Original subtitles

I'M ASHAMED OF MY BODY,

AND I KNOW I'M GETTING TO A POINT WHERE I CAN'T GO BACK.

Man: [ MOANING ]

MY WEIGHT HAS GIVEN ME A DEATH SENTENCE.

Nikki: THE THING I RELIED ON ALL THESE YEARS

IS WHAT'S KILLING ME.

IT'S BROKEN! WHAT AM I SUPPOSED TO DO?

I DON'T KNOW. I CAN'T GET OFF.

DON'T LET ME GO, PLEASE. I'M NOT.

Chad: IT'S HARD TO BE A FATHER FROM A CHAIR.

[ GRUNTS ] THANK YOU, HONEY.

I SEE THAT UNWILLINGNESS.

IF YOU WERE SERIOUS, YOU'D MAKE CHANGES.

LET ME GET THIS STRAIGHT.

I TELL YOU YOU NEED TO LOSE MORE WEIGHT

BECAUSE YOUR HEART IS WEAKENED, AND YOU GAINED MORE WEIGHT?

IF YOU WANT TO LIVE, LOSE THE WEIGHT.

-- Captions by VITAC -- www.vitac.com

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Randy: LIFE CAN BE A COMPETITION.

AND YOUR GREATEST OPPONENT, OFTENTIMES, IS YOURSELF.

[ BIRD CHIRPS ]

I HATE MY BODY.

I HATE HOW BIG I'VE GOTTEN.

NOBODY WANTS TO BE THE SIZE I AM.

MY WEIGHT AFFECTS EVERYTHING THAT I DO,

AND MY STOMACH HANGS SO LOW IT ALWAYS GETS IN THE WAY.

I'M ASHAMED OF MY BODY.

I KNOW I'M NOT HEALTHY.

'CAUSE OF MY WEIGHT, I HAVE LYMPHEDEMA IN MY LEGS,

WHICH CAUSES BLISTERS,

AND WHEN THEY RUPTURE IT REALLY HAS A STINGING SENSATION.

IT'S HORRIBLE THE WAY I LIVE.

I MEAN, I WOULDN'T WISH THIS ON ANYBODY.

AND EVERYTHING IS GETTING HARDER AND HARDER.

I DON'T KNOW HOW MUCH LONGER I CAN MANAGE TO CARE FOR MYSELF.

IT'S ALREADY GOTTEN TO THE POINT

WHERE I HAD TO MOVE BACK TO MY PARENTS' HOUSE

SO I CAN GET HELP FROM MY FAMILY.

HEY, DEE, COULD YOU HELP ME WITH MY SHOES AND SOCKS, PLEASE?

YEAH.

NOW THERE IS 11 OF US IN THIS HOUSE.

7 ADULTS AND 4 KIDS.

AND I'M JUST LIKE AN EXTRA KID THAT THEY HAVE TO TAKE CARE OF.

ALL RIGHT.

MY SISTER DANIELLE, SHE ALWAYS COMES RUNNING WHEN I NEED HELP.

IS THAT TOO TIGHT UP THERE?

NO, THAT'S GOOD.

HIS WEIGHT HAS DEFINITELY GOTTEN WORSE OVER THE PAST FEW YEARS.

HE CAN'T PHYSICALLY DO THE SMALL THINGS FOR EVERYDAY LIFE.

Randy: I LOVE HER TO DEATH FOR EVERYTHING SHE DOES FOR ME.

BUT I SHOULDN'T HAVE TO RELY ON MY FAMILY

TO HELP ME DO EVERYTHING.

I WOULD MUCH RATHER JUST BE WITH THE LORD

[ Voice breaking ] THAN PUT A BURDEN ON ANYBODY.

BUT THAT'S WHAT I'M DOING.

AND I JUST NEVER THOUGHT THAT THIS WOULD BE MY LIFE.

FOR AS LONG AS I CAN REMEMBER,

I WAS BIGGER THAN EVERYONE MY AGE.

BUT I WAS ATHLETIC,

BECAUSE MY DAD WOULD COACH A LOT OF THE YOUTH TEAM SPORTS.

AND HE WOULD TELL ME TO EAT AS MUCH AS I WANTED

SO I COULD GET BIG AND USE THAT SIZE ON THE FIELD.

AND WHEN I HAD WEIGH-IN FOR FOOTBALL,

I WEIGHED 180 POUNDS IN 6th GRADE.

Christina: WHEN RANDY PLAYED SPORTS,

WE ALWAYS HAD TO GO TO A DIFFERENT TOWN,

BECAUSE THE TOWN WE LIVED IN, THERE WAS A WEIGHT LIMIT.

AND HE WAS ALWAYS OVER THAT WEIGHT LIMIT.

SO IT WAS REALLY HARD FOR HIM.

Randy: EVERYONE EXPECTED ME TO BE THE BIG GUY,

AND THAT'S WHO I WAS.

BECAUSE I WANTED MY DAD'S APPROVAL.

AND I WANTED EVERYONE'S APPROVAL.

ALMOST EVERY SPORT RANDY PLAYED WHEN HE WAS GROWING UP,

WE WON FIRST PLACE.

HE ALWAYS WAS A GREAT ATHLETE.

Randy: I WOULD JUST ALWAYS EAT BECAUSE I WANTED TO DO WELL.

AND THE BIGGER I GOT, THE BETTER I COULD DO.

Christina: YOU COULD TELL HE WAS PUTTING ON THE WEIGHT,

BUT I NEVER SAID ANYTHING TO RANDY ABOUT HIS WEIGHT.

I DIDN'T WANT TO HURT HIS FEELINGS.

Randy: BY THE TIME I GRADUATED FROM HIGH SCHOOL,

I WEIGHED RIGHT AT 300 POUNDS.

BUT WHEN I WAS IN MY 20s

IS WHEN MY WEIGHT REALLY STARTED CHANGING.

'CAUSE I STARTED WORKING,

STOPPED BEING MORE ACTIVE AND STOPPED PLAYING SPORTS.

BUT MY EATING HABITS STAYED THE SAME.

AND WHEN I WAS 22, I MET MY WIFE, DANIELLE,

AND WE DATED FOR FOUR YEARS.

DURING THAT TIME, I PUT ON ANOTHER 100 POUNDS

AND WAS JUST OVER 400

WHEN WE DECIDED TO GET MARRIED AND START A FAMILY.

BUT WE COULDN'T GET PREGNANT.

AND DANIELLE GOT TESTED, BUT IT WASN'T HER.

SO THEN I NEEDED TO GET TESTED, BUT I REFUSED.

I'VE ALWAYS WANTED KIDS, AND IF THAT WASN'T POSSIBLE,

I DON'T THINK I COULD TAKE THE NEWS.

