Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL. Electronic address: ames.gretchen@mayo.edu. Department of Family Medicine, Mayo Clinic, Jacksonville, FL. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN. Division of General Surgery, Mayo Clinic, Jacksonville, FL.