Original subtitles

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

Milla: I CAN'T EVEN TAKE CARE OF MYSELF.

MY CHILDREN HAVE TO DO EVERYTHING FOR ME.

Charity: I FEEL LIKE SOME MONSTER.

Nikki: I'M IN SO MUCH PAIN.

[ Crying ] IT'S MISERABLE.

Brittani: MY BODY IS THE MOST DISGUSTING THING IN THE WORLD.

**

Woman: I'M TERRIFIED RIGHT NOW.

June: I'M RISKING MY LIFE FOR A BETTER LIFE.

I LOVE YOU, MOMMY.

-OOH, CHILD! -PULL. GOOD. THERE YOU GO!

GOOD JOB.

Teretha: I'M GETTING STRONGER, BUT I KNOW I HAVE A LONG WAY TO GO.

Paula: I CAN'T WAIT TO SEE WHAT THE FUTURE HOLDS.

**

Susan: I AM NOW EXPRESSING MYSELF AND LIVING MY OWN TRUTH.

Milla: I'M SO HAPPY ABOUT THE PROGRESS I'VE MADE.

June: I AM LIVING LIFE, AND I'M LOVING EVERY SECOND OF IT.

I'VE ACCOMPLISHED A LOT THIS YEAR.

All: YEAH!

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Charity: I'M EMBARRASSED OF MY BODY.

I KNOW I LOOK LIKE A FREAK.

FROM THE INSIDE, I FEEL NORMAL.

BUT WHEN I SEE MYSELF IN A MIRROR,

I FEEL LIKE SOME MONSTER.

AND MY BODY IS LITERALLY FALLING APART.

IF MY FIANCé AND DAUGHTER DIDN'T HELP ME,

I WOULDN'T BE ABLE TO DO ANYTHING.

Charly: I THINK MY MOM GAVE UP ON HERSELF.

SHE'S TOLD US, "I DON'T WANT TO LIVE ANYMORE."

I GOT THIS FOR YOU.

Charity: I THINK IT WOULD BREAK CHARLY'S HEART

IF SHE FOUND ME DEAD ONE DAY.

AND IF I DON'T GET HELP NOW, I'M NOT GONNA MAKE IT.

I'M GONNA DIE. I KNOW I'M GONNA DIE.

I HOPE THIS DOCTOR CAN HELP ME.

BUT I JUST FEEL LIKE MY BODY

IS WORSE OFF THAN THE PEOPLE HE'S SEEN.

Dr. Nowzaradan: CHARITY IS IN PRETTY BAD SHAPE.

HER SITUATION IS VERY SERIOUS RIGHT NOW.

778.

IF I SEND HER HOME,

I'M CONCERNED THIS MAY BE THE LAST TIME I SEE HER.

OUR ONLY OPTION IS TO ADMIT HER TO A HOSPITAL RIGHT NOW.

YOU'RE GONNA BE ON A STRICT DIET, ABOUT 1,000 CALORIES.

HIGH PROTEIN DIET, LOW CARB.

WE HAVE TO GET HER WEIGHT UNDER CONTROL BEFORE IT'S TOO LATE.

IF SHE CAN'T BE STRONG ENOUGH FOR HERSELF TO DO IT,

I'M GONNA BE STRONG FOR HER.

-THE CARROTS ARE GOOD. -MM-HMM.

Charly: I'M NOT GONNA LET HER SABOTAGE HERSELF.

Charity: I'VE BEEN IN THE HOSPITAL FOR A COUPLE MONTHS NOW.

AND IT'S BEEN HARD.

BUT HE DOCTOR SAID I'M DOING WELL ENOUGH TO GO HOME.

LONG-TERM SUCCESS IS FAR MORE LIKELY FOR PATIENTS

WHO SHOW THEY CAN CONTROL

THEIR EATING HABIT IN THEIR HOME.

SO I NEED TO SEE IF SHE CAN LOSE 40 POUNDS OVER THE NEXT MONTH.

IF SHE DOES, I WILL APPROVE HER FOR SURGERY.

Woman: TAKE A DEEP BREATH.

Charity: THIS SURGERY'S GONNA GIVE ME MY LIFE BACK.

THE PULSE LOOKS OKAY, AND THERE'S NO AIR LEAKS,

SO WE'RE IN GOOD SHAPE.

Charity: [ Crying ] WHY?

I WANT TO KEEP MAKING PROGRESS, BUT IT'S JUST SO HARD RIGHT NOW.

I DON'T KNOW WHAT TO DO.

AND I FEEL LIKE WE'RE ALL JUST FALLING BACK

INTO OUR OLD HABITS.

I'M REALLY CONCERNED ABOUT CHARITY'S LACK OF PROGRESS.

SHE CAN EASILY DEVELOP AN INFECTION FROM THE SORES

THAT THE MASS IS CAUSING.

AND THAT COULD BE A LIFE-THREATENING SITUATION.

YOUR AREN'T LOSING MUCH WEIGHT.

WHY IS THAT?

I DON'T KNOW. I DON'T KNOW.

YOU'RE CLEARLY STILL HAVING

A LOT OF ISSUES WITH YOUR ADDICTION,

SO I'M GOING TO SEND YOU TO A THERAPIST.

-NICE TO MEET YOU. -NICE TO MEET YOU, TOO.

MY DAD WAS A LOT OF THE REASON THAT I'M SO OVERWEIGHT

BECAUSE HE WOULD COME HOME DRUNK AND BEAT US.

MY HEAD IS STUCK IN THE PAST.

I DON'T WANT IT TO BE IN THE PAST.

I WANT TO MOVE FORWARD.

AND I WANT TO BE ABLE TO FORGIVE EVERYTHING AND JUST MOVE ON.

Charity: I CAN DO SO MUCH MORE NOW, AND I PLAN TO TAKE ADVANTAGE OF IT.

YOUR WEIGHT IS DOWN ENOUGH FOR US TO DO YOUR SKIN SURGERY.

YAY!

I'VE BEEN CARRYING THIS MASS AROUND FOR 10 YEARS.

SO I'M READY TO GET IT REMOVED.

Dr. Nowzaradan: WE GOT SOME PIECES OFF.

WE TOOK A 57-POUND FATTY TUMOR OFF OF HER,

AND SHE NO LONGER

HAS TO HAUL THIS MASS OF FLUID AND THE FAT.

I'M HOPING THAT HER WEIGHT LOSS IS GONNA BE MUCH FASTER

AFTER THIS SURGERY.

Charity: I DIDN'T THINK I'D EVER BE INDEPENDENT AGAIN.

I'M VERY HAPPY OF HOW FAR MY MOM'S COME.

SHE'S DROPPED LIKE HALF OF HER BODY WEIGHT.

Charity: SINCE I'VE LOST SO MUCH WEIGHT, THE EXTRA SKIN ON MY STOMACH

HAS BEEN CAUSING A LOT OF PROBLEMS.

Dr. Nowzaradan: WE'RE GONNA SEE IF WE CAN REMOVE ALL THE TISSUE

THAT IS THE SOURCE OF INFECTION.

THIS WAS ABOUT 38 POUNDS OF HANGING TISSUE.

Charly: I'M WORRIED THAT MY MOM IS STILL IN THE HOSPITAL.

AND IT'S SCARY.

AND FOOD IS THE ONLY THING THAT MAKES ME FEEL BETTER.

Dr. Nowzaradan: YOU DON'T WANT TO MAKE THE SAME MISTAKE

THAT YOUR MOTHER IS LIVING WITH TODAY.

-DON'T CRY. -OKAY?

-WE'RE JUST TRYING TO HELP. -I KNOW.

Charity: IT'S HARD. I KNOW.

I'M THE ONE WHO GOT YOU IN THE HABIT OF OVEREATING

AND EATING THE WRONG FOOD.

YES, BUT THERE COMES A POINT IN TIME

WHERE IT'S NOT YOUR BATTLE ANYMORE, IT'S MY BATTLE.

Eddins: THEY'RE STILL NEGOTIATING, LIKE,

"HOW DO WE DO THIS MOTHER/DAUGHTER THING?"

I JUST NEED YOU TO SUPPORT ME AND HAVE QUALITY TIME WITH ME.

CHARITY, WHAT DOES THAT SOUND LIKE FOR YOU?

-I CAN THIS. -YOU CAN DO THIS.

YOU CAN DO THIS. THAT'S VERY POSITIVE.

Charity: WE HAVE TO CHANGE HOW WE'RE LIVING,

AND I THINK WE'RE FINALLY ON THE SAME PAGE.

I'VE BEEN A BAD EXAMPLE FOR SO LONG.

BUT IF WE CAN STICK TO THIS DIET,

I JUST KNOW THAT CHARLY WILL LOSE THE WEIGHT SHE NEEDS TO.

I THINK IT'S GREAT THAT YOU WANT TO EAT HEALTHY WITH ME.

-338. -WOW.

Charly: GOOD JOB.

IT WAS 390 BEFORE.

WOW, YOU DID LOSE WEIGHT.

-YEAH. -GOOD JOB.

THANKS, MOM.

Dr. Nowzaradan: SEEING THAT CHARLY AND CHARITY --

THEY'RE WORKING MORE AS A TEAM NOW.

Charity: MOST OF HER TIME HAS BEEN SPENT TAKING CARE OF ME,

AND NOW IT'S OUR TIME TO HAVE FUN.

Charly: IT'S NICE TO JUST BE MOTHER AND DAUGHTER.

Charity: I CAN'T WAIT TO SEE WHAT THE FUTURE HOLDS FOR US.

THE PAST TWO YEARS, I'VE HAD SO MANY UPS AND DOWNS.

IT'S BEEN A HARD JOURNEY TO GET TO WHERE I AM TODAY.

AND JUST ABOUT EVERYTHING IN MY LIFE IS DIFFERENT NOW.

BUT THE CHANGE I'M MOST THANKFUL FOR

IS MY RELATIONSHIP WITH CHARLY.

SHE'S GONE FROM HAVING TO BE MY CARETAKER

TO JUST BEING ABLE TO BE MY DAUGHTER.

I'D GOTTEN SO IMMOBILE THAT EITHER MY FIANCé TONY OR CHARLY

HAD TO DO EVERYTHING FOR ME.

AND NOW I'M SO THANKFUL I HAVE THE CHANCE TO TRY AND UNDO

SOME OF THE DAMAGE THAT I CAUSED.

TO NOT ONLY CHANGE MY DYNAMIC WITH CHARLY

BUT TO HELP HER GET HEALTHY LIKE I AM.

SHE'S JUST STARTING WITH HER WEIGHT-LOSS JOURNEY,

AND WHAT I WANT IS FOR THIS TO BE A BIG YEAR FOR BOTH OF US.

I WANT TO GET MY FINAL SKIN SURGERIES

AND HIT MY TARGET WEIGHT.

AND I WANT CHARLY TO START LOSING

A SIGNIFICANT AMOUNT OF WEIGHT.

AND WE'RE GOING TO DO IT TOGETHER AS A TEAM.

YOU SURE YOU DON'T WANT YOURS?

YOU'RE NOT HUNGRY RIGHT NOW?

'CAUSE I CAN COOK IT FOR YOU IF YOU WANT.

THE ONE HARD THING THAT LOSING WEIGHT HAS CAUSED, THOUGH,

IS HOW IT'S AFFECTED MY RELATIONSHIP WITH TONY.

ME AND TONY RIGHT NOW,

OUR RELATIONSHIP IS AT A STANDSTILL

BECAUSE I'M CHANGING AND HE'S FEELING UNNEEDED.

SINCE THE VERY BEGINNING, HE'S ALWAYS HAD

TO TAKE CARE OF ME WITH CHARLY.

AND OUR WHOLE RELATIONSHIP REVOLVED AROUND ME NEEDING HIM.

AND NOW THAT I CAN TAKE CARE OF MYSELF,

TONY DOESN'T KNOW WHERE HE FITS IN ANYMORE.

SO WE ARE WORKING ON THAT.

BUT IT HAS PUT A STRAIN ON OUR RELATIONSHIP.

AND WE'RE KIND OF LIKE MORE ROOMMATES RIGHT NOW.

I THINK THAT WE CAN FALL BACK IN LOVE.

I JUST DON'T KNOW IF IT WILL HAPPEN.

AND I'M SAD ABOUT THAT.

BUT I'M NOT GONNA STOP BEING INDEPENDENT.

SO FOR RIGHT NOW, WE'RE STAYING TOGETHER,

BUT WE SLEEP IN SEPARATE ROOMS.

AND WE'RE TRYING TO FIGURE OUT OUR NEW DYNAMIC,

BUT THIS IS A LOT OF CHANGE FOR ALL OF US,

AND MOST OF IT'S GOOD

BECAUSE I'M GETTING HEALTHY AND I'M GETTING MY LIFE BACK.

BUT CHARLY HAS GOT TO BE MY FOCUS PRIMARILY RIGHT NOW.

AND WE'RE WORKING TO UNDO A WHOLE HISTORY

OF BEING OVERWEIGHT IN OUR FAMILY.

SO, I'VE DECIDED I'M GOING TO BE A PATIENT OF DR. NOW'S

AND GET THE SURGERY.

I'M GLAD. I'M PROUD OF YOU.

I THINK THAT YOU SHOULD, 'CAUSE IT RUNS IN OUR FAMILY.

Charly: I'M EXCITED ABOUT DOING THIS WITH MY MOM.

I'VE SEEN HOW WELL SHE'S DOING,

AND IT'S INSPIRING ME TO WANT TO DO IT, TOO.

SO I'M HOPING DR. NOW LETS ME DO THE PROGRAM,

AND MAYBE GET WEIGHT-LOSS SURGERY TOO.

