Original subtitles

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.