Let $Rx$ denote the ring of polynomials in $g$ freely non-commuting variables $x=(x_1,...,x_g)$. There is a natural involution * on $Rx$ determined by $x_j^*=x_j$ and $(pq)^*=q^* p^*$ and a free polynomial $pinRx$ is symmetric if it is invariant under this involution. If $X=(X_1,...,X_g)$ is a $g$ tuple of symmetric $ntimes n$ matrices, then the evaluation $p(X)$ is naturally defined and further $p^*(X)=p(X)^*$. In particular, if $p$ is symmetric, then $p(X)^*=p(X)$. The main result of this article says if $p$ is symmetric, $p(0)=0$ and for each $n$ and each symmetric positive definite $ntimes n$ matrix $A$ the set ${X:A-p(X)succ 0}$ is convex, then $p$ has degree at most two and is itself convex, or $-p$ is a hermitian sum of squares.
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