WHEN WE GO BACK TO IOWA, IT'S GONNA BE LIKE, WATCH OUT

'CAUSE HERE COME A BUNCH OF BABES.

OH, MY GOSH, MOM. JUST STOP.

[ Laughing ] I LOVE YOU.

AND YOU'LL BE LOOKING ALL SEXY.

GIVE ME YOUR PLATE. I NEED TO LEAVE THIS ROOM.

I'LL BE LIKE, "WE'RE BOTH THE SAME SIZE."

Charity: I'M SO EXCITED WE'RE DOING THIS TOGETHER.

THAT ALONE IS GIVING ME SO MUCH MOTIVATION TO KEEP WORKING HARD.

AND MY NEXT WEIGHT-LOSS GOAL IS TO GET UNDER 300 POUNDS

SO I CAN START TO GET EXCESS SKIN REMOVED FROM MY LEGS.

I NEED TO GET A LOT CUT OFF.

IT JUST DANGLES.

HERE'S MY KNEE.

SO ALL THIS CAN GO, AND ALL THIS HAS TO GO.

AND THEN, THIS IS THE BACK OF MY LEGS.

IT'S HEAVY.

SO I'M HOPING TO GET TO A POINT THIS YEAR

WHERE I CAN START TO PUT ALL OF MY OLD LIFE BEHIND ME,

AND CAN START LIVING MORE LIKE A NORMAL PERSON.

AND I'M JUST HOPING WHEN WE SEE DR. NOW

AT OUR NEXT APPOINTMENT THAT WE'RE STAYING ON TRACK

AND MAKING GOOD PROGRESS.

I WANT US BOTH TO HIT OUR TARGET WEIGHTS THIS YEAR.

AND I KNOW WE'RE GOING TO WORK AS HARD AS WE CAN TO GET THERE.

Milla: I'VE BEEN TRAPPED WITHIN THESE FOUR WALLS

FOR MORE THAN TWO YEARS,

AND DURING THAT TIME, I HAVE NOT STOOD NOT ONE TIME.

I'M TOO BIG TO GET UP ANYMORE,

SO MOST OF EVERYTHING AROUND THIS HOUSE FALLS ON MY CHILDREN.

CHILDREN THEIR AGE SHOULD NOT HAVE

TO TAKE CARE OF THEIR PARENTS.

I SHOULD BE TAKING CARE OF THEM.

I DON'T WANT TO DIE LIKE THIS.

THIS IS NOT THE MEMORY THAT I WANT FOR MY CHILDREN TO HAVE,

THAT I ATE MYSELF INTO A GRAVE.

BUT I DON'T EVEN KNOW HOW TO STOP EATING.

SO TODAY, ME AND MY WHOLE FAMILY ARE PACKING UP TO MOVE TO TEXAS.

THERE'S A DOCTOR THERE WHO HAS AGREED TO SEE ME.

YOU READY FOR THIS MOVE?

I GUESS SO.

MILLA HAS A LOT OF ISSUES THAT WE NEED TO ADDRESS

BEFORE SHE'S READY FOR ANY WEIGHT-LOSS SURGERY.

LET'S CHECK YOUR WEIGHT REAL QUICK.

MILLA HAS A LOT OF YOUNG KIDS THAT BRING HER FOOD.

AT THEIR AGE, THEY DON'T KNOW ANY BETTER.

SO MILLA HAS CREATED A VERY BAD SITUATION FOR HERSELF.

Milla: THIS PAST MONTH HAS BEEN HARD, BUT I'VE STAYED WITH MY DIET

AND WHAT I SHOULD BE EATING.

AND THE KIDS HAVE BEEN TAKING TURNS

DOING PHYSICAL THERAPY WITH ME.

THIS IS LITERALLY MY LAST CHANCE,

SO NOTHING IS GONNA STOP ME FROM GETTING SURGERY

AND GETTING UP OUT OF THIS BED.

644. SO YOU LOST ABOUT 60 POUNDS.

OKAY. THAT'S GOOD.

Dr. Nowzaradan: MILLA HAS DONE WELL.

SHE LOST THE WEIGHT SHE NEEDED, SO THIS TIME

I'M GOING TO APPROVE HER FOR LYMPHEDEMA SURGERY.

REMOVING THIS MASS IS GOING TO BE A HUGE CHANGE FOR MILLA.

IT'S WHAT KEPT HER IMMOBILE ALMOST THREE YEARS NOW.

SO THIS REMOVAL TODAY IS GOING TO BE THE MOST SIGNIFICANT STEP

IN REGAINING HER MOBILITY.

SURGERY WENT VERY WELL.

WE DID A FIVE-POUND FLUID THAT WE LOST.

WE REMOVED 43 POUNDS FROM HER BODY.

THIS KIND OF OPERATION,

UNFORTUNATELY, TAKES A LONG TIME TO HEAL.

AND SHE'S GOING TO HAVE TO GET UP AND OUT OF HER BED

IF SHE WANTS WEIGHT-LOSS SURGERY.

Milla: SO, THIS IS THE DAY THE DOCTOR WANTS ME TO TRY AND STAND UP.

PUT SOME PRESSURE ON YOUR FEET AND PUSH THEM AGAINST THE SCALE.

[ GRUNTS ]

Dr. Nowzaradan: IF SHE WON'T BE ABLE TO STAND,

THEN WE WON'T BE ABLE TO DO MUCH FOR HER.

Milla: NO MATTER HOW BAD I WANT THIS OR HOW HARD I PUSH MYSELF,

I GET TO THE EDGE OF THE BED

AND I THINK, "I CAN'T DO THIS."

Caleb: I LIKE SEEING MY MOM UP LIKE THIS.

IT GIVES ME HOPE.

RIGHT ABOUT THERE.

I'M JUST ENJOYING THIS MOMENT WITH MY KIDS.

IT'S SO, SO WONDERFUL.

YEAH, BRING THE SCALE IN.

I'M SCARED. I'M GETTING SCARED NOW.

DON'T GET SCARED, MILLA. WE GOT YOU.

Dr. Nowzaradan: SHE'S GOING TO HAVE TO GET UP AND OUT OF HER BED

IF SHE WANTS WEIGHT-LOSS SURGERY.

Dr. Nowzaradan: JUST STRAIGHTEN UP.

Milla: LET ME GO! LET ME GO! I GOT IT!

OKAY. NOW THAT YOU CAN STAND UP,

I'M GONNA APPROVE YOU FOR YOUR WEIGHT-LOSS SURGERY.

I'M SO HAPPY. I'M REALLY READY.

THE DOCTOR APPROVED ME FOR WEIGHT-LOSS SURGERY.

YEAH, HE DID. [ CHEERS AND APPLAUSE ]

EVERY TIME I WANTED TO GIVE UP HOPE, I THOUGHT OF MY KIDS,

AND THAT GAVE ME THE MOTIVATION

TO KEEP PUSHING AND TO KEEP DOING THIS.

SINCE STANDING FOR THE FIRST TIME IN YEARS A FEW WEEKS AGO,

I'VE BEEN SO MOTIVATED ABOUT MY WEIGHT LOSS.

IT WAS A HARD YEAR FOR ME, BUT IT ALL STARTED TO PAY OFF.

NOW THE BIGGEST THING I'M LOOKING FORWARD TO

IS SPENDING TIME WITH MY KIDS AND DOING MORE WITH THEM.

BEING ABLE TO GET OUTSIDE AND ENJOY THEM HAVING FUN

WAS SUCH A HUGE GIFT TO ME

BECAUSE THEY SHOULDN'T HAVE TO TAKE CARE OF ME LIKE THEY DO.

I'M THE PARENT, AND I NEED TO CHANGE ALL OF THAT

AND BE THE MOM I WANT TO BE TO THEM.

BUT RIGHT NOW, MY OLDEST SON ESAU IS TAKING ON THE COOKING

AND MANAGING THE WHOLE HOUSEHOLD.

AND ALL OF THEM ARE CLEANING AND MAKING SURE EVERYTHING GETS DONE

BECAUSE I STILL HAVE TO HAVE MY WHOLE WORLD BROUGHT TO ME.

SINCE MY MOM HAS STARTED THE DIET,

SHE HAS BEEN DOING GOOD.

SHE HASN'T BEEN MESSING UP WITH JUNK FOOD.

I HAVEN'T SEEN HER LOSE WEIGHT LIKE THIS IN A LONG, LONG TIME.

IT MAKES ME FEEL GOOD

'CAUSE THAT'S WHAT SHE'S BEEN WANTING TO DO.

GOD IS GOOD.

All: LET US THANK HIM FOR OUR FOOD.

AMEN.

EAT.

Milla: ELROY'S BEEN IN THE HOSPITAL FOR THE PAST COUPLE OF WEEKS.

HE WENT IN FOR MINOR VEIN-REPAIR SURGERY

AND WAS SUPPOSED TO BE BACK HOME BY NOW,

BUT HE GOT AN INFECTION AND HAD TO STAY LONGER TO RECOVER.

AND IT'S BEEN HARD FOR ALL OF US.

BUT HE'S SUPPOSED TO BE HOME IN THE NEXT WEEK.

AND I CAN'T WAIT FOR HIM TO GET BACK, BECAUSE I MISS HIM.

I'M EXCITED THAT MY LIFE IS ABOUT TO CHANGE.

AND THAT'S GONNA CHANGE THE LIFE OF MY WHOLE FAMILY.

MY WEIGHT-LOSS SURGERY IS IN THREE WEEKS.

AND I CAN'T WAIT FOR MY WHOLE LIFE TO CHANGE.

Charity: TODAY, CHARLY AND ME ARE AT DR. NOW FOR OUR APPOINTMENT,

AND I'M REALLY HOPING WE BOTH HIT OUR WEIGHT-LOSS GOALS.

I THINK IT'S GONNA BE HARD IF ONE OF US

ISN'T MAKING PROGRESS AS MUCH AS THE OTHER,

BUT I'M FEELING CONFIDENT WE'RE BOTH DOING GOOD.

I WANT TO GET MY NEXT SKIN REMOVAL REALLY BAD.

AND I JUST WANT CHARLY TO START MAKING THE PROGRESS SHE NEEDS.

SO WE'RE BOTH REALLY NERVOUS RIGHT NOW

BECAUSE I REALLY WANT US TO DO THIS TOGETHER.

**

Charity: WE'RE BOTH REALLY NERVOUS RIGHT NOW.

I WAS AT 338 POUNDS, AND I'M SUPPOSED TO BE UNDER 298

IF I STAYED ON TRACK.

SO I'M JUST REALLY HOPING THAT WE BOTH HIT OUR GOALS TODAY

AND THAT WE'RE STAYING ON TRACK TOGETHER.

Woman: 329.

I'LL GO THIS WAY.

Charly: I WAS 376 WHEN I CHECKED MY WEIGHT AT DR. NOW'S LAST TIME,

AND HE DIDN'T REALLY GIVE ME ANY WEIGHT-LOSS GOALS.

BUT I'M HOPING THAT I'M AT LEAST DOWN TO 356 TODAY.

384.

Charity: THIS IS REALLY DISCOURAGING.

IT JUST FEELS LIKE A LOT OF HARD WORK FOR VERY LITTLE RESULT,

AND THEN, I DON'T KNOW HOW CHARLY GAINED WEIGHT,

BECAUSE I THINK WE'RE PRACTICALLY

EATING THE SAME EXACT THING.

BUT I DON'T THINK DR. NOW IS GONNA HAPPY WITH US.

[ KNOCK ON DOOR ]

-HELLO. -HELLO.

HOW Y'ALL DOING?

WE'RE OKAY.

ALL RIGHT.

SO CHARITY, YOU ONLY LOST NINE POUNDS

SINCE LAST TIME I SAW YOU. -MM-HMM.

YOU SHOULD'VE LOST AT LEAST DOUBLE OF WHAT YOU DID.

SO WHAT'S GOING ON?

IT'S LIKE I'M AT A FREAKING STALL.

NO MATTER WHAT I DO, IT DOESN'T GO DOWN.

WELL, IT'S SIMPLE TO UNDERSTAND.

IF YOU'RE NOT LOSING, YOUR CALORIE INTAKE IS TOO HIGH.

THAT'S IT. -OKAY.

IF YOU THINK YOU'RE EATING LESS,

THEN YOU AREN'T MEASURING YOUR PORTIONS,

AND YOU NEED TO DO THAT. -MM-HMM.

WHATEVER YOU'RE EATING IS SUPPORTING 330 POUNDS.

SO YOU HAVE TO BE EATING OVER 3,000 CALORIES A DAY.

AND CHARLY IS CLOSE TO 4,000 CALORIES A DAY

TO BE GAINING LIKE SHE HAS.

SO YOU ALL ARE OVEREATING.

Dr. Nowzaradan: I AM HAPPY THAT CHARITY

AND CHARLY HAVE BEEN WORKING TOGETHER

TO LOSE WEIGHT,

BUT THEY'RE ACTUALLY ENABLING EACH OTHER

IN SMALL WAYS

THAT THEY MAY NOT EVEN FULLY REALIZE.

BUT I'M HOPING THAT THEY WILL START WORKING TOGETHER

A LITTLE BIT BETTER AND REDUCE

WHAT THEY'RE EATING NOW THAT THEY REALIZE

THEY ARE NOT MAKING THE PROGRESS THAT THEY THINK THEY ARE.

BUT WE'LL HAVE TO WAIT AND SEE.

I HAVE A LOT OF LOOSE SKIN THAT I WANT TO SHOW YOU.

