Original subtitles

Carlton: MY SISTER'S PRETTY MUCH LIVING THE SAME LIFE AS ME

RIGHT UPSTAIRS.

Shantel: AND I SPEND ALMOST ALL OF MY TIME ON THE SECOND FLOOR.

Woman: 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.

IT HURTS!

Woman #3: I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS FOR MY CHILDREN.

Michael: THE WAY HOW YOU'RE DRIVING IS NOT SAFE.

THAT'S SOME DUMB

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

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Carlton: WHEN I WAKE UP IN THE MORNING, I THINK,

"HERE COMES ANOTHER DAY FULL OF THINGS I CAN'T DO."

THE HELP I HAVE TO HAVE NOW IS EMBARRASSING

BECAUSE I CAN'T EVEN DO THE MOST BASIC THINGS ON MY OWN ANYMORE.

CASH.

I'M TOO BIG NOW.

YEAH?

OKAY.

CASH IS MY YOUNGER BROTHER.

HE DOES EVERYTHING FOR ME,

AND THAT INCLUDES THE PLASTIC BIN I USE TO GO TO THE BATHROOM

THAT MY BROTHER WILL GET FOR ME.

CASH.

GET ME A TISSUE. TISSUE, DAWG.

TISSUE.

YEP. THANK YOU.MM-HMM.

GO AHEAD. GO AHEAD.

MAKE SURE TO GET MY SOAPY WATER FOR ME.

YEP.

Cash: CARLTON, IT'S HARD FOR HIM TO DO STUFF SOMETIMES.

I GET SAD SEEING HIM STRUGGLE, AND IT MAKES ME, LIKE, JUMP UP,

LIKE, "WAIT. I NEED TO HELP HIM."

I WOULD DO ANYTHING FOR CARLTON BECAUSE HE'S MY BROTHER,

AND I LOVE HIM.

HERE YOU GO.IS IT HOT?

YEP. ALRIGHT.

Carlton: WHEN CASH HAS TO DO THESE THINGS FOR ME,

I FEEL DISGUSTED WITH MYSELF

BECAUSE HE HAS TO BE HERE TO ALWAYS TAKE CARE OF ME

INSTEAD OF LIVING LIFE.

BUT EVERYTHING'S A BIG CHORE FOR ME NOW,

AND DOING ANYTHING WHERE I HAVE TO MOVE AROUND MUCH

GETS TO BE TOO HARD FOR ME.

BUT I AT LEAST TRY TO CLEAN MYSELF STILL.

BUT IT'S THE MOST EXHAUSTING PART OF MY DAY

BECAUSE OF HOW HARD IT IS

TO REACH AS MANY SPOTS AS I CAN POSSIBLY REACH.

SO I DO AS MUCH AS I CAN BEFORE I'M TOO EXHAUSTED TO KEEP GOING.

BUT BY THE TIME I'M DONE, I CAN HARDLY MOVE

BECAUSE OF HOW SORE AND TIRED I AM.

THAT'S EMBARRASSING THAT I CAN'T EVEN TAKE A BATH

WITHOUT IT COMPLETELY WIPING ME OUT.

IT MAKES ME REALLY SAD.

THE ONLY THING THAT MAKES ME SADDER

IS KNOWING MY SISTER'S PRETTY MUCH LIVING THE SAME LIFE AS ME

RIGHT UPSTAIRS.

COME ON, TREASURE.

COME ON. COME ON, MY SUNSHINE.

ALRIGHT.

LET'S GO.

I LIVE HERE IN MY MOM'S HOUSE WITH HER, HER WIFE, ELAINE,

MY HUSBAND, OUR THREE KIDS, AND BOTH MY BROTHERS,

SO THERE'S NINE OF US HERE,

BUT I FEEL LIKE I'M TRAPPED INSIDE OF MY BODY

AND THIS ROOM BECAUSE I'M SO BIG.

I MOSTLY JUST STAY IN MY ROOM ON THIS BED MOST OF THE DAY

BECAUSE OF HOW HARD IT IS FOR ME TO GET AROUND.

I STILL HAVE A LITTLE BIT OF MOBILITY,

BUT IT'S NOT ENOUGH TO REALLY SUSTAIN ME.

SO IN THE MORNING, MICHAEL GETS UP,

AND HE GETS THE KIDS READY FOR SCHOOL,

AND I JUST WATCH HIM.

IT MAKES ME REALLY SAD BECAUSE I WANT TO, LIKE, DO MORE,

BUT HOW CAN I TAKE CARE OF THEM

WHEN I NEED SO MUCH HELP JUST TO TAKE CARE OF MYSELF?

AFTER MICHAEL TAKES OUR KIDS TO SCHOOL,

HE GOES AND GETS ME AND CARLTON SOMETHING TO EAT

WHILE I TRY TO GET UP AND GET DRESSED,

BUT IT'S ALMOST TOO MUCH FOR ME.

CARRYING AROUND THIS WEIGHT HURTS MORE

THAN BEING STABBED 1,000 TIMES WITH 1,000 KNIVES.

IF I GET UP, IT'S ONLY ONCE OR TWICE IN A DAY NOW,

AND I SPEND ALMOST ALL OF MY TIME ON THE SECOND FLOOR

BECAUSE THE STAIRS ARE REALLY HARD FOR ME.

I CAN DO THEM STILL BUT MAYBE ONLY ONCE A WEEK.

AND I NEVER GO OUT ANYMORE.

IT'S BEEN YEARS SINCE I'VE BEEN OUT OF THE HOUSE,

AND NOW I JUST FEEL LIKE I'M LIVING TO EAT.

Carlton: AS MUCH AS I WANT THINGS IN MY LIFE TO CHANGE...

WHAT'S UP, RED?HEY. WHAT'S UP, MAN?

...I KEEP DOING WHAT MAKES IT WORSE,

BECAUSE I CAN'T STOP EATING CONSTANTLY.

OKAY, FIVE CHEESEBURGERS. HOLD ON.

ONE, TWO, THREE, FOUR, FIFTH ONE.

THANKS, MAN.YOUR FRIES,

YOUR CHICKEN NUGGETS,

AND YOUR TWO APPLE PIES.

YEP.

I'LL SIT, AND I'LL TRY TO STARVE MYSELF AS LONG AS POSSIBLE,

BUT I CAN'T STOP EATING,

BECAUSE FOOD IS ALL I KNOW.

HERE'S YOUR FRIES, YOUR NUGGETS,

AND HERE'S YOUR PIES.THANK YOU.

YOU'RE WELCOME, LOVE.

Shantel: FOOD IS THE ONLY THING THAT MAKES MY DAY BETTER,

SO I CAN NEVER WAIT FOR WHEN MICHAEL BRINGS ME SOMETHING.

AND THAT FIRST BITE IS SUCH A GREAT FEELING,

BECAUSE THIS FOOD IS LIKE A DRUG TO ME,

AND I JUST HAVE TO HAVE IT ALL THE TIME.

FOOD HAS ALWAYS BEEN A BIG PART OF ME AND CARLTON'S LIFE.

IT'S HOW WE FELT LOVE, AND IT'S HOW WE FELT SAFE.

MY DAD WAS IN THE MILITARY,

SO WE HAD TO MOVE AROUND A LOT, AND I REALLY DIDN'T LIKE THAT

BECAUSE I WAS ALWAYS THE NEW KID,

BUT I THINK THAT'S WHY ME AND CARLTON GOT SO CLOSE

BECAUSE ALL WE HAD WAS EACH OTHER.

HE WAS BORN WHEN I WAS 7, AND I WAS AROUND 9

WHEN I REALIZED THAT MY MOM WAS BEING ABUSED BY MY DAD.

AND I REALLY TRIED MY BEST TO, LIKE, HIDE IT FROM MY BROTHER.

WHEN MY DAD GOT ANGRY, I WOULD PUT MY BROTHER IN A ROOM,

AND I WOULD TURN THE MUSIC ON,

AND I WOULD GO AND GET SOMETHING FOR US TO, LIKE, SNACK ON.

Carlton: WHEN THINGS GOT REALLY BAD

AND MY DAD WAS DOING WHAT HE DID,

SHANTEL WOULD ALWAYS HELP ME GET THROUGH IT ALL

AND MADE IT BETTER,

USUALLY BY GETTING SOMETHING WE LIKED TO EAT

AND BRINGING IT TO ME.

AND MY MOM SEEMED LIKE SHE KIND OF PICKED UP ON

FOOD MAKING ME AND SHANTEL FEEL BETTER.

FOOD PLAYED A VERY LARGE PART

IN THE WAY THAT I COMFORTED MY CHILDREN.

