bariatric Center.</image:caption>
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      <image:caption>An anonymous patient&apos;s side-by-side before-and-after weight-loss result after bariatric surgery with Dr. Matthew Fitzer in Northern Virginia.</image:caption>
      <image:title>An anonymous Virginia Bariatric weight-loss surgery patient — before and after weight-loss surgery (#an-anonymous-virginia-bariatric-weight-loss-surgery-patient-33)</image:title>
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      <image:caption>An anonymous patient&apos;s before-and-after weight-loss result after bariatric surgery with Dr. Matthew Fitzer at Virginia Bariatric Center in Northern Virginia.</image:caption>
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      <image:caption>An anonymous patient&apos;s before-and-after weight-loss transformation at Virginia Bariatric Center.</image:caption>
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      <image:caption>An anonymous patient&apos;s before-and-after weight-loss transformation at Virginia Bariatric Center.</image:caption>
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