All language subtitles for My 600-lb Life S08E05

Gina: I BATHE DOWNSTAIRS,
IN THE HALF BATH,

SITTING ON THE TOILET,
MAYBE ONCE A MONTH.

Woman #1: SOMEWHERE IN ME IS
THIS LITTLE GLIMMER OF HOPE.

I JUST WANT TO BE
A NORMAL PERSON.

YOU CAN'T DO IT,
AND THEN I JUST GET MAD.

Woman #2: IF I DON'T MAKE
A CHANGE NOW,

I'M SCARED IT'S GOING
TO BE TOO LATE.

NO, IT HURTS.

Woman #3: I REFUSE
TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

I'M TRYING,
BUT IT'S TOO MUCH.

I'M SORRY.

I'M TRYING.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Gina: I WAKE UP EVERY DAY
TO THE SAME MISERABLE EXPERIENCE

BECAUSE MY WEIGHT HAS ME
TRAPPED IN THIS CHAIR ALL DAY,

EVERY DAY, AND I HATE IT.

ALL I CAN DO NOW
IS EAT AND SLEEP,

EXCEPT ON THE DAYS WHERE
I'M FORCED TO TAKE A BATH,

WHICH I REALLY HATE DOING.

ME AND MY WIFE, BETH,
LIVE WITH MY MOM,

MY SISTER AND HER FIANCE,
KEITH,

AND USUALLY IT'S EITHER
MY MOM OR MY WIFE

THAT EVENTUALLY
MAKE ME TAKE A BATH.

BUT I TRY TO AVOID IT
AS MUCH AS I CAN.

-G?
-MM-HMM.

Cathy: YOU HAVE TO GET
WASHED UP TODAY.

OKAY.

SO I'LL GO IN THERE,
AND I'LL GET YOUR BUCKET

AND GET THAT READY
FOR YOU.

OKAY, THANK YOU.

YOU'RE WELCOME.

BUT IF MY FAMILY STARTS
TO NAG ME A LOT ABOUT IT,

I'D JUST RATHER NOT DEAL WITH
EVERYONE BEING UPSET WITH ME,

SO I JUST DO IT
MAYBE ONCE A MONTH.

G, YOUR BUCKET IS IN THERE,

SO BETH JUST NEEDS TO GET
YOUR CLOTHES AND YOUR TOWEL,

AND THEN YOU'RE ALL SET
TO GET WASHED UP, OKAY?

-OKAY, THANK YOU.
-YOU'RE WELCOME.

Cathy:
GINA IS VERY LAZY, AND SHE
DOESN'T TAKE CARE OF HERSELF.

WE ALL STRUGGLE WITH HOW SHE IS
AND WANT HER TO DO BETTER,

BUT IT'S LIKE WALKING
ON EGGSHELLS TO CONFRONT HER

BECAUSE IT STARTS A FIGHT.

Gina:
SOMETIMES I START TO SMELL,
AND MY FAMILY DOESN'T LIKE IT,

SO THEY FORCE ME TO GET UP
AND DO IT IF IT'S BEEN A WHILE

SINCE THE LAST TIME I CLEANED,

BUT IT'S ONE OF THE MOST
MISERABLE EXPERIENCES

IN MY LIFE NOW

BECAUSE I DON'T HAVE A SHOWER
OR TUB I CAN USE.

ALL THAT'S UPSTAIRS,
AND I STOPPED BEING ABLE

TO GO UP THERE
OVER A YEAR AGO.

SO I BATHE DOWNSTAIRS
IN THE HALF BATH,

SITTING ON THE TOILET.

BUT WITHOUT RUNNING WATER,
I HAVE TO USE A BUCKET

AND A LOOFAH SPONGE
THAT HAS A STICK TO REACH

ALL THE AREAS
OF MY BODY THAT I NEED.

BUT IT'S SO HARD.
IT'S A LOT FOR ME TO DO,

AND IT'S REALLY
A PAINFUL EXPERIENCE,

SO I JUST CAN'T DO IT FOR LONG.

SO WHEN IT GETS TOO MUCH FOR ME,

I JUST HAVE TO STOP AND GO BACK
TO MY CHAIR BECAUSE I'M DONE.

THANK YOU.
-YOU'RE WELCOME.

IT'S EMBARRASSING, NOT BEING
ABLE TO HANDLE SOMETHING

AS BASIC AS TAKING A BATH
BECAUSE I'M TOO FAT.

AND I KNOW HOW LITTLE
I CAN DO FRUSTRATES BETH

BECAUSE OF HOW MUCH
SHE HAS TO DO FOR ME.

I'M LIKE A CHILD
SHE HAS TO TAKE CARE OF,

AND I DON'T EVEN FEEL LIKE
SHE SEES ME AS HER WIFE ANYMORE.

CAN YOU HELP ME GET POWDERED
AND GET DRESSED?

YES.

Beth: I PUT EVERYTHING THAT I
HAVE INTO THIS RELATIONSHIP

BECAUSE GINA IS MY WHOLE LIFE,

BUT IT'S NOT THE KIND
OF MARRIAGE THAT I WANT

BECAUSE OF THE WEIGHT
THAT SHE'S AT.

I WANT OUR MARRIAGE TO BE
DIFFERENT BY HER BEING HEALTHY,

AND IT MAKES ME FEEL ANGRY

BECAUSE I FEEL LIKE
SHE'S GIVEN UP COMPLETELY.

DO YOU WANT TO START
MAKING BREAKFAST?

-SURE.
-OKAY, THANK YOU.

Gina: I HATE THAT I LET IT
ALL GET TO THIS POINT,

BUT WHEN IT COMES TO FOOD,
IT FEELS LIKE I HAVE NO CONTROL.

WHEN I WAKE UP, I'M STARVING,
AND I CAN'T WAIT TO EAT.

BEFORE SHE GOES TO WORK,

BETH MAKES US ALL WHAT
WE NEED FOR BREAKFAST.

EATING, IT MAKES ME FEEL GOOD.

IT MAKES ME FEEL SAFE.

IT MAKES ME FEEL HAPPY.

IT TAKES AWAY ALL MY PAIN
AND DEPRESSION,

SO NO MATTER
WHAT IT'S COSTING ME

AND HOW MUCH I HATE MY LIFE,
I CAN'T STOP.

I JUST WANT MORE
AND MORE AND MORE.

HELLO.

-HI.
-HERE.

SO I HAVE TO HAVE SOMEONE
CONSTANTLY BRING ME MORE FOOD.

OKAY.

WITHOUT IT, I WOULD HAVE
NOTHING IN MY DAY

TO EVEN LOOK FORWARD TO.

IT SAVES ME FROM EVERYTHING,
AND IT ALWAYS HAS.

NO MATTER WHAT I'VE GONE THROUGH
OR HOW BAD THINGS GOT,

I KNEW I COULD ALWAYS RELY
ON FOOD TO GET ME THROUGH IT.

MY LIFE'S BEEN HARD.

THE FIRST THING I REMEMBER
WAS MY OLDER SISTER,

ALI, GETTING DIAGNOSED
WITH AGORAPHOBIA

WHEN I WAS 7 AND SHE WAS 11.

I FELT LIKE ALL OF MY MOM'S
ATTENTION WAS ON MY SISTER,

SO I ALWAYS FELT
MY WHOLE LIFE LIKE

I WAS ALWAYS,
LIKE, PUSHED UNDER THE RUG.

SO THAT WAS A REALLY HARD TIME
IN MY LIFE,

AND I GOT REALLY
JEALOUS OF MY SISTER,

AND I REMEMBER
WHAT MADE ME FORGET

THAT PAIN OF BEING ABANDONED
WAS EATING.

BY THE TIME I WAS 10,
I WAS ALREADY OVER 150 POUNDS.

Cathy: GINA'S CHILDHOOD --
I WAS THE BAD MOM.

YOU KNOW, SHE WOULD FIGHT ME
TO GET FOOD,

AND INSTEAD OF JUST SAYING "NO"

AND DEALING WITH
A TEMPER-TANTRUM,

I JUST GAVE IN.

I THINK I LET HER
MANIPULATE ME 150 PERCENT.

SO I THINK FOR GINA,
I CARRY SO MUCH GUILT

THAT IT WAS MY FAULT
SHE WAS SO HEAVY.

Gina: MY WEIGHT STARTED
TO CAUSE PROBLEMS FOR ME

BECAUSE I STARTED
GETTING BULLIED A LOT.

SO THAT LED TO ME ACTING OUT
AND GETTING PUNISHED A LOT,

WHICH MADE THINGS EVEN WORSE,
ESPECIALLY WITH MY DAD

BECAUSE THE ENFORCER KIND OF,
AND WHEN I DID SOMETHING WRONG,

AND HE WAS UPSET, MY PUNISHMENTS
FROM HIM COULD GET BRUTAL.

HE WOULD HIT ME, PULL MY HAIR,
BUT AT A YOUNG AGE,

I DIDN'T KNOW THAT WAS ABUSE.

I JUST THOUGHT THAT'S HOW HE,
LIKE, HANDLED SITUATIONS,

BUT I WOULD CRY TO MOM,
CRY TO MY MOM,

BUT SHE NEVER STOPPED IT
OR DID ANYTHING ABOUT IT.

AND IT WASN'T JUST
HAPPENING TO ME.

IT WAS HAPPENING TO ALI, TOO.

MY DAD WOULD PUNCH ME IN MY FACE
UNTIL MY NOSE BLED.

MY DAD WOULD CHOKE ME
UNTIL I COULDN'T BREATHE.

MY DAD WOULD KICK ME UNTIL I WAS
BLACK AND BLUE DOWN MY LEGS,

AND I HAD TO GO
TO SCHOOL LIKE THAT.

HE WOULD SAY THAT
I'M NOT GOOD ENOUGH.

I'M NOT WORTH IT.

I'M DISGUSTING. I'M FAT.

I SMELL. I'M STUPID.

I'M DUMB.

THAT'S WHEN ME AND MY SISTER
WOULD ESCAPE

AND GO TO GET FOOD AND GO TO
EVERY FAST-FOOD PLACE WE COULD.

AND I WAS ALREADY UP
TO OVER 300 POUNDS

BY THE TIME I STARTED
HIGH SCHOOL WHEN I WAS 14.

BUT IN HIGH SCHOOL,
THINGS GOT EVEN WORSE

BECAUSE MY PARENTS
GOT A DIVORCE,

AND FOR SOME REASON,
MY MOM DID NOTHING TO KEEP US

WITH HER AT THAT TIME,
SO ME AND ALI

ENDED UP LIVING WITH OUR ABUSIVE
FATHER WITHOUT OUR MOM,

AND THAT'S WHEN THINGS
GOT REALLY BAD

BECAUSE THERE WAS JUST NOTHING
HOLDING HIM BACK ANYMORE.

WE WEREN'T ABLE TO LEAVE OUR
HOME WHEN THE ABUSE HAPPENED.

WE WEREN'T ABLE TO DO ANYTHING,

AND WHEN WE WERE ABLE TO,
WE ESCAPED, AND WE GOT FOOD.

THAT WAS OUR ESCAPE.

I WAS TRYING TO CONSTANTLY EAT
AS MUCH AS I COULD,

AND THAT PUSHED MY WEIGHT
TO OVER 450

BY THE TIME
I GRADUATED HIGH SCHOOL,

AND AS I WAS GETTING
CLOSER TO 500,

IT STARTED TO GET HARDER
TO DO THINGS.

BUT THAT TURNED OUT
TO BE A GOOD THING

BECAUSE BECOMING
DISABLED LIKE THAT

MEANT I COULD QUALIFY
FOR SOME FINANCIAL ASSISTANCE

TO GET A PLACE,
AND I TALKED TO MY MOM

AND MY SISTER
ABOUT LIVING TOGETHER.

I STILL HADN'T FORGIVEN MY MOM

FOR HOW SHE HANDLED THINGS
WITH MY DAD AND US,

BUT IT WAS DEFINITELY A LOT
BETTER OF A LIVING SITUATION

BEING WITH HER
AND MY SISTER INSTEAD OF MY DAD.

I WAS 19 AND NOT QUITE 500
POUNDS THEN,

SO I WAS STILL TRYING
TO HAVE A LIFE,

AND I EVEN TRIED
TO START TO DATE THEN.

WHEN I WAS 23,
I FINALLY ADMITTED

TO MYSELF THAT I LIKED GIRLS,

AND I GOT ON A DATING SITE,
AND THAT'S HOW I MET BETH.

WHEN GINA AND I FIRST
STARTED DATING,

GINA'S PERSONALITY
IS WHAT DREW ME TO HER.

GINA HAS A HEART MADE OF GOLD.

SHE'S A FUN, LOVING, CARING
PERSON THAT EVERYBODY LOVES.

Gina: I REALLY KNEW I LOVED HER,

AND ONCE WE MADE
OUR RELATIONSHIP OFFICIAL,

THINGS WENT REALLY FAST.

THEN 6 MONTHS LATER,
WE GOT ENGAGED,

AND THEN A YEAR LATER,
WE GOT MARRIED,

SO IT WAS KIND OF VERY FAST.

BETH MOVED IN WITH ME,
MY MOM AND MY SISTER,

AND IT'S BEEN A LITTLE
AWKWARD BEING MARRIED

BUT HAVING TO LIVE
WITH MY FAMILY,

WITH ME AND BETH
SLEEPING ON THE COUCH.

AND BEING AS BIG AS I AM NOW

HAS ALSO DEFINITELY PUT A STRAIN
ON OUR MARRIAGE, TOO,

BECAUSE AS I'VE GOTTEN BIGGER
AND BECOME ALMOST IMMOBILE,

IT'S BECOME BETH'S JOB
TO TAKE CARE OF ME.

Beth: THROUGHOUT THE DAY,
I'LL GET A PHONE CALL OR A TEXT

TO GET WHAT SHE WANTS
FROM A RESTAURANT

OR A PIZZA JOINT
UP THE STREET.