I'VE BEEN JUST DEALING WITH IT AT HOME

AND SUFFERING THROUGH THE PAIN.

THAT HOLDS ME BACK THE MOST.

IT'S SO HEAVY.

IT'S LIKE A WATER BALLOON.

AND I THINK ONCE IT'S OFF, I'LL BE ABLE TO DO A LOT OF THINGS.

BUT THEN, I HAVE THIS, TOO.

I HAVE LIKE, A REALLY BIG, BIG MASS THINGY.

AND I HAVE A LOT OF SAGGY SKIN.

I HAVE A LOT OF IT.

THAT'S NOT ONLY SAGGING SKIN.

THAT'S A LOT OF FAT. -YEAH.

SO YOU STILL NEED TO LOSE MORE WEIGHT.

BUT THE NEXT SKIN REMOVAL WILL NEED TO BE YOUR LEFT LEG.

SO IF YOU GET UNDER 300 POUNDS, THEN WE CAN FOCUS ON THAT.

BUT YOU HAVE A LITTLE WAYS TO GO FIRST,

AND YOU NEED TO GET BACK ON TRACK.

AND THEN WE GO FROM THERE.

-OKAY. -OKAY?

SO...

Charity: WHAT ABOUT CHARLY?

IS SHE READY FOR WEIGHT-LOSS SURGERY?

SHE WANTS TO SEE IF YOU'LL GIVE HER THE SLEEVE.

OKAY, LET'S NOT GET AHEAD OF OURSELVES.

SURGERY IS NOT A TOOL THAT IS GONNA CHANGE YOUR EATING HABIT.

MM-HMM.

SURGERY IS A TOOL THAT IS GONNA MAKE HER EAT LESS,

BUT THAT IS NOT GONNA BE A CURE FOR HER PROBLEM.

IF SHE'S GAINING WEIGHT NOW, SHE'S NOT ANYWHERE

CLOSE TO BEING READY FOR WEIGHT-LOSS SURGERY.

SO HERE'S WHAT I WANT YOU TO DO.

I WANT YOU BOTH TO LOSE 20 POUNDS IN A MONTH.

AND CHARLY, IF YOU DO THAT,

I'LL APPROVE YOU FOR WEIGHT-LOSS SURGERY.

AND CHARITY, IF YOU GET UNDER 300 POUNDS,

I'LL APPROVE YOU FOR EXCESS SKIN REMOVAL ON YOUR LEFT LEG.

AND WE'LL GO FROM THERE. -OKAY.

-OKAY. -ALL RIGHT.

I'LL SEE Y'ALL LATER. -THANK YOU.

MM-HMM.

Charity: I WAS REALLY HOPING THAT AT LEAST CHARLY COULD GET APPROVED

FOR WEIGHT-LOSS SURGERY.

SHE'S AT LEAST IN THE 300s,

BUT I'M WORRIED SHE'S GOING TO BE OVER 400 SOON

AND THAT SHE'LL JUST KEEP GAINING

IF SHE DOESN'T GET HELP.

SO I'M JUST REALLY DISCOURAGED RIGHT NOW.

BUT I KNOW THAT MEANS WE HAVE TO TRY HARDER.

'CAUSE WE CAN'T GIVE UP.

Milla: A COUPLE OF DAYS AGO, I GOT A CALL FROM THE HOSPITAL

WHERE ELROY IS,

AND THEY HAD BAD NEWS, BECAUSE HE HAD A HEART ATTACK.

IT TOOK SO LONG FOR THEM TO RESUSCITATE HIM

THAT THEY DON'T EXPECT HIM TO MAKE IT.

SO THEY DOCTOR SAID WE NEED TO COME SEE HIM TO SAY GOODBYE.

THEY KIDS HAVE BEEN ABLE TO GO AND SAY THEIR GOODBYES,

BUT I CAN'T.

MY HUSBAND'S GONNA DIE,

AND I CAN'T GET UP FROM MY BED TO SAY GOODBYE.

AND I'M JUST HEARTBROKEN.

THE WHOLE FAMILY IS.

OH.

BUT I NEED TO BE STRONG FOR MY KIDS,

SO I CALLED DR. NOW

AND TOLD HIM I CAN'T GO THROUGH THE SURGERY RIGHT NOW,

NOT WHILE ALL THIS IS GOING ON.

THE KIDS NEED ME HERE.

AND I CAN'T TAKE THE TIME TO BE AWAY FOR SO LONG,

NOT WHEN WE'RE GONNA HAVE TO MAKE PREPARATIONS FOR ELROY.

BUT I JUST CAN'T GO INTO SURGERY AND LEAVE THEM

WITHOUT A PARENT RIGHT NOW,

AND WORSE, DO SOMETHING THAT IS HIGH-RISK

AND POTENTIALLY LEAVE THEM ALL ALONE IN THIS WORLD.

I CAN'T ALLOW IT.

SO I NEED SOME TIME BEFORE I CAN EVEN THINK

ABOUT HAVING THE SURGERY.

I JUST NEED TO TAKE CARE OF THEM HOWEVER I CAN.

Charity: CHARLY AND ME HAVE GONE BACK TO THE DRAWING BOARD

WITH THE MEALS WE'RE MAKING

AND HOW MUCH WE'RE EATING TOGETHER.

AND I'VE DECIDED THAT I WANT TO TRY AND COOK

MOST OF THE MEALS MYSELF.

WHAT DO YOU FEEL LIKE COOKING?

I'M GONNA COOK SOME STIR FRY.

Charity: WHEN WE COOK TOGETHER, I FEEL LIKE WE START TO ADD

A LITTLE MORE FOOD THAN WE SHOULD,

BUT CHARLY HAS COOKED AND TAKEN CARE OF ME

SINCE SHE WAS 10,

AND IT'S TURNING OUT TO BE A DIFFICULT TRANSITION FOR HER

TO LET ME BE A MOM.

SHE'S SO USED TO DOING IT HER WAY.

NOW THAT I'M GETTING BETTER, I WANT TO DO IT MY WAY.

BUT SHE DOESN'T THINK I KNOW WHAT I'M DOING,

SO SHE JUST DOESN'T LET UP.

LOOK, YOU'RE CHICKEN'S STICKING 'CAUSE YOU'RE NOT STIRRING IT.

DID YOU PUT OLIVE OIL IN THAT PAN ALREADY?

YEP.

-THE BIG ONE? -YES.

Charity: BUT ALL THE MEALS SHE MADE FOR US ALL THESE YEARS ARE THE ONES

THAT WEREN'T HEALTHY FOR ME OR HER.

THEY HAD A LOT OF SALT AND A LOT OF BUTTER AND STUFF

THAT MAKES THE MEALS SO HIGH-CALORIE.

AND IT DOESN'T MATTER WHAT IT IS.

IF YOU COOK IT WITH BAD STUFF, IT'S STILL UNHEALTHY.

AND THEN, WE'RE GOING TO BE OVER OUR DAILY CALORIE LIMIT

IN JUST ONE MEAL...

IF YOU'RE GONNA TURN IT UP, YOU NEED TO MAKE SURE YOU STIR IT

OR IT'LL STICK TO THE PAN.

...AND I DON'T THINK SHE GETS THAT.

CHARLY, STOP BEING MOTHER HEN.

I JUST TURNED THAT DOWN.

YOU DON'T HAVE TO KEEP STIRRING IT.

I WANT IT TO STAY IN THE SAME PLACE.

YOU COOK IT THE WAY YOU WANT TO COOK IT.

I'LL GO JUST BE OVER HERE.

Charly: I THINK MY MOM DOESN'T REALLY KNOW HOW TO BE MY MOM.

SHE'LL SAY THINGS, AND IT COMES OUT INSULTING

INSTEAD OF ENCOURAGING.

AND I DON'T REALLY THINK WE'RE HELPING EACH OTHER.

Charity: WE'RE TOGETHER ALL THE TIME.

WE GET ON EACH OTHER'S NERVES.

WE SNAP AT EACH OTHER FOR NO REASON.

WE NEED A BREAK FROM EACH OTHER.

AND IT'S BECOME A SERIOUS ISSUE IN OUR RELATIONSHIP

AND WITH OUR EATING.

AND I DON'T KNOW WHAT TO DO.

**

Charity: I'M STRUGGLING A WHOLE LOT RIGHT NOW.

CHARLY AND ME HAVE BEEN FIGHTING ABOUT EVERYTHING NON-STOP,

AND OUR RELATIONSHIP JUST ISN'T GOOD RIGHT NOW.

AND I'M REALLY DEPRESSED ABOUT IT.

I DON'T KNOW HOW THINGS GOT THIS BAD SO FAST BETWEEN US.

AFTER OUR LAST APPOINTMENT WITH DR. NOW,

WHEN WE BOTH DIDN'T DO WELL,

I REALIZED THAT WHAT WE WERE DOING TOGETHER WASN'T WORKING.

SO I NEEDED TO TAKE CHARGE A LITTLE MORE

TO MAKE SURE WE'RE DOING EVERYTHING RIGHT.

AND CHARLY DIDN'T REACT WELL TO ME TAKING ON MORE OF EVERYTHING.

SHE'S ALWAYS TAKEN CARE OF ME SINCE SHE WAS 10.

AND NOW THAT I'M TRYING TO BE THE MOM I'M SUPPOSED TO BE,

IT'S HARD FOR HER TO GIVE THAT BACK TO ME.

AND THE ONLY WAY WE DON'T REALLY FIGHT IS

IF NEITHER OF US TRY TO COOK TOGETHER.

AND WE JUST EAT SOMETHING THAT MAKES US FEEL GOOD.

DO YOU WANT TO HAVE SOME LUNCH?

YEAH, I GUESS.

WELL, DO YOU WANT TO JUST DO A, LIKE, FAST-FOOD DRIVE-THROUGH?

OKAY.

I MEAN, YOU WANT TO GO GET IT?

YEAH, I'LL GO GET IT.

OKAY.

-ALL RIGHT. -THANK YOU.

CHARLY TREATS ME LIKE I'VE BEEN THE ONE MAKING HER DO THIS

AND THAT THIS IS ALL UNFAIR.

AND THE ONLY WAY I CAN MAKE HER HAPPY FOR THE MOMENT

IS TO LET US TAKE A BREAK FROM THE DIET.

SO AT LEAST FOR ONE MEAL A DAY, I'M LETTING US CHEAT

SO WE CAN SURVIVE TOGETHER.

WHEN I EAT, IT'S LIKE A TIMEOUT.

AND FOR A MOMENT, I CAN JUST BE HAPPY.

I HAVE TO FIND A WAY TO TURN US AROUND

BECAUSE WE BOTH CAN'T START TO GAIN AGAIN.

WE COULD LOSE EVERYTHING WE'RE WORKING TOWARD.

Milla: ABOUT A WEEK AGO, ELROY'S CONDITION GOT WORSE

AND THEY TOOK HIM OFF LIFE SUPPORT,

AND HE PASSED AWAY.

THERE WAS JUST NOTHING THEY COULD DO FOR HIM.

HIS BODY COULDN'T RECOVER FROM THE HEART ATTACK.

SO THE KIDS AND I ARE JUST WORKING TOGETHER

TO SUPPORT EACH OTHER AND GET THROUGH THIS TIME.

BUT IT'S HARD.

MY KIDS LOST THEIR FATHER, AND I LOST MY HUSBAND.

[ Voice breaking ] I FEEL LIKE I LOST MY BEST FRIEND.

WE'VE BEEN TOGETHER SINCE I WAS 24.

I MISS HIM EVERY DAY.

[ SIGHS ]

IT'S GONNA BE DIFFERENT WITHOUT HIM BEING AROUND HERE.

IT'S GONNA BE A LITTLE OVERWHELMING.

OVERWHELMING.

AND I STILL THINK ABOUT HIM.

EVEN JESUS DIED ON THE CROSS, SO WHO ARE WE?

NOBODY'S EXEMPT FROM DEATH.

SO I CAN'T TAKE YOUR MIND OFF IT.

I CAN'T BUY NOTHING TO HELP YOU.

THERE'S NO PILL TO TAKE.

[ Voice breaking ] THERE'S NO TRIP YOU CAN GO ON.

[ CRYING ]

WE'RE ALL JUST TRYING TO HELP EACH OTHER

DEAL WITH ALL THE PAIN RIGHT NOW.

AND WHEN I START TO FEEL TOO OVERWHELMED FROM IT ALL,

I JUST SHUT IT DOWN,

BECAUSE I NEED TO BE HERE FOR MY KIDS,

AND I DON'T HAVE TIME FOR THAT OR ANYTHING ELSE,

INCLUDING WEIGHT-LOSS SURGERY,

SO I TOLD DR. NOWZARADAN I WOULD LET HIM KNOW WHEN I'M READY.

AND HE SAID HE UNDERSTOOD, BUT IF TOO MUCH TIME HAS PASSED,

THEN I WILL HAVE TO GET REEVALUATED.

SO I'M NO LONGER APPROVED FOR WEIGHT-LOSS SURGERY.

MY FAMILY'S MY HIGHEST PRIORITY.

AT LEAST UNTIL WE'RE ALL ABLE TO GET THROUGH THIS TOGETHER.

THEN I CAN MAKE THE TIME TO HAVE SURGERY.

Charity: CHARLY AND ME ARE BACK TO SEE DR. NOW.

BUT WE'RE REALLY CONCERNED ABOUT WHAT THE SCALE

IS GOING TO SAY TODAY,

BECAUSE WE'VE HAD OUR MOMENTS WHERE WE'VE COMPROMISED.