MY EX-HUSBAND DID NOT ALLOW ME TO GIVE THEM ICE CREAM

OR COOKIES OR GO TO FAST-FOOD PLACES,

BUT I WOULD SNEAK IT TO THEM SO THEY COULD BE HAPPY.

Shantel: I DOUBLED IN WEIGHT AND GOT TO OVER 200 POUNDS

BY THE TIME I WAS 12. BUT AS I GAINED MORE WEIGHT,

MY DAD STARTED TO GET MORE AND MORE UPSET WITH ME

BECAUSE OF IT.

HE TRIED TO STOP ME AND CARLTON'S WEIGHT GAIN,

BUT IT DIDN'T STOP US FROM EATING HOW WE WANTED.

AND BY THE TIME I WAS 13, I WAS OVER 350 POUNDS,

AND CARLTON WAS 5 OR 6 AND AROUND 200.

Carlton: WHEN I WAS AROUND 10,

I THINK THAT'S WHEN IT GOT TO ITS WORST WITH MY DAD.

SO AS A FAMILY, IT WAS AT A POINT

WHERE WE COULDN'T TAKE IT ANYMORE,

SO MY MOM TOOK US, AND WE RAN.

I FELT VERY RELIEVED

WHEN FINALLY I WAS ABLE TO ESCAPE,

'CAUSE I ACTUALLY HAD TO ESCAPE,

BECAUSE I WAS PUT IN ABUSE SHELTER BY THE MILITARY.

Carlton: BEING AWAY FROM MY DAD WAS SUCH A RELIEF TO ALL OF US.

INSTEAD OF IT BEING SOMBER, EVERYONE WAS HAPPY ABOUT IT.

AND I REMEMBER BEING ALLOWED TO EAT

AS MANY DESSERTS AS I WANTED.

AND I WOULD JUST TAKE ADVANTAGE OF THAT,

AND I WOULD EAT. AND MY MOM WOULDN'T BE CRYING,

AND MY SISTER WOULD BE SMILING, EATING, TOO,

SO IT WAS A PEACEFUL TIME.

BY THE TIME I WAS 11, I WAS OVER 300 POUNDS,

AND IT WAS A MASSIVE PROBLEM.

KIDS WERE TEASING ME.

MY MOTHER HAD TO CONSTANTLY TRY TO SCRAMBLE

AND FIND NEW UNIFORMS.

AND I ENDED UP GETTING SUSPENDED

FOR LEAVING THE SCHOOL AFTER MY LUNCH BREAK

AND GOING TO GET FOOD FROM SOMEWHERE ELSE.

SO IT GOT TO BE A REALLY DIFFICULT TIME,

AND IT WAS LONELY, TOO, BECAUSE SHANTEL WAS GONE.

YOU KNOW, WHEN I GRADUATED HIGH SCHOOL,

I WAS AROUND 350 OR 360, SO I WAS GETTING BIG,

BUT I COULD STILL GET AROUND AND DO THINGS.

AND I HAD REALLY APPLIED MYSELF IN SCHOOL,

SO I ENDED UP, YOU KNOW, GOING TO COLLEGE.

Carlton: I FELT ALONE.

I DIDN'T HAVE MY SISTER,

AND WITH HOW I FELT, I JUST COULDN'T STOP EATING,

BECAUSE MY APPETITE NEVER STOPPED THEN.

SO I KEPT GAINING A LOT,

AND BY THE TIME I WAS 15, I WAS WELL OVER 400 POUNDS.

AND IT GOT TO A POINT THERE WHERE I WAS SO BIG,

IT WAS HARD FOR ME TO DO ANYTHING.

SO I DROPPED OUT OF SCHOOL AND DECIDED TO GET MY G.E.D.

BUT KEPT GAINING. AND BY THE TIME I GOT MY G.E.D.

WHEN I WAS 18,

I WAS ALMOST 500 POUNDS.

AND THE DREAMS I HAD FOR THE FUTURE

WERE BEING CRUSHED UNDER MY WEIGHT.

Shantel: UNFORTUNATELY, COLLEGE DIDN'T GO AS I HAD HOPED.

AT 20, MY WEIGHT STARTED GETTING REALLY BAD

AND I HAD TO STOP GOING TO CLASSES,

'CAUSE I COULDN'T GET UP THE HILL,

'CAUSE I HAD REACHED AROUND 450 THEN.

AND THAT LED TO ME HAVING TO DROP OUT,

AND THAT WAS PRETTY HARD FOR ME,

BECAUSE I FELT LIKE I WAS GIVING UP ON MY FUTURE.

SO ALL I WAS DOING THEN

WAS SITTING AROUND MY APARTMENT EATING,

AND THAT'S HOW MY LIFE WAS UNTIL I MET MICHAEL.

MY FRIENDS HAD CONVINCED ME TO GO OUT ONE NIGHT,

AND HE WAS A FRIEND OF A FRIEND WHO WENT WITH US.

BUT AT FIRST, I DIDN'T PAY ANY ATTENTION TO HIM.

I HADN'T HAD A SERIOUS RELATIONSHIP IN MY LIFE

BECAUSE I DIDN'T WANT TO END UP LIKE MY MOM AND MY DAD.

BUT AS I GOT TO KNOW MICHAEL, HE WAS DIFFERENT THAN MOST GUYS,

AND WE STARTED GOING OUT.

I BELIEVED SHE WAS THE ONE THE FIRST TIME I SAW HER.

WE CLICKED RIGHT THERE.

SO IT WASN'T MUCH OF HER SIZE THAT I WAS WORRYING ABOUT.

WAS MORE OF WHO SHE WAS PERSONALLY.

WE JUST FELL IN LOVE TOGETHER.

Shantel: SO, WITHIN A YEAR OF DATING, MICHAEL ASKED ME TO MARRY HIM,

AND I TOLD HIM YES. AND GETTING READY FOR MY WEDDING

WAS THE ONLY TIME OF MY LIFE I LOST ANY WEIGHT.

BUT IT DIDN'T LAST AS LONG AS I HAD HOPED,

BECAUSE LESS THAN A YEAR AFTER WE GOT MARRIED,

I GOT PREGNANT WITH MY FIRST CHILD

AND GAINED A LOT DURING THAT PREGNANCY.

I WOULD EAT LIKE TWO OR THREE PIZZAS A DAY

FOR NINE MONTHS STRAIGHT.

THAT'S WHY I GAINED SO MUCH WEIGHT.

SO BY THE TIME I HAD MICHAEL JR. WHEN I WAS 23,

I'D PUT BACK ON ALMOST 100 POUNDS

AND WAS JUST UNDER 500 POUNDS THEN.

BUT SIX MONTHS AFTER I HAD MICHAEL JR.,

I GOT PREGNANT WITH MY SECOND CHILD.

AND BY THE TIME I HAD MY DAUGHTER, ROYAL, WHEN I WAS 25,

I WAS AROUND 540.

AND THE CYCLE CONTINUED WITH MY PREGNANCY WITH TREASURE.

AND WHEN I HAD HER WHEN I WAS 27,

I WAS CLOSE TO 600.

AND THAT'S WHEN I STARTED TO LOSE MY MOBILITY, TOO.

WHEN I WAS 29, ME, MICHAEL AND THE KIDS

HAD TO MOVE BACK HOME WITH MY MOM

SO SHE COULD HELP TAKE CARE OF ME.

AND CARLTON HAD MADE THE SAME DECISION

TO MOVE BACK WITH OUR MOM

BECAUSE OF HOW BIG HE WAS GETTING, TOO.

Carlton: IT GOT TO A POINT WHERE I COULD HARDLY DO ANYTHING ANYMORE.

SO I HAD TO MOVE BACK HOME WITH MY MOM.

AND IN THIS ROOM, I'VE STAYED.

THE ONLY THING I WAS HAPPY ABOUT WITH THE SITUATION

AND MOVING BACK WAS THAT I WAS WITH MY SISTER AGAIN.

AND NOW WE DON'T EVEN REALLY SEE EACH OTHER

SINCE SHE STAYS ON HER FLOOR, AND I'M ON MINE.

I DON'T GO OUT AND DO ANYTHING OR SEE ANYONE EXCEPT ONLINE.

I ACTUALLY HAVE BEEN TALKING TO SOMEONE ONLINE

FOR THE PAST YEAR.

HER NAME IS MONICA.

BUT I'VE NEVER BEEN ABLE TO EVEN MEET HER

BECAUSE I CAN'T GO OUT.

AND I'VE BEEN SCARED TO ASK HER TO COME HERE

AND SEE ME LIKE THIS.

SO I FEEL LIKE I'M MISSING LIFE COMPLETELY,

AND IT'S ALL BECAUSE OF FOOD.