AND THEN I ALSO HAVE
TO MAKE SURE

THAT I'M GETTING EVERYTHING
THAT EVERYBODY ELSE WANTS:

HER SISTER, ALI, HER MOM, CATHY,
AND IT'S NOT EASY.

I DO FEEL LIKE A CARETAKER,
BUT I DON'T LIKE THE CONFLICT.

I DON'T WANT
A FIGHTING MARRIAGE,

SO I JUST GET WHAT SHE WANTS.

Gina: SHE TELLS ME SHE STILL
LOVES ME AND THAT MY WEIGHT

AND HOW BIG I AM NOW
HASN'T CHANGED ANYTHING,

BUT I KNOW IT HAS BECAUSE
WE STOPPED BEING INTIMATE.

BETH AND I HAVEN'T HAD SEX
SINCE 3 YEARS AGO,

BEFORE WE GOT MARRIED,
AND SHE ALWAYS COMES UP

WITH DIFFERENT EXCUSES
ON WHY WE'RE NOT,

AND BETH DOES MAKE COMMENTS
ABOUT HOW BIG I'M GETTING

AND HOW MUCH I EAT THAT MAKE ME
FEEL BAD ABOUT MY WEIGHT.

I JUST FEEL LIKE AT THIS POINT,
WITH HOW IMMOBILE I AM

AND HOW BAD MY MARRIAGE
SEEMS TO BE,

THAT MY WHOLE LIFE
FALLING APART.

AT THIS WEIGHT,
I'M VERY MISERABLE.

I'M 28, AND I'M PROBABLY
OVER 600 POUNDS NOW,

AND I'M ONLY GETTING BIGGER,

SO I'M RUINING ANY CHANCE
I HAVE FOR A FUTURE ALL

BECAUSE I CAN'T STOP EATING.

-WHAT ARE WE DOING FOR DINNER?
-I HAVE NO IDEA.

BETH IS PROBABLY NOT GOING
TO WANT TO COOK.

SHE'S BEEN WORKING ALL DAY,
SO I DON'T KNOW.

-YEAH.
-G, IS BETH ON HER WAY HOME?

YEAH.

I'M GOING TO CALL HER
TO JUST PICK UP SOME FOOD.

OKAY.

-KEITH.
HEY, KEITH.

-HEY, GUYS.
-BUBBA.

-WHAT'S SHAKING?
-HI.

ALL RIGHT.

I AM GETTING HUNGRY,
AND I'M GOING TO CALL HER.

HI, BABE, WHERE ARE YOU?

OH, OKAY.

WELL, CAN YOU GO TO THE DINER
AND PICK UP US SOME FOOD?

YOU'RE NOT GOING
TO COOK THIS LATE.

NO, YOU'RE NOT.

WHAT'S THE BIG
FREAKING DEAL?

I DON'T GET IT.
JUST GO.

NO, YOU'RE GOING TO CALL
BECAUSE I --

YOU HAVE TO CALL.

-Okay.
-OKAY?

-Okay!
-ALL RIGHT.

THANKS.
LOVE YOU, BYE.

Yep, love you, bye.

I'LL JUST TEXT HER.

OKAY.

IT'S JUST NOT FAIR FOR YOU
TO BE TREATED THIS WAY,

AND IT KILLS ME
BECAUSE SHE'S YOUR WIFE.

SHE SHOULDN'T DO THAT TO YOU,

AND SHE SHOULDN'T CONSTANTLY
MAKE YOU FEEL

LIKE YOU'RE THE PROBLEM
AND TELL YOU WHAT YOU DON'T DO.

YOU'RE LAZY.
YOU SMELL.

YOU'RE FAT,
INSTEAD OF BUILDING YOU UP.

YOU DESERVE SO MUCH MORE.

SHE IS A GOOD PERSON, AND I FEEL
MAYBE IT WILL GET BETTER

ONCE I CHANGE FOR MYSELF,
BUT ONLY TIME WILL TELL.

HI.
-HI, BABE.

YEP. I'LL JUST BRING IT
IN THE KITCHEN.

THANK GOD, I'M STARVING.

Gina: I KNOW MY FAMILY THINKS
THAT BETH MAKES THINGS WORSE,

BUT I KNOW THAT MY WEIGHT
IS AN ISSUE

THAT I COULD CHANGE
IF I COULD JUST GIVE UP FOOD.

BUT IF I COULD GIVE UP FOOD,

I WOULD'VE DONE IT
A LONG TIME AGO.

BUT AT THE SAME TIME,
I KNOW MY BODY IS IN BAD SHAPE,

AND IT'S GETTING WORSE
EVERY DAY,

AND IF I DON'T STOP GAINING
AND GETTING BIGGER,

THEN I'LL DIE BECAUSE
I DIDN'T STOP EATING.

IF I DON'T DO ANYTHING NOW,
IT'S JUST GOING TO GET WORSE,

AND I'M GOING TO DIE.

YOU KNOW, MY SISTER IS GETTING
MARRIED IN A COUPLE OF MONTHS,

AND SHE WANTS ME
TO BE IN THE WEDDING,

BUT I'M TOO BIG
TO BE ABLE TO GET AROUND.

SO EVEN IF I COULD MAKE IT
TO HER WEDDING, TO BE THERE

FOR ONE OF THE BIGGEST MOMENTS
OF MY SISTER'S LIFE,

I DON'T KNOW IF I WANT
THE REST OF MY FAMILY

TO SEE HOW BIG I'VE GOTTEN.

Ali: GINA HAS A HARD TIME
GETTING OUT OF THE HOUSE,

AND I'M EXTREMELY WORRIED
THAT SHE HAS ISOLATED HERSELF

IN A REALLY BIG WAY,
AND IT'S HARD.

IT'S REALLY HARD, AND NOW
SHE'S JUST SECLUDED HERSELF,

AND GINA IS KILLING HERSELF.

Gina: I KNOW AT THIS POINT,
UNLESS I LOSE WEIGHT,

THAT I DON'T HAVE
MUCH OF A FUTURE NOW.

I WANT TO HAVE A FAMILY
AND KIDS WITH BETH,

BUT I'M AT A POINT WHERE
I'M GIVING UP ON MY DREAMS,

BECAUSE HOW COULD I HAVE A LIFE
AND DO THINGS WHEN I'M THIS WAY?

Cathy: I'M AFRAID FOR HER
BECAUSE IF GINA DOESN'T CHANGE,

I DON'T SEE HER
LIVING A LONG LIFE.

LOSING GINA WILL DEVASTATE ME.

I -- IT WOULD BE HORRIBLE.

I DON'T KNOW HOW I WOULD LIVE
WITHOUT HER.

I'M GOING
TO GET READY FOR BED.

OKAY.

THANK YOU.

Beth: I'M VERY SCARED FOR GINA

BECAUSE I FEEL LIKE GINA
IS KILLING HERSELF SLOWLY,

AND IF SHE DOESN'T LOSE
THE WEIGHT,

I FEAR THAT SHE WILL DIE.

HEY, BABE, BEFORE YOU LAY DOWN,
CAN YOU GET ME A SNACK, PLEASE?

SURE.

Gina: FOOD IS CONTROLLING
MY LIFE BECAUSE I LET IT.

HERE YOU GO.
THANK YOU.

YOU'RE WELCOME.

AND I KNOW IF I DON'T
FIGURE OUT SOME WAY

TO TAKE BACK THAT CONTROL,

THAT I HAVE NO HOPE
BECAUSE THERE'S NO WAY

I CAN GO ON LIKE THIS.

SO NO MATTER HOW HARD IT IS
FOR ME TO SEE,

I HAVE TO BELIEVE THERE'S
A CHANCE FOR ME TO CHANGE,

BUT I KNOW I DON'T HAVE
A LOT OF TIME TO FIND THAT HELP.

SO I HAVE TO TRY NOW
BECAUSE IT'S NOW OR NEVER.

Gina: TODAY, ME AND BETH ARE
GOING TO TRY TO GO TO HOUSTON

TO SEE DR. NOW,
BUT I'M FEELING REALLY NERVOUS

ABOUT LEAVING THE HOUSE,
SO MY ANXIETY IS HIGH.

WE'RE DRIVING, AND IT'S, LIKE,
A 25 OR 26-HOUR DRIVE.

ROUND TRIP, IT'S GOING TO BE,
LIKE, 11 DAYS,

BUT AT LEAST BETH
IS RENTING A BIG CAR

TO GIVE ME SOME ROOM
SO IT WON'T BE AS HARD ON ME.

BUT IT'S STILL NOT
GOING TO BE EASY,

SO I'M JUST REALLY OVERWHELMED
THINKING ABOUT IT,

AND I'M ALSO
A LITTLE FRUSTRATED WITH MY MOM

BECAUSE SHE WAS GOING WITH US
TO HELP ME,

BUT LAST NIGHT,
SHE CHANGED HER MIND

AND DECIDED SHE DIDN'T
WANT TO DO IT.

SHE SAYS SHE NEEDS
TO STAY HERE TO HELP ALI

PREPARE FOR THE WEDDING.

SO IT FEELS LIKE A BIT OF MY
CHILDHOOD ALL OVER AGAIN,

WHERE MY SISTER
GETS THE ATTENTION,

AND I DON'T REALLY MATTER.

SO MY ANXIETY AND HOW
OVERWHELMED I FEEL

IS EVEN WORSE NOW
BECAUSE OF THAT,

SO I JUST WANT BETH
TO GET BACK FROM THE CAR RENTAL,

SO WE CAN GET ON THE ROAD,
AND WE CAN GET OUT OF HERE.

OKAY. TAKE THIS.

HOW ARE YOU FEELING?

OVERWHELMED.

THIS IS ALL WORTH IT,
GINA.

OKAY, I KNOW.

OKAY,
BUT YOU DIDN'T THINK

I WAS GOING TO NOT GET
EMOTIONAL TODAY, DID YOU?

I MEAN, COME ON.
YOU'RE MY BABY.

ALL RIGHT.

AT LEAST ONCE I GET IN THE CAR
AND ON THE ROAD,

I WON'T HAVE TO DEAL
WITH MY MOM.

I JUST HOPE LEAVING THE HOUSE
FOR SO LONG

ISN'T GOING
TO BE A BIG MISTAKE,

AND THAT IT'S NOT GOING TO BE
THIS MISERABLE,

PAINFUL EXPERIENCE
THE WHOLE TRIP.

HI.
-HI.

I GOT THE CAR.

-OKAY.
-IT'LL BE ALL RIGHT.

THIS IS GOING TO BE ONE
OF THE HARDEST THINGS

I'VE EVER DONE IN MY LIFE

BECAUSE GOING ANYWHERE
AT MY WEIGHT IS DANGEROUS,

SO DOING THIS IS A
LIFE-OR-DEATH SITUATION,

AND I'M HOPING IF I GET
DR. NOW'S HELP

AND WEIGHT-LOSS SURGERY
SOON THAT I MIGHT EVEN BE ABLE

TO LOSE ENOUGH WEIGHT TO BE
AT MY SISTER'S WEDDING

TO BE THERE FOR HER
LIKE SHE WANTS.

BUT I'M STILL TERRIFIED,
AND I FEEL LIKE MY ANXIETY

IS GOING THROUGH THE ROOF,

SO I'M JUST TRYING NOT TO THINK
ABOUT IT AND GET ON THE ROAD.

YOU OKAY?

-YEAH.
-OKAY.

I'M JUST OVERWHELMED...

-I KNOW.
-...AND SCARED AND NERVOUS.

-YOU GOT THIS.
-THANK YOU.

-YOU READY TO GO, BABE?
-YEAH.

CAN YOU GET ME IN THE CAR
FIRST, THOUGH?

YEAH.
OKAY.

Gina: BUT I HAVE TO MAKE IT
ALL THE WAY TO THE CAR FIRST,

AND IT'S GOING TO BE
A LOT FURTHER

THAN I'VE HAD TO WALK
IN A LONG, LONG TIME,

AND ONCE I STEP OUT THAT DOOR,
THERE WON'T BE ANYWHERE TO REST.

THANK GOD, I MADE IT.

WE'RE NOT EVEN ON THE ROAD YET,
AND I'M ALREADY WIPED OUT.

AND WE HAVE A REALLY
LONG WAY TO GO,

SO THIS IS JUST A LOT FOR ME,

AND I'M REALLY TRYING
NOT TO FREAK OUT.

BABE, IT'S HOT.

I'LL START THE CAR.

IT'S GOING TO TAKE A LOT FOR ME

TO MAKE IT TO HOUSTON
AND DO THIS.

I'M SO NERVOUS.

I FEEL LIKE I'M GOING
TO BE SICK.

I FEEL NAUSEOUS.

GRAB SOMETHING TO SNACK ON.

MAYBE YOU'RE HUNGRY.

I JUST HOPE WE GET THERE
WITHOUT ANY ISSUES,

BUT IT'S A LONG TRIP,
AND ANYTHING CAN HAPPEN.

CAN YOU STOP AT THE NEAREST
FAST-FOOD PLACE?

BECAUSE I'M HUNGRY.

-YEAH.
-OKAY.

THE ONE THING
I CAN COUNT ON WITH FOOD

IS THAT IT CALMS ME DOWN,

AND IF I'M GOING TO HAVE
ANY CHANCE OF MAKING IT

TO THE END OF THIS TRIP,
I'M GOING TO NEED THAT HELP.

YOU WANT THE REGULAR
OR DOUBLE?

-REGULAR.
-MEAL OR NO?

YEAH, BUT...
AND CHICKEN NUGGETS.

Woman:
HI, AND HOW CAN I HELP YOU?

CAN I GET A NUMBER ONE
WITH CHEESE, CHICKEN NUGGETS

AND A ORDER
OF THE CHICKEN FRIES?

$14.47 AT SECOND WINDOW,
PLEASE.

THANK YOU.

-ALL RIGHT. SAUCE IS IN THE BAG.
-THANK YOU.

I HONESTLY DON'T SEE
HOW I'M GOING TO BE BE ABLE

TO GIVE THIS UP,
ESPECIALLY IN MOMENTS LIKE THESE

WHEN FOOD IS MAKING
ALL THE DIFFERENCE.