BUT WE'VE ALSO TRIED REALLY HARD AT TIMES THIS PAST TWO MONTHS,

SO I'M NOT SURE WHAT TO EXPECT WHEN I GET ON THE SCALE.

CHARLY AND ME ARE STILL NOT DOING SO WELL.

SOME DAYS, WE'RE NOT TALKING MUCH.

AND OTHERS, IT SEEMS LIKE WE JUST FIGHT THE WHOLE TIME.

SO I'M REALLY UPSET ABOUT THAT

AND DON'T KNOW WHAT TO DO TO FIX IT.

CHARITY PIERCE?

BUT I'M JUST HOPING WE'RE STILL MAKING SOME PROGRESS.

BECAUSE IF WE'RE NOT, AND WE CAN'T GET OUR SURGERIES,

THEN IT'S GOING TO BE HARD FOR BOTH OF US TO TAKE.

AND I'M WORRIED IT'S GONNA MAKE THINGS EVEN WORSE

BETWEEN CHARLY AND ME.

SO WE JUST NEED TO SEE SOMETHING POSITIVE TODAY.

**

Charity: CHARLY AND ME ARE AT DR. NOW'S CLINIC.

LAST TIME I WAS HERE, I WAS AT 329.

AND DR. NOW WANTED ME TO GET DOWN TO 289.

BUT IT'S BEEN REALLY DIFFICULT THESE PAST COUPLE MONTHS,

SO I'M JUST HOPING WE'VE MADE SOME PROGRESS.

Woman: 353.

THAT'S DISAPPOINTING.

YOUR TURN.

SO THAT MEANS CHARLY'S PROBABLY WORSE OFF THAN ME.

Charly: I'M HOPING I DIDN'T GAIN LIKE MY MOM.

LAST TIME, I WAS UP TO 384,

AND DR. NOW HAD GIVEN ME A GOAL OF GETTING UNDER 344 TODAY.

Woman: 393.

Charity: I'M NOT SURE HOW I GAINED MORE THAN CHARLY.

BUT THIS IS NOT GOOD FOR EITHER OF US

BECAUSE WE'RE FURTHER AWAY FOR GETTING ANY APPROVALS,

AND I'M WORRIED THIS IS JUST THE BEGINNING OF THINGS

GETTING MUCH WORST BETWEEN CHARLY AND ME.

[ KNOCK ON DOOR ]

-HELLO. -HELLO.

ALL RIGHT.

SO, YOU BOTH HAVE GAINED THESE PAST TWO MONTHS.

BECAUSE LAST TIME WE SAW YOU, YOU WERE 329 POUNDS.

YOU ARE NOW 353.

-YES. -SO WHAT'S BEEN GOING ON?

I'M NOT GONNA LIE TO YOU AND SAY

I FOLLOWED THE DIET COMPLETELY 100%.

IT'S MY MIND.

IT'S MY MENTAL.

AND I THINK I'M SABOTAGING MYSELF, AND I DON'T KNOW WHY,

'CAUSE THAT'S WHAT I'VE DONE MY WHOLE LIFE.

THEN I GET INTO THIS DEPRESSION

WHERE I DON'T EVEN WANT TO GET OUT OF BED

AND THEN THAT'S WHEN I FALL INTO AN OLD HABIT

AND EAT SOMETHING I'M NOT SUPPOSED TO EAT.

OKAY. BOTH OF YOU HAVE AN EATING DISORDER.

AND IT SEEMS LIKE NEITHER ONE OF YOU

ARE WILLING TO MAKE CHANGES.

YOU BOTH ARE FEEDING EACH OTHER BAD EATING HABITS.

AND THIS DYNAMIC BETWEEN YOU TWO

IS GETTING MORE TOXIC THAN POSITIVE.

YOU'RE SUPPORTING EACH OTHER GAINING WEIGHT.

AND YOUR WHOLE SITUATION IS GETTING BAD VERY FAST.

Dr. Nowzaradan: THE DYNAMIC BETWEEN CHARITY AND CHARLY

IS VERY UNFORTUNATE TO SEE.

BUT CHARITY IS BLAMING HER EMOTIONS,

WHEN SHE IS THE MOM

AND NEEDS TO TAKE CONTROL OF THE SITUATION

AND MAKE SURE THEY BOTH GET BACK ON TRACK.

AND IF THEY DON'T FIGURE OUT HOW TO DO THIS TOGETHER,

THEN THEY'RE GOING TO BECOME

EVEN MORE SELF-DESTRUCTIVE QUICKLY.

LET ME TELL YOU WHAT EXACTLY IS GONNA HAPPEN TO YOU, OKAY?

IN TWO YEARS, YOU'RE GONNA BE UP TO 600 POUNDS.

-IT'S GUARANTEED. -I'M NOT GONNA LET THAT HAPPEN.

YOU'RE GONNA HAVE THOSE MASSES THAT YOU HAD

IN EXACTLY THE SAME PLACE.

IT'S GONNA COME BACK.

SO I DON'T SEE ANY SOLUTION FOR YOU AT THIS TIME

UNLESS YOU TAKE PERSONAL RESPONSIBILITY AND CHANGE IT.

CHARLY, WE NEED TO STOP AND ONLY BUY THE THINGS

THAT WE'RE SUPPOSED TO BUY AND STOP BUYING CRAP.

CHARITY, YOU WANT TO BE THE MOM AGAIN?

THEN, YOU NEED TO TAKE THE LEAD AND MAKE THE CHOICES

THAT YOU'RE SUPPOSED TO, AND STOP BLAMING CHARLY.

WELL, DON'T GIVE UP ON ME YET

BECAUSE I'M GONNA TRY TO DO A LOT BETTER.

I'M NOT GIVING UP ON YOU,

BUT I'M REALISTIC ABOUT THE SITUATION.

-I KNOW. -SO GET BACK ON TRACK.

AND I WANT YOU BOTH TO LOSE 20 POUNDS A MONTH

LIKE YOU WERE SUPPOSED TO UNTIL YOUR NEXT VISIT.

AND CHARITY, I'M GOING TO SEND YOU BACK TO A THERAPIST

TO TALK THROUGH SOME OF THESE EMOTIONAL ISSUES

THAT YOU MENTIONED.

THINGS ARE GETTING OUT OF HAND FOR BOTH OF YOU QUICKLY.

AND IF YOU DON'T GET CONTROL OF THE SITUATION,

THEN YOU WILL START TO SPIRAL OUT OF CONTROL.

-MM-HMM. -ALL RIGHT.

I'LL SEE YOU IN TWO MONTHS.

OKAY.

THANK YOU, DR. NOW.

**

Charity: I HEAR WHAT HE'S SAYING, THAT I AM THE MOM,

AND IT'S ON ME TO TAKE CONTROL.

BUT IT'S NOT GOING TO BE EASY.

ESPECIALLY WITH HOW STRONG-WILLED CHARLY IS.

SO I DON'T KNOW WHERE I'D EVEN START.

**

Milla: IT'S BEEN A MONTH SINCE ELROY PASSED,

AND THE KIDS AND I HAVE BEEN GETTING THROUGH IT ALL.

Y'ALL READY TO THROW ME ACROSS THE ROOM?

YEAH.

Milla: I WILL ADMIT, I'VE JUST STAYED IN MY BED,

AND I HAVEN'T DONE MUCH.

BUT IT'S BEEN SUCH A HARD TIME.

AND I'VE BEEN REALLY DEPRESSED.

SO I KNOW I HAVEN'T BEEN DOING AS MUCH AS I SHOULD HAVE.

BUT THE KIDS HAD A TALK WITH ME ABOUT GETTING BACK

TO WHAT I NEED TO BE DOING.

THEY TOLD ME THEY WERE CONCERNED

I WAS GONNA LOSE EVERYTHING I WORKED

TO DO THIS PAST YEAR.

SO TODAY, I'M GETTING OUT OF BED

AND I'M MAKING THEM DINNER FROM THE KITCHEN.

I DON'T WANT THE KIDS TO HAVE TO KEEP TAKING CARE OF ME.

THEY'VE HAD TO DO IT FOR FAR TOO LONG.

ONE, TWO, THREE.

AND I MADE PROGRESS OVER THE PAST YEAR,

BUT I KNOW I STILL HAVE A LONG WAYS TO GO.

I MADE A PROMISE TO MY FAMILY, MY KIDS, AND ELROY TO DO THIS.

SO I'VE STALLED LONG ENOUGH.

IT DOES FEEL GOOD TO FINALLY BE UP AGAIN

AND DOING SOMETHING OUT OF MY BED.

THERE'S SO MUCH I WANT TO DO WITH MY KIDS,

AND I CAN'T LET MYSELF LOSE ALL THE MOBILITY

THAT I'VE GAINED THIS PAST YEAR

BECAUSE I LOVE MY FAMILY TOO MUCH TO LET THAT HAPPEN.

SO I'M GONNA REACH OUT TO DR. NOW'S OFFICE

AND SET UP AN APPOINTMENT TO GO BACK TO SEE HIM.

I KNOW I NEED TO LOSE MORE WEIGHT WHEN I DO

IF I'M GOING TO BE ABLE TO GET WEIGHT-LOSS SURGERY.

SO I'M GONNA WORK HARD TO DO THAT.

BECAUSE IT'S TIME I DO THIS,

FOR ME AND MY FAMILY.

**

Charity: I'M GOING TO SEE THE THERAPIST TODAY

AND HOPEFULLY TALK THROUGH SOME THINGS.

I'M SO SAD ABOUT HOW THINGS ARE BETWEEN ME AND CHARLY,

AND I JUST WANT TO KNOW HOW WE FIX IT.

AND IT'S GETTING TO THE POINT WHERE I DON'T KNOW

IF WE CAN DO THIS TOGETHER.

SO I'M READY TO LISTEN AND TRY WHATEVER I CAN DO

BECAUSE I WANT TO REPAIR OUR RELATIONSHIP SO BADLY.

[ KNOCK ON DOOR ]

-HI. CHARITY? -HI. YES.

HI. I'M AYESHA.

-HI. -IT'S NICE TO MEET YOU.

READY TO COME BACK AND TALK?

OKAY. SO, TELL ME A LITTLE BIT ABOUT HOW YOU GOT

TO WHERE YOU ARE TODAY.

TWO YEARS AGO, I WAS 800 POUNDS.

RIGHT NOW, I'M AT 353.

I WAS AT 330. -MM-HMM.

SO I'VE SLOWLY CREPT UP THERE BY EATING THINGS I SHOULDN'T EAT.

SO THAT SOUNDS LIKE THAT'S PROBABLY NOT

A HEALTHY SITUATION FOR YOU, RIGHT?

YES. I HAVE A COUPLE OF DAYS WHERE I'M REALLY HAPPY,

I'M HAVING MY HIGHS,

AND THEN I'LL HAVE MY REALLY BAD LOWS

WHERE I DON'T WANT TO GET OUT OF BED.

AND I NEED TO GET MOTIVATED

BACK INTO MY JOURNEY OF LOSING WEIGHT.

SO LET'S TALK ABOUT THAT FOR A MINUTE, OKAY?

SO WHEN YOU'RE HAVING YOUR REALLY HIGH HIGHS

AND YOU'RE HAPPY AND YOU'RE DOING THINGS

THAT YOU WANT TO DO,

WHAT'S SHIFTED FOR YOU TO START ON THE LOW LOWS?

ME AND MY DAUGHTER HAVE SO MUCH TENSION.

AND WE'RE WITH EACH OTHER SO MUCH THAT WE WANT TO, LIKE,

MURDER EACH OTHER. -[ CHUCKLES ]

AND SHE GETS MAD ABOUT EVERYTHING.

SHE'LL THROW THINGS, SHE'LL RUN INTO HER ROOM.

SHE'S 21, ACTING LIKE SHE'S 5.

SHE MAKES ME FEEL LIKE CRAP EVERY DAY.

THESE THINGS THAT ARE HAPPENING ARE TRIGGERS.

EVERY TIME YOU GET AN ATTITUDE WITH YOUR DAUGHTER

OR SHE GETS AN ATTITUDE WITH YOU,

YOU'RE ALLOWING THAT TO TRIGGER YOU

AND THEN TAKE CONTROL OVER YOU.

YES. BUT I DON'T KNOW HOW TO NOT LET IT BOTHER ME.

HOW DO I JUST LET HER SAY WHAT SHE HAS TO SAY AND BE QUIET?

HOW DO YOU DO THAT?

BECAUSE YOU GUYS ARE PRETTY MUCH ON TOP OF EACH OTHER,

ALL YOU HAVE IS EACH OTHER, RIGHT?

SHE WANTS TO AGITATE YOU.

SHE KNOWS EVERY BUTTON TO PUSH.

AND WHEN YOU KNOW THAT,

YOU CAN REDIRECT HER IN ANOTHER DIRECTION.

"HEY, WHY DON'T YOU GO WATCH SOMETHING ON TV?

WHY DON'T YOU GO READ A BOOK?

WHY DON'T YOU GO FOR A WALK OUTSIDE?"

SO INSTEAD OF ENGAGING IN THE ARGUMENT WITH HER,

FIND A WAY TO TAKE HER OUT OF THAT ARGUMENT.

AND HOW ABOUT WE TRY JOURNALING?

AND WITH THAT, IT'S JUST WRITING DOWN EVERY SINGLE THING

THAT YOU'RE DOING EVERY SINGLE DAY.

SO WHEN YOU GO BACK AND YOU LOOK AT YOUR GOOD DAYS

AND YOUR BAD DAYS, YOU CAN START TO SEE PATTERNS.

AND WHEN YOU'RE HAVING A GOOD DAY VERSUS A BAD DAY,

YOU CAN SAY, "OKAY, WHAT DID I DO DIFFERENTLY?

