All language subtitles for My 600-lb Life S04E15

Marla:
I CAN'T EVEN BATHE MYSELF.

MY KIDS HAVE TO DO THAT FOR ME.

Charity:
I FEEL LIKE SOME MONSTER.

Olivia: I'VE BEEN HIDING FROM
THE WORLD, JUST WAITING TO DIE.

Pauline: I AM ABSOLUTELY TRAPPED
IN THIS BODY,

AND I FEEL LIKE I'M DYING
EVERY DAY.

Susan:
I'M TERRIFIED RIGHT NOW.

THIS IS MY LAST HOPE
TO BECOME NORMAL.

Madison: I NEED MY MOM.
I NEED HER TO BE HERE FOR ME.

**

Man: 10 SECONDS NOW.
HOLD IT, HOLD IT, HOLD IT.

-[ BREATHES DEEPLY ]
-GOOD JOB.

Christina: I HAD TO MAKE
A CHOICE TO TAKE CARE OF MYSELF.

Joe:
I REFUSE TO LET THEM BURY ME.

Susan:
I AM NOW EXPRESSING MYSELF

AND LIVING MY OWN TRUTH.

Olivia: I LOST THE WEIGHT,
BUT I GAINED MY FAMILY.

Zsalynn: LIFE IS AMAZING NOW.
I'M REALLY PROUD OF MYSELF.

* DUN, DA-DA, DAAAA *

-ALL THIS WILL BE GONE.
-WOW.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Zsalynn: I'M NOT LIVING A LIFE,
I'M JUST EXISTING.

AND I HAVE A DAUGHTER NOW,
AND IF I DON'T DO SOMETHING,

SHE MAY NOT HAVE A MOM.

SOMETHING IN MY LIFE
HAS TO CHANGE.

WITHOUT THIS SURGERY, I'M GONNA
DIE SOONER RATHER THAN LATER.

GARETH RECENTLY TOLD ME HE WANTS
TO GAIN SOME WEIGHT BACK.

HE WANTS A FAT WIFE.

YOU KNOW, HE TALKS ABOUT
THAT I'LL BE REPULSIVE TO HIM.

[ Crying ] I JUST WANT TO FEEL
LIKE SOMEBODY LOVES ME.

THAT'S SO STUPID.

I'M GONNA HAVE TO PICK MY HEALTH
OVER MY MARRIAGE.

I'VE MADE SUCH GREAT PROGRESS.

MY LIFE IS AMAZING NOW.

HANNAH, HAVE YOU EVER SEEN ME
FIT IN A SWING BEFORE?

NOPE.

FOR HANNAH, I FEEL LIKE WE ARE
ON THE RIGHT PATH.

AND I AM SO HAPPY TO SEE
HOW FAR I'VE COME.

THIS IS GONNA BE A POSITIVE
THING TO HAVE IT REMOVED.

OVER THE LAST COUPLE OF MONTHS,
IT'S BEEN JUST HANNAH AND I,

AND I DON'T FEEL SKIN SURGERY

IS THE RIGHT OPTION
FOR ME RIGHT NOW.

HANNAH IS MY BIGGEST PRIORITY.

**

IN TWO YEARS,
MY LIFE HAS COMPLETELY CHANGED.

AND THERE'S SO MUCH THAT I CAN
DO NOW, THAT I'M THANKFUL FOR.

BUT I KNOW
I'VE GAINED SOME WEIGHT,

AND THE LAST TIME I WEIGHED,
I WAS AROUND 315 POUNDS,

AND THE DOCTOR WANTED ME TO GET
UNDER 300 FOR MY NEXT GOAL.

IT'S ALMOST HALF MY BODY WEIGHT
LOST FROM 597 POUNDS.

AND I'VE BEEN WORKING
TO MAKE THAT PROGRESS.

BUT I DON'T LIKE TO MEASURE
MYSELF BY MY WEIGHT ANYMORE.

HOW I USED TO MEASURE LIFE

WAS WITH ALL THE THINGS
THAT I CAN'T DO.

I CAN'T WALK, I CAN'T STAND,
I CAN'T CARRY MY LAUNDRY BASKET.

NOW I MEASURE LIFE
BY ALL THE THINGS I CAN DO.

MY LIFE IS SO MUCH BETTER NOW,

AND PART OF THAT IS BECAUSE

GARETH AND I ARE FINALLY,
OFFICIALLY DIVORCED.

HE DIDN'T WANT ME
TO LOSE THE WEIGHT,

AND I DIDN'T DESERVE TO FEEL BAD
ABOUT CHOOSING MY HEALTH.

SO, NOW GARETH AND I ARE SHARING
JOINT CUSTODY OF HANNAH.

BEING ALONE A LOT HAS BEEN
A BIT OF AN ADJUSTMENT FOR ME.

SO, I'VE STRUGGLED
WITH BEING DEPRESSED

WHEN I DON'T SEE HANNAH
FOR A WHILE.

AND BEING ALONE HAS MADE IT
EVEN HARDER FOR ME

TO DEAL WITH MY CRAVINGS.

**

FOOD WAS MY COPING MECHANISM,

AND NOW, WHEN I FEEL MYSELF
GETTING DEPRESSED,

I REALLY, REALLY,
REALLY WANT TO EAT.

I WANT TO EAT THINGS
THAT ARE BAD FOR ME.

I WANT TO EAT THOSE SWEETS

THAT REALLY MADE ME FEEL
WONDERFUL BEFORE.

I JUST WANT TO MAKE LOVE TO THEM
WITH MY MOUTH!

EXACTLY, IT'S LIKE A SEXUAL
THING FOR ME, OBVIOUSLY.

MMM!

I KNOW I'VE COME A LONG WAY,

BUT I WANT TO MAKE
MORE PROGRESS

AND TO START DOING THINGS LIKE
DATING AND GETTING MORE ACTIVE.

SO I FINALLY DECIDED
I WANT TO GET SKIN SURGERY.

I KNOW I SHOULD BE LOVING LIFE

AND LOVING EVERYTHING
THAT I'VE DONE TO CHANGE MYSELF.

Woman:
YOU HAVE A GOOD DAY.

THANKS, YOU DO THE SAME.
THANK YOU.

BUT I'M STILL INSECURE.

I STILL DON'T FEEL CONFIDENT.

SO, IT WAS A HARD DECISION,

BECAUSE I WASN'T REALLY SURE
IF I WANTED TO GO THROUGH

SOMETHING LIKE THAT,
BUT I'M READY NOW.

BUT I'M NOT SURE
IF I WANT DR. NOWZARADAN

TO DO THE SURGERY.

BECAUSE I DON'T WANT TO HAVE TO
TALK ABOUT A NUMBER

OR MY WEIGHT ANY LONGER.

I AM MORE THAN A NUMBER,
AND I WILL NOT BE FORCED

TO FOCUS ON THAT
IF I DON'T WANT TO.

Olivia: MY WEIGHT IS KILLING ME.

I'VE BEEN HIDING FROM THE WORLD,
JUST WAITING TO DIE.

SHE'S IN THE BASEMENT BECAUSE
EVERYTHING'S ON ONE FLOOR.

Olivia: IT'S TIME FOR ME
TO DO SOMETHING.

Olga:
I JUST WANT HER TO GET BETTER.

I CAN'T.