SO DANIELLE LEFT ME, AND WE GOT A DIVORCE.

AT THAT POINT, I GOT REALLY DEPRESSED

AND STARTED GAINING FASTER THAN I EVER HAD.

AND I WAS UP TO 550 POUNDS A YEAR LATER.

AND THAT'S WHEN I MET ASHLEY.

AND WE HIT IT OFF, STARTED DATING.

AND A YEAR LATER, I FOUND OUT THAT I WAS GONNA BE A FATHER.

AND WE HAD OUR DAUGHTER, KHLOE.

I COULDN'T BELIEVE IT. I WAS SO HAPPY.

[ Voice breaking ] THEN MY HEALTH STARTED TO DETERIORATE.

MY LEGS STARTED TO LOOK DEFORMED,

AND I COULDN'T MOVE AS MUCH, AND EVERYTHING STARTED TO HURT.

MY BODY STARTED TO BREAK DOWN

BECAUSE I WAS JUST GETTING SO BIG.

AND ASHLEY COULDN'T TAKE IT.

SHE SAID I WAS TOO BIG TO BE A FATHER.

SO SHE TOOK KHLOE AND LEFT ME.

AND THAT WAS DEVASTATING.

AFTER THAT, I COULDN'T EVEN TAKE CARE OF MYSELF,

SO I HAD TO MOVE BACK IN WITH MY PARENTS.

MY WEIGHT IS SPIRALING OUT OF CONTROL,

AND I DON'T KNOW HOW TO STOP.

I KNOW I HAVE TO BE OVER 600 POUNDS BY NOW.

BUT FOOD IS WHAT I KNOW, AND I CAN'T STOP EATING.

I WANT TO STOP.

[ Voice breaking ] BUT I JUST CAN'T.

WHEN I GO OUT TO SHOP WITH MY SISTER,

ALL I WANT TO DO IS GET TO THE CANDY AISLE.

ANYTHING SWEET IS MY WEAKNESS.

THIS IS MY FAVORITE SECTION.

Danielle: I KNOW HE HAS BAD HABITS.

AND IT SITS IN THE BACK OF MY MIND,

"GOSH, HE SHOULDN'T HAVE THIS."

BUT I STILL DON'T THINK

THAT HE'S GONNA EAT IT IN ONE SITTING LIKE HE DOES.

WE GOT EVERYTHING?

YEAH. I'M READY.

BUT WHEN HE GETS AROUND THE FOOD THAT HE CRAVES,

IT'S LIKE SOMETHING JUST COMES OVER HIM.

WHAT DO YOU NEED THOSE FOR?

BECAUSE I CAN. THEY'RE MINE.

THEY'RE GOING IN MY ROOM.

OUR FAMILY DOESN'T KNOW HOW TO STOP GIVING HIM WHAT HE WANTS.

AND WE KNOW IT'S KILLING HIM FROM THE INSIDE OUT.

-GOT EVERYTHING? -YEAH, RIGHT.

WHEN YOU'RE MY SIZE, FOOD IS AN ADDICTION.

AND WHEN I START TO CRAVE IT,

I DON'T WANT TO HEAR WHAT ANYBODY ELSE THINKS.

I JUST TAKE IT TO MY ROOM AND EAT ALONE.

YOU KNOW, I JUST DON'T WANT TO STOP.

BECAUSE EVERYTHING TASTES GOOD,

AND YOU NEVER GET THAT FULL FEELING,

SO YOU JUST WANT TO KEEP GOING.

EVEN IF I'VE JUST HAD SOMETHING AND I SEE SOMETHING I WANT,

I STILL EAT THAT.

I'LL WAIT TILL EVERYONE'S OUT OF THE HOUSE OR GONE,

AND THEN I'LL GO EAT WHATEVER WE JUST BOUGHT

THAT'S IN THE KITCHEN, TOO.

[ Laughing ] IT'S JUST WATER.

YOU TAKE BATHS.

NOTHING ELSE EXISTS WHEN I'M EATING.

EVERYTHING ELSE JUST FADES AWAY FOR THE FEW MINUTES.

AND WHEN IT STOPS,

I'M JUST LOOKING FOR THE NEXT TIME I CAN EAT.

COME ON!

I LOVE MY FAMILY.

AND I WANT TO BE THERE FOR ALL OF THEM.

AND I DO WANT TO HELP OUT.

BUT I CAN'T HELP THEM AND I CAN'T HAVE FUN WITH THEM.

I JUST PHYSICALLY CAN'T DO IT.

-WHO? -ME AND CONNER?

YOU JUST GO, AND I'LL COME OVER THERE,

AND I'LL SIT OVER THERE AND WATCH.

Baylee: UNCLE RANDY USED TO COACH MY SOFTBALL TEAM,

AND HE USED TO PITCH TO US.

NOW HE JUST SITS THERE AND WATCHES US.

MAKES ME REAL SAD.

Randy: I CAN'T DO ANYTHING UNLESS I CAN SIT DURING IT.

AND MY NIECES AND NEPHEWS ARE ALL GROWING UP,

AND I'M MISSING OUT ON IT.

BUT MOSTLY I'M MISSING OUT ON MY DAUGHTER, KHLOE, RIGHT NOW.

AND I WANT SO DESPERATELY TO BE PART OF HER LIFE.

BUT I CAN BARELY EVEN TAKE CARE OF MYSELF.

THE ONLY REASON THAT I EVEN HAVE A JOB RIGHT NOW

IS BECAUSE I WORK FOR MY FATHER AT HIS STORE.

GOOD AFTERNOON.

BUT I FEEL BAD, BECAUSE I CAN'T EVEN REALLY DO MY JOB.

Randy Sr.: SINCE HE'S GOTTEN THAT BIG,

HE WORKS WITH ME BECAUSE HE'S NOT GONNA GET ANOTHER JOB.

BUT IT'S STILL NOT EASY FOR HIM.

I CAN SEE HIM SWEATING, AND I CAN SEE HIM OUT OF BREATH.

IT HURTS TO SEE HIM STRUGGLE.

BUT IT'S MY SON. I'M TRYING TO TAKE CARE OF HIM.

[ BREATHING HEAVILY ]

I DON'T EVEN PUT IN A FULL DAY'S WORK BECAUSE I GET TOO TIRED.

I CAN'T DO ANYTHING TOO PHYSICAL.

I GOT TO TAKE BREAKS A LOT MORE BECAUSE I GET WINDED.

MY DAD'S EMPLOYEES, THEY CATCH MY SLACK.

WHERE I CAN'T DO SOMETHING, THEY'LL TAKE CARE OF IT,

AND DON'T SAY NOTHING ABOUT IT.