WE'VE ONLY BEEN ON THE ROAD
FOR A LITTLE OVER 4 HOURS,

BUT I TOLD BETH WE JUST HAVE
TO STOP FOR THE NIGHT.

I'M JUST HURTING TOO MUCH,
AND I JUST NEED TO GO

GIVE MY BODY A BREAK
FROM ALL THIS ABUSE,

BUT I'M DISAPPOINTED WE DIDN'T
GET AS FAR AS WE PLANNED

BECAUSE WE STILL HAVE
SUCH A LONG WAY TO GO,

AND AT THIS RATE,
IT'S GOING TO TAKE MORE

THAN A WEEK TO GET THERE,

AND I'LL MISS MY APPOINTMENT
WITH DR. NOW.

SO TOMORROW, I JUST HAVE TO DO
BETTER, BUT I'M DONE FOR TODAY.

IT'S HOT.

IT'S HOT.
PUT THE AIR ON.

OKAY, JUST GO GET THE STUFF.
GET THE FAN.

I'M HOT, SWEATING.

OKAY.

ALL RIGHT.

AND SO FAR, IT'S EVEN HARDER
THAN I THOUGHT,

SO I'M SCARED,
AND I HAVE NO IDEA WHAT'S AHEAD

AND IF I'M GOING TO BE
ABLE TO HANDLE IT.

ALL I KNOW IS THAT MY LIFE
DEPENDS ON THIS,

SO NO MATTER HOW MUCH IT HURTS
OR HOW SCARY AND HARD THIS IS,

I HAVE TO MAKE IT TO HOUSTON.

Gina: ME AND BETH
ARE FINALLY IN HOUSTON.

I PUSHED MYSELF TO GO AT LEAST
4 TO 5 HOURS A DAY,

SO WE CAN MAKE IT BY TODAY
AND IN TIME

FOR MY APPOINTMENT WITH DR. NOW,
AND I MADE IT.

BUT I'M SO SCARED RIGHT NOW.

I NEED THIS HELP SO BAD.

MY LIFE DEPENDS ON IT,
AND I DON'T WANT TO DIE.

I'M ONLY 28 YEARS OLD,
SO THIS IS VERY IMPORTANT TO ME.

NOWHERE ELSE WILL TAKE ME
ON AS A PATIENT.

SO MY WHOLE LIFE DEPENDS
ON WHAT'S ABOUT TO HAPPEN.

GINA.

I'M HONESTLY NOT SURE
WHAT THE SCALE WILL SAY TODAY.

BUT I KNOW THAT WHATEVER
IT SAYS,

IT'S NOT GOING TO BE GOOD.

WOW.

WOW.

THAT'S NOT THE WORST NUMBER
I IMAGINED IT TO BE,

BUT IT'S STILL SHOCKING
TO SEE A NUMBER LIKE THAT,

SO I SHOULDN'T HAVE
GOTTEN THIS WAY.

THIS IS MY LAST CHANCE
AT A LIFE.

IF HE SAYS NO, I DON'T KNOW
WHAT I'M GOING TO DO.

-HELLO.
-HI.

-HI.
-HOW ARE Y'ALL DOING?

GOOD, HOW ARE YOU?

JUST FINE, THANK YOU.

I'M DR. NOWZARADAN,
AND YOU'RE GINA?

-YES.
-AND YOU ARE?

-BETH.
-BETH.

AND WE ARE COMING
FROM NEW JERSEY.

-YES.
-YEAH, TUCKERTON, NEW JERSEY.

ALRIGHT. SO WHAT BROUGHT
YOU DOWN TO TEXAS?

I'VE TRIED WEIGHT-LOSS SURGERY
BEFORE IN NEW JERSEY,

AND THEY TOLD ME
I WAS TOO BIG.

WELL,
YOU HAVE A BMI OF 100,

WHEN IT SHOULD BE
A QUARTER OF THAT,

SO THAT IS A DANGEROUS
SITUATION TO BE IN,

AND THERE WAS A GOOD CHANCE
YOU WOULDN'T HAVE SURVIVED

SURGERY BECAUSE OF THAT,

SO I CAN UNDERSTAND
WHY YOU WERE TOLD THAT

BECAUSE YOU'RE TOO HIGH-RISK
TO HAVE THE SURGERY.

MM-HMM.

AND WHAT SEEMS TO BE THE ISSUE
WITH YOUR EATING HABIT?

NOT EATING
THE RIGHT THINGS.

I SNACK A LOT.

LOTS OF EMPTY SNACKING,
AND YOU ARE 600 POUNDS,

AND YOU WONDERING
WHAT'S WRONG, HUH?

JUST A GUY COME IN,
COME IN AND SAY,

"MY HEAD HURT,"
AND I SAY, "WHEN?"

"WELL, WHEN I HIT IT
WITH THE BASEBALL BAT."

-YOU'RE RIGHT.
-OKAY.

SO, WHAT DRIVE YOU
TO SNACK?

ARE YOU HUNGRY?
ARE YOU HABIT OR NERVOUS?

BORED, JUST BORED, LIKE...

-BOREDOM?
-MM-HMM, YEAH.

SO I ASSUME THAT
YOU'RE NOT WORKING.

-NO, I DON'T WORK.
-ALL RIGHT.

SO, HOW DO YOU
SUPPORT YOURSELF?

I'M ON DISABILITY,
AND MY WIFE WORKS.

OKAY. SO YOU WORK ALL DAY
AND BRING HOME FOOD

AND PAY FOR HER
TO EAT ALL DAY AT HOME.

YES.

ALRIGHT. LET'S SEE.

OKAY, SO IF YOU WANT
TO BE IN MY PROGRAM,

HERE IS WHAT
IT'S GOING TO TAKE.

THE FIRST THING IS, I'M GOING TO
GIVE YOU 1,200 CALORIE A DAY,

HIGH-PROTEIN, LOW-CARB DIET THAT
I WANT TO START IMMEDIATELY.

OKAY.

IT IS GOING TO BE ONLY EATING
THREE TIMES A DAY.

THERE WILL BE NO SNACKING.
-OKAY.

AND THERE WILL BE LISTS
OF FOOD TO AVOID.

OKAY.

SO YOU'RE GOING TO HAVE TO
CHANGE YOUR EATING HABIT

AND WELL UP SOME DISCIPLINE
IN YOUR LIFE,

AND THEN OVER THE NEXT 2 MONTHS,
I WANT YOU TO LOSE 50 POUNDS.

YOU THINK YOU CAN DO THAT?

YEAH.

OKAY, I HOPE SO.

SO THAT MEANS, BETH,
YOU STOP FEEDING

GINA AS WELL
AS HER WHOLE FAMILY.

OKAY.

AND, GINA, YOU START MAKING
YOUR OWN MEALS

AND STOP PUSHING BETH
TO GET YOU FOOD.

OKAY.

THAT'S GOING TO BE
THE STARTING POINT,

AND YOU'RE GOING
TO HAVE TO SHOW ME

THAT YOU'RE SERIOUS
ABOUT IT AND MOTIVATED

AND GET YOURSELF
IN A BETTER SHAPE.

AND THEN, IF I ACCEPT YOU
INTO MY PROGRAM,

AND WE MOVE AHEAD
TO DO WEIGHT-LOSS SURGERY,

THE LAST THING IS,
YOU HAVE TO MOVE DOWN

TO HOUSTON
FOR AT LEAST A YEAR,

SO WE CAN PROVIDE YOU
WITH THE SUPPORT YOU NEED

TO BE SUCCESSFUL
IN THE LONG RUN.

IS THAT SOMETHING YOU THINK
YOU BOTH CAN DO?

-MM-HMM.
-YES.

WE CAN DO THAT.

ANY QUESTIONS?

-NO.
-ALL RIGHT.

I'LL SEE YOU BOTH IN TWO MONTHS,
AND IT WAS NICE TO MEET YOU.

THANK YOU SO MUCH.
NICE TO MEET YOU, TOO.

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

AND IF YOU HAVE ANY QUESTIONS,
GIVE ME A CALL.

OKAY.
THANK YOU SO MUCH.

YOU'RE WELCOME.

Dr. Nowzaradan:
I HAVE A LOT OF CONCERNS
ABOUT GINA RIGHT NOW,

BUT WHAT I NEED TO SEE
FROM HER RIGHT NOW

IS A WILLINGNESS TO START
MAKING THE CHANGES

SHE NEEDS BY LOSING 50 POUNDS
OVER THE NEXT 2 MONTHS.

IF SHE DOES THAT,
THEN WE CAN WORK WITH HER,

BUT IF SHE DOESN'T, THEN SURGERY
AND ANYTHING ELSE WE DO

WILL ONLY LEAD
TO TEMPORARY PROGRESS FOR HER

THAT SHE WILL EVENTUALLY UNDO.

SO THE BALL IS IN HER COURT,

AND WHERE WE GO FROM HERE
WILL ALL COME DOWN

TO WHETHER SHE'S WILLING TO DO
THE WORK SHE NEEDS OR NOT.

Gina:
I FEEL AMAZING THAT DR. NOW
IS WILLING TO WORK WITH ME

BECAUSE I WAS SO NERVOUS
THAT HE WAS GOING TO SAY NO,

BUT IT'S DEFINITELY DAUNTING

THAT I HAVE TO LOSE
50 POUNDS ON MY OWN.

IT'S GOING TO BE HARD
AND OVERWHELMING,

BUT I KNOW THIS IS A
ONE-IN-A-LIFETIME CHANCE FOR ME

AND THAT MY WEIGHT
IS KILLING ME,

SO I NEED TO GET
MY LIFE ON TRACK

BEFORE IT'S TOO LATE FOR ME.

I'M HUNGRY.

WHAT WOULD YOU LIKE?

I DON'T KNOW WHAT WE HAVE.

I'LL GO TELL YOU.

OKAY.

ME AND BETH HAVE BEEN BACK HOME
FOR ABOUT A WEEK,

AND FOOD WAS OBVIOUSLY
A HUGE PART

OF WHAT HELPED ME DEAL
WITH THE STRESS

AND THE PAIN OF THE TRIP,

SO I COULDN'T EVEN TRY TO START
THE DIET AND EXERCISE PLAN

DR. NOW GAVE ME
UNTIL WE GOT BACK HOME,

SO I HAVEN'T HAD A LOT OF TIME
TO MAKE SOME PROGRESS YET.

BUT BETH WENT TO
THE GROCERY STORE

AND GOT SOME HEALTHIER
FOOD OPTIONS FOR ME

TO START ADJUSTING
TO THE NEW DIET,

SO I'VE BEEN
WORKING ON DOING THAT,

BUT IT HASN'T BEEN EASY BECAUSE
I HAVEN'T BEEN FEELING WELL.

I THINK THE TRAVELING
TOOK A LOT OUT OF ME

AND BROKE MY SYSTEM
DOWN A LITTLE,

BUT I'M TRYING TO DO
THE BEST I CAN

BECAUSE I KNOW
HOW IMPORTANT THIS IS.

YOU HAVE SOME TURKEY BURGERS.

THERE'S EGGS.

THERE'S SOME LETTUCE,
IF YOU WANT ME TO MAKE A SALAD.

I DON'T KNOW.

I'M, LIKE, NOT IN THE MOOD
OF ANY OF THAT.

I'M HUNGRY, AND I'M SICK.

WHAT DO YOU WANT?

SOMETHING THAT I PROBABLY
SHOULDN'T HAVE, BUT --

YOU HAVE TO HAVE
WHAT'S ON THE DIET!

I KNOW, BUT I DON'T FEEL GOOD,
AND I'M HUNGRY.

I UNDERSTAND THAT, BUT THAT'S
A REASON OR AN EXCUSE!

OKAY, BETH.
CAN YOU GO GET ME SOMETHING?

WE CAN'T DO THAT.

YOU HAVE TO EAT --
HAVE WHAT'S ON YOUR DIET.

YOU GUYS AREN'T
EATING HEALTHY.

YOU GUYS SAID YOU WOULD DO THIS
WITH ME, AND YOU'RE NOT!

YOU BOTH CAN'T
BE PREACHING TO ME,

WHEN YOU TWO
AREN'T DOING IT EITHER.

YES, I EAT BAD.

I'M SORRY.

I HAVE NOT BEEN
100 PERCENT,

BUT YOU NEED TO WANT
TO DO THIS FOR YOU.

YOUR WHOLE LIFE
IS AHEAD OF YOU.

BUT I'M OVERWHELMED.

I'M OVERWHELMED.

I'M VERY PROUD THAT YOU WENT
TO SEE DR. NOW,

AND FOR YOUR
FIRST APPOINTMENT,

AND YOU WENT TO TEXAS,
AND YOU DID IT!

AND I THINK THE ONLY WAY THAT
YOU ARE GOING TO DO THIS IS,

YOU HAVE TO START
BECOMING INDEPENDENT.

THEN MAYBE YOU SHOULD TEACH ME
HOW TO MAKE THE TURKEY BURGERS.

YES.

OKAY.

Gina: BETH AND MY MOM
JUST DON'T UNDERSTAND

HOW HARD THIS IS FOR ME...

LET'S DO IT.
I'M READY.

OKAY.

...BECAUSE FOOD
IS THE ONLY THING

I HAVE THAT MAKES ME HAPPY,

AND GIVING ALL THAT UP
IS NOT EASY,

BUT I REALLY AM TRYING

BECAUSE I KNOW I HAVE
TO START LOSING WEIGHT NOW.

NOT JUST BECAUSE I NEED
TO GET IN DR. NOW'S PROGRAM

AND GET WEIGHT-LOSS SURGERY,

BUT BECAUSE ALI'S WEDDING IS
COMING UP IN A COUPLE OF WEEKS,

AND ONE OF MY BIG MOTIVATIONS
HAS BEEN TO LOSE ENOUGH WEIGHT

TO BE THERE FOR HER,
SO I REALLY WANT TO DO THIS.