[ Voice breaking ]
I CAN'T CLIMB THE STAIRS.

YEAH, YOU CAN, OLIVIA.

I DON'T WANT TO DIE.

I WANT TO DO SOMETHING
WITH MY LIFE.

I JUST WANT THIS SURGERY
TO GET MY LIFE BACK.

WHEN CAN I HAVE THIS REMOVED?
YOU SEE HOW HEAVY IT IS.

I'M PUSHING MYSELF HARDER
THAN I'VE EVER DONE IN MY LIFE.

WE'RE TAKING ALL THIS BIG MASS
OFF OF HER.

BEFORE, I'D BE LIKE,
"GET MY WALKER. GET MY CHAIR."

I'M NOT DEPENDING
ON THEM ANYMORE.

FOR THE FIRST TIME IN MY LIFE,
I CAN TAKE CARE OF MYSELF,

SO I MOVED INTO MY OWN PLACE.

I NEVER THOUGHT I WOULD
EXPERIENCE LIFE LIKE THIS.

I'M DOING
MORE THAN I EVER IMAGINED,

BUT THERE'S STILL SO MANY
NEW ADVENTURES AHEAD OF ME.

**

GO DOWNSTAIRS.
COME ON.

IT'S BEEN TWO YEARS
SINCE MY GASTRIC BYPASS,

AND I'M STILL EXCITED
ABOUT ALL THE WAYS

MY LIFE IS CHANGING
FOR THE BETTER.

I CAN DO THINGS FOR MYSELF NOW,

AND I DON'T NEED ANYBODY
TO TAKE CARE OF ME.

AT MY HIGHEST,
I WAS ALMOST 600 POUNDS.

I DIDN'T HAVE A LIFE.

AND I DON'T WANT TO GO BACK
TO WHERE I WAS.

NOW I'M ABOUT 200 POUNDS,
SO I'VE LOST

MORE THAN HALF MY BODY WEIGHT,
AND IT FEELS AMAZING.

AND I'M TRYING TO GET UNDER 180
TO GET MY LAST SKIN SURGERY.

BUT BEFORE THAT, I HAVE TO GET
MAJOR KNEE SURGERY.

LAST YEAR,
I WAS FINALLY ABOUT TO START

LIVING ON MY OWN
FOR THE FIRST TIME.

BUT SINCE I HAVE TO HAVE
A FEW MORE SURGERIES,

I TEMPORARILY MOVED BACK IN
WITH MY BROTHER

SO I CAN HAVE SOME HELP
WHILE I RECOVER.

AND I CAN'T WAIT BECAUSE THERE'S
SO MANY THINGS I WANT TO DO.

SO, I STARTED TRAINING
TO BE A CHEF

BECAUSE THAT'S MY DREAM JOB.

BUT I CAN'T STAND LONG ENOUGH
TO COOK LIKE I NEED TO.

SO, I'M HOPING
TO GET MY KNEE SURGERY

AND THEN START DOING
EVERYTHING I'VE BEEN

WAITING AND DREAMING TO DO.

BUT I GAINED A LITTLE WEIGHT,

AND I'M BACK AT 200 POUNDS
RIGHT NOW.

FOOD WILL ALWAYS BE
A TEMPTATION.

FOR THE REST OF MY LIFE,
IT WILL ALWAYS BE THERE.

BUT I FEEL LIKE
I'M AT A GOOD PLACE RIGHT NOW

WITH THE BALANCE OF FOOD
AND MY HEALTH.

NO. CAN'T HAVE NONE, HARLEY.
COME ON.

SO, I'M REALLY EXCITED
ABOUT WHAT'S AHEAD THIS YEAR.

I HAVE A LOT OF GOALS
I KNOW I'M GONNA HIT.

**

Zsalynn:
I'M HEADED TO MY APPOINTMENT
WITH DR. NOWZARADAN RIGHT NOW.

IT'S BEEN A COUPLE OF MONTHS
SINCE I'VE SEEN HIM,

AND HE APPROVED FOR SKIN REMOVAL
SURGERY A WHILE AGO.

AND I WANT TO TELL HIM
THAT I'M READY FOR IT,

BUT THAT I'M GOING WITH
A DIFFERENT DOCTOR

TO DO THE OPERATION ON ME.

I FEEL LIKE HE ONLY SEES
A NUMBER WHEN HE LOOKS AT ME,

AND THAT'S JUST NOT GONNA WORK
FOR ME ANYMORE.

EVERY TIME I GET ON THE SCALE,
I DON'T LOOK AT THAT NUMBER

BECAUSE THAT NUMBER IS NOT
RELEVANT TO ME.

Woman: OKAY.

I WANT TO KEEP MAKING PROGRESS,
AND I KNOW THAT I WILL,

BUT I DON'T WANT TO SEE MY
WEIGHT OR USE A NUMBER ANYMORE.

[ KNOCK ON DOOR ]
HI, DR. NOW.

HEY. HOW ARE YOU?
I'M GREAT, THANK YOU.

THIS IS THE TWO YEARS
AFTER YOUR SURGERY, HUH?

THAT'S RIGHT. I'VE DECIDED TO
GO AHEAD AND HAVE SKIN SURGERY,

BUT I WANT TO GO TO A DIFFERENT
DOCTOR TO HAVE THE OPERATION.

WELL, I'M GLAD
TO FINALLY AGREE TO THAT

BECAUSE THE LAST TIME
WE TALKED TO YOU ABOUT IT,

YOU WERE NOT READY
FOR IT.

SO, IF YOU'RE MORE COMFORTABLE
WITH ANOTHER DOCTOR,

THAT'S FINE.
I WANT YOU TO BE COMFORTABLE.

GREAT. THANK YOU.

SO, NOW YOU'RE DOWN TO...
UNDER 300, HUH?

299, YES.

I SEE SOME TEARS
COMING DOWN YOUR EYES BECAUSE

YOU FIND OUT SOMETHING
YOU DIDN'T WANT TO FIND OUT?

WELL, I DON'T CARE
WHAT THAT NUMBER IS,

AND IT JUST MAKES ME MAD

THAT MY WHOLE LIFE
IS JUDGED BY A NUMBER.

I DON'T CARE.
[ SIGHS ]

I DON'T CARE
WHAT THAT NUMBER IS.

ZSALYNN, YOU'RE RIGHT.
THAT NUMBER DOESN'T DEFINE YOU.

IT'S WHAT YOUR WEIGHT IS,
THAT'S IT.

BUT WITHOUT
A MEASURE OF IT,

YOU WON'T REALLY KNOW
IF YOU'RE MAKING ANY PROGRESS.

DR. NOW, YOU SEE US
WHEN WE WALK IN HERE.

THAT NUMBER
ON THE SCALE --

THAT NUMBER DOESN'T REFLECT
WHO I AM.

I SEE YOUR POINT, BUT
THERE'S ANOTHER POINT, OKAY?

WEIGHT IS LIKE
A BANK ACCOUNT.

YOU DON'T GUESS HOW MUCH
YOU'VE GOT IN THE BANK.

YOU JUST CHECK
YOUR BALANCE, RIGHT?

THE SCALE IS
THE SAME THING.

YOU SET A GOAL
FOR YOURSELF

AND YOU WORK
ON EATING HABIT EVERY DAY

AND YOU MEASURE
WITH THE SCALE.