IT'S EMBARRASSING, AND I HATE IT.

BECAUSE I CAN'T WORK MUCH,

I CAN'T EVEN AFFORD MY OWN PLACE RIGHT NOW.

I LOVE MY FAMILY.

COME ON.

AND I SHOULDN'T BE HERE LIVING WITH THEM

BEING A BURDEN THAT CAN'T HELP.

I'M GONNA GET YOU! [ BABBLES ]

Brandi: HE'S A WONDERFUL UNCLE.

I WANT HIM TO BE AROUND FOR ALL THE KIDS.

[ Crying ] NOT ONLY MY CHILDREN, BUT HIS AS WELL.

Randy: Y'ALL READY TO EAT?

Brandi: AND I COULDN'T IMAGINE HAVING TO TELL MY KIDS

THAT [Voice breaking] YOU KNOW,

THEY'RE NEVER GONNA SEE THEIR UNCLE AGAIN.

Randy: IS DINNER READY YET?

YES.

WELL, LET'S EAT!

I JUST LOVE FOOD.

AND I CAN'T STOP.

I DON'T KNOW HOW.

Christina: HE NEEDS TO LOSE WEIGHT OR -- I DON'T KNOW.

I FEAR FOR HIS LIFE.

BUT I KNOW THAT I CAN'T DO ANYTHING ABOUT IT,

AND IT HURTS.

[ Voice breaking ] I JUST DON'T WANT TO LOSE HIM.

Randy Sr.: I NEVER THOUGHT IN MY LIFE THAT THE WAY WE ATE

WOULD EVER MAKE HIM THE SIZE HE IS NOW.

BUT I WISH I WOULD HAVE TALKED TO RANDY AND SAID,

"THIS IS KILLING YOU. QUIT EATING SO MUCH."

HE DEFINITELY NEEDS HELP.

I MEAN, HE'S MY BEST FRIEND.

I WOULD -- I WOULD KILL MYSELF WITHOUT HIM.

[ SOBS ]

Randy: I CAN'T KEEP DOING THIS TO MY FAMILY.

AT THIS RATE, I KNOW I'M GONNA BE BEDRIDDEN

AND THEN DEAD WITHIN A YEAR OR TWO.

I HAVE A DAUGHTER I WANT TO LIVE FOR.

I HAVE A FAMILY I WANT TO BE AROUND FOR.

AND RIGHT NOW, I KNOW I DON'T HAVE MUCH LONGER.

UNLESS I FIND A WAY TO STOP EATING.

Randy: TODAY I'M GONNA SEE A DOCTOR IN HOUSTON

WHO HELPS PEOPLE MY SIZE.

MAN, I DIDN'T HARDLY SLEEP AT ALL LAST NIGHT,

THINKING ABOUT GOING TO THE DOCTOR AND WHAT'S HE GONNA SAY.

I NEED HELP SO BAD, AND I'M SCARED

HE'S GONNA TELL ME SOMETHING I DON'T WANT TO HEAR.

AND I'M NOT SURE EXACTLY WHAT THE SCALE'S GONNA SAY

WHEN I STEP ON IT TODAY,

BECAUSE IT'S A NUMBER THAT ALWAYS IS GONNA SCARE ME,

BEING THIS BIG.

Woman: MR. STATUM.

IT'S JUST HARD TO BE HERE

AND FIND OUT WHAT I'M ABOUT TO FIND OUT.

BUT WHATEVER THE DOCTOR TELLS ME,

I HAVE TO MAKE IT WORK.

'CAUSE THIS IS MY LAST CHANCE TO GET MY LIFE BACK.

655.

IT REALLY SUCKS.

655 IS THE MOST I'VE EVER WEIGHED.

AND IT'S UPSETTING TO ME

THAT I LET MYSELF GET TO THIS POINT IN MY LIFE.

-HELLO. -HELLO.

I'M DR. NOWZARADAN.

NICE TO MEET YOU.

YOU'RE RANDY, HUH? YES, SIR.

SO, YOU'RE 655 POUNDS.

WHAT IS THE HIGHEST WEIGHT YOU HAVE BEEN?

THIS IS IT.

SO, WHAT ARE YOUR EATING HABITS LIKE?

THROUGHOUT THE DAY, JUST -- JUST SNACKING,

AND THEN HAVE A, LIKE, BIG MEAL,

AND THEN I'LL SNACK DURING THE DAY OR SOMETHING LIKE THAT.

WHAT DO YOU SNACK ON?

CANDY BARS OR STUFF LIKE THAT.

SO, WHO BUYS THEM?

USUALLY ME.

OR UNLESS I ASK MY MOM OR DAD

TO PICK ME SOMETHING UP ON THE WAY HOME.

YOU LIVE IN HOUSE WITH HOW MANY PEOPLE?

11.

11 PEOPLE? 11 TOTAL.

HOW MANY OF THEM ARE OVERWEIGHT?

UH...YOU SEE US.

SO, YOU LIVE IN A HOUSEHOLD OF UNHEALTHY EATING.

SO IT'S GONNA BE VERY HARD FOR YOU TO STICK

TO A LOW-CALORIE DIET IF NOBODY ELSE IS EATING THAT WAY.

YES, SIR.

THIS IS A VERY UNUSUAL DYNAMIC WITH RANDY.

DESPITE THE FACT THAT HE IS ON TRACK TO BE 700 POUNDS SOON,

HE'S STILL ABLE TO GET AROUND,

SO HE'S GETTING FOOD FOR HIMSELF ALONG WITH HIS ENABLERS.

HE NEEDS TO START TAKING RESPONSIBILITY

FOR HIS OWN EATING HABITS.

RANDY, LET ME TELL YOU SOMETHING.

YOU'RE NOT TOO FAR FROM BEING 700 POUNDS.

THEN 800 POUNDS.

YOUR BODY CANNOT LAST MUCH LONGER LIKE THIS.

YOU HAVE TO GET YOUR WEIGHT UNDER CONTROL.

I'M READY.

I'VE COME TO A TIME IN MY LIFE THAT I'VE HAD A DAUGHTER,

SO I WANT TO BE THERE FOR HER, TO LIVE.

I'M JUST READY TO CHANGE.

RANDY HAS A GREAT MOTIVATION.

HE WANTS TO LOSE WEIGHT FOR HIS DAUGHTER.

BUT HE SHOULD HAVE STARTED THIS ON HIS OWN ALREADY.

BEING IN A HOUSE WITH SO MANY PEOPLE,

THERE'S ALWAYS GOING TO BE A LOT OF FOOD AROUND.

WE NEED TO START WITH HIM TAKING PERSONAL RESPONSIBILITY

FOR HIS EATING HABITS.