SO I NEED TO DO MORE OF THIS AND LESS OF THIS.

I DO WANT TO START JOURNALING, YEAH.

YEAH, I FEEL A LOT BETTER, TALKING TO YOU.

WELL, GOOD. I'M GLAD.

THANK YOU.

Charity: IT FELT GOOD TALKING TODAY.

I GOT A LOT OUT.

AND I THINK SHE HAD A LOT OF GOOD IDEAS.

I WANT THINGS TO GET BETTER FOR CHARLY

BECAUSE I KNOW IF THEY DON'T,

THEN WE'RE GONNA KEEP GAINING MORE.

AND WORSE, OUR RELATIONSHIP IS REALLY GOING TO START TO SUFFER.

AND TO BE LOSING MY HEALTH AND MY DAUGHTER

AT THE SAME TIME IS DEVASTATING TO ME.

**

Charity: TODAY, I THOUGHT WE SHOULD HAVE SOME FUN AS A FAMILY,

SO I'M TAKING CHARLY AND TONY TO GO BOWLING.

SINCE SEEING THE THERAPIST,

I'VE BEEN TRYING TO DO WHAT SHE TOLD ME.

AND WHEN CHARLY TRIES TO PUSH MY BUTTONS, I IGNORE HER.

BUT IT'S NOT EASY ALL THE TIME, SO I HAVEN'T BEEN PERFECT AT IT.

BUT I'M THE MOM, AND IT FALLS ON ME TO TAKE CONTROL

AND MAKE SURE THAT WE START TO REPAIR OUR RELATIONSHIP

AND GET BETTER TOGETHER.

MOST OF OUR FIGHTING REVOLVED AROUND FOOD AND LOSING WEIGHT.

AND I THINK WE EVEN STARTED TO GET

A LITTLE COMPETITIVE ABOUT IT.

I KNOW I DID, IF I'M BEING HONEST.

AND THAT'S JUST SILLY.

I REALLY WANT US TO HAVE A HEALTHY RELATIONSHIP.

**

Charly: THINGS HAVE BEEN A LITTLE BETTER BETWEEN ME AND MY MOM.

AND I'M HAPPY ABOUT THAT.

SO I'M LOOKING FORWARD TO JUST HAVING SOME FUN

WITH HER AND TONY AND JUST BEING A FAMILY.

Charity: I FEEL LIKE THERE HAS BEEN SOME IMPROVEMENT BETWEEN US.

AND PART OF THE PROBLEM WAS WE WEREN'T HAVING FUN

OR JUST HANGING OUT AND ENJOYING EACH OTHER,

SO THAT'S WHAT WE'RE DOING TODAY.

AND HOPEFULLY, THAT WILL HELP US START

TO GET BACK TO A HEALTHIER PLACE.

I'VE COME SO FAR,

AND I'M PROUD OF HOW MUCH I'VE LOST.

I WOULD'VE NEVER IMAGINED THAT

I COULD JUST GO OUT AND DO SOMETHING LIKE THIS.

AND NOW I'M AMAZED AT MY LIFE.

GOOD JOB.

BUT THE THOUGHT OF GETTING HERE AND THEN CHARLY GETS TO A PLACE

WHERE SHE'S TOO BIG TO DO SOMETHING LIKE THIS

JUST BREAKS MY HEART.

SO I DON'T WANT TO DO THIS WITHOUT HER.

YOU THINK YOU'RE THE BOMB?

'CAUSE I AM THE BOMB.

HE THROWS LIKE A GRANNY.

[ CHUCKLES ]

DO YOU KNOW YOU THROW LIKE A GRANNY?

AND SO DO YOU. IT'S YOUR TURN.

I KNOW I DO, BUT THAT'S THE DIFFERENCE.

I'M A GIRL.

Charity: WE HAVE TO STOP OUR FIGHTING AND SELF-DESTRUCTIVE BEHAVIOR

THAT AFFECTS EACH OTHER.

AND I'M GOING TO MAKE SURE WE DO THAT

BECAUSE CHARLY MEANS THE WORLD TO ME.

COME ON, MOM. YOU CAN DO IT.

AND WE CAN BE EACH OTHER'S GREATEST SUPPORT

AND A SOURCE OF STRENGTH.

THERE YA GO!

SO THAT'S WHAT I'M GOING TO MAKE SURE HAPPENS.

Milla: TODAY, I'M GOING OUT FOR THE FIRST TIME IN FIVE MONTHS.

AM I'M GONNA SEE DR. NOW FOR AN APPOINTMENT.

THIS WILL BE MY FIRST TIME IN HIS OFFICE.

SO I'M A LITTLE EXCITED.

AND NERVOUS.

I WAS SO IMMOBILE BEFORE THAT I HAD TO GO BY AMBULANCE,

AND THEN I COULD ONLY GO TO THE HOSPITAL

BECAUSE I HAD TO GET WEIGHED IN A BED.

SO I'M EXCITED THAT I'M ABLE TO GET IN A WHEELCHAIR NOW

AND THAT I CAN GO BY NORMAL VEHICLE.

IT'S BEEN MAYBE SEVEN YEARS SINCE I'VE GONE ANYWHERE

IN A VEHICLE THAT WASN'T AN AMBULANCE.

WHAT I'M HOPING IS THAT WHEN I SEE DR. NOW TODAY,

HE'LL SCHEDULE ME AGAIN FOR MY WEIGHT-LOSS SURGERY.

I DON'T KNOW WHAT DR. NOW'S GONNA SAY ABOUT MY PROGRESS,

BUT I HOPE IT'S GONNA BE GOOD.

I JUST DON'T KNOW. YOU JUST NEVER CAN TELL ABOUT DR. NOW.

WHOA! DON'T RUN OVER JACOB!

YAY! IT WORKED!

THANK YOU, JESUS!

BUT I'M EXPECTING TODAY TO BE A GOOD DAY.

I GOT APPROVED RIGHT BEFORE ELROY'S PASSING.

AND THAT'S DELAYED ME SOME.

BUT I'M BACK ON TRACK NOW WORKING HARD.

**

I KNOW I'VE LOST WEIGHT SINCE MY LAST DOCTOR'S APPOINTMENT.

I DON'T KNOW HOW MUCH WEIGHT I'VE LOST,

BUT I THINK I'VE LOST SOMETHING.

I HOPE I WEIGH 490.

LESS WOULD BE GREAT.

BUT IF I'M AT 490, I'LL BE HAPPY.

**

I JUST NEED TO SHOW DR. NOW THAT I'M STILL MAKING PROGRESS

SO I CAN GET MY SURGERY APPROVAL BACK.

OKAY.

I HAD LOST 153 POUNDS AND GOT TO 598.

SO I'M NOT SURE WHAT I'LL WEIGHT TODAY.

IT HAS TO BE LESS BECAUSE I'VE BEEN WORKING HARD

TO DO MY DIET AND EXERCISES.

MILLA CLARK?

BUT I'M NOT GOING TO BE ABLE TO SEE HOW MUCH I'VE LOST

BECAUSE I CAN'T STAND RIGHT NOW.

I CAN GET OUT OF BED AND INTO MY WHEELCHAIR WITH MY KIDS' HELP,

BUT I HAVEN'T BEEN ABLE TO STAND AGAIN

SINCE THAT DAY IN THE HOSPITAL.

WHERE DO YOU WANT ME TO MOVE HER TO?

-YOU CAN GO AHEAD. -THANK YOU.

DR. NOW'S NOT GONNA BE HAPPY THAT I'M NOT STANDING YET.

I KNOW HE'S NOT GONNA BE HAPPY.

BUT THERE'S NOTHING I CAN DO ABOUT IT RIGHT NOW.

[ KNOCK ON DOOR ]

HELLO.

HI, DR. NOWZARADAN.

HOW YOU DOING, MILLA?

I'M DOING FINE.

I HEARD ABOUT YOUR HUSBAND.

I'M SORRY FOR YOUR LOSS.

HOW ARE YOU AND YOUR FAMILY HOLDING UP?

IT'S BEEN HARD, BUT WE'RE MAKING IT THROUGH.

WELL, I'M VERY SORRY.

THANK YOU.

HOW'S EVERYTHING ELSE GOING?

EVERYTHING'S GOING FINE.

I'M STILL NOT STANDING YET, BUT I'M WORKING ON IT.

WHY AREN'T YOU GETTING UP AND TRYING TO STAND?

I DON'T HAVE THE ANSWERS. I JUST HOPE --

I DON'T KNOW. I DON'T HAVE THE ANSWERS.

I DON'T KNOW.

I'M STILL EATING LIKE I'M SUPPOSED TO.

WELL, THIS IS NOT A GOOD SIGN.

AND IF YOU WERE EATING WHAT YOU'RE SUPPOSED TO,

YOU WOULD HAVE LOST MORE WEIGHT.

OKAY.

BUT WE CAN'T CHECK YOUR WEIGHT

SINCE YOU'RE NOT STANDING RIGHT NOW.

AND LOOKING AT YOU, YOU'RE JUST ABOUT THE SAME SIZE,

SO YOU HAVE NOT MADE ANY PROGRESS.

SO THAT MEANS YOU'RE NOT CURRENTLY IN A PLACE

THAT WE CAN DO ANY SURGERY.

OKAY.

Dr. Nowzaradan: WITH MILLA MOURNING THE LOSS OF HER HUSBAND,

SHE SEEMS TO HAVE BECOME INACTIVE DURING THAT TIME,

AND THE MUSCLE STRENGTH SHE HAD BUILT UP TO STAND IS UNDONE.

IT WAS MINIMAL TO BEGIN WITH, BUT IT WAS A START.

NOW SHE'S VERY LIMITED WITH HER ACTIVITY,

AND SHE'S NOT LOSING MUCH.

SO SHE'S NO LONGER IN AN IDEAL PLACE

FOR US TO PERFORM WEIGHT-LOSS SURGERY.

LET'S SEE...

HOW'S THAT SKIN DOING HELPING YOU...

WHEN I SIT UP, IT...

AND THIS IS...

THAT'S EXTRA FAT THAT'S STORED IN YOUR ABDOMEN.

AND IF YOU'RE PROACTIVE WITH YOUR EATING HABIT,

THIS WILL GO DOWN, AND YOU CAN BE ABLE TO STAND UP.

SO I WANT YOU TO LOSE 20 POUNDS A MONTH

AND WORK ON GETTING UP AND STANDING AGAIN.

IF YOU DO THAT,

I WILL APPROVE YOU FOR WEIGHT-LOSS SURGERY.

OKAY.

AND I'M GOING TO START TO SEND

A PHYSICAL THERAPIST TO YOUR HOME

TO HELP YOU WITH THE EXERCISES YOU NEED

AND GET UP AND START WALKING AGAIN.

I'LL SEE YOU IN A COUPLE MONTHS.

LET ME KNOW IF YOU CAN STAND, AND WE CAN MEET HERE.

OKAY.

IF YOU CAN'T,

YOUR NEXT APPOINTMENT WOULD HAVE TO BE IN THE HOSPITAL

SO WE CAN CHECK YOUR WEIGHT IN THE BED SCALE.

OKAY? -OKAY.

ALL RIGHT.

WELL, NICE TO SEE YOU.

NICE TO SEE YOU TOO, DR. NOW.

NICE TO SEE YOU AGAIN.

I'LL SEE YOU ALL LATER, OKAY?

-MM-HMM. -ALL RIGHT.

**

Milla: I'M VERY DISAPPOINTED RIGHT NOW.

I REALLY THOUGHT I WAS COMING BACK

TO GET SCHEDULED FOR MY SURGERY.

AND NOW I FEEL LIKE I'M STARTING OVER AGAIN.

I CAN'T LET MY KIDS KEEP TAKING CARE OF ME.

I'M THE ONLY PARENT THEY HAVE NOW.

I HAVE TO DO WHATEVER IT TAKES TO START BEING THERE FOR THEM.

SO I'M GONNA GO HOME AND KEEP WORKING ON MY DIET

AND ON STANDING UP.

**

**

Milla: TODAY, I'M GONNA BE WORKING WITH THE PHYSICAL THERAPIST.

**

DR. NOW WANTS ME TO START WORKING OUT THREE TIMES A WEEK

AND TO BUILD UP MY BODY STRENGTH

SO I CAN START STANDING ON MY OWN AGAIN.

AND EVEN THOUGH I CAN'T STAND RIGHT NOW,

I'M PROUD OF HOW FAR I'VE COME.

JUST A YEAR AGO, I COULDN'T DO ANYTHING FOR MYSELF

OR EVEN HOPE TO MOVE OUT OF BED.

ALL RIGHT. HERE YOU GO.

SO, YOU'RE GONNA DO BICEP CURLS FIRST.

NOW I'M AT LEAST 150 POUNDS DOWN FROM MY HIGHEST WEIGHT.

AND I'M STARTING TO DO MORE AND MORE.

GOOD JOB. YOU GOT IT.

BUT I KNOW THE MOST IMPORTANT THING IS TO BE ABLE TO GET UP

OUT OF THIS WHEELCHAIR TO START WALKING ON MY OWN.

I MADE IT MY GOAL TO BUILD UP MY STRENGTH

I NEED OVER THE NEXT MONTH AND THEN STAND...

15. GOOD.

NOW BRING IT DOWN.

RIGHT THERE.

YOU'RE GONNA HOLD.

...AND MAYBE EVEN GET TO THE PLACE

WHERE I CAN TAKE A FEW STEPS.

YOU GOT IT. GOOD JOB.