ZSALYNN HAS SPENT SO MANY YEARS

ASSOCIATING HER WEIGHT
WITH BEAUTY AND SO FORTH

SHE'S HAVING TROUBLE
SEPARATING THOSE ISSUES.

BECAUSE OF THAT,
SHE SEES THE NUMBER

AS A FORM OF JUDGMENT ON HER
WHEN IT'S NOT.

DON'T BE AFRAID
TO MEASURE YOUR WEIGHT

AND SEE WHERE YOU ARE.

SHE NEEDS TO UNDERSTAND

THE NUMBER ON THE SCALE
IS JUST A TOOL.

IT'S NOT ABOUT
HER SELF-WORTH.

I THINK RIGHT NOW,
YOU'RE DOING VERY WELL,

AND YOUR BODY IS READY
FOR SURGERY.

TRY TO LOSE 10 POUNDS.

IT'S GONNA MAKE A BIG DIFFERENCE
IN YOUR SURGERY.

YOU'RE SUCH A NUMBERS GUY.

I WANT YOU TO
LOSE SOME WEIGHT, OKAY?

OKAY.
ALL RIGHT.

ALL RIGHT, THANK YOU.

I'LL SEE YOU LATER.
OKAY, SOUNDS GOOD.

GOOD LUCK.
THANK YOU.

OKAY.

I'M REALLY PROUD
OF ZSALYNN.

IN A LITTLE BIT OVER TWO YEARS,
SHE LOST ALMOST 300 POUNDS,

AND SHE CERTAINLY NEEDS
SOME EXCESS SKIN REMOVAL.

IF SHE'D LIKE
A DIFFERENT DOCTOR,

THEN I'M HAPPY SHE'S GOING
TO AT LEAST MAKE THIS PROGRESS

AND GET THE OPERATION SHE NEEDS.

Zsalynn:
I'M GLAD ABOUT EVERYTHING TODAY.

I'M READY FOR SKIN SURGERY
AND I'M GOING TO GET IT.

I JUST DON'T THINK I NEED
A NUMBER TO HELP ME DO THAT.

**

Zsalynn: I'VE BEEN SEARCHING
FOR A NEW DOCTOR,

AND I FOUND ONE IN LOS ANGELES

THAT I'M GOING TO SEE
IN A MONTH,

BUT RIGHT NOW, I'M FOCUSING
ON MAKING MORE PROGRESS

LIKE DR. NOWZARADAN SAID

SO I CAN GET AS MUCH EXCESS SKIN
REMOVED AS POSSIBLE.

IT'S GOOD TO SEE YOU.
I KNOW! YOU, TOO.

ALL RIGHT, LET'S GET
A GOOD WORKOUT IN.

YOU'RE PRETTY STRONG,
ZSALYNN.

I'VE BEEN WORKING.
I'M TELLING YOU.

I'VE BEEN ABLE TO DO MORE
AND MORE EVERY TIME I WORK OUT,

ESPECIALLY COMPARED
TO WHEN I STARTED THIS.

[ Straining ] I CAN'T.

YOU GOT THIS, YOU GOT THIS,
YOU GOT THIS.

PUSH IT OUT.

BUT I'VE HIT A WALL
WITH MY EXCESS SKIN

WITH HOW IT HINDERS ME AND KEEPS
ME FROM DOING EVEN MORE.

I DON'T BEND THE WAY OTHER
PEOPLE BEND.

AND HAVING THIS SKIN IN THE
MIDDLE OF MY BODY IS EXHAUSTING.

ALL RIGHT, TAP AND GO,
TAP AND GO.

KEEP WORKING, ZSALYNN.
COME ON, NOW.

BUT THE POSSIBILITY
OF HAVING THIS SURGERY RIGHT NOW

IS PUSHING ME TO TRY
AND DO MORE AND MORE.

GOOD JOB.

GOOD WORK.

AND I'M READY
FOR ANYTHING RIGHT NOW

IF IT MEANS I CAN
GET THIS SKIN REMOVED.

**

Olivia: TODAY, I'M HEADED TO AN
APPOINTMENT WITH DR. NOWZARADAN

TO SEE WHAT PROGRESS I MADE
WITH MY WEIGHT.

BUT I'M MORE CONCERNED
ABOUT MY LEG PAIN RIGHT NOW.

I THINK I'M STARTING
TO GET AN INFECTION

BECAUSE IT HURTS A LOT.

[ GROANS ]

I HOPE I MADE SOME MORE PROGRESS
WITH MY WEIGHT LOSS, THOUGH.

LAST TIME I CHECKED,
I WAS BACK UP AT 200 POUNDS.

AND I'M HOPING I'M STARTING
TO GET BACK TO 180 POUNDS AGAIN.

BUT I'M NOT WORRIED.

I'VE COME SO FAR,
AND I CAN DO SO MUCH.

I GOT YOU.

BEFORE, I COULDN'T EVEN WALK
ON MY OWN OR GET IN A CAR.

JUST MOVING AROUND IS HARD.

AND I'M REALLY PROUD OF MYSELF.

Woman: YOU'RE AT 207.

YOU CAN STEP DOWN.

I KNOW THAT'S NOT GREAT,

AND I KNOW DR. NOW'S NOT GONNA
BE HAPPY ABOUT THIS.

BUT WITH ALL THE STRESS
AND PAIN IN MY LIFE RIGHT NOW,

I'M HOPING HE UNDERSTANDS.

HELLO.
Olivia: HELLO, DOCTOR.

HOW ARE YOU TODAY?
NO BUENO.

WHAT'S GOING ON?
MY LEG.

I DON'T KNOW IF I HAVE
AN INFECTION.

I'VE BEEN HURTING
FOR ABOUT A WEEK.

LET'S HAVE A LOOK AT IT,
SEE WHAT'S GOING ON.

IT WAS RED,
BUT I DON'T KNOW.

IT'S RED NOW. IT'S JUST A LOT
OF SORENESS RIGHT NOW.

I THINK IT LOOKS FINE.

NOW, ASIDE FROM THAT,
WHAT IS GOING ON

THAT YOUR WEIGHT IS STUCK
IN THE 200s NOW?

I DON'T KNOW.
I'M JUST UNDER A LOT OF STRESS.

I MEAN, I'VE BEEN WALKING,
DOING EXERCISE.

OKAY.
DON'T CHANGE THE SUBJECT.

LET'S STICK WITH
YOUR EATING HABIT.

WHAT DO YOU MEAN,
MY EATING HABIT?

WELL, YOU'RE OBVIOUSLY
EATING MORE CALORIES

THAN YOU'RE REQUIRED.

I'M NOT EATING A LOT. AM I
EATING THE WRONG THINGS? YES.

AM I DRINKING SODA?
YES.

AM I EATING CHIPS?
YES.

OKAY, SO WHAT
CAN WE DO TO CONTROL THAT?

OLIVIA HAS LOST A LOT OF WEIGHT
AND MADE GREAT PROGRESS,

BUT IN THE PAST MONTH OR TWO,
SHE STARTED GAINING AGAIN,

AND THAT'S CONCERNING ME A LOT
RIGHT NOW.

SO, YOU THINK YOU CAN GET BACK
ON THE PROGRAM?

I CAN. YOU KNOW.
AND YOU'VE SEEN IT,

AND I'VE PROVEN TO YOU
THAT I CAN 'CAUSE I HAVE LOST --

SO, WHAT DOES THAT MEAN?