BUT EVERYONE JUST TREATS ME
LIKE I DON'T CARE

INSTEAD OF SUPPORTING ME,

AND THAT MAKES ME FEEL
EVEN MORE ALONE

THAN I ALREADY DO
TRYING TO DO THIS,

BUT THAT DOESN'T MEAN I'M NOT
DETERMINED TO MAKE THESE CHANGES

BECAUSE EVERYTHING IN MY LIFE
DEPENDS ON ME DOING THIS.

Gina: IT'S BEEN A LITTLE
OVER A MONTH

SINCE MY FIRST APPOINTMENT
WITH DR. NOW,

AND I STILL HAVE ANOTHER MONTH
BEFORE MY NEXT FOLLOW-UP.

Beth:
YOU WANT YOUR SHOES ON?

YES, PLEASE.

YOU WANT TO TIE ONE
FOR ME?

BUT I'VE BEEN PUSHING MYSELF
TO MAKE AS MUCH PROGRESS

AS I CAN BY THIS POINT

BECAUSE TOMORROW
IS MY SISTER'S WEDDING,

BUT TONIGHT IS THE REHEARSAL,

AND ALI ASKED ME
TO BE THE MAID OF HONOR,

AND I REALLY DON'T WANT
TO LET HER DOWN,

SO I'M TRYING
TO BE THERE FOR HER.

I JUST DON'T KNOW IF I'M GOING
TO BE ABLE TO DO IT.

GO.

I'M SO NERVOUS ABOUT THIS.

I'M ALREADY FEELING TIRED,

AND I'M OVERWHELMED AT THE
THOUGHT OF SEEING EVERYONE,

OR, REALLY, EVERYONE SEEING ME
IS WHAT I'M WORRIED ABOUT.

AND WHEN WE GET THERE,
I DON'T EVEN KNOW

IF THE SEATS THEY HAVE ARE EVEN
GOING TO BE ABLE TO HOLD ME.

SO THIS IS ALL JUST A LOT,
AND I'M TRYING NOT TO FREAK OUT.

CAN I GET OUT?
OKAY.

REALLY?

WHERE?

BETH,
CAN YOU HOLD THE CHAIR?

-HI, SWEETIE.
-HI, HOW ARE YOU?

I'M GOOD.
IT'S GOOD TO SEE YOU.

GOOD TO SEE YOU, TOO.

-HOW YOU FEELING?
-OKAY.

YOU SOUND LIKE YOU HAVE
A LITTLE BIT OF A COLD.

I DO.

ALL THIS IS GETTING TO BE
TOO MUCH FOR ME.

SO I DON'T KNOW HOW LONG

I'M GOING TO BE ABLE
TO HANDLE SITTING HERE.

FEELS LIKE EVERYONE
IS STARING AT ME.

Ali: HI, WHAT'S UP?

I DON'T KNOW IF I'M GOING
TO WALK IN.

OH, YOU MEAN, LIKE,
WALKING...

BECAUSE I NEED -- BECAUSE,
LIKE, IT'S TOO MUCH RIGHT NOW.

WALK IN TONIGHT, YOU MEAN,
OR JUST TOMORROW?

YEAH, JUST --
NO, TONIGHT.

-OKAY.
BECAUSE IT'S TOO MUCH, AND...

-THAT'S FINE.
-MY -- I -- JUST TOO MUCH.

OKAY, THAT'S FINE, OKAY.

I WANTED TO GO BY THE DOOR
BECAUSE IT'S HOT.

-GO AHEAD.
-THIS RIGHT HERE?

-YEAH.
-THANK YOU, BETH.

YOU'LL BE FINE.

IT'S TOO MUCH.

-HERE IS GOOD?
-YEAH.

I JUST NEED TO GET OUT
OF THE CENTER OF THE ROOM.

I THINK DOING THIS AND BEING
HERE WAS A BAD IDEA.

THIS IS JUST TOO MUCH FOR ME.

I FEEL LIKE I NEED
TO GO THE CAR.

I'M HAVING A BAD --
I NEED TO GO TO THE CAR.

LET'S GO.
YOU HAVE THE KEYS?

YOU CAN'T
DO THIS TOMORROW.

I KNOW,
BUT DO YOU HAVE THE KEYS?

AND WHERE IS THE VAN?

RIGHT OUTSIDE.

I CAN'T DO THIS.

I JUST CAN'T.

I'M ALREADY EXHAUSTED, AND WE
HAVEN'T EVEN DONE THE REHEARSAL,

AND I FEEL LIKE I'M ABOUT
TO HAVE A PANIC ATTACK.

I CAN'T DO --
I DON'T FEEL GOOD.

WELL, I CAN'T TAKE YOU
BACK HOME.

I KNOW,
BUT IT'S TOO MUCH.

I'M TRYING.

I JUST DON'T THINK I COULD
GO BACK IN THERE TONIGHT.

I'M SORRY.

I'M TRYING.

I'M JUST AFRAID THAT GINA
IS GOING TO BACK OUT, SO...

THIS WAS A REALLY BAD IDEA.

I DON'T WANT TO LET MY SISTER
AND MY FAMILY DOWN,

BUT I JUST CAN'T DO THIS,

AND I DON'T KNOW IF I COULD
BE THERE TOMORROW

BECAUSE THIS IS JUST
TOO MUCH FOR ME.

IT'S THE DAY
OF MY SISTER'S WEDDING,

AND I DECIDED TO TRY
AND GO TO IT

AND BE THERE FOR HER,

BUT I'M TERRIFIED
BECAUSE I STILL DON'T KNOW

IF I CAN DO IT...OH, MY GOD.

...ESPECIALLY WITH HOW
IT WENT LAST NIGHT

AND HOW LITTLE I CAN HANDLE.

IT'S GOING TO BE A LOT, BUT I'M
WILLING TO TRY IT FOR MY SISTER.

THIS IS A DAY THAT I DON'T WANT
TO LET MY WEIGHT KEEP ME FROM,

SO I REALLY WANT
TO GET THIS OVER WITH,

AND I'M PRAYING I'M ABLE
TO GET THROUGH THIS.

READY?

-YEAH.
-ALRIGHT?

YES. YOU'RE GOOD.
GO, GO, GO.

YOU'RE FINE.
YOU'RE FINE.

Beth: WELCOME, EVERYONE.

ALEXANDRA, WITH THIS RING,
DO YOU PLEDGE BEFORE

ALL OF YOUR FRIENDS AND FAMILY
TO LOVE, HONOR AND CHERISH

KEITH FROM TODAY
AND ALL THE DAYS HEREAFTER?

I DO.

I NOW PRONOUNCE
YOU HUSBAND AND WIFE.

YOU MAY NOW HIGH-FIVE
AND KISS YOUR BRIDE.

Gina: I'M REALLY STARTING TO
STRUGGLE.

THIS IS TOO MUCH, AND MY
ANXIETY IS GETTING HIGHER.

AND I WANT TO DO THE TOAST
FOR MY SISTER, BUT I JUST CAN'T.

I JUST HOPE ALI
ISN'T UPSET AT ME

THAT I CAN'T DO
THE MAID-OF-HONOR

TOAST FOR HER...

BECAUSE I REALLY,
REALLY WANTED TO,

BUT I HAVE TO GO.

Beth: GO ON YOUR PHONE.

I'M GOING TO LIVE YOU IN,
AND I'LL LET YOU WATCH IT, OKAY?

OKAY.

OKAY.

THIS IS NOT
HOW I WANT TO DO THIS

AND HOW I WANTED
TO BE THERE FOR MY SISTER,

BUT IT'S BETTER THAN NOTHING
AND MISSING IT.

Man: ALRIGHT. NEXT WE'RE GOING
TO HAVE GINA GIVE HER SPEECH.

HELLO?

Hello, can you hear me?

-YES.
-WHOO!

OKAY.

HI.

IF YOU GUYS DON'T KNOW ME,
I'M ALI'S BIG --

I MEAN, LITTLE SISTER.

ALI AND I HAVE ALWAYS BEEN
MORE THAN SISTERS.

WE ARE BEST FRIENDS.

ALI IS MY ROCK, THE ONE PERSON
THAT I CAN ALWAYS COUNT ON.

I TRULY

I TRULY DON'T KNOW
WHAT I'D DO WITHOUT HER.

I'm so happy that I got
to stand here today

and witness the love that
you both have for each other.

ALI AND KEITH, I LOVE YOU BOTH,

AND NOW YOU GUYS
CAN HIGH-FIVE FOR A LIFETIME.

CHEERS.

THANK YOU.
LOVE YOU, GINA.

THANK YOU. LOVE YOU.

EVERYBODY, LET'S GIVE GINA
A ROUND OF APPLAUSE

SO LOUD SHE CAN HEAR IT
OUT IN THE CAR.

-WHOO!
-EVERYBODY CHEER FOR GINA.

YES, GINA.

Gina: I'M REALLY DISAPPOINTED
IN MYSELF

THAT I COULDN'T HOLD OUT
FOR EVERYTHING,

AND I'M EMBARRASSED
THAT EVERYONE THERE KNEW

I HAD TO BE OUT IN THE CAR
BECAUSE I WAS TOO BIG TO HANDLE

BEING AT MY SISTER'S
WEDDING FOR LONG.

I DON'T WANT TO EVER HAVE
TO GO THROUGH

SOMETHING LIKE THIS AGAIN,

BUT ALL THIS IS JUST
MORE OF A REMINDER

WHY I HAVE
TO LOSE THE WEIGHT.

I'M DONE WITH THIS LIFE,

AND I'M READY TO FIGHT
TO HAVE A NEW ONE.

Gina:
RIGHT NOW, ME AND MY FAMILY
ARE JUST OUTSIDE HOUSTON.

IT'S BEEN ALMOST 2 MONTHS

SINCE MY LAST APPOINTMENT
WITH DR. NOW,

AND I GO BACK TO SEE HIM
AGAIN NEXT WEEK

TO FIND OUT
IF I HIT MY GOAL

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

BUT ONE OF HIS REQUIREMENTS
FOR HIS PROGRAM WAS THAT ME

AND BETH WOULD HAVE TO MOVE
TO HOUSTON FOR A YEAR,

SO SHORTLY AFTER
MY SISTER'S WEDDING,

I DECIDED I WANTED TO GO AHEAD
AND MAKE THE MOVE.

OH, MY GOD, OKAY.

MY WHOLE FAMILY SAID
THEY WOULD COME DOWN TO HELP ME

AND BETH DO THIS,
SINCE I STILL CAN'T DO MUCH,

BUT IT'S BEEN ANOTHER
REALLY LONG DRIVE HERE.

IT'S TAKING A BIG TOLL
ON MY BODY,

SO I'M READY TO GET
INTO OUR PLACE AND REST.

I'VE NEVER LIVED ON MY OWN

BECAUSE I LIVED WITH MY SISTER
MY WHOLE LIFE,

AND EVEN THE SHORT TIMES
WE HAVEN'T LIVED TOGETHER,

WE'VE STILL BEEN CLOSE
TO EACH OTHER,

BUT NOW WE'RE GOING TO BE
SEPARATED BY HALF THE COUNTRY,

AND THAT'S NOT GOING
TO BE EASY FOR ME.

IT'S ALL YOURS, PRINCESS.

BUT IN SOME WAYS IT'S GOING
TO BE REALLY GOOD

BECAUSE IT'S GOING
TO GIVE ME A CHANCE

TO DISCOVER MORE OF WHO I AM,

NOT BEING A HOUSE
WITH FOUR OTHER PEOPLE.

WE NEED A BED.

WELL, I DON'T KNOW WHAT
YOU EXPECT ME TO DO TONIGHT.

I DON'T KNOW HOW ME AND BETH

ARE GOING TO TAKE
BEING ON OUR OWN.

OUR MARRIAGE
AND OUR RELATIONSHIP,

IT HASN'T BEEN THE GREATEST,

BUT I WANT TO CLOSE
THAT CHAPTER,

OPEN UP A NEW CHAPTER
HERE IN TEXAS,

START MY NEW LIFE.

NOT JUST A NEW LIFE,

BUT A BETTER LIFE
THAT'S POSSIBLE FOR ME

AS LONG AS
I WORK HARD TO GET IT.

ME AND BETH ARE HEADING
TO DR. NOW'S

FOR MY SECOND APPOINTMENT,

AND HOPEFULLY IT'S GOING
TO BE A GOOD ONE

WHERE I GET APPROVED
FOR WEIGHT-LOSS SURGERY.

THE PAST 2 MONTHS
HAVE BEEN REALLY HECTIC

WITH MY SISTER'S WEDDING AND
THE MOVE DOWN HERE TO HOUSTON,

BUT EVEN WITH ALL THAT GOING ON
AND THE STRESS OF EVERYTHING,

I WORKED REALLY HARD
TO LOSE WEIGHT.

SO I'M FEELING GOOD ABOUT THE
PROGRESS I SHOULD SEE TODAY

AND THAT IT'LL BE WHERE IT NEEDS
TO BE TO SHOW DR. NOW

THAT I'M READY TO BE
A PART OF HIS PROGRAM

AND GET WEIGHT-LOSS SURGERY.

GINA?

AT MY LAST APPOINTMENT,
I WEIGHED 606, AND DR. NOW

GAVE ME A GOAL
TO LOSE 50 POUNDS TODAY,

SO THE WEIGHT I NEED TO BE BELOW
TODAY TO HIT MY GOAL IS 556.

I CAN'T SEE HOW THAT'S RIGHT.

I JUST DON'T SEE
HOW I'VE GAINED,

NOT WITH HOW HARD I'VE WORKED.

I CHANGED SO MUCH,
AND I GAVE UP A LOT,

SO THAT JUST
DOESN'T MAKE ANY SENSE,

AND I DON'T WANT DR. NOW

TO TELL ME
I CAN'T DO HIS PROGRAM

AND THAT I'M NOT WORKING
HARD ENOUGH WHEN I REALLY AM,

SO I HOPE HE BELIEVES ME.

-HELLO.
-HELLO.

-HI.
-HOW Y'ALL DOING?

GOOD, HOW ARE YOU?

JUST FINE, THANK YOU.
ALRIGHT.

GINA, IN 2 MONTHS YOU WERE
SUPPOSED TO LOSE 50 POUNDS.