Shantel: I FEEL LIKE FOOD HAS TAKEN EVERYTHING FROM ME,

AND I DON'T DO ANYTHING.

MY BROTHER IS ONE OF THE MOST IMPORTANT PEOPLE TO ME,

BUT I HARDLY EVER SEE HIM EVEN THOUGH WE LIVE IN THE SAME HOUSE

BECAUSE OF HOW HARD IT IS TO GO DOWNSTAIRS.

BUT I WANT TO SEE MY BROTHER, SO I TRY,

BECAUSE I KNOW HE WANTS TO SEE ME, TOO.

AND WHEN I GET DOWN THERE AND I SEE HIS FACE --

LIKE, WHEN HE SEE ME, HE LIGHT UP.

LIKE, HIS FACE LIGHT UP WHEN HE SEE ME,

AND I'LL DO IT FOR HIM.

I'LL DO WHATEVER FOR HIM 'CAUSE I LOVE HIM.

NOW TURN.

ALRIGHT. I GOT YOU.

ONCE I MAKE IT, IT'S SUCH A RELIEF,

AND I GET TO SEE MY BROTHER NOW.

BUT IT MAKES ME SAD TO SEE HIM LIKE HE IS,

BECAUSE HE'S KILLING HIMSELF WITH FOOD, JUST LIKE ME.

HEY, BRO.

YO!YOU GOT ANY SNACKS?

UH, YEAH, TABLE BEHIND YOU.

OH GOT THE GOOD STUFF.

YEAH.

I HEAR THE DOOR, GIRLS.

Treasure: I'LL GET IT.

STOP IT!

-THANK YOU. -THANK YOU.

AND MY DRINKS?

CASH, CAN YOU HELP ME?

I FEEL LIKE ME AND CARLTON ARE JUST NOT LIVING,

AND I THINK TO MYSELF THAT IT'S MY FAULT HE'S LIKE THIS.

IF I WAS A BETTER EXAMPLE,

MAYBE HE WOULD'VE ATE BETTER.

BUT INSTEAD OF JUST DESTROYING MYLIFE WITH FOOD,

I'M THE REASON BOTH OF OUR LIVES ARE DESTROYED.

AND IF I LOSE HIM BECAUSE OF THIS,

I DON'T THINK I'D EVER RECOVER.

BUT I KNOW THAT'S WHAT'S COMING AND WHAT'S NEXT FOR ONE OF US.

I JUST HAVE THIS FEELING, LIKE, A DARK FEELING.

BUT WE BEEN THROUGH SO MUCH TOGETHER.

THIS CAN'T BE THE WAY IT ENDS FOR EITHER OF US,

AND I CAN'T END UP MISSING OUT ON MY KIDS' LIVES

BECAUSE I LET FOOD KILL ME.

MY WORST FEAR IS SHANTEL DYING

BEFORE OUR KIDS GROW UP,

GRADUATE, GET MARRIED.

IT IS THE ONE THING I CAN'T HANDLE.

I NEED HER.

THINGS HAVE TO CHANGE BECAUSE I DON'T WANT TO BE LIKE THIS.

I WANT A LIFE.

I WANT TO LIVE.

I WANT TO LEARN THINGS.

I WANT TO FIND OUT WHAT IT FEELS LIKE TO BE OUT AT NIGHT

AND HAVE FRIENDS AND TO BE SOCIAL.

I WANT TO MEET MONICA AND HAVE A CHANCE AT A LIFE,

BUT THE ONLY WAY TO DO THAT IS TO LOSE WEIGHT.

AND I KNOW IF I DON'T, THINGS ARE GOING TO GET WORSE.

THERE'S NOT MUCH MORE WORSE IT CAN GET.

SO ME AND SHANTEL BOTH KNOW

IT'S ALL COMING TO A BREAKING POINT SOON

WHERE SOMETHING'S GOING TO HAPPEN

WHERE ONE OF US DOESN'T MAKE IT.

SO ME AND HER HAVE TO FIND A WAY TO CHANGE THAT

BEFORE IT'S TOO LATE.

I'M GOING TO NEED Y'ALL TO START GIVING ME

THE STUFF FROM UP THERE SO WE CAN SET IT ON THE BED.

YES. WE NEED THAT.

YOU GOT IT? ALRIGHT.

BE CAREFUL.

Shantel: ME AND CARLTON HAVE DECIDED TO TRY AND GET HELP FROM DR. NOW,

AND WE'RE HOPING THAT HE'LL TAKE US ON AS PATIENTS

AND LET US DO HIS WEIGHT-LOSS PROGRAM.

BUT WE KNOW IF HE DOES THAT,

WE'RE GOING TO HAVE TO BE IN HOUSTON A LOT.

SO WE TALKED IT ALL OVER AS A FAMILY

AND DECIDED IF WE'RE GOING TO REALLY TRY TO DO THIS,

WE JUST HAVE TO BE ALL-IN,

AND WE NEED TO MOVE TO HOUSTON.

BUT WHAT IF WE GET THERE, AND HE LOOKS AT ME AND SAY,

"I CAN'T HELP YOU"? AND I'M GOING TO SIT THERE,

AND MY FAMILY'S GOING TO LOOK AT ME LIKE,

"DID YOU JUST REALLY UPROOT US 20 HOURS AWAY

TO A DOCTOR THAT YOU HAVEN'T EVEN SPOKEN TO?"

BUT I'M JUST TELLING MYSELF

THAT I'M GOING TO TAKE THIS LEAP OF FAITH

TO BE ABLE TO GET TO HOUSTON

AND MAKE SURE THAT HE HELP ME LIVE.

CASH.

WE'RE GOING TO PUT THE ELECTRONICS IN THIS BAG, OKAY?

SO WHAT I WANT YOU TO DO IS I WANT YOU TO GO RIGHT THERE,

'CAUSE I CAN'T REACH.YEAH.

I WANT YOU TO UNPLUG EVERYTHING. ALRIGHT?

THIS TRIP WILL BE ROUGH, TO SAY THE LEAST, ON MY BODY,

AND I'M EXPECTING TO BE IN PAIN AND SORE,

BUT IT'S THE ONLY CHANCE WE HAVE TO LIVE

AND TO REVERSE THE DAMAGE WE'VE MADE TO OUR BODIES.

SO NO MATTER WHAT IT TAKES OR HOW SCARY IT'S GOING TO BE,

THIS IS JUST SOMETHING THAT ME AND SHANTEL HAVE TO DO

IF WE WANT BETTER LIVES.

BUT THERE IS ONE THING IN ALL THIS

THAT I AM HAPPY AND EXCITED ABOUT.

I WAS MESSAGING MONICA AND TELLING HER

I'M DOING THIS MOVE AND LEAVING OHIO

AND THAT I'M SAD WE HAVE NEVER BEEN ABLE TO MEET,

BECAUSE I THINK I HAVE A LOT OF FEELINGS FOR HER.

AND SHE TOLD ME THAT SHE DOES, TOO,

AND SHE SAID SHE DIDN'T WANT TO LOSE ME.

BUT AS WE TALKED MORE, SHE TOLD ME

SHE WANTS TO GO WITH ME TO HOUSTON AND HELP ME DO THIS,

AND THAT MADE MY HEART SKIP A BEAT.

WITH ALL OF US HOPING TO LEAVE TODAY,

MONICA IS COMING OVER WITH HER STUFF

SO WE CAN MEET FOR THE FIRST TIME

AND THEN GO WITH ME TO HOUSTON.

BUT SHE WAS SUPPOSED TO ALREADY BE HERE,

AND THE MORE I THINK ABOUT THIS,

THE MORE I GET HONESTLY PESSIMISTIC

ABOUT HOW OUR FIRST MEETING IS GOING TO BE.

SO THIS COULD BE DEVASTATING TO ME,

BECAUSE I THINK I HAVE FALLEN IN LOVE WITH HER

TALKING ONLINE WITH HER.

SO IF THIS DOESN'T GO WELL,

IT'S GOING TO BE HARD FOR ME TO TAKE,

ESPECIALLY ON TOP OF THE STRESS OF THIS WHOLE MOVE

AND GOING TO HOUSTON.

HEY!

COME HERE.

I WAS SO SCARED.

YEAH.

I'M -- I WAS SO WORRIED YOU WAS NOT GOING TO COME.

YEAH.

LOVE YOU.

I LOVE YOU, TOO.

LET ME MOVE THIS FOR YOU.

HAVE A SEAT.

I WAS SO WORRIED.YEAH.

I'M SO HAPPY YOU'RE HERE.

AND WE GONNA BE HAPPY.

YEAH.

IT'S GONNA BE OKAY FINALLY.

YEAH.

Monica: I'M VERY HAPPY.