THIS IS ALL GOING TO HAVE TO REST ON RANDY,

AND HE NEEDS TO GET WELL ENOUGH TO GET OUT ON HIS OWN.

FIRST THING, CONTROL YOUR EATING HABIT.

FREQUENCY EATING, AMOUNT, AND TYPE OF FOOD.

NOW, EVENTUALLY SURGERY'S GONNA WORK ON THIS PART,

WHICH IS AMOUNT.

BUT IT WOULD NOT DO ANYTHING

FOR FREQUENCY OF EATING AND TYPE OF THE FOOD.

SO YOU GOT TO HAVE A HANDLE ON THOSE TWO ISSUES, OKAY?

SO, HOW MUCH DOES HE HAVE TO LOSE

BEFORE HE CAN HAVE THE SURGERY?

I WANT HIM TO LOSE 40 POUNDS IN ONE MONTH.

THEN WE'LL SEE IF YOU'RE HEALTHY ENOUGH

FOR WEIGHT-LOSS SURGERY. OKAY?

YOU WANT TO BE THERE FOR YOUR DAUGHTER,

THIS IS YOUR CHANCE.

YOU THINK YOU CAN DO IT?

YES, SIR. ALL RIGHT.

IT WAS GOOD TO MEET YOU.

APPRECIATE IT.

THIS SAYS NO SUGAR, NO CANDY, COOKIES, CAKE.

IT'S GONNA BE A BIG CHANGE.

WE'LL DO IT.

WE'RE BEHIND YOU.

Randy: THE DOC WANTS ME TO LOSE 40 POUNDS,

SO THAT'S WHAT I'M GONNA DO.

SURGERY IS MY LAST CHANCE FOR A NEW LIFE.

IF I DON'T GET IT, IT'S GAME OVER FOR ME.

[ BIRDS CHIRPING ]

I'VE BEEN TRYING TO DO A LOT

TO HELP ME LOSE THE WEIGHT I NEED TO LOSE.

MY SISTERS JOG AROUND DOWN THE STREET,

SO I'VE STARTED GOING WITH THEM ON THEIR WARM-UP WALK.

I CAN BARELY KEEP UP, AND I HAVE A WAYS TO GO,

BUT IT'S A GOOD START.

I'M WILLING TO PUSH MYSELF TO KEEP GOING

IF IT MEANS I HAVE A CHANCE TO BE WITH MY DAUGHTER AGAIN.

IT'S DONE. THE FOOD'S DONE.

I'VE ALSO GONE OVER THE DOCTOR'S WHOLE DIET PLAN.

AND IT'S A BIG ADJUSTMENT,

BECAUSE THERE'S A LOT OF STUFF THAT I WANT TO EAT

THAT I CAN'T EAT NOW.

REST OF THE FAMILY'S HAVING MACARONI AND RICE.

I JUST MADE THE DECISION NOT TO HAVE IT ANYMORE.

Brandi: I KNOW WE EAT JUNK IN FRONT OF HIM.

AND IT'S HARD -- I KNOW IT IS.

BUT HE'S DOING REALLY WELL.

Christina: HE ACTS LIKE HE FEELS BETTER,

SO IF HE FEELS BETTER, I FEEL BETTER.

Randy: I'VE ALSO BEEN STAYING AWAY

FROM ALL THE CANDY AND DESSERTS.

IT'S LIKE ANY SPORT.

YOU HAVE TO PUT IN THE EFFORT IF YOU WANT TO WIN.

AND I DON'T WANT TO MISS MY CHANCE TO GET THE SURGERY.

RANDY STATUM?

THE DOC TOLD ME I HAD TO LOSE 40 POUNDS AND HIT 615

FOR HIM TO APPROVE ME FOR SURGERY.

AND I FEEL LIKE I'VE WORKED AS HARD AS I CAN TO DO THAT.

THANK GOD.

[ CHUCKLES ]

Randy: I'M SUPER EXCITED RIGHT NOW.

Woman: WE'RE GONNA GO TO ROOM FIVE.

I PUSHED MYSELF HARD TO SEE THAT NUMBER TODAY,

AND I'M VERY PROUD OF MYSELF.

I CAN'T WAIT TO SEE WHAT THE DOCTOR HAS TO SAY.

-HOW YOU ALL DOING? -ALL RIGHT.

SO, YOU LOST 42 POUNDS, HUH?

YES, SIR.

YOU CHANGE YOUR EATING HABIT, AND THIS IS WORKING FOR YOU.

THE GOOD NEWS IS THAT YOU SHOW ME YOU CAN DO THIS.

THE BAD NEWS IS THERE ARE SOME ISSUES THAT CONCERN ME

FROM THE TEST RESULT THAT WE DID LAST TIME YOU WERE HERE.

SO WE NEED TO REPEAT THE EKG

AND SEE HOW YOUR HEALTH IS DOING.

I'LL BE BACK.

ALL RIGHT.

Dr. Nowzaradan: RANDY MADE GOOD PROGRESS OVER THE LAST MONTH.

BUT HE'S BEEN OVER 600 POUNDS FOR SO LONG

THAT HE'S DEVELOPING SIGNIFICANT HEALTH ISSUES

THAT ARE LIFE-THREATENING TO HIM.

SO WE NEED TO DO SOME MORE EVALUATIONS

BEFORE WE APPROVE HIM FOR SURGERY.

ALL RIGHT.

YOUR TESTS ACTUALLY SHOW

YOU HAVE A LITTLE BIT ENLARGED HEART,

AND EKG SHOWED SOME STRAIN TO YOUR HEART.

WHAT CAUSED THAT AND WHY?

WHEN YOU GET BIGGER,

YOUR HEART ENLARGES TO PUMP BLOOD IN A BODY YOUR SIZE.

THIS ENLARGEMENT OF THE HEART WILL WEAKEN IT,

UNTIL IT GETS TOO WEAK AND YOU HAVE HEART FAILURE.

THE BIG ISSUE IS YOUR HEART IS TOO WEAK

TO BE UNDER ANESTHESIA RIGHT NOW.

SO WE NEED TO REVERSE THIS SITUATION.

FIRST STEP IS TO TAKE THE LOAD OFF OF THE HEART

BY LOSING WEIGHT AS MUCH AS POSSIBLE.

AS LONG AS YOU CONTINUE TO LOSE WEIGHT,

YOUR HEART WILL BE OKAY.

BUT YOU HAVE TO GET THIS ISSUE RESOLVED IMMEDIATELY.

AND WE'LL SEE HOW YOU'RE DOING IN A COUPLE MONTHS.

OKAY.

DON'T GIVE UP HOPE, OKAY?

Randy: TO HEAR THAT MY HEART IS ENLARGED AND IT'S WEAKENED,

IT'S SCARY.