YEAH.

BUT YOU GAINED 8 POUNDS,
SO HOW IS THAT POSSIBLE?

I WASN'T FOCUSED AT ALL.
I MESSED UP A LOT.

I TAKE FULL OWNERSHIP
FOR THAT.

I FELT LIKE,
BEING IN NEW JERSEY,

I JUST KEPT GOING BACK
INTO MY OLD WAYS.

IT WAS VERY EASY,
SO I WASN'T FOCUSED,

AND NOW THAT
WE MOVED DOWN HERE,

I FEEL LIKE I'M MORE FOCUSED
NOW TO REALLY DO IT

BECAUSE I SHOULD'VE HAD
THE TOOLS IN NEW JERSEY

TO DO IT, AND I DIDN'T,
AND THAT'S TRUE, SO YEAH.

COME ON.

THE REALITY IS YOU
DIDN'T WANT TO CHANGE

YOUR EATING HABITS,
SO YOU DIDN'T.

IT'S AS SIMPLE AS THAT.

SO WHY WOULD YOU
MOVE DOWN HERE

IF YOU'RE NOT FOLLOWING
MY DIET AND EXERCISES?

I WANT TO.

I FEEL LIKE I NEEDED
THE CHANGE TO MOVE HERE.

WHAT DO YOU MEAN WANT TO?

MEANING, LIKE,
I WANT TO HAVE A LIFE.

I DON'T WANT TO DIE,
AND WHAT I HAVE BEEN DOING,

I --
WASN'T THE CORRECT WAY,

AND I KNOW THAT I DO
HAVE THE FIGHT IN ME.

I DO KNOW THAT I DO HAVE,
YOU KNOW,

THE PASSION IN ME TO DO THIS,
AND NOW THAT I'M HERE,

I FEEL LIKE
I'LL BE MORE FOCUSED,

AND, I DON'T KNOW,
THAT'S WHAT...

I JUST THINK
I NEED MORE FOCUS.

OKAY, EH, EH, EH!
JUST HOLD IT RIGHT THERE.

LET ME ASK YOU THIS:
DO YOU VALUE YOUR LIFE?

YES. YEAH.

OKAY, IF YOU VALUE YOUR LIFE,
THEN YOU KNOW YOU'RE OVEREATING

AND WHAT YOU ARE DOING IS GOING
TO LEAD TO AN EARLY DEATH.

WHY DO YOU KEEP DOING IT?

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

YOU DON'T KNOW, SO YOU'RE HERE
BECAUSE YOU NEED HELP, RIGHT?

-MM-HMM, YES.
-SO YOU KNOW WHAT YOU NEED,

BUT THE PROBLEM
IS YOU THINK THAT HELP

IS TO DO
THE WORK FOR YOU,

AND THAT'S NEVER
GOING TO HAPPEN,

BUT YOU'RE THE ONE WHO HAS
TO DO THE WORK TO GET THERE.

NO ONE ELSE IS GOING
TO DO IT FOR YOU.

THAT'S TRUE.
I AGREE WITH YOU.

I KNOW.
I DON'T KNOW WHAT TO SAY.

I DON'T WANT YOU
TO SAY ANYTHING.

YOU ASKED ME HOW YOU
CAN BE PART OF MY PROGRAM.

I TOLD YOU
WHAT YOU NEEDED TO DO,

BUT YOU STILL DIDN'T DO IT.

YOU SKIPPED AHEAD
AND MOVED TO HOUSTON

LIKE YOU EXPECT
TO GET WEIGHT-LOSS SURGERY.

I AM GLAD YOU ARE OUT
OF THE UNHEALTHY ENVIRONMENT

WITH YOUR FAMILY,
BUT THE PRIMARY DYSFUNCTION

AT HOME
IS WITH YOU AND BETH,

SO YOU TWO STILL HAVE
A LOT OF WORK TO DO

TO ADDRESS THAT BEFORE YOUR HOME
SITUATION IS GOING TO IMPROVE.

RIGHT.

SHE'S OVERWEIGHT AND YOU'RE
OVERWEIGHT EXTREMELY,

AND I'VE GOT NEWS
FOR YOU TWO.

YOU'RE BOTH
ENABLING EACH OTHER.

OKAY?

AND THIS IS A BAD DYNAMIC
YOU'VE GOT BETWEEN YOU TWO,

AND THE WHOLE RELATIONSHIP
THAT YOU'VE GOT

IS FOCUSED AROUND FOOD.

SO YOU MAY HAVE MOVED AWAY
FROM YOUR FAMILY

TO GET OUT
OF THAT ENVIRONMENT,

BUT YOU'RE STILL LIVING
WITH YOUR PRIMARY ENABLER,

WHO NOW IS THE ONLY PERSON
THAT YOU KNOW HERE IN HOUSTON.

AND YOUR WHOLE RELATIONSHIP
YOU TWO HAVE

WITH EACH OTHER
REVOLVES AROUND FOOD,

SO YOU BOTH NEED
TO START DOING SOMETHING

WITH THE RELATIONSHIP
BESIDE THE FOOD, OKAY?

MM-HMM.

SO WE GOT A LOT OF ISSUES
HERE BETWEEN YOU TWO.

NOW YOU NEED TO CORRECT THEM,
OKAY?

OKAY.

SO FAR YOU HAVEN'T
DONE ANYTHING

TO QUALIFY TO BE
IN MY PROGRAM, OKAY?

AND IF YOU DON'T
FOLLOW MY DIET

AND MAKE ANY OF
THE REAL CHANGES YOU NEED,

YOU DON'T LOSE 58 POUNDS
IN THE NEXT 2 MONTHS,

YOU NEED TO GO BACK
TO NEW JERSEY, OKAY?

OKAY.

BECAUSE THERE'S NO POINT
IN EITHER OF US WASTING TIME

IF YOU'RE JUST GOING
TO WAIT AROUND

FOR SOMEONE ELSE TO DO
THE WHOLE WORK FOR YOU.

I KNOW. THAT'S -- I KNOW.

IF YOU KNOW, THEN WHY HAVEN'T
YOU DONE IT ALREADY?

I KNOW.
I DON'T KNOW.

I DON'T KNOW WHAT TO SAY
BECAUSE IT'S TRUE.

DOESN'T MATTER
WHAT YOU SAY.

IT MATTER WHAT YOU DO.

IT DOESN'T MATTER
WHAT FIGURE OF SPEECH.

IT'S THE ACTION, AND THAT ACTION
IS NOT MOVING DOWN TO HOUSTON.

THE ACTION IS YOU VALUE
YOUR LIFE,

SO YOU MAKE GOOD CHOICES
TO CHANGE THAT

BEFORE IT'S TOO LATE.

AND AT THIS POINT
THE ONLY HOPE

I SEE TO TRY TO GET
THROUGH TO YOU,

IS TO GET YOU
TO START PSYCHOTHERAPY.

OKAY.

SO WE'RE GOING TO SET YOU UP
TO SEE A THERAPIST

AS SOON AS POSSIBLE.
-OKAY, OKAY.

AND, BETH, I WANT YOU
TO GO WITH HER, OKAY?

OKAY.

SO THIS IS GOING TO BE FOR BOTH
OF YOU TO MAKE THE CHANGES.

I'M DISAPPOINTED YOU DIDN'T
MAKE ANY PROGRESS,

BUT HOPEFULLY NOW WE'RE GOING
TO MAKE THE CHANGES, OKAY?

-OKAY, THANK YOU SO MUCH.
-OKAY, THANK YOU.

ALRIGHT.

Dr. Nowzaradan:
THERE WERE ALREADY A NUMBER
OF CONCERNING ISSUES WITH GINA

THAT ARE GOING TO MAKE TRYING
TO TURN HER SITUATION

AROUND VERY DIFFICULT,

BUT I'M EVEN MORE CONCERNED
ABOUT GINA NOW.

HER FLIPPANT ANSWERS AND CLICHéS
SHE USED TO EXPLAIN HER CHOICES

SHOW A LEVEL OF DELUSION
THAT'S CONCERNING AS WELL,

AND, ON TOP OF THIS,

THE UNHEALTHY DYNAMIC
BETWEEN HER AND BETH

IS ANOTHER LAYER TO HER
WHOLE UNHEALTHY SITUATION

BECAUSE BETH HELPS GINA
CREATE THE DELUSIONAL WORLD

SHE WANTS TO LIVE IN,

SO I'M HOPING PSYCHOTHERAPY
WILL BE ABLE TO MAKE

SOME PROGRESS TO HELP
GET THEM TO A HEALTHY PLACE

BEFORE IT'S TOO LATE,
AND SHE RUNS OUT OF TIME.

Gina: I'M REALLY GLAD DR. NOW

IS GIVING ME ANOTHER CHANCE
TO BE ON HIS PROGRAM,

AND I THINK THERAPY FOR ME
AND BETH WOULD BE GOOD FOR US.

SO I'M DISAPPOINTED
I DIDN'T GET APPROVED

FOR WEIGHT-LOSS SURGERY TODAY,

BUT I'M DETERMINED TO DO
WHAT I NEED TO MAKE SURE,

WHEN I COME BACK,
I HIT MY GOAL TO GET IMPROVED

BECAUSE UNTIL I DO,

MY LIFE IS GOING TO BE
HANGING IN THE BALANCE.

Gina: ME AND BETH ARE ON OUR WAY
TO START THERAPY.

DR. NOW THINKS WE ENABLE
EACH OTHER,

AND HE'S PROBABLY RIGHT,
SO WE HAVE TO CHANGE THAT,

SO I THINK THIS
WILL BE GOOD FOR US.

Clay: HI.

FEEL FREE TO HAVE A SEAT.

OKAY.

WHY DO THE TWO OF YOU
THINK YOU'RE HERE TODAY?

-COMMUNICATION.
-MM-HMM.

IT'S LIKE WE BATTLE
EACH OTHER EVERY DAY.

LIKE, SHE KNOWS WHAT TO SAY
TO ME TO GET ME UPSET,

AND I KNOW WHAT TO SAY TO HER
TO, YOU KNOW, GET HER UPSET,

AND I FEEL LIKE IF SHE
JUST SAYS IT NICELY TO ME

AND ACTUALLY TALKS TO ME
AND NOT HAVE AN ATTITUDE,

I THINK IT'LL BE BETTER,
BUT I FEEL LIKE I GET DEFENSIVE

BECAUSE SHE'S HURTING ME,
SO I WANT TO HURT HER.

WE CAN START
BY JUST STOPPING.

JUST STOP IT.

THE TWO OF YOU
ARE A TEAM,

AND SO YOU HAVE TO PRIORITIZE
THE RELATIONSHIP

AND YOUR LOVE FOR ONE ANOTHER,
SO LET ME CHECK IN WITH BETH

BECAUSE, BETH, I SAW YOU NODDING
IN AGREEMENT AS WELL.

TALK ABOUT THAT
A LITTLE BIT.

HAVING ME DO EVERYTHING
IN THE HOUSE,

FROM GOING TO WORK,
TO COMING HOME,

TO CLEANING UP,
TO DOING THIS, DOING THAT,

I HAVE EXPRESSED TO HER
THAT IT JUST FEELS LIKE A LOT.

MARRIAGE IS A PARTNERSHIP,

BUT IT'S VERY,
VERY COMMON TO BECOME

SO CONCERNED WITH MEETING
THE NEEDS OF YOUR SIGNIFICANT

OTHER THAT YOU FORGET
YOUR OWN NEEDS,

AND SO THAT'S WHERE
RESENTMENT SEEPS IN,

AND IT CAN START
TO POISON A RELATIONSHIP.

MM-HMM.

SO WHAT'S THE CURRENT
SLEEPING ARRANGEMENT?

WELL, RIGHT NOW
WE DON'T HAVE A BED,

SO I SLEEP IN THE LIVING
ROOM ON A CHAISE,

AND SHE SLEEPS IN THE ROOM
ON AN AIR MATTRESS.

-OKAY.
-YEAH.

NOW I DO HAVE
SOME HOMEWORK

THAT I WANT TO GIVE
EACH OF YOU.

OKAY.

FOR YOU, BETH, I WANT YOU TO
HAVE A STAYCATION OF SORTS,

SO IF THAT MEANS GOING
SOMEWHERE DURING THE DAY

AND JUST GETTING AWAY AND HAVING
YOUR WHOLE DAY BE ABOUT YOU,

I'D LOVE TO SEE
YOU DO THAT.

OKAY.

AND, GINA, YOUR HOMEWORK
IS TO EXPERIENCE A DAY

WITHOUT HELP...

MM-HMM.

...BECAUSE I LOVE
THE IDEA OF YOU

DISCOVERING FOR YOURSELF
WHAT YOU CAN DO.

MM-HMM, YEAH.

ANOTHER HOMEWORK ASSIGNMENT
THAT I HAVE FOR THE TWO OF YOU,

AS A COUPLE, GO AND OBTAIN
A BED TOGETHER.

YEAH.

ARE THE TWO OF YOU UP
FOR THAT CHALLENGE?

-YEAH.
-YEAH.

I AM.

-OKAY?
-OKAY.

WELL,
I APPRECIATE YOU BOTH,

AND I CAN'T WAIT
TO SPEAK WITH YOU AGAIN.

SAME HERE, THANK YOU.

OKAY. THANK YOU.

THAT WAS HARDER
THAN I THOUGHT IT WOULD BE,

BUT I THINK IT WAS GOOD,

AND I'M READY TO WORK ON THINGS
LITTLE LOLA WANTS US TO DO

BECAUSE I WANT TO GET HEALTHY
AND LOSE THE WEIGHT,

AND I WANT ME AND BETH TO HAVE
A GOOD, HEALTHY RELATIONSHIP,

AND I'M READY
TO DO MY PART,

AND DO WHATEVER IT TAKES
SO THAT CAN HAPPEN,

INSTEAD OF THINGS
JUST GETTING WORSE.

SINCE SEEING LOLA, ME AND BETH
HAVE BEEN TRYING TO DO

ALL THE THINGS SHE TOLD US
TO START MAKING CHANGES.