I'VE BEEN WAITING TO SEE HIM FOR SO LONG.

AND WHEN I FINALLY WALKED IN THE DOOR

AND SAW HIM THERE, I WAS PRETTY NERVOUS,

BUT I'M ALSO REALLY EXCITED AND HAPPY.

HIS WEIGHT DOESN'T BOTHER ME.

I WANT TO BE WITH HIM.

Carlton: I'M SO HAPPY RIGHT NOW.

IT'S BEEN OVER A YEAR THAT WE'VE BEEN TOGETHER

WITHOUT ACTUALLY BEING TOGETHER.

AND MEETING MONICA FOR THE FIRST TIME TODAY

COULDN'T HAVE GONE BETTER.

IT'S JUST A FANTASTIC FEELING TO FINALLY BE ABLE TO HOLD HER.

AND HAVING A PERSON I LOVE WITH ME IN MY LIFE TO DO THIS WITH

MAKES A HUGE DIFFERENCE FOR ME.

SO I FEEL LIKE THIS JUST KIND OF AFFIRMS

THAT THIS MOVE AND THIS WHOLE CHANGE IS THE RIGHT THING,

THAT MY LIFE IS GOING TO START GETTING BETTER NOW

BY DOING THIS.

Shantel: IT'S TAKEN A LOT LONGER THAN I WANTED,

BUT WE'RE FINALLY READY TO GET ON THE ROAD.

IT'S JUST GOING TO BE DARK SOON,

SO I DON'T KNOW HOW FAR WE'RE GOING TO GET TODAY.

AND I DON'T KNOW HOW LONG IT'S GOING TO TAKE US TO GET THERE,

SO WE JUST NEED TO GET GOING.

YEAH. GRAB THE SHIRT --

NO. THAT'S NOT GOING. THE SHIRT BAG.

BUT MY NERVES ARE ALL OVER THE PLACE

BECAUSE THIS IS GOING TO TAKE A LOT FOR ME AND CARLTON TO DO.

Carlton: WE DIDN'T MAKE IT OUT YESTERDAY LIKE SHANTEL WAS HOPING,

BUT WE'VE BEEN PACKING THROUGH MOST OF THE NIGHT,

AND WE'RE ABOUT READY.

MONICA STAYED THE NIGHT WITH ME

BECAUSE SHE ALREADY PACKED UP HER WHOLE WORLD

TO DO THIS AND LEAVE.

BUT JUST HAVING HER HERE WITH ME

IS MAKING A HUGE DIFFERENCE FOR ME

AND HELP KEEPING ME MOTIVATED AND EXCITED ABOUT THIS.

WE'VE RENTED AN EXTRA CAR TO HAVE, TOO.

GO AHEAD AND TAKE THIS IN THE HOUSE FOR SHANTEL.

SHANTEL, MICHAEL, AND THE KIDS ARE GOING TO USE THAT

SINCE IT'S BIGGER,

AND ME AND MONICA ARE GOING TO DRIVE SHANTEL'S CAR.

NO, COME HERE. COME HERE. COME ON.

COME ON.

Shantel: THIS HAS BEEN ONE OF THE MOST STRESSFUL MOMENTS OF MY LIFE,

AND I HAVE A LOT OF FEARS THAT START TO OVERWHELM ME.

BUT I'M JUST FOCUSING ON THE NEW LIFE THAT'S POSSIBLE WITH THIS.

SO NO MATTER HOW HARD THIS IS OR WHAT'S GOING TO HAPPEN,

IF WE STAY HERE,

EITHER ME OR CARLTON'S GOING TO DIE SOON.

AND THAT IS NOT AN OPTION I'M JUST GOING TO LET HAPPEN,

SO I'M GOING TO FIGHT AS HARD AS I CAN FOR US TO DO THIS.

ALRIGHT. LAST LOOK.

ALRIGHT, PLAYER.

USUALLY, I'M IN THE CAR MAYBE, WHAT, 20, 30 MINUTES TOPS,

AND IT'S REALLY HARD ON MY BODY DOING IT THEN,

SO TAKING THAT, MAGNIFYING THAT,

I DON'T KNOW HOW MY BODY IS GOING TO REACT.

TRY TO SQUEEZE INTO THIS LITTLE VEHICLE

ME, MICHAEL, THREE CHILDREN, AND ALL OUR BELONGINGS.

I THINK I'M NERVOUS BECAUSE IT'S GETTING REAL.

LIKE, IT'S GETTING REAL SERIOUS TO ME.

I'M IN.

-SUCK IN. -I'M IN.

SUCK IN ALL.

ALRIGHT.

HOLD ON. WAIT. DO AGAIN.

GO.

OOH.

THIS IS THE BIGGEST LEAP OF FAITH

WE'VE TAKEN IN OUR LIVES.

I'M GOING.

BUT I KNOW WE CAN DO THIS.

AND ME AND SHANTEL ARE READY TO TAKE THIS ON

SO WE CAN BE AROUND FOR THE LIVES WE WANT

AND BE WITH THE PEOPLE WE LOVE.

AND WE KNOW IF WE DON'T DO THIS, THEN THAT WON'T BE POSSIBLE.

ALRIGHT.

SO WE'RE GOING ALL-IN, DOING WHATEVER IT TAKES

FOR US TO SUCCEED AT THIS.

WE DON'T KNOW ALL THAT'S AHEAD,

BUT AS LONG AS WE HAVE EACH OTHER AND DO THIS TOGETHER...

AH, WE MADE IT.Monica: YEP.

...I KNOW WE'LL BE ABLE TO GET THROUGH IT

AND DO WHAT WE NEED TO MAKE IT TOGETHER.

WE MADE IT.

YEAH.

Carlton: WE HAVE BEEN ON THE ROAD FOR THREE DAYS,

AND IT HAS NOT GOTTEN ANY EASIER, BECAUSE ME AND SHANTEL

HAVE NOT BEEN ABLE TO GO MORE THAN ABOUT 4 HOURS AT A TIME

WITHOUT STOPPING FOR FOOD OR STOPPING FOR A HOTEL.

BUT EVEN DOING THAT HAS STILL BEEN REALLY HARD ON OUR BODIES.

RIGHT NOW, EVERYTHING HURTS SEVERELY.

MY BODY IS WEARING DOWN

FASTER AND MORE INTENSELY THAN I THOUGHT IT WOULD.

BUT I REMAIN FOCUSED, AND I'M MOVING FORWARD.

I WANT THIS MORE THAN ANYTHING I'VE EVER WANTED.

I CAN TASTE IT IN MY MOUTH. I DON'T WANT TO GIVE UP.

WE GOING TO MAKE SOME PROGRESS TODAY.

AND I WILL CARRY SHANTEL IF I HAVE TO.

LET'S GO. LET'S BEAT FEET.

ME AND SHANTEL TEXTED ABOUT HOW WE WANTED TO HANDLE TODAY,

AND WE NEED TO GO AT LEAST 3 HOURS

TO HAVE A GOOD TIME FRAME TOMORROW.

BUT I TOLD HER I WANT TO TRY AND MAKE IT

FOR THE WHOLE 6 1/2 HOURS SO WE CAN HAVE A FULL DAY

TO MOVE INTO OUR NEW PLACE AND REST SOME.

THANK YOU.

WHERE'D THAT BAG GO?

Monica: WHAT?

SO HOPEFULLY WE'RE ABLE TO DO THIS FINAL PUSH

AND MAKE IT THERE BY TODAY.

WE GOT THIS.

JUST LOCK ME IN, BABY.

COME ON.YOU WANT ME TO SLAM IT?

HOLD ON.OH, SORRY.

LET'S GO, BABY!

-ALRIGHT. -YOU GOT THIS.

LET'S HIT THE ROAD.

-ALRIGHT. -HELP HER.

-GOOD JOB, SHAN. -COME ON.

THAT'S WHAT I'M TALKING ABOUT. WALK WITHOUT THAT WALKER.

I LITERALLY SAID, "HOLD HER." GO IN.

ALRIGHT.

TELL ME WHICH ONE --

SUCK IT IN.

THERE WE GO.

Shantel: THIS IS SUCH A HARD TRIP, AND WE ONLY HAVE TWO MORE DAYS

BEFORE OUR APPOINTMENT WITH DR. NOW.

BUT EACH DAY GETS A LITTLE HARDER FOR US

TO BE IN A CAR FOR TOO LONG.

AND RIGHT NOW, WE HAVE A 6-TO-7-HOUR DRIVE LEFT

TO GET THERE.

BUT MY LEGS ARE ON FIRE.

LIKE, MY SWELLING IS REALLY BAD TODAY.