YOU HAVE DONE IT BEFORE.
DOESN'T MEAN YOU CAN DO IT.

OLIVIA DOESN'T REALIZE
HOW HARD IT IS

TO STOP THE PROCESS
OF WEIGHT GAIN

WHEN IT STARTS
TO SPIRAL OUT OF CONTROL.

YOU'RE ABOUT TO GET
KNEE SURGERY.

THIS IS GOING TO BE
GOOD FOR YOU.

BUT IT ALSO MEANS THAT YOU'RE
GOING TO BE INACTIVE FOR A WHILE

AND PRONE TO GAIN
EVEN MORE WEIGHT.

YOU HAVE COME A LONG WAY,

BUT OFF AND ON, YOU'VE FALLEN
OFF OF THE TRACK.

YOU NEED TO CONTROL
ALL THAT, OKAY?

OKAY.

Olivia:
THAT WAS A LITTLE FRUSTRATING.

I'VE GOT A LOT GOING ON,
A LOT OF STRESS I'M DEALING WITH

ON TOP OF HAVING SURGERY SOON.

SO, I'M NOT WORRIED
ABOUT MY PROGRESS

BECAUSE I KNOW
I CAN GET TO WHERE I NEED TO BE.

**

Zsalynn:
I'M IN LOS ANGELES TODAY.

I FLEW IN TO SEE A DOCTOR

I FOUND THROUGH THE WEIGHT LOSS
SURGERY FOUNDATION OF AMERICA.

THEY HELP PEOPLE
WHO HAVE HAD BARIATRIC SURGERY

GET SKIN REMOVAL SURGERY.

ZSALYNN, COME ON IN.

SO, I'M EXCITED RIGHT NOW.

I'M JUST READY FOR ALL THIS
EXCESS SKIN TO BE OFF ME,

AND I'M HOPING HE THINKS HE CAN
TAKE IT ALL OFF IN ONE SURGERY.

HEY, HOW ARE YOU?
HI, DR. KATZEN.

GOOD TO SEE YOU.
YOU ALL READY?

SO, WE'LL HAVE YOU
COME OVER HERE.

I'LL DROP OUR BLUE BACKGROUND
FOR OUR PICTURES.

NOW LET'S TAKE A LOOK
AT TUMMY.

SO, WHAT
I'M PLANNING TO DO

IS I WILL GO DEEP
IN THE PUBIC REGION

AND FROM THAT INCISION,

I EXTEND IT OUT LATERALLY
OVER HERE OVER THE HIPS.

AND THIS INCISION COMES AROUND
OVER THE BUTTOCKS,

AND THIS WILL BE GONE,
ALL THAT,

AT LEAST UP TO BELLY BUTTON
RIGHT THERE.

SO, ALL THIS
WILL BE GONE, OKAY?

WOW.

THINK OF ALL THAT WEIGHT
ON YOUR BACK AND YOUR KNEES

AND YOUR ANKLES.
YES.

YOU'LL BE ABLE TO MOVE
A LOT BETTER.

YES. SO EXCITED.

YAY.
ALL RIGHT, I'M READY.

GOOD. WE'LL SEE YOU
IN ABOUT TWO MONTHS THEN.

OKAY. THANK YOU.

SURE, MY PLEASURE.

I'M VERY EXCITED
RIGHT NOW.

I KNOW THIS SURGERY
IS GOING TO BE HARD AND RISKY,

BUT IT'S GOING TO BE WORTH IT
IN THE END.

MY WEIGHT LOSS SURGERY
SAVED MY LIFE,

AND NOW THIS SURGERY IS LIKE
SAVING MY FUTURE.

**

Olivia: I DESTROYED MY KNEES

BECAUSE I LET MY WEIGHT
GET OUT OF CONTROL FOR SO LONG.

NOW I HAVE THE CHANCE
TO FIX THAT DAMAGE.

AND WHATEVER IT TAKES,
NO MATTER HOW HARD AND PAINFUL,

I'M READY TO DO IT
AND GET MY LIFE BACK.

Dr. George:
OLIVIA LOST A LOT OF WEIGHT.

IN ALL THOSE YEARS OF ALL
THE HEAVY WEIGHT ON HER JOINTS,

IT REALLY TOOK ITS TOLL, SO SHE
HAS DEGENERATIVE ARTHRITIS,

AND IT'S PRETTY SIGNIFICANT.

AND SO, RIGHT NOW, SHE CAN'T
BEND HER LEG BACK VERY FAR,

SO IT'S LIKE WALKING
ON A SHORT LEG.

SO TO BE ABLE
TO GET HER MORE ACTIVE AGAIN,

WE NEED TO REPLACE THE KNEE.

TIGHT.

IN THAT RIGHT KNEE,
SHE HAS BONE-ON-BONE,

WHICH CAUSED SIGNIFICANT PAIN
FOR HER.

[ DRILL BUZZING ]

ONCE WE DO THIS SURGERY,
THAT BONE-ON-BONE PAIN'S

GONNA BE GONE
AND SHE WILL RAPIDLY BE ABLE

TO WALK AND GET BACK INTO DOING
NORMAL ACTIVITIES WITHOUT PAIN.

WE'RE DONE.

A STRAIGHT LEG THAT MOVES NOW.

SHE SHOULD BE VERY HAPPY
WITH THIS.

ALL DONE, OKAY?
ALL DONE.

OLIVIA'S SURGERY WENT
JUST AS PLANNED.

HAVING THE NEW KNEE NOW IS GONNA
MAKE A WORLD OF DIFFERENCE

ON HER ACTIVITIES AND JUST
HER DAY-TO-DAY FUNCTION.

AND SHE SHOULD HAVE
A SIGNIFICANT IMPROVEMENT

IN THE QUALITY OF HER LIFE.

[ GROANS ]

**

Dr. Nowzaradan:
EVERY TIME WE OPERATE, THERE IS
A POSSIBILITY OF BLEEDING,

BUT AT THIS POINT,
SHE'S LOSING TOO MUCH BLOOD.

DR. GEORGE IS NOT
ON CALL RIGHT NOW,

SO I'M STEPPING IN TO THIS ISSUE
AND STOPPING THE BLEEDING.

IF WE DON'T
AND THE BLEEDING CONTINUES,

SHE WON'T SURVIVE THE NIGHT.

SHE'S LOSING TOO MUCH BLOOD,
SO WE NEED TO HURRY.

**

Dr. Nowzaradan: OLIVIA HAD
RIGHT TOTAL KNEE REPLACEMENT

EARLIER THIS MORNING,
AND A FEW HOURS AFTER THAT,

SHE STARTED BLEEDING PROFUSELY.

SO, I BROUGHT HER
BACK TO SURGERY

AND STOPPED THE BLEEDING
AND PUT A DRAIN IN,

AND HAVE THE SITUATION
UNDER CONTROL.

ALL RIGHT, EVERYTHING LOOK GOOD.

RIGHT NOW, SHE'S STABLE
AND EVERYTHING WENT VERY WELL.

WE'RE GOING TO KEEP AN EYE
ON HER FOR THE NEXT DAY OR SO,

AND ONCE WE MAKE SURE
THERE ARE NO FURTHER ISSUES,

THEN OLIVIA WILL BE READY TO
GO HOME AND START HER RECOVERY.