-IT'S READY.
-THANK YOU.

ONE REALLY BIG STEP WE TOOK,

IS THAT WE WENT
AND BOUGHT A BED.

THANK YOU, BYE.

SO THAT'S EXCITING BECAUSE
NOW ME AND BETH

WILL START SLEEPING IN THE SAME
PLACE LIKE A MARRIED COUPLE.

THANK YOU.

AND I HOPE IT WORKS OUT,

AND I DON'T END UP
NOT BEING ABLE TO SLEEP.

WANT TO GO CHECK IT OUT?

YEAH,
WE COULD GO CHECK IT OUT.

BUT EVEN IF IT'S HARD,
THE TRADE-OFF IS WORTH IT

IF IT HELPS ME AND BETH
GET TO A BETTER PLACE.

WOW!

NICE.

OOH!

DO YOU WANT TO PUT
THE SHEETS ON AND STUFF?

YEAH,
I THINK WE SHOULD.

OKAY.

I'M READY FOR THE NEW ME,
AND THE LIFE ME AND BETH

CAN HAVE IF I'M ABLE
TO LOSE THE WEIGHT.

IS IT THIS WAY?
YEP.

YEAH.

AND I KNOW ONE OF THE BIGGEST
STEPS IN DOING THAT

IS GETTING
MY WEIGHT-LOSS SURGERY.

OKAY, LET'S TRY IT.

SO I'M COMMITTED TO WORKING
AS HARD AS I NEED TO GET IT

AND MAKE IT TO THAT LIFE.

OH, WOW.

THIS IS SO COMFORTABLE.

IT IS.

OH.

OH, YEAH.

ME AND BETH ARE HEADING BACK
TO SEE DR. NOW AGAIN.

THIS WILL BE MY THIRD
APPOINTMENT WITH HIM,

AND I'M HOPING IT GOES BETTER
THAN IT DID LAST TIME

AND THAT I HIT MY GOAL
THIS TIME,

BUT I'M NERVOUS ABOUT
GETTING ON THE SCALE

AND FINDING OUT
MY WEIGHT TODAY.

GINA?

AT MY LAST APPOINTMENT
TWO MONTHS AGO,

I HAD SOMEHOW GAINED A LITTLE
AND WAS UP TO 614,

SO DR. NOW TOLD ME

I STILL HAD MY FIRST GOAL
OF LOSING 50 POUNDS,

PLUS LOSING THE 8 POUNDS
I GAINED AT MY LAST APPOINTMENT,

SO I NEED TO BE BELOW 556 TODAY,
AND I'M REALLY HOPING I'M THERE,

OR AT LEAST
REALLY CLOSE TO THAT.

OKAY, IT'S 5 POUNDS,
BUT IT'S SOMETHING, BUT...

-YEAH, IT'S A LITTLE LOSS.

I'M REALLY SCARED RIGHT NOW

BECAUSE I KNOW
I BARELY LOST ANYTHING,

AND DR. NOW IS NOT GOING
TO BE HAPPY WITH ME,

AND I'M WORRIED
HE'S GOING TO TELL ME

I'M DONE,
AND I'M NOT DOING HIS PROGRAM.

I NEED THIS, SO I REALLY DON'T
WANT THAT TO HAPPEN.

-HELLO.
-HELLO.

HOW Y'ALL DOING?

GOOD.
COULD BE BETTER.

WELL,
I HAVE TO AGREE WITH YOU.

IT COULD BE BETTER.

-YEAH.
-ALRIGHT.

SO THIS TIME YOU DIDN'T GAIN,
BUT YOU ONLY LOST 5 POUNDS,

AND YOU'RE STILL A HIGHER WEIGHT
THAN WHEN YOU FIRST CAME IN,

SO THE ISSUE IS
YOU'RE STILL OVEREATING.

ARE YOU GOING TO THERAPY?

YES, I DID.

IS IT HELPING YOU FIGURE
OUT SOME THINGS,

AND HELPING YOU TO IMPROVE YOUR
DYNAMIC AND BE MORE POSITIVE?

ABSOLUTELY.

I THINK I REALLY NEEDED
TO SEE A THERAPIST,

AND I THINK IT'S HELPING ME
A LOT TO NOT GO TO FOOD,

AND TO REALLY PUT MYSELF FIRST,
AND REALLY WORK ON ME,

AND THAT'S WHAT I'VE BEEN
REALLY TRYING TO DO.

OKAY, WELL, SO FAR IT HASN'T
MADE MUCH OF A DIFFERENCE,

SO KEEP WORKING ON IT,
AND WE'LL SEE.

BUT AT THIS POINT,
WE'RE GOING TO GO BACK

TO FIRST GOAL I GAVE YOU.

IF YOU WANT TO DO THIS, LOSE 50
POUNDS OVER THE NEXT TWO MONTHS.

OKAY.

GREAT. ALRIGHT.

THEN SO I'M GOING TO SEE YOU
BOTH IN 2 MONTHS, OKAY?

-OKAY, THANK YOU SO MUCH.
-THANK YOU.

ALRIGHT.
I'LL SEE Y'ALL LATER.

OKAY.

IN THE MEANTIME, IF YOU NEED
ANYTHING, GIVE ME A CALL.

OKAY, I WILL.
THANK YOU.

OKAY. ALRIGHT.

-THANK YOU.
-MM-HMM.

IT GO BETTER
THAN YOU EXPECTED?

YEAH. GOT IT.

GINA SO FAR IS CONTINUING
TO SHOW ME THAT SHE IS NOWHERE

CLOSE TO BEING READY
FOR WEIGHT-LOSS SURGERY.

WHILE SHE AND BETH
BOTH STILL SEEM TO WANT

TO HOLD ONTO
THE SAME NEGATIVE BEHAVIOR

THAT ENABLED
THEIR UNHEALTHY DYNAMIC,

AND GINA'S OVERALL
SITUATION AND OUTLOOK

STILL LOOKS TO BE JUST AS DIRE
BECAUSE SO FAR AS SHE SEEMED

TO ONLY WANT A MAGIC SOLUTION
TO FIX HER PROBLEMS.

SO THIS IS ALL
GOING TO COME DOWN

TO WHETHER OR NOT SHE'S WILLING
TO DO THE WORK SHE NEEDS,

BUT UNLESS SHE WAKES UP SOON,

HER SITUATION IS JUST GOING
TO KEEP GETTING WORSE

UNTIL SHE GETS TO A POINT
WHERE SHE'S OUT OF TIME.

Gina: I'M VERY RELIEVED
THAT DR. NOW DIDN'T TELL ME

I WAS DONE WITH HIS PROGRAM.

I WAS TERRIFIED THAT THAT'S WHAT
WAS GOING TO HAPPEN

WHEN I GOT MY WEIGHT, BUT I KNOW
I'M RUNNING OUT OF CHANCES.

SO NO MATTER WHAT, I HAVE TO DO
EVERYTHING IN MY POWER

TO GET TO MY GOAL THIS TIME

BECAUSE I'M PROBABLY NOT
GOING TO GET ANOTHER CHANCE.

Gina: TODAY I'M TAKING
A BIG STEP,

DOING ONE OF THE THINGS
THAT LOLA WANTED ME TO DO.

SHE AND DR. NOW WANT ME TO BE
LESS RELYING ON HAVING BETH

DO EVERYTHING FOR ME,

AND NOW I'M COOKING DINNER
FOR BETH TO THANK HER

FOR ALL SHE DOES FOR ME
AND TO SHOW HER

I'M TRYING TO START TURNING OUT
RELATIONSHIP INTO A MARRIAGE.

HI!
HEY, BABE.

HOW ARE YOU?
HOW WAS YOUR DAY?

IT WAS GOOD.
HOW WAS YOURS?

REALLY GOOD.

WELL, FIRST I WANT TO KNOW
WHAT YOU DID.

DID YOU ENJOY
YOUR ALONE TIME?

I DID ACTUALLY.

YEAH?
YEAH.

OKAY.

SO I MADE YOU DINNER.

YOU DID?

I DID, AND YOUR FOOD
IS ON THE TABLE.

OOH.

SO IT'S BEEN A BIG DAY FOR ME,

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

I'M TRYING SO HARD THIS TIME,

AND I'M JUST REALLY,
REALLY HOPING

WHEN I GO BACK TO SEE
DR. NOW NEXT MONTH...

I HOPE -- I MEAN,
IT LOOKS COOKED, RIGHT?

IT'S COOKED.

...THAT I CAN FINALLY
GET APPROVED FOR SURGERY.

IF I DON'T, THEN I DON'T KNOW
WHAT'S GOING TO HAPPEN.

IT'S GOOD.

I COULD COOK?

MM-HMM.

ME AND BETH ARE BACK
AT DR. NOW'S

FOR ANOTHER APPOINTMENT.

MY ANXIETY LEVEL IS REALLY HIGH

BECAUSE IT'S SO IMPORTANT
I'M AT MY GOAL TODAY,

AND I'VE BEEN WORKING
SO HARD TO MAKE SURE

I LOST WHAT I NEEDED TODAY.

GINA?

AT MY LAST APPOINTMENT
TWO MONTHS AGO,

I WAS AT 609,
AND DR. NOW'S GOAL

WAS FOR ME TO LOSE
50 POUNDS BY TODAY.

SO I'M PRAYING WHEN MY WEIGHT
COMES UP THAT

I'M AT LEAST BELOW 559.

THAT'S OKAY.

I DON'T KNOW.

I DID BETTER,
BUT IT'S STILL NOT MY GOAL,

SO I DON'T KNOW WHAT THIS MEANS
OR WHAT DR. NOW IS GOING TO SAY.

I'M REALLY HOPING
THAT HE'S AT LEAST HAPPY

I DID BETTER THIS TIME,

BUT I'M SCARED THAT ALL
HE'S GOING TO CARE ABOUT

IS THAT IT'S NOT HOW MUCH

I NEEDED TO LOSE AND HE'S NOT
GOING TO BE HAPPY WITH ME.

-HELLO.
-HELLO.

HELLO.

-HOW ARE Y'ALL DOING?
-GOOD.

-FINE.
-HOW ARE YOU?

I'M DOING GOOD.
THANKS.

ALRIGHT.
LET'S SEE.

GINA, THIS TIME YOU LOST
23 POUNDS IN TWO MONTHS PERIOD?

YES.

THAT'S JUST BARELY HALF
OF WHAT YOU SHOULD HAVE DONE,

BUT AT LEAST YOU'RE LOSING
SOME WEIGHT NOW.

SO WHAT ARE YOU DOING
DIFFERENT THIS TIME?

I'VE BEEN WORKING
EXTREMELY HARD.

I'M MAKING ALL CHANGES:
THERAPY, DOING STUFF BY MYSELF,

EATING THE 1,200-CALORIE DIET,
DOING EXERCISE.

SO I'VE BEEN TRYING REALLY HARD
TO DO EVERYTHING

I'M SUPPOSED TO BE DOING.

THEN WHY DIDN'T YOU
LOSE MORE?

I, HONESTLY, I DON'T KNOW.

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

WHAT DO YOU MEAN
YOU DON'T KNOW?

HOW MANY TIMES
ARE YOU EATING NOW?

I TRY TO DO EITHER THREE TIMES
A DAY OR TWICE A DAY, SO...

-NO SNACKING?
-NO, ONLY HEALTHY SNACKING.

LIKE, IF I HAVE A MEAL,
LIKE THE HEALTHY MEAL,

THEN IF I DIDN'T FINISH IT,

I WILL SNACK ON THAT
INSTEAD OF...

WHAT DO YOU MEAN
YOU SNACK ON THAT?

LIKE, IF I'M HUNGRY,
I'LL GO BACK TO THAT MEAL

THAT I DIDN'T FINISH,
AND I'LL FINISH IT.

THAT'S WHAT...
-REALLY?

YEAH.

SO YOU KNOW THE DIET
SAYS YOUR MEALS

ONLY LAST 20 MINUTES,
RIGHT?

YES.

BUT YOU'RE NOT FOLLOWING THAT
BECAUSE WHAT YOU'RE TELLING ME

IS YOU EAT WHAT YOU CAN'T
EAT IN 20 MINUTES,

AND THEN AFTER THAT, YOU GO BACK
AND EAT THE SAME THING AGAIN.

MM-HMM, YEAH.

YOU DOING THAT
FOR EVERY MEAL?

MOSTLY, YEAH.

SO IF YOU'RE DOING THAT
FOR EACH MEAL,

THEN YOU ARE EATING
SIX MEALS A DAY IN REALITY.

THERE IS A REASON THE DIET
IS THE DIET,

AND YOU NEED TO FOLLOW IT

BECAUSE WHEN YOUR OWN SYSTEM
LIKE THIS,

YOU'RE JUSTIFYING EATING MORE
BY TRADING THIS OR THAT AMOUNT.

BUT THE REALITY IS EVERYONE EATS
MORE THAN THEY REALIZE,

SO IF YOU DON'T STICK TO WHAT
YOU CAN EAT IN 20 MINUTES

AND THAT'S IT, YOU GO BACK
AND EAT ANOTHER MEAL

THAT IS JUST AS BIG.

BUT YOU CONVINCE YOURSELF
YOU'RE NOT EATING THAT MUCH,

BUT YOU'RE STILL PRETTY MUCH
EATING ALL DAY LONG.

DID YOU FEEL LIKE THIS WAS
SOMETHING WRONG

WITH DOING THAT OR NOT?

NO, ABSOLUTELY I DON'T THINK
THAT WAS RIGHT,

AND I KNOW THAT,
THAT WAS WRONG.

AND --I -- I DON'T KNOW.

THE REALITY IS THAT YOU KNOW
WHAT YOU'RE DOING

AND THAT YOU'RE STILL
OVEREATING.

YOU'RE JUST IN DENIAL
OF YOUR OVEREATING.

THAT'S TRUE.

I UNDERSTAND THAT.

DO YOU ALSO UNDERSTAND
THIS IS A VERY BAD SITUATION,

THAT WE CANNOT GET YOU TO DO
THE BASIC LEVEL OF WORK

YOU NEED TO START
TO SAVE YOUR LIFE?