IF I CAN SHOW DR. NOW THAT THE NEXT TIME SEE HIM,

I KNOW HE'LL BE IMPRESSED.

YOU'RE GONNA DO 30 SECONDS AND THEN 30 SECONDS.

AND I'LL FINALLY BE ABLE TO GET MY WEIGHT-LOSS SURGERY.

THERE YOU GO.

BUT FOR RIGHT NOW, THE PHYSICAL THERAPIST SAID

WE'RE GONNA FOCUS ON MY UPPER BODY

AND MY MIDSECTION,

AND THEN START TO WORK OUT MY LEGS.

SO I KNOW IT'S NOT GONNA HAPPEN OVERNIGHT.

[ LAUGHS ] GO, GO, GO, GO, GO!

YOU GOT IT!

GOOD. YOU DID IT.

30 SECONDS.

I SEE DR. NOW AGAIN IN TWO MONTHS.

AND I'M DETERMINED TO GET APPROVED FOR WEIGHT-LOSS SURGERY

THE NEXT TIME I SEE HIM.

**

YOU WANT TO GO WORK OUT AT THE GYM REAL QUICK?

SURE.

**

Charity: THINGS HAVE BEEN GETTING BETTER WITH ME AND CHARLY.

**

AND I FEEL LIKE WE'VE MADE HUGE STEPS.

FOOD AND ANYTHING TO DO WITH LOSING WEIGHT

IS A SOURCE OF TENSION FOR US.

BUT IT'S TIME WE GET PAST THAT.

SO TODAY, I FIGURED WE CAN TRY AND WORK OUT TOGETHER.

OKAY.

OKAY. DON'T GET RIDICULOUS.

**

SOMETIMES, WHEN YOU TAKE TWO ADDICTS STRUGGLING

WITH GIVING UP THE THING THEY'RE ADDICTED TO,

THEY CAN BE A GREAT SUPPORT

OR THEY CAN ENABLE EACH OTHER TO GO BACK TO HOW THEY WERE.

WE BOTH WANT WHAT'S BEST FOR EACH OTHER.

AND WE SUPPORT EACH OTHER 100%.

OKAY, THAT'S ENOUGH OF THIS ONE.

I WANT TO PUNCH THE PUNCHING BAG.

OKAY, GO PUNCH THE PUNCHING BAG.

IT'S JUST THAT WE'VE BEEN USING EACH OTHER

LIKE THIS PUNCHING BAG WHEN WE GET STRESSED.

AND IT'S JUST TOO EASY NOT TO TAKE IT OUT ON EACH OTHER

BECAUSE WE'RE SO CLOSE.

I NEED A DRINK OF WATER.

SO WE WOULD JUST GET SO MEAN TO EACH OTHER

AND SAY SUCH HORRIBLE THINGS.

AND THERE WERE TIMES WE WOULD JUST SCREAM AT EACH OTHER.

YOU GOT TO USE YOUR FOREARM TO PUSH ON THIS.

BUT NOW THAT I'M TRYING TO HOLD MYSELF BACK,

I REALLY FEEL LIKE WE'VE GROWN IN THE PAST COUPLE MONTHS.

SO I'M GOING TO KEEP DOING MY PART

AND FOCUS ON HOW MUCH I LOVE CHARLY

AND HOW THANKFUL I AM FOR HER EVEN WHEN I'M SO MAD AT HER.

WE NEED EACH OTHER RIGHT NOW.

SO WE HAVE TO LEARN TO DO THIS TOGETHER,

OR WE WON'T BE ABLE TO DO IT AT ALL.

**

Charly: I DON'T FEEL AS ANGRY AT MY MOM

BECAUSE SHE'S NOT BEING AS PUSHY WITH ME.

AND IT'S HARD WHEN I HAVEN'T HAD THE SURGERY LIKE HER.

BUT SHE'S NOT MAKING HER COMMENTS ANYMORE.

SO I'M HAPPY WITH WHERE WE'RE AT RIGHT NOW.

Charity: WE SEE DR. NOW IN A COUPLE WEEKS.

AND I'M REALLY HOPING WE'RE FINALLY BACK ON TRACK

AND THAT WE'RE BOTH CLOSE TO GETTING OUR SURGERIES.

**

Milla: I'VE BEEN DOING PHYSICAL THERAPY FOR A FEW WEEKS NOW,

AND I'M TRYING MY HARDEST TO STAND.

AND I'M GETTING SO CLOSE.

I CAN'T STAND YET ON MY OWN POWER

BECAUSE OF ALL THE WEIGHT AND LYMPHEDEMA

ON MY BODY RIGHT NOW.

I HAVE GOOD DAYS AND I HAVE BAD DAYS.

SO HOPEFULLY, THIS WILL BE ONE OF MY GOOD DAYS.

IF NOT, [CLICKS TONGUE] I TRIED.

YOU GOT THIS SIDE? I JUST -- I HAVE TO --

WHAT I'M DOING HERE IS, MY APRON HERE --

THIS LYMPHEDEMA'S SO HEAVY.

I'M THINKING IT'S ABOUT 50 OR 60 POUNDS,

SO THEY LITERALLY HAVE TO HOLD IT UP

FOR ME TO EVEN GET OFF THE BED.

AND IT REALLY WORKED.

MY PHYSICAL THERAPIST THOUGHT OF THAT.

I NEVER THOUGHT OF IT, BUT SHE THOUGHT OF IT ONE DAY.

SO WE'VE BEEN DOING IT EVER SINCE.

ON THE COUNT OF THREE. -ON YOUR COUNT.

Milla: ONE, TWO, THREE.

I'M WORKING AS HARD AS I CAN TO BE ABLE TO PUT

SOME OF MY OWN WEIGHT ON MY LEGS WITH NO HELP

AND HOLD MYSELF UP LIKE I DID THE FIRST TIME.

RIGHT NOW, I'M TRYING TO PUT AS MUCH WEIGHT ON MY LEGS AS I CAN

AND THEN HOLD IT FOR AT LEAST 30 SECONDS.

OOH.

THAT WAS A GOOD ONE.

"WHY DON'T YOU TRY TO WALK?"

GIVE ME -- -YOU WERE OFF THE BED.

YOU WERE OFF THE BED.

IT SEEMED LIKE -- YOU KNOW, IT WAS GOOD.

I THINK MY HEART'S BEATING ABOUT 150.

WHAT Y'ALL THINK?

I THINK I DID PRETTY GOOD.

I THINK I'M DOING --

LIKE I SAID, I HAVE GOOD DAYS AND I HAVE BAD DAYS.

I THINK THIS WAS A BETTER DAY.

YOU WERE OFF THE BED.

LIKE...

I'VE BEEN OFF THE BED BEFORE,

BUT I THINK THIS WAS A PRETTY GOOD THING.

IT HURTS A LOT, BUT I'M PUSHING THROUGH THE PAIN

BECAUSE I HAVE TO GET THIS SURGERY,

AND I'LL DO WHATEVER IT TAKES TO GET MY APPROVAL BACK.

SO I HAVE ONE MORE MONTH UNTIL I SEE DR. NOW AGAIN.

AND I KNOW I HAVE TO BE ABLE TO STAND BY THEN.

**

Charity: CHARLY AND ME ARE BACK AT DR. NOW'S OFFICE

TO SEE HOW WE'RE DOING.

THE LAST TIME WE WERE HERE, WE HAD BOTH GAINED.

SO THIS TIME, I'M HOPING THAT IT'S DOWN.

AND I'M HOPING DR. NOW SAYS

THAT I'M GOING IN THE RIGHT DIRECTION.

**

Charly: I'M A LITTLE SCARED TO FIND OUT WHAT MY WEIGHT IS TODAY

BECAUSE I DON'T THINK I'VE DONE AS GOOD AS I SHOULD HAVE.

THIS ALL IS A LOT HARDER THAN I EVER REALIZED.

CHARITY PIERCE?

Charity: I WAS AT 353 LAST TIME.

SO I NEED TO BE DOWN TO 313 TODAY TO HAVE STAYED ON TRACK.

**

340.

YES! [ LAUGHS ]

GOOD JOB.

YOUR TURN.

Charly: LAST TIME, I WAS UP TO 393.

AND I JUST HOPE I'M LOSING LIKE MY MOM.

BUT TO MEET DR. NOW'S GOAL FOR TODAY,

I NEED TO HAVE HIT 353.

**

391.

THAT IS REALLY GOOD.

THANKS, MOM.

WOW. GOOD JOB, BABY.

Charity: I FEEL REALLY GOOD ABOUT BOTH OUR WEIGHTS, ESPECIALLY MINE.

WE'RE BOTH LOSING AGAIN.

AND I FEEL LIKE I'M GETTING MY MOMENTUM BACK.

SO I HOPE DR. NOW IS EXCITED AS I AM RIGHT NOW.

I'M PROUD. I'M EXCITED.

LIKE, "HA HA, DR. NOW."

Charly: SEEING THE SCALE TODAY AND FINDING OUT

I HAVEN'T REALLY LOST DESPITE HOW HARD I'VE WORKED

WAS JUST DISHEARTENING.

AND I'M FEELING REALLY DEFLATED.

YOU LOST TWO POUNDS.

I DON'T KNOW WHY YOU'RE DISAPPOINTED.

391, RIGHT?

HOW MANY POUNDS AWAY FROM THAT IS 400?

YES.

THAT'S WHY I'M STILL UPSET REGARDLESS.

BUT YOU'VE MADE BETTER CHOICES THAN YOU USED TO MAKE.

YEAH.

STOP TRYING TO JUSTIFY IT.

I'M NOT JUSTIFYING IT. I'M JUST SAYING.

I JUST DON'T WANT YOU TO GIVE UP ON YOURSELF.

YOU'RE GONNA PUT ME IN THIS HEADSPACE

WHERE I'M GONNA THINK IT'S JUSTIFIABLE, AND IT'S NOT.

NO, IT'S NOT.

WHICH IS WHY I WANT YOU TO QUIT TRYING TO JUSTIFY IT.

-I'M NOT. -IT'S NOT JUSTIFIABLE.

IT'S NOT.

[ SNIFFLES ]

[ KNOCK ON DOOR ]

-HELLO. -HELLO.

HOW Y'ALL DOING?

DR. NOW!

I'M SO HAPPY!

HAPPY BECAUSE...?

BECAUSE I LOST WEIGHT!

MORE, MORE WEIGHT!

THAT'S GOOD THAT YOU'RE GOING IN THE RIGHT DIRECTION AGAIN,

BUT YOU ONLY LOST 17 POUNDS IN THE LAST 2 MONTHS.

SO I THINK YOU KNOW THAT'S NOT THE GREATEST WEIGHT LOSS.

MM-HMM.

SO DON'T TRY TO BE OVERLY EXCITED LIKE

I'M GOING TO BE CONFUSED ABOUT YOUR GOALS.

OKAY, NOW, WHAT'S GOING ON WITH CHARLY?

MY ACTIVITY LEVEL IS UP MORE.

NO. WHO SAID, "ACTIVITY"?

YOUR EATING HABIT, OKAY?

YOU ALREADY KNOW THAT, THOUGH.

MY EATING HABITS ARE HORRIBLE. I'M NOT GONNA LIE TO YOU.

I EAT WHATEVER,

I'VE BEEN DRINKING A LOT OF THINGS WITH SUGAR IN THEM,

AND I SNEAK SOME JUNK FOOD BECAUSE I JUST CAN'T RESIST,

AND I DON'T WANT MY MOM TO KNOW.

I'VE JUST BEEN TOTALLY SCREWING MYSELF THE LAST COUPLE WEEKS.

THE TRUTH COMES OUT.

YOU'RE SNEAKING FOOD A LITTLE.

YEAH.

I'M HAPPY TO SEE CHARITY AND CHARLY

ARE NO LONGER GAINING,

AND THEY BOTH SEEM TO BE IN A BETTER PLACE TOGETHER.

BUT THEY STILL HAVE A LONG WAY TO GO.

CHARITY'S ONLY LOSING HALF OF WHAT SHE SHOULD BE.

AND CHARLY HAS BEEN SNEAKING JUNK FOOD,

AND CHARITY DOESN'T SEEM TO KNOW ABOUT IT.

THEY'RE STILL NOT WORKING TOGETHER

LIKE THEY NEED RIGHT NOW.

YOU TWO HAVE A LOT TO FIGURE OUT

IN HOW YOU NEED TO SUPPORT EACH OTHER.

CHARITY, IF YOU WANT EXCESS SKIN REMOVED,

YOU NEED TO GET UNDER 300 POUNDS.

AND, CHARLY, IF YOU WANT WEIGHT-LOSS SURGERY,

THEN LOSE 40 POUNDS

OVER THE NEXT TWO MONTHS TO SHOW ME

THAT YOU CAN CONTROL YOUR EATING HABITS.

-OKAY. -SO KEEP MAKING PROGRESS,

AND I'LL SEE YOU BOTH SOON.

Y'ALL TAKE CARE. -THANK YOU, DR. NOW.

OKAY. THANK YOU.

Charly: SEEING THE SCALE TODAY AND FINDING OUT THAT

I HAVEN'T REALLY LOST WAS JUST DISHEARTENING.

AND I'M SCARED THIS WHOLE PROGRAM ISN'T REALLY FOR ME.

Charity: I KNOW I NEED TO TRY HARDER, BUT THIS HAS BEEN

A BIG GROWING MONTH FOR BOTH OF US.

AND WE NEED TO KEEP DOING WHAT WE'VE STARTED DOING TOGETHER.

AND I THINK OUR PROGRESS WILL JUST NATURALLY START

TO GROW FROM THERE.