I KNOW I DID WHAT I WAS SUPPOSED TO DO,

BUT I STILL FEEL LIKE I FAILED.

I WANT TO GIVE UP.

BUT I KNOW I CAN'T.

Randy Sr.: HEY, Y'ALL READY TO GO BOWL?

Randy: THIS PAST MONTH HAS BEEN REALLY HARD.

I'M JUST REALLY DISCOURAGED RIGHT NOW.

AND I FEEL LIKE ALL MY PROGRESS DOESN'T MATTER RIGHT NOW

'CAUSE IT DIDN'T PAY OFF.

BUT LOSING 40 POUNDS AND GETTING MORE ACTIVE

HAS ALLOWED ME TO START GOING OUT WITH MY FAMILY MORE.

BUT IT'S HARD TO BE AROUND WHAT EVERYONE ELSE IS EATING

AND NOT FIND COMFORT IN FOOD RIGHT NOW.

Randy Sr.: RANDY'S BEEN DOING WELL,

BUT HE DOES EAT SOME FAST FOOD EVERY NOW AND THEN.

YOU CAN'T BLAME HIM,

BECAUSE IT'S HARD TO STICK TO HIS DIET EVERY DAY.

Randy: I KNOW MY HEART IS GETTING WEAKER,

AND THAT IS ONE OF THE SCARIEST THINGS FOR ME TO THINK ABOUT.

SO I DON'T.

I WANT TO DO THIS AND GET MY DAUGHTER BACK.

BUT EVEN IF I LOSE ANOTHER 40 POUNDS,

I DON'T KNOW IF THAT'S GONNA BE ENOUGH TO GET THE SURGERY.

SO IT'S HARD TO STAY MOTIVATED.

I'M HEADED TO THE DOCTOR FOR MY SECOND FOLLOW-UP APPOINTMENT.

I'M REALLY NERVOUS,

BECAUSE I KNOW I'VE TRIED TO KEEP MAKING PROGRESS...

BUT I ALSO KNOW I'VE HAD MY MOMENTS

WHERE I'VE GAVE IN THIS PAST MONTH.

I FEEL LIKE I MADE PROGRESS,

BUT I'M NOT SURE IF IT'S A LOT OR A LITTLE.

I JUST CAN'T BELIEVE I GAINED WEIGHT.

I HAVE NO IDEA WHAT THE DOCTOR'S GOING TO SAY,

BUT I DON'T THINK IT'S GONNA BE GOOD.

-HELLO. -HOW YOU DOING?

SO, LET ME GET THIS STRAIGHT.

I TELL YOU LAST TIME YOU NEED TO LOSE MORE WEIGHT

BECAUSE YOUR HEART IS WEAKENED, AND YOU GAINED MORE WEIGHT?

WHAT HAPPENED?

IT'S VERY SIMPLE.

YOUR HEART IS FAILING.

IT COULD GIVE OUT TOMORROW, A WEEK, OR THREE MONTHS.

THE ONLY WAY TO STOP THAT IS TO LOSE WEIGHT

SO YOUR HEART GETS STRONG AGAIN.

YOU DO THAT, YOU GET SURGERY.

YOU DON'T, YOU'RE NOT GONNA BE ALIVE THIS TIME NEXT YEAR.

RANDY IS PLAYING WITH FIRE RIGHT NOW.

HE CANNOT AFFORD TO WASTE ANY MORE TIME.

HIS HEART IS GOING TO GIVE OUT SOON.

IF IT DOES, HE WILL LIKELY NOT SURVIVE IT.

IT'S TIME FOR A WAKE-UP CALL WITH RANDY.

I'M GOING TO SEE YOU AGAIN IN TWO MONTHS.

I WANT YOU TO LOSE 55 POUNDS --

THE 40 POUNDS YOU SHOULD HAVE LOST,

PLUS 15 FOR WHAT YOU GAINED THIS PAST MONTH.

OKAY.

IF YOU WANT TO LIVE, LOSE THE WEIGHT.

YES, SIR.

Randy: I CAN'T BELIEVE I MESSED UP LIKE THIS.

I DON'T WANT TO DIE AND LEAVE MY FAMILY AND MY DAUGHTER.

I'M JUST REALLY SCARED RIGHT NOW.

Randy Sr.: IT'S TIME TO EAT.

Randy: THIS PAST MONTH,

I'VE GONE BACK TO THE SAME DIET I HAD THE FIRST TIME.

THE ONLY DIFFERENCE IS I'M PUSHING MYSELF HARD THIS TIME.

MY FAMILY CAN EAT WHATEVER THEY WANT.

IT'S NOT GOING TO AFFECT ME.

I KNOW WHEN I MESS UP I'M NOT ONLY LETTING MYSELF DOWN,

BUT I'M LETTING MY DAUGHTER DOWN.

EVERY POUND THAT I DON'T LOSE IS ONE MORE POUND

THAT KEEPS ME FROM BEING HER FATHER.

GOOD?

SO I'M NOT TAKING MY EYE OFF THE BALL.

NOTHING IS GONNA STOP ME THIS TIME.

Woman: STATUM?

Randy: THIS PAST MONTH,

I'VE PUSHED MYSELF HARDER THAN I'VE EVER PUSHED MYSELF.

BECAUSE I DON'T THINK THE DOCTOR'S GONNA GIVE ME

ANOTHER CHANCE IF I HAVEN'T DONE IT THIS TIME.

YES!

[ LAUGHS ]

IT'S EXCITING TO SEE THAT NUMBER.

IT'S BEEN A LONG TIME SINCE I'VE BEEN THIS LOW.

I JUST HOPE IT'S BEEN ENOUGH TO FIX MY HEART.

-HELLO. -HELLO.

SO, RANDY, YOU LOST SOME WEIGHT THIS MONTH.

YES, SIR.

73 POUNDS. THAT'S GREAT.

SO, LET'S RUN SOME TESTS AND SEE IF YOUR HEART'S IMPROVED.

RANDY SEEMS LIKE HE'S COME AROUND.

BUT WE NEED TO SEE IF THIS WEIGHT LOSS

HAS BEEN ABLE TO FIX HIS ENLARGED HEART.

IF IT HASN'T, THEN HIS HEART

WILL STILL BE TOO WEAK FOR SURGERY

AND HE'LL NEED TO KEEP LOSING MORE WEIGHT.

OKAY, RANDY.

WE RAN ALL THE TESTS, AND YOUR HEART IS LOOKING GOOD.

IT LOOKS LIKE THAT WEIGHT LOSS WAS ENOUGH.

SO THAT MEANS THAT WE CAN PERFORM SURGERY ON YOU.

SO, YOU EXCITED?

-YES, SIR. -GOOD.