SO IT'S GETTING MORE DIFFICULT FOR ME, AND I'M JUST WORRIED,

WITH HOW HARD IT'S GETTING,

WE WON'T BE ABLE TO KEEP OUR PACE AND LAST LIKE WE NEED.

Michael: ALRIGHT.

HEY, GUYS. I'M GOING TO COME IN HERE, DO THIS.

Monica: ALRIGHT.

ALRIGHT.

Michael: THIS ONE IS DEFINITELY YOURS,

'CAUSE WE GOT TWO BOXES IN HERE.

HEY, BABE.

IT'S FINALLY HERE.

Carlton: I KNOW WE SHOULD BE EATING HEALTHIER RIGHT NOW,

BUT BEING ON THE ROAD MAKES THAT REALLY HARD.

FAST FOOD IS THE ONLY OPTION WE HAVE IN MOST PLACES.

ME AND SHANTEL ARE DOING WHAT WE ARE CALLING

A FAREWELL TOUR OF PLACES WE LIKE TO GET FOOD AT

BECAUSE WE KNOW WE'RE GOING TO HAVE TO GIVE THIS ALL UP

ONCE WE GET TO HOUSTON, SO I'M ENJOYING IT WHILE I CAN.

LET'S JUST EAT ON THE ROAD.

Monica: THE WAY THAT WE CAME IN OR THE OTHER WAY?

SO WE'RE GOING THIS WAY.

YEAH.

Shantel: FOOD HAS ALWAYS HELPED ME DEAL WITH STRESS,

AND I AM GLAD THAT I'M ABLE TO RELY ON IT NOW STILL.

I THINK THIS TRIP WOULD BE A LOT HARDER WITHOUT IT.

BUT ONCE WE'RE DOWN THERE, ME AND CARLTON

ARE READY TO COMMIT TO GIVING ALL OF THIS UP.

THIS IS JUST OUR LAST BITES OF IT,

BUT IT IS GOING TO BE HARD TO SAY GOODBYE AND LET THIS ALL GO.

YOU'RE FINE.

Monica: I KNOW. I KNOW.

SLOW DOWN, MICHAEL.

YOU'RE DOING PERFECT.

OH

PERFECT.

HOLY

HEY, WE NEED TO PULL OVER.

WE NEED TO GET, LIKE, OFF.

I'M SO SORRY.

YOU'RE OKAY. EVERYTHING'S OKAY.

I'M -- I JUST WANTED EVERYTHING TO GO WELL TODAY.

NO, STOP. STOP. STOP. STOP.I UP.

STOP. STOP. IT'S OKAY.

JUST STOP. JUST STOP.

IT'S OKAY.

WHAT HAPPENED, MIKE?

-WHAT HAPPENED? DAMN! -THEY HIT THE CAR.

I'M SORRY.

AND THE WHOLE THING IS, LIKE, CAVED IN.

SO I'M-A TO TELL YOU THIS --

THE WAY HOW YOU'RE DRIVING IS NOT SAFE, LIKE, THE WHOLE THING.

LIKE, HOW WILL SAYING THAT, LIKE, HELP HER CALM DOWN?

LIKE, WHAT DID YOU SAYING THAT JUST ACCOMPLISH?

ALRIGHT.

DOES IT HELP HER CALM DOWN, MICHAEL? SERIOUSLY, DOES IT?

NO, IT DOESN'T. IT JUST ADDS TO HER STRESS.

HOW'S THAT HELP HER CALM DOWN?IT'S OKAY.

HE'S JUST TRYING TO STRESS YOU OUT FOR NO REASON.

WE'RE TRYING TO FIGURE EVERYTHING --

DON'T EVEN TALK TO HIM. JUST IGNORE HIM.

YOU'RE OKAY. IT WAS AN ACCIDENT, OKAY?

YOU DON'T NEED TO BE STRESSED OUT BY THAT.

LIKE, THAT'S SOME DUMB

-I'M DONE. -ALRIGHT.

YEAH, WE GO HOME.

CAN WE NOT FIGURE ANYTHING OUT?

I'M NOT DEALING WITH MY SISTER NO MORE.

CARLTON, LIKE, COME ON.

WHAT'S GOING ON?

WE GON' GET YOU HOME, AND THIS IS ALL --

I DON'T KNOW HOW --WE'RE GOING TO GET YOU HOME.

I DON'T WANT TO GO HOME.

WE'RE BOTH GOING HOME. I'M GOING WITH YOU,

BUT THIS CHANGES EVERYTHING.WHY?

WE'RE NOT GOING TO HOUSTON NO MORE.

I CAN'T BELIEVE MICHAEL TREATED YOU LIKE THIS.

YOU'RE THE WOMAN I LOVE, AND I'M NOT GONNA LET HIM DO THAT.

WELL, WHAT ARE WE DOING?

Carlton: I'M SO UPSET.

MONICA HAS DONE NOTHING BUT HELP US ALL,

AND SHE DOESN'T DESERVE THIS.

SO RIGHT NOW, I'D RATHER NOT BE WITH THEM

AND JUST GO HOME AND FIGURE SOMETHING ELSE OUT.

Michael: I DON'T KNOW WHAT TO DO.

AND HE SAY HE NOT PAYING FOR IT, SO I DON'T KNOW HOW --

MY CAR --WE'RE UNABLE TO --

I'M UNABLE TO PAY FOR THE CAR.

SHOULD I JUST HONESTLY JUST TELL HIM, HUH?

I DON'T CARE.

ALRIGHT, SHAN.

SHAN?

LOOK AT ME. LOOK AT ME.

HEY, HEY, HEY.

LISTEN TO ME.

IF YOU WANT TO KEEP GOING, LET'S KEEP GOING.

IT'S JUST GOING TO BE YOU AND ME,

SO WHAT DO YOU REALLY WANT TO DO?

I WANT TO KNOW WHAT YOUR MIND-SET BEING BECAUSE --

I'M BEING JUST -- I WANT HIM TO GO AND GET HIS LIFE CHANGED,

BUT RIGHT NOW, I DON'T -- I CAN'T DEAL.

IT'S TOO MUCH.ALRIGHT.

LET'S GO, PLAIN AND SIMPLE.

Shantel: I CAN'T BELIEVE THIS!

CARLTON IS ACTING LIKE A FOOL.

WE SUPPOSED TO BE DOING THIS TOGETHER.

BUT HE'S A GROWN MAN WHO CAN MAKE HIS OWN CHOICES,

SO IF HE'S GOING TO GIVE UP, THAT DOESN'T MEAN I HAVE TO.

Carlton: YESTERDAY WAS DEFINITELY THE HARDEST DAY YET ON THE ROAD.

LESS THAN 30 MINUTES ON THE ROAD,

WE HAD A HIT-AND-RUN SCENARIO

THAT PUT OUR CAR OUT OF COMMISSION.

WE HAD SOME DAMAGE TO ONE OF THE FRONT TIRES

AND THE RIM AROUND IT,

SO THE CAR WASN'T DRIVABLE AT THAT POINT. AND FOR A MOMENT,

WE ALL GOT TO A BIT OF AN EMOTIONAL BREAKING POINT,

SO WE ALL SAID SOME THINGS THAT WE REGRETTED.

BUT ONCE WE CALMED DOWN, WE ALL APOLOGIZED,

AND SHANTEL AND MICHAEL CAME BACK AND GOT US

AND HELPED US GET THE SITUATION FIGURED OUT.

BUT WE LOST ALL OUR TRAVEL TIME

AND HAD TO TRY AND MAKE IT UP TODAY.

SO WE'VE BEEN TRAVELING FOR OVER 5 1/2 HOURS TO GET HERE IN TIME,

AND SHANTEL IS REALLY STRUGGLING BAD.

Shantel: I'M IN SO MUCH PAIN RIGHT NOW,

MORE THAN I HAVE FELT IN MY ENTIRE LIFE.

I JUST FEEL LIKE I'M AT A BREAKING POINT,

AND I JUST NEED TO GET TO THE HOSPITAL SOON.

CARLTON AND SHANTEL OGLESBY CALLED ME TO TELL ME

THEY HAVE BEEN ON THE ROAD FOR THE PAST FIVE DAYS,

TRAVELING HERE FROM COLUMBUS, OHIO.

BUT FOR THE PAST COUPLE OF YEARS,

THEY'VE BEEN MOSTLY IMMOBILE,

SO THEY HAVEN'T HAD THIS TYPE OF ACTIVITY

AND STRAIN ON THEIR BODY IN A WHILE,

AND THEY ARE BOTH IN A LOT OF PAIN RIGHT NOW.

SO I TOLD THEM TO COME HERE TO THE HOSPITAL

SO WE CAN RUN THE TESTS WE NEED TO MAKE SURE EVERYTHING IS OKAY.