MM-HMM.

SO YOU'RE LOOKING
FOR A MAGIC SOLUTION

THAT WILL MAGICALLY
MAKE YOU LOSE WEIGHT OR WHAT?

NO, NO.

SO WHAT'S THE SOLUTION
FROM HERE?

I DON'T KNOW.

I THINK I NEED
TO REALLY TRY HARDER, OR...

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

THAT'S WHAT YOU'RE
TELLING ME EVERY TIME.

EVERY TIME YOU COME IN,
YOU GIVE ME THE SAME STORY,

AND YOU'RE NOT
LOSING WEIGHT.

SO UNLESS YOU ARE ABLE
TO REACH IT ANYHOW

AND LOSE 50 POUNDS
OVER THE NEXT TWO MONTHS,

WE WON'T BE MOVING AHEAD
WITH YOU,

AND YOU'RE NEVER
GOING TO BE APPROVED

FOR WEIGHT LOSS SURGERY.

-OKAY.
-OKAY?

BUT THIS IS
YOUR LAST CHANCE.

YOU GOT THAT?

-YES, ABSOLUTELY.
-OKAY?

AND THE ONLY REASON I'M GIVING
YOU ANOTHER CHANCE HERE

IS THAT YOU FINALLY MADE
SOME PROGRESS THIS TIME.

OKAY. THANK YOU.

BUT SO YOU HAVE NO EXCUSE.

AT THIS POINT, I'M GOING TO
GET YOU TO SEE A DIETITIAN.

OKAY.

SO WE'LL SET THAT UP FOR YOU,
BUT RIGHT NOW,

WE ARE GIVING YOU
EVERY POSSIBLE TOOL TO DO THIS.

SO IF YOU DON'T THIS TIME,
THEN THERE IS NOTHING MORE

WE CAN DO FOR YOU,
AND WE'LL BE DONE.

YOU UNDERSTAND THAT, RIGHT?
-YES.

I UNDERSTAND. MM-HMM.

I REALLY HOPE SO BECAUSE
THIS IS IT FOR YOU,

AND, BETH, YOU NEED
TO WORK ON THINGS TOO

IF YOU REALLY WANT HER
TO DO THIS.

I DO.

OKAY. IF YOU TWO NEED ANYTHING,
GIVE ME A CALL.

-OKAY. THANK YOU.
-THANK YOU.

-GOOD LUCK.
-THANK YOU.

-THANK YOU.
-ALRIGHT.

Dr. Nowzaradan:
I'M GLAD THAT GINA FINALLY
HAS SOME LEVEL OF WEIGHT LOSS,

BUT HER PROGRESS IS STILL
NOWHERE NEAR WHERE IT SHOULD BE.

SO THINGS AREN'T LOOKING GOOD
FOR HER RIGHT NOW.

THE DIETITIAN WE ARE SENDING
TO HER

MAY HAVE
SOME POSITIVE IMPACT ON HER,

BUT NOTHING WE DO
OR PROVIDE FOR HER

IS REALLY GOING TO MAKE
MUCH OF A DIFFERENCE

AS LONG AS GINA ISN'T WILLING TO
PUT IN THE HARD WORK SHE NEEDS.

AND SO FAR SHE HAS SHOWN ME THAT
SHE DOESN'T WANT TO DO THIS,

BUT THIS IS HER LAST CHANCE.

SO IF SHE DOESN'T WAKE UP
AND TAKE HER SITUATION

SERIOUSLY RIGHT NOW,

SHE'S GOING TO LOSE HER CHANCE
TO TURN HER LIFE AROUND.

Gina: I'M GLAD I STILL HAVE ONE
LAST CHANCE, BUT I'M TERRIFIED

BECAUSE I KNOW
FOR A FACT THAT THIS IS IT.

AND I'M HOPING WHAT DR. NOW
TOLD ME ABOUT MY EATING

AND HOW TO CHANGE IT
AND SEEING A NUTRITIONIST

OR GIVES ME MORE OF AN EDGE
TO LOSE MORE

BECAUSE I'M DOING
EVERYTHING ELSE I CAN.

SO NO MATTER WHAT,
I HAVE TO DO IT NOW.

MY LIFE IS DEPENDING ON THIS.

Gina: ME AND BETH ARE SEEING
A NUTRITIONIST TODAY.

AT MY LAST APPOINTMENT
WITH DR. NOW,

I HADN'T LOST WHAT I NEEDED,
SO TO HELP,

HE'S SENDING A NUTRITIONIST
TO GO OVER THINGS WITH ME,

AND THEY'LL BE HERE SOON.

I'M LOOKING FORWARD TO IT

AND THINK IT COULD BE A GOOD
LEARNING EXPERIENCE FOR ME.

WHATEVER IT IS,
IF IT'S SOMETHING THAT COULD

POSSIBLY HELP ME LOSE MORE,

I WANT ALL THE HELP
I CAN GET AT THIS POINT

BECAUSE I HAVE TO HIT
MY GOAL THIS TIME.

BECAUSE IF I DON'T,
THEN I'M GOING TO LOSE MY CHANCE

TO DO DR. NOW'S PROGRAM,
AND I CAN'T LET THAT HAPPEN.

SO I'M NOT SURE WHAT I'M GOING
TO LEARN TODAY,

BUT WHATEVER INSIGHT
I GET INTO BETTER NUTRITION,

I'M GOING TO TOTALLY APPLY
TO TRY AND DO BETTER

AND GET TO THE WEIGHT LOSS GOAL

I HAVE TO HAVE.

-HI! I'M ROXANNE.
-HI. I'M BETH.

-HI, BETH. NICE TO MEET YOU.
-NICE TO MEET YOU.

HI! I'M GINA.

HI, GINA.
NICE TO MEET YOU.

-NICE TO MEET YOU, TOO.
-OKAY.

SO THE REASON
WHY I'M HERE TODAY

IS BECAUSE I UNDERSTAND
Y'ALL HAVE A MEAL PLAN,

AND I UNDERSTAND
YOU'VE BEEN FOLLOWING IT.

BUT YOU STILL FEEL LIKE YOU...

THERE'S A LITTLE
BIT OF DIFFICULTIES

OR YOU'RE REALLY NOT 100% SURE
ON WHAT THE PORTION SIZE IS.

YES, ABSOLUTELY, YES.

SO WHY DON'T WE TAKE A LOOK

AT YOUR REFRIGERATOR
AND YOUR PANTRY,

AND MAYBE I COULD HELP YOU
ANSWER SOME OF THOSE QUESTIONS.

OKAY.

ALRIGHT.

SO I SEE THIS.

-THAT'S MY CHOCOLATE MILK.
-OKAY.

NOW WHEN I LOOK
ON THE LABEL HERE,

THERE ARE 12 GRAMS OF SUGAR
FOR ONE TABLESPOON,

AND THAT TELLS ME HOW
MANY SUGAR PACKETS ARE IN THIS.

SO IN ONE TABLESPOON,
THERE ARE 3 SUGAR PACKETS.

OH, MY GOODNESS.
WOW!

YES.

I DIDN'T EVEN REALIZE THAT.
OKAY.

-RIGHT.
-I TOLD YOU.

NOW LET'S LOOK
AT THE REFRIGERATOR.

OKAY.

OKAY.

THIS IS LIGHT SOUR CREAM.

-OKAY.
-OKAY?

LIGHT DOES NOT MEAN
IT'S REALLY LIGHT.

THIS IS ABOUT
50 PERCENT FAT.

WOW.

-SO EVEN THOUGH IT SAYS LIGHT...
-OKAY.

...YOU HAVE TO BE CAREFUL
WITH THAT.

I DIDN'T EVEN KNOW THAT BECAUSE
I THOUGHT, LIKE,

IF IT SAYS LIGHT OR LOW-FAT,
I ALWAYS ASSUMED IT WAS HEALTHY.

IT IS A LITTLE BIT BETTER
THAN REAL SOUR CREAM.

RIGHT.

BUT IT'S STILL NOT
A GOOD CHOICE.

WOW, OKAY.

DID YOU KNOW THAT?

-I DID NOT KNOW THAT.
-SEE?

WE BOTH DIDN'T KNOW.

-OKAY. SO LIGHT MAYO?
-MM-HMM?

WHAT YOU CAN FIND OUT
IS THAT

ABOUT 30 OF THE CALORIES
IS FROM FAT.

WOW.

EVEN THOUGH IT'S ONLY
35 CALORIES.

WOW.

SO THIS IS ALMOST
100 PERCENT FAT.

-OH, MY GOODNESS.
-WOW.

SO NOW I KNOW SOME PEOPLE
LIKE TO USE

A LITTLE BIT OF MAYONNAISE,

AND I SAY USE FAT-FREE
MAYONNAISE.

YOU KNOW?
USE FAT-FREE SOUR CREAM.

OH, OKAY.

YOU KNOW, IF IT'S STILL --
I LIKE REAL FOOD.

I THINK WHEN YOU START
DOING THAT,

THAT THAT'S NOT AS HEALTHY.
-YEAH, YEAH, YEAH.

HOWEVER, SOMETIMES YOU JUST
WANT SOMETHING

THAT HAS MAYONNAISE
OR SOUR CREAM,

AND YOU CAN USE A LITTLE BIT,
BUT GO TO FAT-FREE

BECAUSE THAT MEANS
THERE IS NOT FAT.

OH, WOW. OKAY.

NOW, WE'RE GOING
TO LOOK IN HERE.

AH! FOUND IT.

OH.
FOUND OUR STASH OF CHEESE.

OKAY.

SO...

OH.

I'M GOING TO TAKE THESE ITEMS
THAT ARE NOT NECESSARILY GOOD

FOR YOU
AND GET THEM OFF YOUR HANDS.

OKAY. THANK YOU.

Gina: I FEEL LIKE
THAT WAS REALLY INSIGHTFUL

AND THAT LEARNING
ALL THE THINGS SHE TAUGHT US

IS GOING TO HELP ME
DO BETTER NOW.

THANK YOU SO MUCH.
-THANK YOU.

YES.
Y'ALL HAVE A GOOD DAY.

SO ME AND BETH HAVE SOME MORE
CHANGES TO MAKE

WITH EVERYTHING WE STILL EAT,
BUT I'M READY AND WILLING

TO GET RID OF WHATEVER
IT TAKES RIGHT NOW

BECAUSE EVERYTHING DEPENDS ON ME
LOSING WHAT I NEED THIS TIME

SO THAT WHEN I GO BACK
TO DR. NOW

AND STEP ON THAT SCALE,
I FINALLY HIT MY GOAL

AND GET WEIGHT LOSS SURGERY.

ME AND BETH ARE HEADING BACK
TO DR. NOW'S ONCE AGAIN,

AND I'M SO MUCH MORE NERVOUS
THAN I'VE BEEN BEFORE.

EITHER I HIT THE GOAL TODAY,
AND I GET TO DO DR. NOW'S

PROGRAM, SO I CAN TURN
MY LIFE BACK AROUND,

OR I DIDN'T, AND I LOSE
THIS CHANCE TO GET HELP,

AND ALL MY HOPES
AND DREAMS FOR A LIFE

I DESPERATELY WANT WILL BE GONE.

SO MY WHOLE LIFE
DEPENDS ON THIS,

AND I REALLY,
REALLY HOPE I DID IT.

Gina:
I'M AT DR. NOW'S FOR WHAT WOULD
BE MY FINAL APPOINTMENT

IF I DON'T HIT MY GOAL TODAY.

AT MY LAST APPOINTMENT
TWO MONTHS AGO,

I WAS DOWN TO 586,
AND MY GOAL AGAIN

WAS TO LOSE 50 POUNDS BY TODAY,
SO I HAVE TO BE AT 536

OR I'M GOING TO LOSE MY CHANCE
TO GET WEIGHT LOSS SURGERY.

SO I JUST HAVE TO HAVE MADE IT.

THAT'S A LOT BETTER
THAN LAST TIME,

BUT I'M HONESTLY NOT SURE
IF THAT'S ENOUGH AND I DID IT.

SO I DON'T KNOW WHAT TO THINK,

BUT I'M STILL REALLY
NERVOUS RIGHT NOW

BECAUSE I HAVE NO IDEA
WHAT'S ABOUT TO HAPPEN.

I JUST HOPE IT'S NOT BAD.

HOW ARE Y'ALL DOING?

-GOOD.
-HOW ARE YOU?

I AM GOOD.
OKAY.

SAYS HERE THAT YOU WERE ABLE
TO LOSE SOME WEIGHT, HUH?

-YEAH! MM-HMM.
-ALRIGHT.

SO YOU LOST 43 POUNDS,
SO NOT QUITE YOUR GOAL,

BUT IT'S ALMOST DOUBLE
WHAT YOU LOST THE LAST TIME.

MM-HMM.

SO THAT SHOWS ME
YOU'RE WORKING HARDER

AND GOING IN
THE RIGHT DIRECTION

WHICH IS THE FIRST
REALLY POSITIVE THING

I'VE SEEN FROM YOU
IN 10 MONTHS.

SO HOW DO YOU FEEL?

I FEEL REALLY GOOD.

I SEE MYSELF
MAKING THE CHANGES.

YOU KNOW, EVERY DAY
IT'S A LITTLE BIT BETTER,

SO I'M PROUD
OF MYSELF FOR THAT.

OKAY.

WELL, I'M PROUD OF YOU
FOR THAT, TOO.

THANK YOU.

AND SINCE I CAN SEE YOU WORKING
HARD, THIS IS WHAT I'LL DO.

I'M GOING TO GO AHEAD
AND APPROVE YOU

FOR WEIGHT LOSS SURGERY.

OH, MY GOSH.

-THAT AWESOME
-OH, MY GOD.

I'M SO EXCITED!
THANK YOU SO MUCH.

I APPRECIATE IT.

IT TOOK YOU A WHILE
TO START MAKING PROGRESS,

SO I NEED YOU TO SHOW ME
YOU'RE GOING TO STICK WITH IT

AND THAT THIS WASN'T
JUST A TEMPORARY CHANGE.