WE'LL GET YOU ON THE SCHEDULE FOR NEXT MONTH.

THE SURGERY IS GONNA HELP HIM MAKE MORE PROGRESS

AND STICK WITH IT OVER LONG TERM.

BUT RANDY SEEMS TO TEND TOWARD EXTREMES,

EITHER GAINING WEIGHT OR LOSING A LOT OF WEIGHT.

SO WE NEED TO MAKE SURE

HE DOESN'T GO TOO FAR ON EITHER SIDE.

KEEP LOSING WEIGHT AND MAKING PROGRESS,

AND I WILL SEE YOU SOON.

ALL RIGHT.

Brandi: VERY PROUD OF MY BROTHER.

RANDY HAS WORKED EXTREMELY HARD.

YOU KNOW, HE'S HAD HIS UPS AND DOWNS,

BUT HE'S DEFINITELY STUCK WITH IT.

AND KNOWING THAT IT'S GONNA

ACTUALLY HAPPEN IS VERY EXCITING.

Randy: IT'S A RELIEF TO KNOW

MY HEART'S GETTING STRONGER.

AND I'M JUST SO EXCITED RIGHT NOW.

THIS SURGERY WILL HELP ME GET ONE STEP CLOSER

TO BEING THE MAN AND FATHER I WANT TO BE.

I'M A LITTLE NERVOUS BECAUSE THIS IS A BIG SURGERY.

BUT I'M READY FOR IT,

AND I'M READY FOR MY LIFE TO CHANGE.

Dr. Nowzaradan: TODAY WE ARE ATTEMPTING TO DO A GASTRIC BYPASS ON RANDY.

THIS IS MAJOR SURGERY,

AND EVEN THOUGH HIS HEART IS NO LONGER IN FAILURE,

IT HAS BEEN WEAK FOR SO LONG,

WE NEED TO BE CAREFUL NOT TO PUSH HIS BODY OVER THE LIMIT,

BECAUSE WE MAY NOT BE ABLE TO SAVE HIM IF THAT HAPPENS.

Dr. Nowzaradan: LOOK DOWN. FAR BACK.

RANDY IS HAVING GASTRIC BYPASS TODAY,

AND THIS WILL HELP HIM TO MAKE MORE PROGRESS.

BEFORE SURGERY, THE PATIENT'S STOMACH

CAN BE AS BIG AS A FOOTBALL.

WE'RE GOING TO REDUCE IT DOWN TO THE SIZE OF TENNIS BALL

AND CONNECT IT TO THE SMALL INTESTINE,

BYPASSING THE UPPER PART OF INTESTINE.

GO FORWARD.

FOR THE PATIENT, THIS WILL LIMIT THE AMOUNT OF FOOD

THEY CAN EAT AND ABSORB IN ONE SITTING.

PULL BACK.

THE RESULT IS THE PATIENT EAT LESS

AND LOSE WEIGHT MORE EFFECTIVELY.

Randy Sr.: I CAN'T TELL WHAT'S GOING ON,

SO I'M JUST NERVOUS AS HECK RIGHT NOW.

RANDY MEANS A LOT TO ME.

THAT'S MY FIRSTBORN SON AND MY BEST FRIEND.

I'M HOPING THAT NOTHING'S GONNA GO WRONG.

ALL RIGHT. EVERYTHING LOOKS GOOD UP HERE.

ALL FINISHED UP.

RANDY'S SURGERY WENT VERY WELL.

EVERYTHING LOOKED GOOD.

AND NOW WE'RE GONNA GET HIM TO THE RECOVERY ROOM.

Man: BABY BREATHS, OKAY?

RANDY STAYED MOTIVATED RECENTLY AND MADE GOOD PROGRESS.

BUT HE HAS WIDE SWINGS,

GAINING WEIGHT OR LOSING A LOT OF WEIGHT.

THE SURGERY IS GOING TO HELP HIM TO MAKE MORE PROGRESS

OVER THE LONG TERM.

BUT HE NEEDS TO FIND A BALANCE

BETWEEN HIS MOTIVATION AND HIS BAD HABITS.

SINCE SURGERY, I MEAN, IT'S BEEN A LITTLE ROUGH

'CAUSE IT'S JUST HARD TO EAT, AND I'M NOT HUNGRY.

USUALLY, A REGULAR DAY, I'LL WAKE UP,

AND I'LL HAVE LIKE A YOGURT

OR ONE EGG OR SOMETHING LIKE THAT FOR BREAKFAST.

I'M SKIPPING SOME MEALS,

BUT I'M STILL PUSHING MYSELF

TO EAT MY PROTEIN THREE TIMES A DAY.

BUT RIGHT NOW ALL I WANT TO DO IS LOSE MORE WEIGHT.

I TOLD MY EX, ASHLEY, ABOUT MY SURGERY

AND HOW MUCH PROGRESS THAT I'M MAKING,

AND WE'VE BEEN TALKING ABOUT

HOW KHLOE CAN COME BACK INTO MY LIFE.

AND THAT'S KEEPING ME REALLY MOTIVATED RIGHT NOW

TO LOSE AS MUCH AS I CAN.

I'M GONNA FINISH IN A SECOND.

STARTING TO GET DIZZY AGAIN.

SITTING BACK DOWN.

Brandi: IT'S BEEN HARD WATCHING RANDY PUSH HIMSELF THIS HARD.

I'M GLAD THAT HE'S LOSING THE WEIGHT,

BUT IT SEEMS LIKE HE STOPPED EATING.

SO, HOW OFTEN DO YOU EAT NOW?

[ SCOFFS ]

DO YOU TRY TO BRING IN DIFFERENT FOODS, OR...?

NO.

I KNOW YOU. WHEN YOU TRY,

IF YOU DON'T FEEL LIKE IT, YOU JUST DON'T DO IT.

I DIDN'T EXPECT RANDY TO BECOME DIZZY AND NOT WANT TO EAT,

AND I'VE CALLED THE DOCTOR A FEW TIMES TO, YOU KNOW,

DO WELFARE CHECKS ON HIM TO MAKE SURE HE'S DOING THINGS PROPERLY.

THAT WAY, YOU KNOW, HE DOESN'T TAKE A TURN FOR THE WORSE.

I'M JUST WORRIED HE'S GONNA PUSH HIMSELF TOO HARD.

I'M GONNA GO LAY DOWN FOR A MINUTE.

Randy: I KNOW MY WEIGHT IS DROPPING A LOT EACH DAY,

AND I'M EXCITED ABOUT THAT.

BUT I'M SO CLOSE RIGHT NOW,

AND I DON'T WANT ANYTHING TO STAND IN MY WAY.

I FINALLY GOT UNDER THE 500-POUND MARK

AND MADE IT INTO THE 400s.