SO I'M HOPING NEITHER OF THEM HAVE ANY SEVERE ISSUES

THAT WOULD LEAD TO A MEDICAL EMERGENCY SOON,

BECAUSE IF THEIR HEALTH HAS ALREADY DETERIORATED

PAST A CERTAIN POINT,

THERE MAY BE NOTHING WE CAN DO TO HELP THEM.

HELLO. I'M DR. NOWZARADAN.

HI, DOC.ARE YOU SHANTEL?

YES.OKAY.

NICE TO MEET YOU. YOU DOING OKAY?

YEAH, I'M JUST, LIKE --

LIKE, I HAVE NUMBNESS IN MY FINGERS AND MY LEGS.

OKAY. WELL, WE'LL GET YOU IN,

AND WE'RE GOING TO CHECK YOU OUT REAL QUICK, OKAY?

OKAY. MY BROTHER'S IN THE OTHER CAR.

OKAY.

HELLO.Carlton: HOW YOU DOING?

HOW Y'ALL DOING? I'M DR. NOWZARADAN.

HI. I'M CARLTON.CARLTON, YOU FEELING ALRIGHT?

I'M FEELING -- I'M OKAY.

MY KNEES ARE A BIT HURT, BUT I'M OKAY.

ALRIGHT. NO SHORTNESS OF BREATH OR ANYTHING --

JUST PAIN IN MY KNEES, THAT'S IT.

YOU'VE BEEN COOPED UP IN THE CAR, HUH?

YEAH, I'VE BEEN CRAMPED UP FOR A WHILE.

ALRIGHT. WE'LL GET YOU IN AND CHECK YOU OUT. CAN YOU WALK?

A LITTLE BIT.

SO WE NEED TO GET A WHEELCHAIR FOR YOU?

YES, PLEASE.OKAY.

LET ME GO AND GET THE WHEELCHAIR FOR YOU, OKAY?

OKAY. THANK YOU.

BOTH CARLTON AND SHANTEL LOOK TO BE IN VERY POOR CONDITION,

AND IT SEEMS LIKE THEY MAY NOT EVEN BE ABLE TO WALK IN

WITHOUT ASSISTANCE AT THIS POINT.

SO THE STATE OF THEIR HEALTH AND CURRENT CONDITION

IS EXTREMELY CONCERNING RIGHT NOW.

I GOT A WHEELCHAIR FOR YOU. CAN YOU WALK TO THERE?

-YES. -OKAY.

Michael: BABY, I'M-A COME HELP YOU, BABY.

-HOLD ON. HOLD ON. -OH, SHOOT.

I'M GONNA COME HELP YOU. WAIT FOR ME.

I'LL GET SOME ADDITIONAL HELP FOR YOU ALL.

ALRIGHT. READY? YOU GOOD?GET THIS OFF MY LEGS.

HOLD ON. HOLD ON. HOLD ON.

PUT THAT RIGHT THERE.

MY LEGS, MY LEGS. OH, MY GOD. MY LEGS.

ALRIGHT. MY BUTT IS OUT, BABE.

I GOT YOU. I GOT YOU.

OW!

Dr. Nowzaradan: ARE YOU GOING TO HELP US?

ALRIGHT. THANK YOU.

OKAY. OKAY.IT'S MY LEGS.

MY LEGS JUST, LIKE --

I'M OKAY. IT'S MY LEGS.

MAKE SURE SHE DOESN'T FALL THERE.

COME ON. COME ON.THEY'RE, LIKE, SUPER NUMB.

I CAN'T EVEN FEEL THEM.

HANG ONTO ME.

GET THOSE.

I GOT HER.

-YOU GOT HER? -I GOT HER.

COME ON, BABY. YOU CAN DO IT.MY LEGS. MY LEGS.

I GOT YOU.

OH, GOD, MY LEGS, I CAN'T EVEN FEEL THEM.

ALRIGHT.OW!

YOU MADE IT. YOU MADE IT TO THE CHAIR.

OW, OW!

-ALRIGHT. -YOU'RE OKAY. YOU OKAY?

ALRIGHT.

HE LIKELY NEEDS SOME HELP, TOO.

OKAY?

YEAH. NO, I'M OKAY.

THANK YOU.

WE LOOK TO HAVE A VERY SERIOUS SITUATION WITH THE OGLESBYS

AND HOW FAR THEIR OVERALL HEALTH AND BODIES HAVE DETERIORATED,

AND WE'RE GOING TO HAVE A LOT OF WORK TO DO

TO MAKE A DIFFERENCE FOR THEM BEFORE IT'S TOO LATE.

YOU ALRIGHT? YOU OKAY?

HERE, LET ME SEE WHERE THEY'RE GOING TO BE.

MM-HMM. YOU OKAY?

YEAH, I'M OKAY.

ALRIGHT? YOU GON' BE OKAY.

I'M GLAD YOU GOT HERE.

ME, TOO.

LET'S SEE IF WE CAN PUT HER NEXT TO HER BROTHER FOR A SECOND

SO WE CAN TALK TO BOTH OF THEM.

MAYBE TURN HER AROUND FACING THIS WAY.

SO, YOU ALL MADE THE TRIP OKAY?

YEAH. IT WAS LONG.

HEY, BABY. YOU OKAY?

-YEP. -ALRIGHT.

LET'S SEE IF YOU CAN MOVE HER

AND TURN AROUND MORE, MOVE HER OVER THERE.

-CAN YOU MOVE YOUR LEGS OUT? -YOU GOOD.

-WATCH YOUR LEG, BRO. -YEAH.

OKAY. THANKS.

ALRIGHT. IS THIS MUCH BETTER IF WE JUST LEAVE YOU RIGHT HERE?

ALRIGHT. THAT'S GOOD.

ALRIGHT.

OKAY. SO, WE'RE GONNA GET BOTH YOUR CURRENT WEIGHTS.

AND THEN WHEN I ADMIT YOU, TO RUN THE TESTS

WE NEED TO MAKE SURE EVERYTHING IS OKAY.

IF THE TESTS DO SHOW ANYTHING CONCERNING FOR EITHER OF YOU,

THEN YOU NEED TO BE HERE FOR LONGER SO WE CAN ADDRESS THAT.

IF NOT, THEN YOU WON'T NEED TO DO THAT,

BUT YOU BOTH WILL NEED TO START ON A DIET

I'M GOING TO GIVE YOU THAT'S LIMITED TO 1,200 CALORIES A DAY

AND FOCUSES ON PROTEIN AND ELIMINATES ALMOST ALL CARBS.

THERE'LL BE NO SECONDS.

YOU EAT ONLY THREE TIMES A DAY.

OKAY.OKAY?

SO THIS IS GOING TO BE A TRANSITION.

I UNDERSTAND THAT THINGS ARE GOING TO TAKE TIME,

BUT WE NEED TO WORK GRADUALLY TO IMPLEMENT THAT, OKAY?

OKAY.

YOU THINK YOU CAN ALL DO THAT?

-YES. -YES, SIR.

GOOD. I KNOW IT'S NOT GOING TO BE EASY.

NOBODY SAID IT'S GOING TO BE EASY,

BUT YOU'RE GOING TO HAVE TO TRY HARD AND MAKE SOME IMPROVEMENT

AND TRY TO LOSE SOME WEIGHT.

SO THIS IS GOING TO BE A NEW DAY FOR ALL OF YOU, OKAY?

OKAY.ALRIGHT.

SO, HOW LONG THAT TRIP TOOK?

WEDNESDAY, THURSDAY, FRIDAY, SATURDAY -- FIVE DAYS.

FIVE DAYS? AND IT'S BEEN ROUGH TIME TO COME DOWN HERE.

-YEAH. -SUPPOSED TO BE TWO DAYS.

WE THOUGHT IT WAS ONLY GOING TO BE A LITTLE,

BUT JUST A LOT HAPPENED, BUT --

OKAY. WE'LL TAKE CARE OF BOTH OF YOU

AND MAKE SURE EVERYTHING'S OKAY.

YEAH.

BUT OBVIOUSLY YOU BOTH ARE IN THIS SITUATION

-BECAUSE OF YOUR WEIGHT. -RIGHT.

SO WHAT'S GOING ON WITH YOUR EATING HABITS?

I EAT, LIKE, FAST FOOD AND SNACKS AND --

ALRIGHT. WHO BRING YOU THE FOOD,

THE KIDS AND MICHAEL?

THE KIDS AND MICHAEL.

SO YOU GOT AN ENABLER IN THE HOUSE.

YOU TEACH HIM WHAT TO DO AND BRING YOU THE FOOD?

YEAH. THAT'S RIGHT, YEAH.