**

Zsalynn:
TODAY, I'M FINALLY GETTING
MY SKIN REMOVAL SURGERY.

GOOD MORNING.
GOOD MORNING, DR. KATZEN.

SO, WHAT HAPPENS NOW IS WE'LL
GET YOU ALL MARKED UP.

AND WE'LL GET THE I.V. IN,
AND THEN WE'LL GET GOING.

ALL RIGHT,
SOUNDS LIKE A PLAN.

OKAY, GOOD.

I'M GLAD
TO BE HAVING THIS DONE.

I'M GONNA HAVE YOU
TURN AROUND. YEP.

BUT IT'S SINKING IN JUST HOW BIG
AN OPERATION THIS IS.

YOU EXCITED, NERVOUS?
A LITTLE NERVOUS.

YEAH, NORMAL.

AND I'M GETTING
REALLY SCARED.

ALL DONE.
ALL RIGHT.

I'M MORE SCARED
THAN I THOUGHT I WOULD BE

BECAUSE I KNOW THIS IS
A VERY RISKY SURGERY.

AND SO MUCH COULD GO WRONG.

SO, I'M JUST PRAYING RIGHT NOW

THAT I WAKE UP, AND
THE WHOLE OPERATION GOES WELL.

Dr. Katzen: TODAY, WE'RE DOING
ZSALYNN'S 360 BODY LIFT.

SHE'D LOST
A SIGNIFICANT AMOUNT OF WEIGHT,

AND NOW SHE HAS THIS EXCESS SKIN
AND FAT ON HER TUMMY,

EXCESS SKIN AND FAT ON HER HIPS.

IT'S A BIG SURGERY,

BUT I THINK SHE'S GONNA GET
A VERY GOOD RESULT.

SCALPEL.

I'M GONNA MAKE AN INCISION

ON THE UPPER PORTION
OF THE BUTTOCKS,

LIFT THE BUTTOCK UP, AND THEN
REMOVE THAT EXCESS SKIN AND FAT.

THEN WE'RE GONNA
FLIP THE PATIENT

SO WE CAN OPERATE
ON HER ABDOMEN.

THEN I REMOVE THE EXCESS SKIN
AND FAT FROM HER ABDOMEN

AND TAKE IT OFF
AS ONE BIG SPECIMEN.

AND SUTURING ALL UP.

THE 360 BODY LIFT TODAY
WENT REALLY WELL.

WE REMOVED 52.5 POUNDS

FROM ZSALYNN'S STOMACH, HIPS,
BACKSIDE, BUTTOCK.

OUR RECOVERY IS PAINFUL, BUT
SHE'S GONNA BE MUCH HAPPIER NOW

TO HAVE THOSE 52 POUNDS
OFF HER BODY

BECAUSE THIS IS
A LIFE-CHANGING EVENT.

**

Olivia:
IT'S BEEN ABOUT TWO MONTHS
SINCE I HAD MY KNEE SURGERY,

AND A LOT'S CHANGED
DURING THAT TIME.

MY BROTHER WASN'T GONNA BE ABLE
TO HELP ME WITH MY RECOVERY

AS MUCH AS HE THOUGHT
BECAUSE OF HIS WORK,

SO I GOT A PLACE
WITH MY SISTER, OLGA.

SHE'S BEEN MY BIGGEST SUPPORT,

AND SHE'S BEEN ABLE TO HELP ME
WHILE I RECOVER.

IT HASN'T BEEN EASY,
BUT I'M PUSHING MYSELF.

[ KNOCK AT DOOR ]

HELLO.

TODAY,
I HAVE PHYSICAL THERAPY.

I HAVE THERAPY
THREE TIMES A WEEK.

HOW MANY MINUTES?
WE'RE TRYING FOR 10.

OKAY.

I'VE BEEN TRYING TO STAY
ON TRACK BUT IT REALLY HURTS

TO DO MY EXERCISES
OR USE MY KNEE AT ALL.

SEE, THAT HURTS.
I CAN FEEL THAT RIGHT HERE.

YOU'RE REALLY,
REALLY SWOLLEN.

ONE MINUTE.
OKAY.

I REMEMBER
WHEN MY WHOLE WORLD

WAS CONFINED TO A BASEMENT
FOR YEARS,

AND I COULD BARELY GET UP
AND DO ANYTHING ON MY OWN.

I'M IN EXTREME PAIN BECAUSE
OF MY STOMACH AND MY LEG.

I HAVE ALL THIS LYMPHEDEMA HERE.

LOOK.
[ Groaning ] YOU CAN SEE.

I CAN'T EVEN MOVE IT.

I VOW TO NEVER GO BACK
TO LIVING LIKE THAT.

TAKE A DEEP BREATH.

THIS SURGERY WAS TO HELP ME
GET MY LIFE BACK

SO I CAN STAND ALL DAY
LIKE I NEED TO

SO I CAN BE ACTIVE
AND GET MY DREAM JOB AS A CHEF,

BUT IT'S
EASIER SAID THAN DONE.

GOOD.

IT'S STILL SO HARD
BECAUSE THE PAIN IS SO MUCH MORE

THAN I THOUGHT IT WOULD BE.
KEEP BREATHING.

BUT I HAVE A CHANCE
AT A WHOLE NEW LIFE.

AND THAT'S WHY
I'M PUSHING THROUGH THE PAIN...

YOU WANT TO REST
FOR A MINUTE?

...SO I CAN LOSE THE LAST BIT
OF WEIGHT I NEED

TO GET MY SKIN SURGERY.

IT'S JUST A LOT HARDER
THAN I THOUGHT.

**

Olivia:
I CAME TO DR. NOWZARADAN TODAY

BECAUSE I'M IN A LOT OF PAIN
FROM MY SHOULDER AND MY KNEE.

BUT I'M WORRIED ALL THE DOCTOR'S
GONNA CARE ABOUT

IS MY WEIGHT RIGHT NOW.

THE PAIN HAS MADE IT REALLY HARD
TO KEEP DOING MY EXERCISES

AND KEEP ACTIVE, SO I DON'T KNOW
WHAT MY WEIGHT IS.

BUT I'M NOT REALLY INTERESTED
IN TALKING ABOUT IT RIGHT NOW.

I JUST WANT
TO GET RID OF THIS PAIN.

[ GROANS ]

HE WANTS ME TO GET
UNDER 180 POUNDS.

I WAS 207 LAST TIME,

AND I HAVE NO IDEA
WHAT MY PROGRESS IS RIGHT NOW.

[ GROANS ]

I CAN'T DEAL WITH MY WEIGHT
RIGHT NOW.

OLIVIA,
HOW ARE YOU?

IN A LOT OF PAIN.

MY SHOULDER'S HURTING
AND MY KNEE.

OKAY, RIGHT NOW,
I'M GONNA GO AHEAD

AND X-RAY YOUR KNEE
AND YOUR SHOULDER

TO SEE IF THERE'S
ANYTHING WRONG, OKAY?

Dr. Nowzaradan:
OLIVIA HAS GOT INTO THE HABIT

OF MAKING EXCUSES
FOR HER WEIGHT GAIN.

I'M GOING TO RUN SOME TESTS

TO MAKE SURE THERE IS
NOTHING WRONG WITH HER,

BUT SHE MAY BE MAKING UP MORE
EXCUSES TO AVOID THE SITUATION.