YOU GOT IT?

SO ASHLEY FELT LIKE I'VE MADE ENOUGH PROGRESS

TO START SEEING MY DAUGHTER AGAIN.

[ GIGGLES ]

WHAT IS THAT? SNOWMAN?

[ GASPS ] OH!

OH!

IT'S AN INCREDIBLE FEELING TO BE A PART OF KHLOE'S LIFE AGAIN.

I'VE MISSED HER SO MUCH.

ROLL IT.

SHE DESERVES A REAL FATHER,

AND I FEEL LIKE THAT'S WHAT I'M FINALLY BECOMING TO HER.

I'M JUST SO HAPPY I'VE CAME THIS FAR.

SHE'S BEEN MY MOTIVATION.

AND NOW THAT SHE'S WITH ME, SHE'S MOTIVATING ME EVEN MORE.

HAVING HER BACK IN MY LIFE IS THE BEST THING I CAN EVER GET.

Dr. Nowzaradan: JUST A LITTLE WHILE AGO,

RANDY GOT DIZZY AND PASSED OUT.

SO I HAD HIM RUSHED TO THE HOSPITAL.

Randy Sr.: RANDY WAS WALKING TO THE CAR,

AND PASSED OUT AND WENT TO HIS KNEES.

AND WE HAD TO LAY HIM DOWN

TILL WE GOT THE AMBULANCE THERE TO HELP PICK HIM UP.

Dr. Nowzaradan: MY CONCERN RIGHT NOW IS

THAT HE'S HAVING ISSUES WITH HIS HEART.

ANY CHEST PAIN, SHORTNESS OF BREATH?

JUST DIZZINESS. AND BLURRED VISION RIGHT NOW.

IT'S BEEN WEAKENED FOR SO LONG

THAT MAYBE RANDY'S SUFFERING FROM CONSEQUENCES

OF THAT EVEN THOUGH HE'S MAKING PROGRESS.

IF THAT'S HAPPENING TO RANDY RIGHT NOW,

WE MAY NOT HAVE A LOT OF TIME.

YOU SAID HEART RATE IS 80?

85.

Dr. Nowzaradan: RANDY CAME IN AFTER HAVING PASSED OUT.

IF THE ISSUE IS HIS HEART AND IT'S FAILING,

WE MAY NOT HAVE A LOT OF TIME TO CORRECT THIS SITUATION.

OKAY, RANDY. WE'RE GONNA GO AHEAD

AND KEEP YOU IN THE HOSPITAL SO WE CAN RUN SOME TESTS

AND FIND OUT WHAT'S GOING ON WITH YOU IMMEDIATELY.

OKAY?

ALL RIGHT.

OKAY. WELL, RANDY IS DOING OKAY AT THE MOMENT.

WE GOT SOME BLOOD WORK ON HIM.

I DON'T HAVE ALL THE BLOOD WORK BACK.

HE'S NOT EATING NOTHING.

MAYBE A BITE A DAY.

HE DRINKS A LITTLE BIT OF WATER.

HE TAKES NONE OF HIS VITAMINS.

I DON'T KNOW WHAT HE'S TELLING YOU,

BUT HE DOESN'T DO NOTHING.

OKAY. STORY IS A LITTLE BIT DIFFERENT NOW.

EVERY TIME HE TRIES TO EAT OR SOMETHING,

HE ALMOST THROWS UP.

ALL RIGHT. WE'LL TAKE CARE OF HIM, OKAY?

-HI, RANDY. -HELLO.

I JUST TALKED TO YOUR FATHER, AND HE TOLD ME WHAT'S GOING ON.

LET'S BACKTRACK AND SEE WHAT DID YOU EAT ALL DAY TODAY.

I'VE JUST HAD ABOUT THAT MUCH OF ONE OF THEM PROTEIN SHAKES.

THAT'S IT? YES, SIR.

THAT'S NOT ENOUGH.

YOU MAY BE SUFFERING SOME COMPLICATIONS FROM MALNUTRITION.

I DON'T HAVE AN APPETITE.

AND I KNOW YOU TOLD ME BEFORE

I HAVE TO EAT, BUT IT'S JUST HARD.

OKAY, RANDY.

WE'LL GET YOU FIXED UP AND BACK ON TRACK.

BUT YOU NEED TO SLOW DOWN.

I WANT YOU TO SLOW YOUR WEIGHT LOSS DOWN

TO 3 TO 5 POUNDS A WEEK.

OKAY. I'LL CHECK WITH YOU A LITTLE LATER.

Randy: I DIDN'T REALIZE JUST HOW HARD I WAS PUSHING MYSELF.

I JUST WANTED TO MAKE PROGRESS.

IT FEELS LIKE I'M TRAPPED,

OR I CAN'T WIN WITH MY BODY RIGHT NOW.

IF RANDY IS SKIPPING MEALS AND NOT TAKING HIS PROTEIN,

HE COULD BE MALNOURISHED.

AND IF WE DON'T TREAT HIM FOR IT,

IT COULD GET VERY SERIOUS.

THIS ISN'T A GAME.

HIS WEIGHT IS NOT A SCORE

HE NEEDS TO LOWER AS FAST AS HE CAN.

THIS IS ABOUT LIVING AND BEING HEALTHY,

SO HE NEEDS TO SLOW DOWN AND DO THIS IN A HEALTHY WAY.

IF HE PUSHES HIMSELF TOO HARD,

HE COULD END UP IN A LIFE-THREATENING SITUATION.

[ SIGHS ]

SO, YOU READY?

I'M PAST READY.

Randy: I'VE BEEN HERE A MONTH,

AND I'M GETTING DISCHARGED FROM THE HOSPITAL TODAY.

THEY HAD TO DO A LOT TO ADDRESS MY MALNOURISHMENT.

AND IT'S BEEN A HUGE WAKE-UP CALL FOR ME.

I DIDN'T REALIZE HOW MUCH DAMAGE

I WAS DOING PUSHING MYSELF SO HARD.

AND I REALIZED, TALKING WITH THE DOC AND THINKING ABOUT THINGS,

THAT IT TEARS ME UP WHEN I THINK I FAIL AT SOMETHING.

SO I KNOW THAT MAKES ME TREAT EVERYTHING LIKE A COMPETITION.

I'M GONNA KEEP LOSING WEIGHT,

BUT I'M NOT GONNA PUSH MYSELF SO HARD.

-WE MADE YOU A SIGN. -I SEE.

I HAVE A FAMILY THAT LOVES ME SO MUCH,

AND I HAVE LET THEM DOWN SO MANY TIMES BECAUSE OF MY HEALTH.

SO I KNOW I HAVE TO LEARN TO FIND THE BALANCE IN MY LIFE.