OKAY, SO IF THEY DON'T BRING IT TO YOU, YOU'RE GOING TO GET MAD?

I TRY NOT TO, BUT YEAH.

AND SO YOU ARE YOUR ENABLER,

BUT YOU GOT THE FOUR OF THEM IN THE HOUSE

TO TRAIN COMPLETELY THE WAY

THAT YOU'RE GOING TO BE ABLE TO GET WHATEVER YOU WANT.

YEAH. THAT'S WHY I'M LIKE THIS, YEAH.

SO THIS IS SOMETHING THAT YOU NEED

TO UNDERSTAND AND CHANGE IT.

I WILL. YEAH.OKAY?

BECAUSE THE WAY RIGHT NOW YOU ARE,

YOU'RE A LITTLE BIT AWAY FROM BEING TOTALLY BEDRIDDEN.

ONCE YOU'RE BEDRIDDEN, YOUR HEALTH IS GOING TO DEGRADE

REALLY QUICK, AND ANYTHING HAPPEN TO YOU,

YOU'RE NOT GOING TO MAKE IT, OKAY?

AND I DON'T WANT THAT.ALRIGHT.

THAT'S A MATTER OF LIFE AND DEATH,

AND YOU NEED TO UNDERSTAND THAT.

SO WHO ELSE IN THE HOUSEHOLD BESIDES YOU AND HER

AND THREE KIDS AND WHO?

-HIS GIRLFRIEND. -MY GIRLFRIEND.

HE AND HIS GIRLFRIEND?

-YES. -OKAY.

SO, WHAT DOES YOUR EATING HABIT LOOK LIKE?

I JUST -- I EAT A LOT.

I EAT CONSTANTLY.

THEY BRING YOU FOOD, OR YOU ASK FOR IT?

I'LL SEND A TEXT, OR I'LL CALL.

YOU TEXT AND CALL, AND YOU GET FOOD.

OR HE'LL CATCH ME AT THE DOOR AND ASK ME, LIKE,

"CAN YOU GO GET ME SOMETHING?"YEAH.

SO, THAT'S WHERE IT USUALLY HAPPENS.

SO, I REALLY DO REALIZE

THAT I CAUSE MOST OF THEIR IMMOBILITY.

-NO. -BUT YOU'RE OVERWEIGHT YOURSELF,

SO THEN THIS IS ALL --

I'M MOBILE. I'M NOT THAT --

I MEAN, I'M MOBILE, BUT --

IT'S NOT REALLY AFFECTING ME THAT MUCH.

WHAT YOU'RE NOT SEEING IS THE AGGREGATE

VERY BAD DYNAMIC OF HOUSEHOLD.

EVERYBODY IS USING EACH OTHER TO GET WHAT THEY WANT,

WHICH IS FOOD.

SO THIS IS SOMETHING WE HAVE TO ADDRESS AND CHANGE

IF ANY OF YOU ARE GOING TO GET TO A HEALTHIER PLACE.

-YES, I AGREE. -YOU GET THAT?

-YEAH. -ALRIGHT.

SO Y'ALL READY TO MAKE SOME CHANGES AND CHANGE YOUR LIFE

AND BE HEALTHY AND HAVE A FUTURE TOGETHER?

YES, I AM. I'M READY, BECAUSE THIS LIFE ISN'T GOOD.

ALRIGHT. SO I'M GOING TO SEE

IF WE CAN GET THE SCALE DOWN HERE AND CHECK YOUR WEIGHT

AND THEN RUN THE TESTS WE NEED ON YOU BOTH.

-OKAY. -OKAY?

I WILL GET THE SCALE AND SEE

IF WE CAN GET YOUR WEIGHT, OKAY?

OKAY.

ALRIGHT.

WE GON' DO THIS.

WE REALLY GOT TO DO THIS.

Carlton: MM-HMM.LIKE --

ALRIGHT. SO LET'S CHECK YOUR WEIGHT

AND SEE WHAT'S GOING ON.

-READY? -WATCH MY LEG.

-WATCH MY LEG. -GET YOUR LEGS OUT.

ONE, TWO, THREE.

AH, WATCH MY LEGS. WATCH MY LEGS.

I GOT YOU. I GOT YOU.

ALRIGHT. EXCUSE ME.

OH, MY LEG IS SO TIGHT.

ALRIGHT, BABY.

ALRIGHT. TAKE IT EASY, BABY.

Dr. Nowzaradan: 638.

OH, MY GOD.

BABY, I CAN'T BELIEVE IT'S THIS HIGH.

DAMN IT. IT'S ALRIGHT.

OKAY?OH, MY GOODNESS.

YOU OKAY?

YEAH, I FEEL LIKE I'M GOING TO FALL OVER.

ALRIGHT. GO AHEAD AND SIT DOWN.I'M SHAKING.

LET'S GET BACK.IT'S MY LEGS.

-OH, GOD. THEY HURT. -YOU ALRIGHT?

-YEAH, I'M GOOD. -YOU GOT TO REST.

YEAH. LOOK OUT FROM BEHIND.

-ALRIGHT. -COME ON.

OW, MY BACK.

-COME ON BACK. -OHH.

OH, MY LORD. OH, GOD.

YOU ALRIGHT, BABE?

TAKE THIS.

GEEZ.

OKAY. CARLTON, ON THE SCALE, LET'S CHECK YOUR WEIGHT.

-NEED HELP? -NO, I'M OKAY.

THAT HURTS.

ALRIGHT.

786, ALMOST 800 POUNDS,

SO WE HAVE ABOUT 1,100 POUNDS TO LOSE BETWEEN BOTH OF YOU.

-OKAY. -YOU OKAY?

ALRIGHT. SO, I'M GOING TO RUN SOME TESTS.

IF THE TESTS LOOK OKAY, THEN YOU'LL BE ABLE TO GO SOON.

JUST REMEMBER EVERYTHING WE HAVE TALKED ABOUT, OKAY?

-OKAY. -ALRIGHT.

-I'LL BE BACK. -ALRIGHT.

IT'S GOING TO TAKE A LOT TO TURN AROUND THE SITUATION WE HAVE

WITH THE OGLESBY FAMILY AND FOR SHANTEL AND CARLTON

TO LOSE THE 1,100 POUNDS OF WEIGHT

THEY NEED TO GET OFF OF THEIR BODIES.

SO WE HAVE A LOT OF WORK TO DO WITH THEM

TO GET THEIR HEALTH GOING IN THE RIGHT DIRECTION

BEFORE THEIR CONDITIONS DETERIORATE ANY FURTHER

AND THEIR BODIES START TO GIVE OUT.

Carlton: WE'VE BEEN IN HOUSTON FOR GOING ON TWO WEEKS.

AFTER WE WENT TO THE HOSPITAL WHEN WE GOT HERE,

DR. NOW RAN ALL THE TESTS HE WANTED.

HE TOLD US WE BOTH DIDN'T HAVE ANY MEDICAL EMERGENCIES,

SO THERE WAS NO REASON TO KEEP US THERE LONGER IN A HOSPITAL,

AND HE TOLD US WE CAN GO GET MOVED INTO OUR NEW PLACE.

I'M GOING TO GO SEE WHAT THEY'RE MAKING, OKAY?

BUT HE GAVE US HIS DIET AND EXERCISE PLANS

AND SAID THAT ME AND SHANTEL HAVE 1 MONTH TO LOSE 60 POUNDS

IF WE WANT TO GET APPROVED FOR WEIGHT-LOSS SURGERY.

OH, WOW.

SO ME AND SHANTEL BOTH HAVE BEEN DOING THE DIET

AND EXERCISING AS MUCH AS WE CAN

TO DO THAT THE PAST COUPLE WEEKS,

AND WE BOTH FEEL LIKE WE'RE MAKING A LOT OF PROGRESS.

BUT IT HASN'T BEEN EASY,

AND WE DECIDED THAT TODAY IS A SPECIAL DAY

WHERE WE'RE GOING TO GET ONE DAY OFF

BECAUSE TODAY IS THANKSGIVING.

SO, YOU GUYS COOKING?

YEAH, TURKEY IN THE OVEN.

OH, IS IT?

Shantel: WITH ALL THE CHAOS OF GETTING DOWN HERE,

I KIND OF FORGOT WE HAD THE HOLIDAYS COMING UP.

AND WE CAN'T MAKE THE KIDS SACRIFICE

AND LOSE THE HOLIDAYS JUST BECAUSE WE'RE ON A DIET.

THEY DESERVE THIS THANKSGIVING FEAST.

BUT THERE'S NO WAY ME AND CARLTON CAN BE AROUND THIS FOOD

WITHOUT GIVING IN.