HER X-RAYS -- THEY ALL LOOK
ABSOLUTELY NORMAL.

THERE'S NOTHING WRONG WITH IT.

HER SHOULDER LOOKS GOOD
AND HER KNEE IS HEALING NICELY,

SO SHE SHOULDN'T HAVE PAIN
LIKE SHE SAYS SHE HAS.

ALL RIGHT, OLIVIA.

YOUR X-RAYS ARE NORMAL.

THERE'S NOTHING WRONG
WITH YOUR KNEE OR YOUR SHOULDER,

SO THE ONLY ISSUE HERE
IS YOUR WEIGHT.

YOU GAINED ANOTHER 10 POUNDS
SINCE THE LAST TIME I SAW YOU.

SO, WHAT EXACTLY IS GOING --

DOCTOR, I DIDN'T COME HERE
FOR MY WEIGHT.

I'M HERE FOR THE PAIN.

I KNOW
I PUT ON SOME WEIGHT,

BUT I DON'T WANT TO HEAR THAT
RIGHT NOW. I JUST --

OKAY, WELL,
YOU HAVE TO UNDERSTAND --

TAKE CARE OF THIS PAIN.

IF NOT, THEN I CAN JUST
GO HOME RIGHT NOW.

ALL RIGHT, YOU NEED
TO CHANGE YOUR ATTITUDE.

I'M -- OKAY.

YOU NEED TO CHANGE
YOUR ATTITUDE.

YOU'RE HERE
FOR ALL YOUR PROBLEMS.

YOU'RE GAINING WEIGHT,
AND YOU HAVE BEHAVIOR

THAT DOESN'T MAKE
A WHOLE LOT OF SENSE.

SO, WHAT YOU'RE SAYING

IS THAT YOU DON'T BELIEVE
THAT I'M IN PAIN.

YOU HAVE A PAIN --

ARE YOU SAYING THAT YOU DON'T
BELIEVE THAT I'M IN PAIN?

JUST LISTEN
TO WHAT I'M TELLING YOU.

OKAY. SEE, THIS IS WHY I DIDN'T
WANT TO COME TO THIS DOCTOR.

YOU DON'T WANT
TO COME TO THE DOCTOR,

YOU CAN WALK OUT RIGHT NOW
IF YOU WANT TO

BECAUSE YOU HAVE TO UNDERSTAND
THAT YOU HAVE ADDICTIVE PROBLEM,

AND YOU HAVE A PROBLEM
THROUGH ADDICTION TO FOOD,

ADDICTION TO MEDICINE,

AND ALL THOSE THINGS
ARE NOT GONNA GO AWAY.

YOU HAVE TO WORK ON THEM.

YOU CANNOT BE IGNORING THE FACT
THAT YOU'RE GAINING WEIGHT.

YOU CANNOT
IGNORE THE FACT --

OH, I'M NOT IGNORING IT.
I KNOW.

I FEEL IT.
I CARRY IT EVERY DAY.

OLIVIA, YOU NEED TO GET AHOLD
OF THIS SITUATION NOW.

IF YOU DON'T,
YOU'RE GOING TO KEEP GAINING

AND RISK ENDING UP
600 POUNDS AGAIN.

YOU DON'T WANT THAT.

Dr. Nowzaradan: WEIGHT LOSS
IS NOT AN ON AND OFF SWITCH.

IT'S A LIFESTYLE COMMITMENT
AND HAS TO BE MAINTAINED DAILY.

I'LL SEE YOU SOON.

SHE NEEDS TO STOP MAKING EXCUSES
AND GET BACK WITH THE PROGRAM

OR HER SITUATION IS GOING TO GET
VERY OUT OF CONTROL.

Olivia:
I'M VERY FRUSTRATED RIGHT NOW.

I FEEL LIKE HE DON'T BELIEVE ME.

I'M NOT COMING BACK.
I'LL TELL YOU THAT RIGHT NOW.

I'M JUST NOT COMING BACK.

**

Zsalynn: I'VE BEEN RECOVERING
FROM MY SKIN REMOVAL SURGERY

THIS PAST MONTH, AND SO FAR,

IT'S BEEN THE WORST RECOVERY
I'VE EVER HAD.

I'M JUST IN CONSTANT PAIN,
AND IT'S BEEN MISERABLE.

I HAVE TO
KEEP EMPTYING MY DRAINS,

AND I HAVE TO KEEP CLEANING
ALL MY SUTURES.

OKAY.
I FEEL LIKE AN ALIEN

WITH ALL OF THESE TUBES RUNNING
IN AND OUT OF ME.

SO, I'VE STOPPED
LOOKING AT MYSELF RIGHT NOW

BECAUSE I'M WAITING UNTIL I HEAL

TO TRY AND WRAP MY HEAD
AROUND IT.

FOR SO MANY YEARS, I HATED WHAT
I HAD DONE TO MY BODY

AND HOW IT PREVENTED ME
FROM DOING ALMOST ANYTHING.

NOW I'M MAKING PROGRESS.

I JUST WANT TO HEAL AS FAST
AS I CAN AND GET PAST THIS PART.

I KNOW IN MY HEAD
IT WILL BE WORTH IT WHEN I DO.

BUT RIGHT NOW,
IT DOESN'T FEEL LIKE IT.

**

Olga: SO, WHAT HAPPENED
WITH THE DOCTOR?

YOU KNOW, HE GOT MAD.

HE DIDN'T BELIEVE
I WAS IN THE PAIN I SAID I WAS.

ALL HER CARED ABOUT
WAS MY WEIGHT LOSS.

HE KIND OF GOT UPSET
'CAUSE I HAD GAINED SOME WEIGHT.

THAT'S NOT GOOD.
NO, IT'S NOT.

HE SAID I WAS MAKING
TOO MUCH EXCUSES,

AND THEN
HE STARTED SAYING

THAT I'M ADDICTED
TO PAIN MEDICATION.

HE'S NOT THE ONLY DOCTOR THAT
PRESCRIBES PAIN MEDICATIONS.

IF I WAS, I COULD GET THEM,
IF I WANT.

YEAH, BUT IT'S
NOT GOOD ANYWAY.

IT'S NOT GOOD.

MAYBE THE DOCTOR
IS RIGHT A LITTLE.

I NOTICE YOU'VE BEEN
DRINKING SODA A LOT.

I'VE BEEN TRYING
TO TELL YOU THAT.

IT'S NOT GOOD FOR YOU.

I'M NOT DOING IT
JUST TO PICK ON YOU OR NOTHING,

BUT I'M JUST TRYING
TO TELL YOU TO HELP YOU.

YOU STOPPED EATING
ALL THAT JUNK FOR A WHILE.

WHY DID YOU
START EATING IT?

WELL, JUST STRESS
OF NOT WORKING,

BEING HERE AT HOME
DOING NOTHING.

I WANT TO GET OUT
AND GO TO WORK ALREADY.

I JUST --
YOU KNOW.

YOU'VE GOT A SECOND CHANCE
AT LIFE.

YOU'VE GOT TO GET TO IT
AND DO BETTER BY IT,

'CAUSE IF YOU CONTINUE TO,
YOU KNOW,

GO BACK TO YOUR OLD HABITS,

YOU'RE NOT GONNA
REACH YOUR GOAL.