-CAN I GET A HUG? -THERE YOU GO.

GIVE UNCLE RANDY HUG.

WITH THE LIMITS THE DOCTOR HAS PUT ON MY WEIGHT LOSS,

I SHOULD LOSE NO MORE THAN 40 POUNDS OVER THE NEXT TWO MONTHS,

AND GET DOWN TO AROUND 440.

BUT I'M SCARED THAT IF I START FORCING MYSELF TO EAT,

I'M GOING TO GO BACK TO EATING LIKE I DID BEFORE SURGERY.

I KNOW I HAVE TO FIGURE OUT THE BALANCE,

AND I NEED TO DO IT NOW BEFORE I END UP BACK IN THE HOSPITAL.

BECAUSE THE DOC SAID IF THAT HAPPENED AGAIN,

I'M NOT LIKELY TO SURVIVE IT.

I'VE BEEN WORKING HARD TO EAT WHEN I SHOULD

AND KEEP MY STRENGTH UP.

AND TO MAKE SURE I'M NOT ONLY EATING,

FULL TIME AT THE STORE.

I'VE HAD A LOT MORE ENERGY WITH ALL THIS,

AND I'VE BEEN ABLE TO DO A LOT MORE.

BUT NO MATTER HOW BUSY I GET,

I'M NOT SKIPPING ANY MEALS ANYMORE.

I'M REMEMBERING TO BRING MY LUNCH WITH ME,

AND TO MAKE SURE I'M NOT ONLY EATING,

BUT GETTING THE PROTEIN I NEED.

ALL RIGHT. I'M DONE. I'M FULL.

[ SIGHS ]

GUESS I'LL HAVE SOME FOR TOMORROW.

MY DAD HAS ALWAYS WANTED ME TO TAKE OVER ONE OF HIS STORES.

THERE YOU GO. YOU HAVE A GREAT DAY.

THANK YOU VERY MUCH.

NOW I'M STARTING TO DO THAT.

AND IT FEELS INCREDIBLE TO KNOW HE'S PROUD OF ME.

[ CHUCKLES ]

ALL RIGHT. LET ME GET THE ALARM SET.

-WHAT DO YOU WANT? -I'LL EAT A PIECE OF CHICKEN.

I'VE BEEN WORKING ON DOING MORE THINGS

AROUND THE HOUSE AND HELPING OUT.

I'VE BEEN COOKING MY FAMILY SOME MEALS, WHICH IS A TWIST.

THEY'VE ALWAYS MADE ME FOOD,

SO IT'S FUN TO BE ABLE TO DO THIS FOR THEM.

ALL RIGHT, COME ON, GUYS. IT'S TIME TO EAT. LET'S GO IN.

Christina: HE'S COME A LONG WAY. HE'S DOING GOOD.

HE'S LOSING WEIGHT.

I'M HAPPY FOR HIM. [ CHUCKLES ]

Danielle: SAYING THAT I'M PROUD OF MY BROTHER JUST ISN'T ENOUGH.

SINCE HE'S HAD THE SURGERY,

IT'S TURNED HIS LIFE BACK AROUND,

AND HE'S ABLE TO START LIVING AGAIN.

I FEEL LIKE I'VE GOT MY BROTHER BACK.

Randy: OH, I FORGOT TO TELL YOU.

I COOKED, BUT Y'ALL GOT TO DO THE DISHES.

[ LAUGHS ]

Randy: I SEE THE DOCTOR AGAIN NEXT MONTH,

AND MY GOAL WEIGHT FOR THEN IS TO BE IN THE 440s.

I FEEL LIKE I FINALLY HAVE MY WEIGHT UNDER CONTROL,

AND THAT'S A GREAT FEELING.

I FEEL LIKE I'M REALLY ON TRACK NOW.

AND I'M SO HAPPY WITH MY PROGRESS.

Dr. Nowzaradan: SO, YOU'RE DOWN TO 440.

YOU SLOWED DOWN YOUR WEIGHT LOSS TO DO IT HEALTHY.

THAT'S EXCELLENT. I'M PROUD OF YOU.

RANDY HAD HIS UPS AND DOWNS, BUT HE HAS LOST OVER 200 POUNDS.

IT'S NOT A QUESTION OF RANDY MAKING IT TO HIS GOAL.

IT'S A QUESTION OF HIM DOING IT RIGHT.

AND RIGHT NOW, HE IS.

I'M HAPPY WITH YOUR PROGRESS.

I KNOW IT'S JUST GONNA GET BETTER AS I GO.

ALL RIGHT. I WILL SEE YOU ALL LATER.

THANK YOU FOR EVERYTHING.

HE JUST HAS TO STAY ON TRACK LIKE HE'S DOING NOW.

GOOD JOB.

I'M REALLY PROUD OF RANDY.

HIS LIFE HAS CHANGED A LOT.

IT MAKES ME FEEL REALLY HAPPY

TO SEE HIM DO THE THINGS THAT I KNOW HE WANTS TO DO.

Randy: I'VE JUST BEEN SO PROUD OF THE GOALS I'VE BEEN HITTING,

THAT I'M GONNA BE AROUND FOR MY DAUGHTER,

AND THAT I'M PART OF HER LIFE AGAIN.

NOW THAT I'M WORKING FULL TIME, I CAN AFFORD MY OWN PLACE.

AND I'VE LOST ENOUGH WEIGHT

WHERE NO ONE HAS TO TAKE CARE OF ME.

SO I STARTED LOOKING FOR A HOUSE.

YOU WANT TO PUT YOUR BED IN HERE WITH SOME TOYS?

YEAH? YOU LIKE THAT, HUH?

Randy: I GET KHLOE TWICE A WEEK NOW,

AND I WANT TO MAKE A HOME FOR HER.

I WANT TO FIND A PLACE

WHERE KHLOE CAN COME SEE ME ANYTIME SHE WANTS,

AND HAVE HER OWN SPACE AS SHE GETS OLDER.

COME ON, BABY.

[ LAUGHS ]

IT'S BEEN SO EXCITING

TO GET TO KNOW HER MORE AND MORE.

TO GET TO SPEND MORE TIME WITH HER

AND MY WHOLE FAMILY.

CAN YOU SWING?

BEFORE, I LIVED MOSTLY IN MY ROOM,

BEHIND CLOSED DOORS AND WAITING TO DIE.

LET'S GO JUMP.

I KNOW I STILL HAVE ANOTHER 200 POUNDS TO LOSE

TO GET TO MY GOAL, BUT RIGHT NOW

I'M JUST SO HAPPY TO BE WITH MY FAMILY.

SPENDING TIME WITH THEM, THAT MAKES EVERYTHING WORTH IT.