All language subtitles for My 600-lb Life S04E09

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.