**

Olivia: TODAY,
I'M GONNA WORK OUT AT THE GYM

SO I CAN START PUSHING MYSELF
TO MAKE PROGRESS AGAIN.

AFTER TALKING WITH MY SISTER,

I REALIZED I GOT
A LITTLE OVER-CONFIDENT

BECAUSE I HAD LOST
A LOT OF WEIGHT ALREADY.

I THOUGHT I COULD JUST
DO IT AGAIN WHEN I WANTED.

BUT ADDICTION AND WEIGHT LOSS
IS NOT THAT EASY,

AND YOU JUSTIFY
YOUR BAD BEHAVIOR.

BUT THE ONLY WAY
TO STAY IN CONTROL

IS TO STOP WITH ALL THE EXCUSES.

AND WHEN YOU MAKE MISTAKES,

YOU HAVE TO BE READY
TO ADMIT AND CORRECT THEM.

AND THAT'S WHAT I'M DOING
RIGHT NOW.

[ EXHALES SHARPLY ]

THAT'S ONLY 10 POUNDS,
AND IT'S HURTING.

NO PAIN, NO GAIN.

[ GROANS ]

WHEN I WAS AT MY HEAVIEST LIVING
WITH MY PARENTS IN CHICAGO,

I COULDN'T EVEN CLIMB
A FEW STEPS OUT OF THE BASEMENT.

I CAN'T.
WHAT IS IT?

[ Voice breaking ]
I CAN'T CLIMB THE STAIRS.

YEAH, YOU CAN, OLIVIA.

I CAN'T BELIEVE
WHAT I'M DOING NOW.

* DUN, DA-DA, DAAAA *

IT'S INCREDIBLE.

NOW I'M SO CLOSE TO MY GOAL.

THE DOCTOR WANTS ME BELOW 180
TO GET MY SKIN SURGERY.

Woman:
YOU HAVE A GOOD DAY.

THANK YOU.

SO, NEXT TIME I GO SEE HIM,

I'M HOPING THE SCALE GOES BACK
IN THE RIGHT DIRECTION,

WHICH IS DOWN.

**

IT'S BEEN A FEW MONTHS
SINCE MY SKIN SURGERY,

AND I'M FEELING A LOT BETTER.

MY INCISIONS HAVE BEEN
HEALING WELL,

AND I'M EXCITED TO FINALLY
BE THROUGH WITH ALL THAT PAIN.

BUT I STILL FEEL LIKE
I'M THAT 600-POUND PERSON,

AND I THOUGHT
GETTING SKIN SURGERY

WOULD FINALLY HELP ME WITH THAT.

BEFORE, I WAS IN A WORLD
WHERE BIG WAS BEAUTIFUL.

AND THAT WAS MY IDENTITY.

NOW I FEEL LOST, SO I'M GONNA
SEE A THERAPIST TODAY.

I'M DR. ANN-LOUISE LOCKHART.
IT'S NICE TO MEET YOU.

FOLLOW ME.

SO, WHY DON'T YOU START OFF
BY TELLING ME

WHAT YOUR ULTIMATE GOAL
WOULD BE

IN TERMS OF WHAT YOU WANT TO GET
OUT OF LIFE IN GENERAL?

I JUST WANT TO BE HAPPY.
OKAY.

AND LOSING WEIGHT
HASN'T MADE ME HAPPIER.

ALL IT'S DONE
IS MAKE ME HEALTHIER.

SO, WHAT DOES HAPPINESS
LOOK LIKE, THEN?

I DON'T KNOW.
[ LAUGHS ]

YOU KNOW, I'M SO HAPPY
I'VE LOST 300 POUNDS.

I HAVE A FIGURE.

I HAVE BIG HIPS,
AND I HAVE A SMALL WAIST,

AND I FEEL LIKE
THAT'S WHAT I SHOULD LOOK LIKE.

BUT I FEEL LIKE
I'M LETTING PEOPLE DOWN

WHEN I SAY, "I'M HAPPY."

WHY DO YOU FEEL LIKE
YOU'RE LETTING PEOPLE DOWN?

BECAUSE I'M
STILL CONSIDERED "FAT."

PEOPLE STILL LOOK AT ME,
ON THE OUTSIDE --

SO YOU MUST BE UNHAPPY.
RIGHT.

IT SOUNDS LIKE
YOU FEEL LIKE

YOU'RE ALWAYS HAVING
TO JUSTIFY YOUR EXISTENCE

AND YOUR BEAUTY AND WHY
YOU'RE SATISFIED WITH YOURSELF.

YOU FEEL LIKE
PEOPLE FEEL LIKE

THERE'S NO REASON WHY YOU SHOULD
BE HAPPY WITH YOURSELF.

THAT'S RIGHT.

NOW, TODAY, PEOPLE SAY TO ME,
"HOW MUCH DO YOU WEIGH?

HOW MUCH HAVE YOU LOST?"

I REFUSE
TO GET ON A SCALE.

RIGHT.

I HAVE 40 YEARS OF
JUDGING MYSELF BY THAT NUMBER.

IT WAS NEVER LOW ENOUGH,
IT WAS NEVER RIGHT ENOUGH.

[ SNIFFLES ]
SO, I'M JUST NOT DOING IT.

BUT YOU KNOW,
THE BOTTOM LINE --

YOU COULD BE THE IDEAL WEIGHT
AND BE THE PERFECT SHAPE

AND HAVE THE PERFECT SKIN

AND HAVE ALL THESE THINGS
THAT PEOPLE VIEW AS PERFECT,

AND THEY'RE STILL GONNA
JUDGE YOU ANYWAY.

IT CAN'T BE DETERMINED
BY OTHER PEOPLE.

IT HAS TO BE
DETERMINED BY YOU.

SO, YOU JUST HAVE TO BE
THAT BEAUTIFUL WORK OF ART

THAT YOU'RE HAPPY WITH
AND THAT YOU TREASURE,

EVEN IF NO ONE ELSE DOES.

AND YOU HAVE TO THEN START
LOOKING AT YOURSELF

FROM A DIFFERENT LENS
'CAUSE YOU'VE SEEN YOURSELF

FROM THE SAME LENS
FOR SO LONG.

SO, WHAT I'D LIKE
FOR YOU TO DO

IS LOOK AT SOMETHING
WHERE YOU CAN KEEP MAYBE EVEN,

LIKE, A DAILY-EXPERIENCES DIARY,
IF YOU DON'T ALREADY,

WHERE YOU JUST WRITE DOWN
MAYBE ONE THING YOU'RE GRATEFUL

FOR THAT DAY
SO THAT YOU CAN STAY FOCUSED

ON MOVING FORWARD RATHER THAN
ALWAYS LOOKING BACK.

BECAUSE YOU'RE NOT
THE SAME PERSON ANYMORE.

THANK YOU SO MUCH,
DR. LOCKHART.

YOU'RE VERY WELCOME.
YOU'RE WELCOME.

Zsalynn: IT'S HARD TO LET GO
OF WHAT EVERYONE ELSE THINKS,

AND I DON'T SEE MYSELF AS
BEAUTIFUL, AND I DON'T KNOW WHY.

I HAVE TO FIND THE BEAUTY
THAT'S THERE IN ME

THAT I'M JUST NOT SEEING
RIGHT NOW.