**

Milla: TODAY IS MY FOLLOW-UP APPOINTMENT WITH DR. NOW.

AND I'M A LITTLE DISAPPOINTED

BECAUSE DESPITE HOW HARD I'VE PUSHED MYSELF,

I'M STILL NOT ABLE TO STAND ON MY OWN.

AND SINCE I CAN'T,

DR. NOWZARADAN SAYS I HAVE TO COME TO THE HOSPITAL.

SO AN AMBULANCE IS TAKING ME THERE.

**

ONE, TWO, THREE.

I REALLY WANTED TO REACH MY GOAL AND STAND FOR DR. NOW TODAY.

WELL, IT APPEARS SO.

ALL RIGHT. THERE'S THE BOTTOM.

THERE'S THE BUMP. AND YOU'RE DOWN.

**

ALL RIGHT. WHEELS ARE DOWN.

I'M GONNA GO AROUND THE OTHER SIDE.

Milla: I'VE WORKED SO HARD THESE PAST COUPLE OF MONTHS.

**

AND I KNOW I MUST'VE LOST A LOT OF WEIGHT.

**

I'VE COMPLETELY STUCK TO THE DIET.

AND I'M HOPING THAT ONCE HE SEES ALL MY WEIGHT LOSS

AND HOW CLOSE I AM TO STANDING

THAT HE APPROVES ME FOR WEIGHT-LOSS SURGERY AGAIN.

BECAUSE I'M SO CLOSE TO STANDING UP, I CAN ALMOST TASTE IT.

-I'M ON THE BED. -YOU'RE ON THE BED.

[ KNOCK ON DOOR ]

-HEY, MILLA. -HI.

Milla: HOW YOU DOING, DR. NOWZARADAN?

I'M DOING OKAY. HOW ABOUT YOU?

I'M DOING FINE.

SO TODAY YOU ARE HERE SO WE CAN CHECK YOUR WEIGHT.

YES.

7 MONTHS AGO, YOU HAD GOTTEN DOWN TO 598 POUNDS.

AND WHEN I SAW YOU A COUPLE MONTHS AGO,

YOU DIDN'T LOOK LIKE YOU'D LOST MUCH WEIGHT.

-YES, SIR. -ALL RIGHT.

SO WE'RE GONNA CHECK YOUR WEIGHT

AND SEE HOW MUCH YOU WEIGH TODAY.

OKAY.

512.

[ LAUGHS ]

I CAN'T BELIEVE I LOST THAT.

THAT'S GOOD.

THAT'S AROUND 90 POUNDS WEIGHT LOSS.

OH, I'M SO HAPPY. I WORKED SO HARD.

I WORKED SO HARD.

SO YOU ARE DOING WELL WITH YOUR WEIGHT LOSS.

THANK YOU.

THE ONLY ISSUE LEFT IS THAT YOU'RE STILL NOT STANDING.

SO YOU NEED TO GET TO THE POINT

THAT YOU CAN PUT YOUR WEIGHT ON YOUR LEG

AND HOLD YOURSELF UP.

I KNOW, BUT IT'S JUST MY KNEES, AND...

SO THE NEXT STEP IS TO START YOU ON WATER AEROBICS

TO HELP YOU TO START TO DO THIS.

OKAY. THANK YOU.

Dr. Nowzaradan: I'M REALLY PROUD OF MILLA.

SHE CAN BE VERY DETERMINED IF SHE WANTS,

AND I'M IMPRESSED WITH HER WEIGHT LOSS

FOR THE LAST COUPLE MONTHS.

BUT SHE STILL NEEDS TO BE ABLE TO STAND UP

SO SHE CAN START TO WALK AGAIN

AFTER SURGERY TO PREVENT BLOOD CLOTS

AND SOME BLOOD-THINNING SCENARIO FROM HAPPENING.

SO I'M GOING TO SEND HER TO WATER AEROBIC THERAPY,

AND I SUSPECT THAT ONCE SHE GETS THE FEEL OF

WALKING AROUND IN THE WATER,

SHE WILL START WANTING TO DO IT OUT OF THE WATER.

ALL RIGHT. I'LL SEE YOU LATER.

ALL RIGHT. THANK YOU.

OKAY.

I'M A LITTLE LET DOWN THAT I DIDN'T GET APPROVED

FOR WEIGHT-LOSS SURGERY AGAIN.

BUT I'M LOOKING FORWARD TO POOL THERAPY.

I HAVE TWO MORE MONTHS TO STAND

AND GET APPROVED FOR WEIGHT-LOSS SURGERY.

AND THAT'S EXACTLY WHAT I'M GONNA DO, NO MATTER WHAT.

**

Charity: CHARLY HAS BEEN A LITTLE DISCOURAGED

ABOUT HER LACK OF WEIGHT LOSS.

WHEN WE WENT TO OUR LAST DOCTOR VISIT

AND THE SCALE SHOWED SHE HAD ONLY LOST TWO POUNDS,

IT WAS REALLY HARD FOR HER.

AND I'M GETTING A LITTLE WORRIED BECAUSE SHE'S BEEN SAYING

THAT SHE'S NOT SURE IF SHE WANTS TO KEEP DOING THIS.

I FEEL LIKE THE DIFFERENCE IS JUST LIKE ANY OTHER JUNKIE

ADDICTED TO SOMETHING.

WHEN I STARTED THIS JOURNEY TO LOSE WEIGHT,

I WAS BEYOND DESPERATE BECAUSE I HAD HIT ROCK BOTTOM.

BUT CHARLY HASN'T YET.

SO AS DETERMINED AS SHE IS,

SHE'S NOT AS DESPERATE FOR THAT CHANGE,

AND SHE'S WILLING TO MAKE MORE COMPROMISES BECAUSE OF IT.

SHE HASN'T LIVED A LIFE WHERE SHE'S TRAPPED IN HER BED

AND DEPENDANT ON EVERYONE...

AND WE ARE GONNA HELP ME UP? -YEAH.

Charity: ...WITH A BODY THAT YOU COULD BARELY MOVE

AND THE ACHES AND PAIN ALL THE TIME.

I'VE BEEN THERE, AND I HAVE THAT MEMORY

TO KEEP ME MOTIVATED TO NEVER GO BACK THERE.

I'LL MAKES MISTAKES AND GAIN LIKE I DID THIS PAST YEAR,

BUT I'M GETTING BACK ON UP AND I'M DOING THIS

BECAUSE I DON'T EVER WANT TO GO BACK TO THE WAY I WAS.

SO I'M TRYING TO BE THERE FOR HER AS BEST I CAN

BECAUSE I DON'T WANT HER TO HAVE TO GET TO 600 POUNDS

BEFORE SHE WAKES UP.

[ DOOR CLOSES ]

WHAT'S WRONG?

ABOUT WHAT?

WELL, I TRIED TO GET YOU TO COME OUT AND WALK WITH ME.

I KNOW.

I JUST DIDN'T FEEL LIKE IT, MAMA.

WHAT'S CAUSING YOU TO GIVE UP, POOBOO?

I DON'T KNOW. IT'S JUST HARD.

IT IS HARD.

I WASN'T EXPECTING IT TO BE THIS HARD,

AND THINGS SCARE ME.

AND I SEE YOU GOING THROUGH THIS WEIGHT-LOSS JOURNEY,

AND I FEEL LIKE YOU'RE SICKER THAN YOU WERE BEFORE.

AND THAT SCARES ME.

YOU PROBABLY WON'T HAVE HALF THE STRUGGLE AS I DO,

AND YOU'RE NOT AS OLD AS I AM.

YEAH.

YOU CAN'T BE SCARED.

BELIEVE ME, I DO THE SAME THING.

I SABOTAGE MYSELF.

YEAH, AND I FEEL LIKE I SABOTAGE YOU

BECAUSE I EAT THINGS THAT I'M NOT SUPPOSED TO.

AND I'M SORRY. I DON'T MEAN TO SABOTAGE YOU.

BUT IT'S NOT JUST YOUR FAULT.

I CAN SAY NO.

WE JUST GOT TO WORK TOGETHER INSTEAD OF AGAINST EACH OTHER.

WE'RE DIFFERENT, BUT WE'RE ALSO THE SAME.

WE BOTH HAVE A FOOD ADDICTION.

AND YOU HAVE TO LET ME TAKE BACK ON THAT MOM ROLE

SO YOU CAN EXPERIENCE WHAT IT'S LIKE TO HAVE A MOM.

IT'S HARD TO LET THINGS GO AND LET YOU BE THE ONE IN CHARGE

WHEN I'VE BEEN THE ONE STUCK IN CHARGE FOR SO LONG.

I KNOW.

I'VE HAD TO TAKE CARE OF YOU MY WHOLE LIFE,

AND I WAS ALWAYS THE ONE THAT WAS KIND OF THE ADULT.

NOBODY HAS TO BE THE BOSS.

WE JUST HAVE TO WORK TOGETHER AND BE FRIENDS.

I LOVE YOU. -I LOVE YOU, TOO.

GIVE ME A HUG.

HERE, HELP ME UP AND I'LL...

-I LOVE YOU. -I LOVE YOU, TOO.

-[ LAUGHS ] -YOU'RE ALWAYS GONNA BE MY BABY.

I LOVE YOU.

I LOVE YOU, TOO, BABY.

Charly: I'M NOT DOING TOO GOOD ON MY JOURNEY.

IT'S NOT FEELING VERY HOPEFUL.

I NEED TO START GIVING UP SOME CONTROL

TO GET THE HELP AND GUIDANCE I NEED.

BUT IT'S HARD, AND AT THE END OF THE DAY,

I JUST DON'T KNOW IF I CAN DO IT.

AND THAT'S WHAT SCARES ME THE MOST.

**

Milla: TODAY, I'M GOING TO DO POOL THERAPY.

AND I'M EXCITED ABOUT THE POSSIBILITY

OF BEING ABLE TO STAND

AND TO FEEL WHAT IT'S LIKE TO BE ABLE

TO USE MY LEGS AGAIN IF THIS WORKS.

I HAVEN'T BEEN IN A POOL IN 15 YEARS.

**

THERE'S A SMALL PART OF ME THAT'S WORRIED THAT

NO ONE'S GONNA BE ABLE TO HELP ME

IF SOMETHING GOES WRONG

OR THAT I MIGHT BE TOO HEAVY FOR THE WATER TO HOLD MY WEIGHT.

BUT I'M JUST PUSHING ALL OF THAT OUT OF MY HEAD

AND REMINDING MYSELF THAT IF I'M ABLE TO STAND TODAY,

THEN THAT MEANS I'M GOING TO BE ABLE TO GET SURGERY.

AND I HAVE MY WHOLE FAMILY HERE TO HELP ME.

AND THEY'RE CHEERING ME ON, SO I KNOW I CAN DO THIS TODAY.

-HELLO! -HI!

-ARE YOU READY? -YEAH, I'M READY.

WE'RE ALL GONNA GET IN, RIGHT, WITH YOU, AND THEN...

AND THEN WE'LL TRY SOME WALKING?

-YES. -VERY GOOD.

Milla: IF ANYTHING, I WANT TO TRY TO DO SOME WALKING.

WE'RE GONNA DO IT. I'M CONFIDENT.

I'M GONNA GO FIRST. OKAY.

-OKAY. -ALL RIGHT.

JACOB AND CALEB, Y'ALL STAND IN FRONT.

JUST GIVE ME THE ONE, TWO PASS.

Hannah: IT'S A LITTLE SLIPPERY.

I'M PRETTY STRONG, TOO.

OH. THIS WATER FEELS SO GOOD.

I LOVE THE WATER.

THINK I CAN STAY ALL NIGHT IN HERE?

[ CHUCKLES ]

-OKAY. -HOLD ON TO THE SIDE RAILS.

AND THEN WE CAN MOVE YOUR CHAIR.

-OKAY. -YOU WANT ME TO MOVE IT?

YEAH, MOVE IT, MOVE IT.

MOVE IT?

Hannah: I WANT YOU TO TRY TO HAVE, LIKE, YOUR EARS AND YOUR SHOULDERS

AND YOUR HIPS, LIKE, STRAIGHT UP AND DOWN.

-I'M GETTING NERVOUS. -OH, YOU'RE DOING GREAT.

I FEEL LIKE I'M ABOUT TO FALL BACKWARDS.

YOU'RE FINE.

YOU'RE PANICKING.

MM-HMM. MY HEART'S BEATING SO FAST.

IT'S GONNA BE OKAY. SLOW DOWN.

WELL, LOOK.

RIGHT NOW, YOU'RE STANDING SO GOOD.

BUT MY KNEE'S UP THEN 'CAUSE I HAVE A BAD BEND.

IT'S OKAY. JUST LITTLE STEPS FORWARD.

-OKAY. -YEAH?

-MM-HMM. -COME ON.

LOOK UP. DON'T LOOK AT YOUR FEET.

THEY'RE STILL THERE. THEY'RE ATTACHED.

PERFECT.

QUIT LOOKING DOWN AT THE GROUND.

OKAY.

-THERE YOU GO. -LOOK AT YOU.

SEE, WHEN YOU LOOK UP, YOU STARTED TO DO A WHOLE LOT.

YOU WANT TO LOOK AT WHERE YOU'RE GOING, NOT WHERE YOU'RE AT.

YOU'RE ALREADY GETTING MORE COMFORTABLE

'CAUSE YOU'RE NOT GIVING ME THE DEATH GRAB.

[ BOTH LAUGH ]

Milla: THIS IS MORE THAN I'VE DONE IN SUCH A LONG TIME.

I KNOW THIS ISN'T HOW IT'S GONNA BE WHEN I GET OUT OF THE WATER,

BUT I CAN MOVE AROUND RIGHT NOW.