OKAY.

SO I'M GOING TO SET UP YOUR
SURGERY FOR 3 MONTHS FROM NOW.

OKAY.

AND I WANT YOU TO LOSE
ANOTHER 50 POUNDS.

-OKAY.
-AND IF YOU LOSE 50 POUNDS,

WE'LL GO AHEAD
WITH YOUR SURGERY.

OKAY.

BUT IF YOU FALL BACK TO YOUR
OLD HABIT AND DON'T LOSE,

THEN WE'RE GOING
TO CANCEL YOUR SURGERY.

OKAY?
-OKAY.

KEEP IT UP OVER THE NEXT
THREE MONTHS

IF YOU WANT TO GET
WEIGHT LOSS SURGERY.

-OKAY.
-OKAY?

ALRIGHT. SOUNDS GOOD.

THANK YOU, DR. NOW.
-THANK YOU SO MUCH.

ALRIGHT.

Dr. Nowzaradan: I'M VERY HAPPY
TO SEE THAT GINA

IS FINALLY STARTING
TO SHOW SOME INITIATIVE

AND THAT SHE'S TAKING
SOME RESPONSIBILITY FOR HERSELF,

BUT RIGHT NOW AFTER 10 MONTHS
OF LITTLE TO NO PROGRESS,

I NEED TO SEE A LITTLE MORE
THAN JUST 2 MONTHS OF HARD WORK

TO FEEL CONFIDENT ENOUGH
TO MOVE AHEAD

WITH HER WEIGHT LOSS SURGERY.

Gina: I'M REALLY HAPPY, AND I'M
REALLY, REALLY PROUD OF MYSELF.

I'VE WORKED SO HARD,
AND I'VE STUCK WITH IT.

AND I'M SO GLAD I DID
BECAUSE IT ALL PAID OFF,

SO NOW I CAN'T WAIT TO FINALLY
GET WEIGHT LOSS SURGERY.

AND I'M GOING TO KEEP WORKING
HARD OVER THE NEXT 3 MONTHS

TO LOSE 50 MORE POUNDS.

TODAY I'M TAKING ANOTHER
BIG STEP IN MY JOURNEY

TOWARDS BEING MORE INDEPENDENT
AND GOING OUT ON MY OWN

FOR THE FIRST TIME
IN MAYBE SEVEN OR EIGHT YEARS.

ME BEING LESS DEPENDENT ON BETH

IS STILL A BIG FOCUS
IN OUR THERAPY APPOINTMENTS,

BUT SHE STILL HAD TO DO
ALL THE SHOPPING

AND GET THE GROCERIES BECAUSE
I DON'T GO OUT ON MY OWN.

BUT TODAY I TOLD HER I WANT
TO TRY AND DO IT

AND THAT I FEEL READY FOR THIS.

THANK YOU.

BUT IT'S HARD NOT TO BE
A LITTLE AFRAID

BECAUSE I STILL CAN'T HANDLE
TOO MUCH WALKING AT ONCE.

SO I'M GOING TO HAVE TO USE
ONE OF THE MOTORIZED CARTS

TO GET AROUND FOR IT ALL.

OKAY.

THIS IS A LITTLE TRICKIER
THAN I THOUGHT,

BUT I KNOW I CAN MANAGE.

AND I'M GOING TO PACE MYSELF

BECAUSE I WANT TO GET
EVERYTHING ON THE LIST,

AND IF I HIT MY LIMIT
TOO QUICKLY,

I WON'T BE ABLE TO DO THAT.

I DON'T THINK I CAN BE AROUND
ALL THIS FOOD FOR LONG.

THERE'S SO MANY THINGS TO BUY
AND SO MANY TEMPTATIONS.

IT FEELS LIKE THERE'S
A LOT MORE OPTIONS

NOW THAN THE LAST TIME
I WAS AT A GROCERY STORE.

I HAVE TO BE VERY CAREFUL
NOT TO PUSH MYSELF TOO MUCH

BECAUSE I DON'T THINK

BETH WILL LET ME TRY THIS AGAIN
ANY TIME SOON

IF I END UP GETTING MYSELF
IN A BAD SITUATION.

OH, MY GOD.
OH!

OH, MY GOD.

OH, NO.

OH, MY GOD.

I WANT TO GET OUT OF THIS STORE
BECAUSE I CAN'T...

I'VE GOT TO GET OUT OF HERE.

I DIDN'T GET THE WHOLE LIST
OR EVEN MOST OF IT.

I AM A LITTLE DISAPPOINTED
ABOUT THAT,

BUT I PLAN TO TRY
THIS AGAIN SOON.

HOPEFULLY NEXT TIME I CAN
HANDLE MORE AND DO MORE

AND NOT END UP
HAVING AN ACCIDENT.

AND DOING THIS HAS GIVEN ME
MUCH MORE APPRECIATION OF BETH

AND ALL SHE DOES FOR ME.

THANK YOU SO MUCH.
HAVE A GOOD DAY.

YOU TOO.SORRY ABOUT THE EYEGLASS CASE.

NO, IT'S OKAY.
OKAY.

THANK YOU.

I FEEL LIKE THE WORLD CHANGED

A WHOLE LOT MORE
THAN I REALIZED,

AND I'M STARTING
TO FEEL A LITTLE RUN DOWN

BECAUSE IT WAS A LOT HARDER THAN
I THOUGHT IT WOULD BE.

BUT IT'S ALL ABOUT BABY STEPS,
AND AS LONG AS

I'M GOING IN THE RIGHT DIRECTION
AND MOVING FORWARD,

THEN I'M MAKING PROGRESS.

ME AND BETH ARE CONTINUING
TO MAKE TIME TO DO THINGS

TOGETHER THAT DON'T REVOLVE
AROUND FOOD.

WE'RE GOING ON A DATE
TO A CERAMIC PAINTING PLACE.

I THINK DOING THESE THINGS
TOGETHER IS HELPING US

CHANGE THE DYNAMIC
IN OUR RELATIONSHIP,

AND I'M REALLY HAPPY
ABOUT THAT.

-HI, GUYS.
-HI. HOW ARE YOU?

WANT TO HOLD THE CHAIR
SO I DON'T FALL?

OKAY.

AH, OKAY.

AND OVERALL,
I FEEL GOOD ABOUT

HOW I'VE BEEN DOING
OVER THE LAST 2 MONTHS.

I'M HAVING A LOT OF FUN.

ME TOO.

THERE'S BEEN SOME
TEMPTATION RECENTLY

JUST BECAUSE COOKING EVERY DAY
FOR EVERY MEAL IS HARD,

SO ON OCCASION WE ORDER DELIVERY
FROM SOME NEARBY RESTAURANTS.

BUT IT'S BEEN VERY RARE
TIMES WE'VE DONE THAT,

AND I HAVEN'T HAD ANYTHING LIKE
CHEESE STEAK WITH CHEESE FRIES.

THIS IS GOING TO BE
SO CUTE IN OUR HOUSE.

I THINK THIS IS SOMETHING
I'VE ALWAYS WANTED TO DO,

AND NOW I AM.

AND I'M DOING IT WITH YOU,
AND WE'RE HAVING A DATE.

I'M SORRY WE HAVEN'T
HAD DATES.

THERE'S ONLY ONE MORE MONTH
UNTIL MY WEIGHT LOSS SURGERY,

AND I PLAN TO KEEP WORKING
AS HARD AS I CAN TO MAKE SURE

WHEN I GET THERE
THAT I MAKE IT TO MY GOAL

AND GET TO MOVE AHEAD.

AND I CAN'T WAIT FOR THAT.

I THINK THAT'S GOOD.I THINK HE'S GOOD, TOO.

HE'S SO CUTE.

IT'S THE DAY OF MY WEIGHT
LOSS SURGERY,

AND I'M REALLY GLAD
IT'S FINALLY HERE.

I WORKED REALLY HARD,
AND I WAITED SO LONG FOR THIS.

AND I'M READY TO MOVE AHEAD,
BUT DR. NOW IS COMING BY

TO DO MY WEIGHT CHECK TO SEE
IF I HIT MY GOAL FIRST.

SO I'M A LITTLE NERVOUS
ABOUT THAT.

HELLO.

-HELLO.
-HELLO.

HOW ARE Y'ALL DOING?

I'M GOOD. HOW ARE YOU?

GREAT.

SO YOU'RE READY
FOR YOUR SURGERY.

OH, A LITTLE.
I'M NERVOUS.

I'VE NEVER HAD SURGERY BEFORE,
SO I'M REALLY NERVOUS.

WELL, THAT'S NORMAL
TO BE NERVOUS

BECAUSE YOU'RE
GOING TO SURGERY.

YOU'RE NOT GOING TO A PICNIC.

RIGHT, RIGHT.
THAT'S TRUE.

OKAY?

SO LET'S GET YOU UP
AND DOWN TO THE SCALE.

AT MY LAST APPOINTMENT
THREE MONTHS AGO,

I WAS DOWN TO 543,
AND DR. NOW GAVE ME A GOAL

TO LOSE ANOTHER 50 POUNDS.

OKAY.

SO TO MOVE AHEAD, I NEED
TO BE DOWN TO 493 TODAY.

ALRIGHT: 556.

SO YOU ACTUALLY GAINED SOME
WEIGHT, AND THAT'S NOT GOOD.

NO, IT'S NOT.

I'M JUST, LIKE, REALLY MAD
AT MYSELF RIGHT NOW.

ALRIGHT.
LET'S GO BACK TO YOUR ROOM.

OKAY.

WELL, I ALREADY KNOW HOW.

ALRIGHT. YOU STARTED MAKING
SOME PROGRESS

AND MOVING
IN ONE DIRECTION.

BUT YOU SHOWED ME TODAY
THAT YOU'RE NOT STICKING

WITH IT LIKE YOU NEED,

SO I'M CANCELING
YOUR SURGERY,

AND WE'RE NOT MOVING AHEAD
WITH THAT TODAY.

I'M REALLY MAD AT MYSELF
RIGHT NOW

BECAUSE I'VE BEEN
WORKING SO HARD.

HERE'S THE DEAL.

I'M GOING TO GIVE YOU
ONE MORE CHANCE.

OKAY.

BUT IF I'M GOING TO MOVE
AHEAD WITH YOU AT ALL,

THEN I NEED TO SEE YOU LOSE
A GOOD AMOUNT OF WEIGHT

OVER A CONSISTENT
AMOUNT OF TIME.

OKAY.

SO YOU NEED TO LOSE 75 POUNDS
OVER THE NEXT THREE MONTHS.

IF YOU DON'T DO THAT, YOU WON'T
BE DOING THE PROGRAM

OR GETTING WEIGHT
LOSS SURGERY FROM ME.

YOU GOT IT?
-I GOT IT.

I UNDERSTAND.

ALRIGHT. LET ME GET THE NURSE
TO TAKE YOUR IV OUT,

AND WE'RE GOING
TO SEND YOU HOME.

IN THE MEANTIME, IF YOU NEED
ANYTHING, GIVE ME A CALL.

OKAY.
THANK YOU SO MUCH.

ALRIGHT.

Dr. Nowzaradan:
WE OBVIOUSLY HAVE A VERY
UNFORTUNATE SITUATION WITH GINA.

SHE HAD A CHANCE
TO TAKE A BIG STEP

TOWARD GETTING HEALTHY TODAY,

BUT WE CAN'T MOVE AHEAD
WITH SURGERY

IF SHE'S STILL GAINING WEIGHT.

SO I'M VERY DISAPPOINTED
IN THIS OUTCOME

AND HER CHOICES RIGHT NOW.

WHEN SHE FINALLY HAD SOME WEIGHT
LOSS A COUPLE MONTHS AGO,

I WAS HOPEFUL IT WAS A SIGN

THAT SHE WAS FINALLY STARTING
TO TURN THINGS AROUND.

BUT THIS WEIGHT GAIN
HAS SHOWED THAT,

THAT IS CLEARLY NOT THE CASE
AND THAT SHE'S STILL STRUGGLING

WITH TAKING RESPONSIBILITY
FOR WHAT SHE NEEDS TO DO.

HOPEFULLY SHE WAKES UP

AND DOES WHAT SHE NEEDS
OVER THE NEXT THREE MONTHS,

BUT AT THIS POINT,
WITH HER TRACK RECORD SO FAR,

THINGS DON'T LOOK POSITIVE.

BUT AS ALWAYS, WE'LL BE HERE

WAITING TO GIVE HER
THE HELP SHE NEEDS

IF SHE DECIDES TO START
MAKING THE CHOICES SHE HAS TO.

Gina: I THINK I'M IN SHOCK.

I JUST CAN'T BELIEVE
THIS IS HAPPENING,

AND I DON'T KNOW
WHAT I'M GOING TO DO.

AND I DON'T KNOW
HOW THIS HAPPENED.

I THINK THIS WILL MOTIVATE HER
TO MAKE SURE

THAT SHE GETS THE SURGERY
FOR THE NEXT TIME

BECAUSE DR. NOW
GAVE HER ONE LAST CHANCE,

AND THIS IS HOPEFULLY THE CHANCE
THAT SHE TAKES UP ON.

Gina:
I DON'T KNOW HOW THIS HAPPENED,
BUT I KNOW I HAVE TO FIX IT.

THE ONLY THING I COULD FIGURE
IS THAT I'M SABOTAGING MYSELF,

SO WHAT I WANT TO DO
IS TALK TO LOLA

ABOUT WHAT'S GOING ON WITH ME
AND TRY TO FIGURE IT OUT.

I'M NOT GIVING UP.

I HAVE THREE MONTHS
TO SAVE MY LIFE

OR LOSE IT ALL COMPLETELY,

AND I CAN'T LET MYSELF MESS
THIS UP AGAIN.

SO I'M GOING TO GET BACK
ON TRACK

AND DO WHAT I NEED AGAIN,
AND IN THREE MONTHS,

I'M GOING BACK TO DR. NOW.

AND I'M GETTING MY WEIGHT
LOSS SURGERY

BECAUSE MY LIFE
DEPENDS ON IT.