**

Olivia: TODAY,
I'M GONNA SEE DR. NOW AGAIN.

LAST TIME I SAW HIM,
I WAS PRETTY UPSET

BECAUSE I DIDN'T WANT
TO TALK ABOUT MY WEIGHT.

OLIVIA CRUZ.

I LET MYSELF SLIP,
AND HE WAS RIGHT.

SO, I'M JUST HOPING
I MADE ENOUGH PROGRESS

TO AT LEAST CONVINCE HIM TO TAKE
ME BACK AND NOT GIVE UP ON ME.

**

Olivia:
I'M HOPING I'M ABOUT TO SHOW
DR. NOW A LOT OF GOOD PROGRESS.

I WAS AT 217
WHEN I SAW THE DOCTOR LAST,

SO I AT LEAST WANT
TO BE BELOW 210 TODAY

TO SHOW HIM I'M BACK ON TRACK,

AND I DON'T WANT TO LOSE
MY SKIN SURGERY.

Woman: 202.
WHAT?

[ BOTH CHUCKLE ]

HI, OLIVIA.
HELLO, DOCTOR.

HOW ARE YOU TODAY?
I'M GOOD.

WELL, I'M GLAD
TO HEAR THAT.

SO, NOW THAT YOU'RE BACK ON
TRACK TO GET YOUR WEIGHT DOWN,

WE'RE ALMOST THERE
TO GET YOU UNDER 180

SO WE CAN DO
YOUR SKIN SURGERY.

OKAY. ME AND MY SISTER ARE
EATING DIFFERENT NOW, YOU KNOW?

STAYING AWAY
FROM ALL THOSE SUGARY DRINKS.

I'M JUST DRINKING WATER
AND UNSWEETENED TEA.

SO, YOU'RE ALL SUPPORTING
EACH OTHER, HUH?

WE'RE SUPPORTING
EACH OTHER.

GREAT.

Dr. Nowzaradan:
I'M PROUD OF OLIVIA.

SHE WORRIED ME FOR A BIT,

BUT SHE HAS MADE
SIGNIFICANT CHANGES IN HER LIFE,

AND IF SHE CONTINUES
TO MAKE PROGRESS,

I THINK SHE'LL BE ABLE
TO GET HER FINAL SKIN SURGERY

IN THE NEXT THREE
TO FOUR MONTHS.

I'M NOT GONNA
LET YOU DOWN.

I'M GONNA
GET TO THIS GOAL WEIGHT

SO THAT WE CAN DO
THIS SKIN REMOVAL.

OKAY.
THANK YOU, DOCTOR.

ALL RIGHT.
ALL RIGHT.

Olivia: I'M REALLY GLAD
I WAS ABLE TO DO THIS TODAY,

AND THE DOC DIDN'T
GIVE UP ON ME.

I'M GONNA KEEP WORKING HARD
NO MATTER WHAT,

AND I'M HITTING MY FINAL GOAL
OF 150 POUNDS

AND GETTING BACK TO MY LIFE.

**

WE'RE GONNA WALK
AROUND THE PARK.

OKAY.

FOR MONTHS, I'VE BEEN
WORKING THROUGH THE PAIN

TO REHAB MY KNEE,

AND FOR THE FIRST TIME
SINCE I CAN REMEMBER,

I CAN BE ACTIVE
AS MUCH AS I WANT

WITHOUT HAVING TO USE MY CANE
OR REST MY KNEE.

ARE YOU TIRED?

NO, I'M JUST TRYING TO HOLD HIM.
HE'S GOING FAST.

I'LL HOLD HIM.

I'M SO EXCITED
THAT MY DREAMS

ARE NOT JUST HOPES
FOR THE FUTURE NOW.

THEY'RE LITERALLY STARTING
TO HAPPEN.

HOW DO YOU FEEL ABOUT RIB EYE
STEAKS FOR DINNER TONIGHT?

MY BIGGEST DREAM HAS BEEN
TO BECOME A CHEF,

TO MAKE FOOD
FOR OTHER PEOPLE.

BUT I HAD TO STOP TRAINING

BECAUSE I COULDN'T STAND AND
MOVE AROUND LIKE I NEEDED TO.

BUT NOW THAT I CAN
STAND ALL DAY,

I'M GOING BACK TO PICK BACK UP
WHERE I LEFT OFF.

AND I'M SO EXCITED ABOUT THAT.

I AMAZE MYSELF.

THE FUTURE I HOPED FOR
IS SO CLOSE NOW.

I'M GONNA SHOW YOU HOW TO SAUTé
ALL THE VEGETABLES.

THIS IS NOT JUST MY DREAM,
IT'S MY INDEPENDENCE.

I CAN BE BACK OUT
IN SOCIETY AGAIN,

AND I CAN MAKE A LIVING
FOR THE FIRST TIME

IN ALMOST
A DECADE AND A HALF.

JUST THREE YEARS AGO,
I WAS BARELY ABLE TO MOVE,

BARELY ABLE TO
TAKE CARE OF MYSELF AT ALL.

[ GROANS, SIGHS HEAVILY ]

NOW, I'M A COMPLETELY
DIFFERENT PERSON.

I'M ABLE TO BE PART OF SOCIETY
AGAIN AND GO OUT IN THE WORLD.

I'M SO HAPPY RIGHT NOW,

AND I'M DEDICATED
TO MAKING MORE PROGRESS,

AND I'M DOING EVERYTHING I CAN

TO KEEP THIS NEW LIFE THAT I'VE
BEEN GIVEN A CHANCE TO HAVE.

**

IT'S BEEN A WHILE
SINCE MY SKIN REMOVAL,

AND MY INCISIONS ARE
ALMOST COMPLETELY HEALED.

MY STOMACH IS FLAT NOW,

AND THAT'S SOMETHING
I NEVER THOUGHT I'D SEE AGAIN.

BUT MORE IMPORTANTLY,

I'VE FINALLY BEEN CLEARED
TO EXERCISE AND BE ACTIVE AGAIN.

I'VE EVER STARTED DOING YOGA.

I'VE BEEN WORKING
ON SEEING MYSELF

THROUGH A DIFFERENT LENS
LIKE THE THERAPIST SAID,

AND I FEEL LIKE
I'M STARTING TO BECOME THE ME

I'VE ALWAYS WANTED TO BECOME.

I'M MORE THAN A NUMBER,
SO I'M DONE WITH SCALES.

I HAVE OTHER WAYS
TO DETERMINE PROGRESS,

LIKE HOW I FEEL
AND HOW MUCH ENERGY I HAVE.

AND I'M STARTING TO BECOME
MORE CONFIDENT IN WHO I AM.

SO, I FIGURE IT'S TIME I START

GETTING BACK OUT THERE
AND DATING AGAIN.

ZSALYNN?
YES, LARRY?

LARRY, YES.
HI, LARRY.

IT'S NICE TO MEET YOU.

THREE YEARS AGO,
I COULD BARELY EVEN GET UP

TO LEAVE THE HOUSE BACK THEN.

BUT I'M FINALLY
LIVING LIFE AGAIN,

AND I'M SLOWLY LEARNING
I'M BEAUTIFUL BECAUSE I'M ME,

AND I KNOW
THERE ARE GOING TO BE OTHERS

THAT SEE THAT BEAUTY IN ME, TOO.