AND I HAVE NO ISSUES USING MY LEGS.

OKAY.

-OKAY. -SHE'S WALKING!

SEE THAT?

CHEST UP. KEEP BREATHING.

I'M SO WEAK.

NO, YOU'RE NOT! YOU'RE WALKING.

-YOU'RE STRONG. -I'M SO WEAK.

WHEN'S THE LAST TIME YOU WALKED BY YOURSELF?

I HAVEN'T IN OVER THREE YEARS.

WELL, WELCOME BACK.

Milla: I'M TIRED, BUT I FEEL GOOD.

I WAS REALLY NERVOUS WHEN I STARTED,

BUT I'M GETTING THE HANG OF IT NOW.

I'VE DONE EVERYTHING.

I'M LOSING WEIGHT AND I'M UP AND WALKING LIKE DR. NOW SAID.

SO THERE SHOULD BE NOTHING STANDING IN THE WAY

OF MY SURGERY APPROVAL.

I'M WHERE I NEED TO BE TO GET TO THE NEXT LEVEL

OF MY WEIGHT LOSS,

EVEN WITH ALL MY SETBACKS FROM THIS YEAR.

IT'S BEEN A HARD AND LONG ROAD, BUT I HAVEN'T GIVEN UP YET.

AND I'M GONNA GET TO WHERE I NEED

NO MATTER HOW LONG IT TAKES.

[ CHEERS AND APPLAUSE ]

**

I'M HEADED TO THE DOCTOR'S OFFICE RIGHT NOW.

**

AND THE FACT THAT HE'S LETTING ME COME TO HIS CLINIC

INSTEAD OF THE HOSPITAL -- I FEEL THAT IT'S A GOOD SIGN.

HE KNOWS I'VE BEEN DOING MY POOL AEROBICS

AND I'VE BEEN WALKING.

SO WHAT I'M GONNA FIND OUT TODAY

IS IF I'M FINALLY APPROVED FOR MY WEIGHT-LOSS SURGERY AGAIN.

AND I'M NERVOUS BECAUSE I'VE WORKED SO HARD

AND I'VE HIT MY GOALS,

BUT YOU NEVER KNOW WHAT DR. NOW'S GONNA SAY.

SO I'M JUST HOPING THAT AFTER ALMOST TWO YEARS OF STRUGGLE,

I FINALLY GET APPROVED FOR WEIGHT-LOSS SURGERY.

**

Milla: I'M HERE AT DR. NOW'S OFFICE

TO SEE IF I'M GETTING APPROVED FOR WEIGHT-LOSS SURGERY.

MILLA CLARK?

BUT HE WANTS ME TO BE ABLE TO STAND ON THE SCALE

AND SHOW HIM THAT I'M AT A POINT WHERE I CAN START USING MY LEGS.

HI.

SO I'VE ASKED HIM TO HAVE HIS SCALE WITH WHEELS FOR ME,

AND I'LL TRY TO STAND.

I STILL HAVEN'T PUT MY WEIGHT ON MY LEGS

AND HELD MYSELF UP OUTSIDE OF THE POOL.

BUT DOING IT IN THE POOL AS SHOWN ME I CAN DO THIS.

SO I'M HOPING I DIDN'T BITE OFF MORE THAN I CAN CHEW.

ONE, TWO, THREE.

HOLD UP, HOLD UP.

GET BALANCED RIGHT.

ALL RIGHT. WHAT IS IT?

HURRY.

MY KNEES WILL GIVE IN -- MY KNEES ARE GIVING.

THAT'S FINE. GO AHEAD AND STEP DOWN.

WHOO.

I THINK MY BLOOD PRESSURE'S UP.

HONESTLY, RIGHT NOW, WE CAN'T TELL YOU A SPECIFIC NUMBER

BECAUSE IT FLUCTUATED FROM ABOUT 340 TO 350.

SO YOU'RE HANGING AROUND -- -I'LL GO WITH 350.

ALL RIGHT. GO FORWARD.

I'M SO PROUD OF MYSELF RIGHT NOW.

I GOT WORRIED FOR A MINUTE BECAUSE THAT WAS HARD.

I WISH ELROY COULD BE HERE TO SEE IT.

I REALLY DO.

-HELLO. -HI, DR. NOWZARADAN.

-HOW YOU DOING? -I'M DOING FINE.

SO, YOU GOT UP WITH NO ONE HOLDING YOU,

BUT YOU WERE MOVING AROUND A LITTLE BIT TOO MUCH.

SO WE REALLY STILL DON'T KNOW HOW MUCH YOU WEIGH.

I THINK YOU'VE BEEN LOSING,

BUT YOU PROBABLY ARE STILL IN THE UPPER 400s.

-YOU THINK SO? -YES.

BUT YOU PUT SOME WEIGHT ON YOUR LEGS

AND YOU'RE STANDING IN THE POOL,

SO I THINK YOU'RE READY FOR YOUR WEIGHT-LOSS SURGERY.

AND I'M APPROVING YOU AGAIN.

[ LAUGHS ]

YOU'RE GETTING THERE, SO KEEP IT UP.

I'M GOING TO SCHEDULE YOU FOR SURGERY A MONTH FROM NOW.

YOU'RE DOING GREAT. I'M PROUD OF YOU.

AND I'LL SEE YOU SOON.

OKAY.

**

I'VE NEVER SEEN HIM SMILE AND LAUGH.

THAT'S THE FIRST TIME I'VE SEEN HIM SMILE AND LAUGH.

MM-HMM.

**

I'M SO PROUD OF MYSELF AND HAPPY RIGHT NOW.

I'VE WORKED SO HARD TO DO THIS, AND IT TOOK ME TWO YEARS.

A YEAR AGO, I WAS SO EXCITED TO GET APPROVED

FOR WEIGHT-LOSS SURGERY.

BUT LOSING ELROY SET ME BACK.

AND I'VE HAD TO WORK EVEN HARDER THIS YEAR

TO GET BACK TO WHERE I WAS.

BUT THIS IS GONNA HELP ME NOT ONLY TO LOSE MORE WEIGHT

BUT KEEP IT OFF FOR A LIFETIME.

AND MY GOAL IS TO START WALKING AND BE OUT OF MY BED

EVERY DAY IN THREE MONTHS.

AND I'M GONNA BE THERE FOR MY KIDS HOW THEY NEED ME.

**

Charity: CHARLY, BABY, WILL YOU HELP ME WITH MY MAKEUP?

SURE, MAMA.

Charity: CHARLY AND ME CAME UP WITH AN AGREEMENT

THAT WE'RE GOING TO SIMPLIFY OUR RELATIONSHIP

AND THAT I'M NOT GONNA PUT ANY PRESSURE ON HER TO LOSE WEIGHT.

SHE'S STILL NOT SURE IF SHE WANTS TO CONTINUE

WITH DR. NOW'S PROGRAM, BUT SHE'S AGREED TO LET ME PREPARE

ALL OF OUR SNACKS AND MEALS

AND TO DO SOME DAILY WALKS WITH ME

IF WE JUST NOT TALK ABOUT WEIGHT LOSS

OR ANYTHING LIKE THAT.

**

AND I THINK IT'S A FAIR DEAL FOR RIGHT NOW.

I LOVE YOU.

I LOVE YOU, TOO, MAMA.

**

Charly: RIGHT NOW, I'M OKAY WITH MY MOM COOKING THE MEALS

AND GIVING UP CONTROL OF THAT

BECAUSE I KNOW THEY'RE HEALTHIER,

AND THAT'S WHAT I NEED.

SO I'M JUST TRYING TO FIGURE IT ALL OUT.

AND IT'S GONNA TAKE A LITTLE TIME.

Charity: TONY AND ME ARE STILL WORKING ON THINGS,

BUT I TOLD HIM THAT CHARLY STILL HAS TO BE MY FOCUS RIGHT NOW.

AND TONY SAID HE UNDERSTANDS THAT,

AND I APPRECIATE ALL HIS PATIENCE WITH THAT.

BUT WE'RE STILL A FAMILY,

AND WE'RE ALL STILL TRYING TO MAKE IT WORK TOGETHER.

AND WE WILL.

SO, DO YOU WANT TO GO FOR A WALK, THEN?

BEFORE WE EAT? YEAH.

TONY CAN WATCH THE EGGS.

Tony: YEAH, I CAN WATCH THE EGGS.

Charity: THIS WHOLE YEAR HASN'T GONE AT ALL LIKE I HOPED.

BOTH CHARLY AND ME HAVE HAD HARDLY

ANY WEIGHT LOSS THIS PAST YEAR.

BUT I STILL FEEL LIKE IT'S BEEN A GOOD YEAR

BECAUSE WE GREW A LOT TOGETHER.

MOM, YOU'RE GOING KIND OF FAST.

WELL, CATCH UP.

AND WE LEARNED A LOT ABOUT OURSELVES

AND HOW SELF-DESTRUCTIVE WE CAN BE.

IT WAS SAD WE HAD TO SEE IT WITH EACH OTHER,

BUT I THINK THAT WAS THE ONLY WAY

WE WERE ABLE TO ROOT SOME OF THAT OUT.

NOW I AM MORE DETERMINED THAN EVER TO MAKE MORE PROGRESS

AND GET TO A MUCH HEALTHIER PLACE.

**

Milla: I'M AT THE HOSPITAL TODAY TO GET WEIGHT-LOSS SURGERY.

AND I JUST CAN'T BELIEVE IT.

I REALLY WISH ELROY WAS HERE WITH ME, THOUGH.

I MISS HIM SO MUCH.

HEY, KIDDOS.

I'M REALLY SCARED,

BUT HE WOULD NOT WANT ME NOT TO DO IT.

THAT'S WHAT WE CAME HERE FOR -- SO WE CAN HAVE A BETTER LIFE.

I JUST HATE THAT HE'S NOT HERE WITH ME.

HE'S GONNA MISS OUT ON ME BEING ABLE TO GET AROUND

AND DO THE THINGS WE USED TO DO WHEN WE FIRST GOT TOGETHER.

AND I REALLY WANTED TO BE ABLE TO SHARE THAT WITH HIM.

THIS HAS BEEN A HARD TWO YEARS.

BUT I NEVER STOPPED, AND I NEVER GAVE UP.

AND I'M SEEING THE RESULT OF THAT NOW.

AND WHEN I WAKE UP, I'M GONNA HAVE A WHOLE NEW LIFE

WAITING FOR ME.

**

IT WON'T NECESSARILY BE AN EASY ONE,

BUT I WILL BE A BETTER ONE.

**

Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO DO A GASTRIC-SLEEVE

PROCEDURE ON MILLA.

EVEN WITH ALL HER WEIGHT LOSS, MILLA IS STILL VERY HIGH-RISK.

HER BODY COULD START TO SHUT DOWN,

AND SHE COULD DEVELOP COMPLICATIONS.

SO WE NEED TO BE CAREFUL, BUT WE NEED TO BE QUICK, TOO.

TURN THE ROOM LIGHTS OFF.

**

DURING GASTRIC-SLEEVE OPERATION,

WE REMOVE 70% TO 80% OF THE STOMACH.

SO SHE CAN EAT SMALL AMOUNTS AND GET FULL REAL QUICK

AND BE ABLE TO LOSE MORE WEIGHT MORE EFFICIENTLY.

GO FORWARD.

THERE.

Hannah: I'M EXCITED,

BUT AT THE SAME TIME, I'M KIND OF NERVOUS ABOUT HER

BECAUSE MY MA MEANS SO MUCH TO EVERYBODY.

AND I DON'T ANYTHING TO GO WRONG WITH THE SURGERY.

Dr. Nowzaradan: YOU ALMOST HAVE IT.

OKAY, I'M REMOVING THE EXCESS PORTION OF THE STOMACH.

ROOM LIGHT ON.

OKAY, STITCH HER UP.

ALMOST DONE.

ALL RIGHT. MILLA'S SURGERY WENT VERY WELL.

Man: WELL-DONE. TAKE SOME DEEP BREATHS.

THERE WERE NO MAJOR COMPLICATIONS,

SO WE'LL GET HER TO RECOVERY.

AND SHE WILL PROBABLY BE ABLE TO GO HOME IN A FEW DAYS.

MILLA'S WEIGHT TODAY IS 477 POUNDS.

AND SHE HAD LOST A TOTAL OF 274 POUNDS IN THE PAST TWO YEARS.

IT'S TAKEN HER LONGER THAN IT SHOULD,

BUT MILLA HAS NEVER GIVEN UP.

AND WITHIN SIX MONTHS,

SHE COULD BE IN 200s AND BE READY FOR SKIN REMOVAL.

BUT HER PRIORITY RIGHT NOW NEEDS TO BE GETTING UP

AND WALKING ON HER OWN.

SHE HAS HER KIDS,

AND THAT'S THE BEST KIND OF MOTIVATION A PERSON CAN HAVE.

SO SHE MAY HAVE SOME UPS AND DOWNS,

BUT SHE WILL STICK WITH IT AND GET TO WHERE SHE NEEDS SOON.

HEY, MOMMY.

Young man: CAN'T OPEN YOUR EYES, CAN YOU?

-YOU MADE IT. -YOU CAME THROUGH.

-I DID, DIDN'T IT? -YES, YOU DID.

-MM-HMM. -HEY, MOMMY.

LET ME TOUCH ALL MY BABIES.

**

TOUCHING EVERYBODY.

-WE'LL BE BACK LATER. -WE'LL SEE YOU LATER.

LOVE YOU.

I LOVE ALL OF Y'ALL ALSO.

**