SO WE'RE GIVING OURSELVES ONLY ONE DAY OFF

WHERE WE CAN EAT WHATEVER WE WANT,

BUT WE'RE NOT GOING TO GO OVERBOARD.

WE STILL HAVE TO EAT SMALL PORTIONS.

THAT LOOKS DELICIOUS.

Carlton: I'M REALLY EXCITED BECAUSE,

EVEN THOUGH IT'S JUST BEEN TWO WEEKS,

IT FEELS LIKE IT'S BEEN FOREVER

SINCE I HAD SOMETHING THAT TASTED GOOD.

SO I'M REALLY LOOKING FORWARD TO THIS,

EVEN IF IT'S JUST GOING TO BE IN SMALL PORTIONS.

Michael: ALRIGHT. SO, EVERYBODY GET TO THE TABLE, OKAY?

Shantel: AND WE ONLY HAVE TWO MORE WEEKS UNTIL OUR APPOINTMENT

WITH DR. NOW WHERE WE FIND OUT IF WE'LL BOTH BE ABLE

TO GET OUR WEIGHT-LOSS SURGERY OR NOT.

ME AND CARLTON KNOW WE'VE ALREADY LET IT GO FAR TOO LONG,

SO WE HAVE TO DO THIS NOW BEFORE IT GETS TO BE TOO LATE.

Michael: EVERYBODY HOLD HANDS.

DEAR HEAVENLY FATHER, WE THANK YOU, FATHER GOD,

FOR LETTING US HAVE A NEW START.

WE'RE HERE, LORD, AND WE'RE TRYING OUR BEST.

WE'RE SUPER THANKFUL, FATHER GOD,

FOR ALL THE BLESSINGS THAT YOU'VE BESTOWED UPON US.

FAMILY IS EVERYTHING.

WE SAY THESE THINGS IN JESUS CHRIST'S NAME.

-AMEN. -AMEN.

Carlton: ME AND SHANTEL ARE AT DR. NOW'S

TO SEE HIM AND FIND OUT WHERE OUR WEIGHTS ARE AT,

AND I THINK WE'RE BOTH A LITTLE ANXIOUS

SINCE OUR WEIGHT-LOSS SURGERY DEPENDS

ON US HITTING THE GOAL DR. NOW GAVE US LAST MONTH.

CARLTON AND SHANTEL?

BUT HOPEFULLY WE BOTH LOST 60 POUNDS LIKE DR. NOW WANTED.

WHEN WE SAW DR. NOW LAST MONTH,

MY WEIGHT WAS AT 786, SO IF I'M AT MY GOAL,

I NEED TO BE BELOW 726 RIGHT NOW,

SO WE'LL SEE IF I DID THAT.

OH, MAN.

I LOST SOME BUT NOT AS MUCH AS I NEEDED,

SO I'M A LITTLE DISAPPOINTED MY WEIGHT'S STILL SO HIGH.

BUT HOPEFULLY SHANTEL DID BETTER AT LEAST.

Shantel: I THOUGHT CARLTON WOULD'VE LOST MORE THAN THAT

WITH HOW WE BOTH BEEN DOING THE DIET,

SO I'M NOT SURE IF THAT MEANS I DIDN'T LOSE MUCH, EITHER,

BECAUSE WE BOTH BEEN EATING THE SAME FOODS

WE THOUGHT WERE HEALTHY.

WHEN I HAD MY WEIGHT CHECK LAST, I WAS 638 POUNDS,

AND TO BE DOWN TO DR. NOW'S GOAL,

I HAVE TO BE UNDER 578 NOW.

I DID EVEN WORSE, SO I DON'T UNDERSTAND THAT,

BECAUSE WE BOTH REALLY WANT THIS

AND THOUGHT WE WERE WORKING REAL HARD,

SO I DON'T KNOW WHAT HAPPENED, REALLY.

Carlton: I KNOW WE'RE NOT GETTING ANY APPROVAL

FOR ANY WEIGHT-LOSS SURGERY TODAY,

BUT MY HOPE IS DR. NOW DOESN'T THINK

THAT THIS MEANS WE CAN'T DO IT,

BECAUSE WE CAN DO BETTER.

-HELLO. -HELLO.

-HOW ARE YOU? -HELLO.

-HOW Y'ALL DOING? -DOING GOOD. HOW ARE YOU?

I'M DOING WELL.

ALRIGHT, SO, YOU ALL SETTLED IN HOUSTON ALRIGHT?

-YEAH. -YES.

ALRIGHT. WELL, I'M GLAD TO HEAR THAT,

BUT WHAT I'M NOT HAPPY ABOUT

IS YOUR PROGRESS OVER THE LAST MONTH,

BECAUSE, CARLTON, YOU ONLY LOST 15 POUNDS,

AND, SHANTEL, YOU ONLY LOST 6.

YOU BOTH NOT LOSING THE WEIGHT YOU SHOULD,

SO WHAT'S GOING ON WITH THAT?

WE'RE NOT SURE.

WE THOUGHT WE WERE DOING BETTER.

SO THE -- YOU KNOW, THE INSTRUCTION WE GAVE YOU

WHEN YOU WERE IN THE HOSPITAL WAS NOT ENOUGH?

AH, NO, WE'RE NOT SAYING THAT,

BUT MAYBE WE NEEDED A BIT MORE SPECIFICS.

-WE HAD AN IDEA. -YEAH.

BUT WE NEEDED A BIT MORE, YOU KNOW, PUSH.

I AM VERY CONCERNED, BECAUSE THIS DYNAMIC THAT YOU'VE GOT,

THAT YOU ALL ARE GOING TO STAY TOGETHER AND EAT,

AND YOU'RE SORT OF ENABLING EACH OTHER

IN DIRECT AND INDIRECT WAY,

WHICH IS WHAT GOT YOU TO THIS POINT.

-YEAH. -YEAH.

YOU KNOW, AND THIS IS THE SITUATION

THAT YOU HAVE TO MAKE THE CHANGES ON.

NORMALLY, WHAT WOULD BE BEST IS IF WE SEPARATE YOU TWO

TO TRY AND BREAK THAT DYSFUNCTIONAL DYNAMIC.

IS THAT SOMETHING YOU TWO ARE WILLING TO DO?

NO, WE CAN'T DO THAT.

THAT'S NOT SOMETHING WE'RE OKAY WITH.

SO THAT'S GOING TO BE A DIFFICULT SITUATION,

BECAUSE IF WE'RE NOT ABLE TO SEPARATE YOU FROM EACH OTHER,

WE HAVE TO GET YOU TO SEE A THERAPIST

TO FIGURE OUT WHAT ISSUE IS DRIVING YOU TO EATING,

BECAUSE IF YOU'RE NOT ABLE TO LOSE WEIGHT AT THIS POINT,

AND HELP KEEPING ME MOTIVATED AND EXCITED ABOUT THIS.

WE'VE RENTED AN EXTRA CAR TO HAVE, TOO.

GO AHEAD AND TAKE THIS IN THE HOUSE FOR SHANTEL.

YEAH. I AGREE.

WORK HARD AND DO THAT, OKAY?

YOU HAVE TO RECOGNIZE THAT YOU HAVE A MATTER OF LIFE AND DEATH

TO CHANGE YOUR EATING HABIT

AND GET YOUR WEIGHT IN A HEALTHY RANGE

THAT'S GOING TO BE POSSIBLE FOR YOU TO HAVE WEIGHT-LOSS SURGERY.

THE DIET I GAVE YOU TWO BREAKS DOWN THE WHOLE MEAL PLAN,

SO IF YOU AREN'T LOSING WEIGHT,

IT'S BECAUSE YOU AREN'T STICKING TO IT.

IT IS AS SIMPLE AS THAT. AND THERE IS NO EXCUSE.

SO YOU TWO HAVE TO TURN THIS AROUND NOW

AND STOP MAKING THE EXCUSES, OKAY?

YOU GOT THAT?YES.

ALRIGHT.OKAY. GOOD,

I'M GOING TO GET YOU TO SEE THE PSYCHOTHERAPY,

AND THEN I WANT TO SEE YOU BACK HERE IN TWO MONTHS.

AND AT THAT TIME, I WANT YOU TO LOSE 120 POUNDS EACH.

ALRIGHT? SO LOSE AT LEAST 60 POUNDS A MONTH,

EACH ONE OF YOU, OKAY?OKAY.

I SEE YOU IN TWO MONTHS WITH 120 POUNDS DOWN WITH BOTH OF YOU.

WE GOT IT. WE'LL TURN IT AROUND.

I HOPE SO.

WELL, NICE TO SEE YOU AGAIN.

-I APPRECIATE IT. -YEP.

NICE TO SEE YOU.

-GOOD TO SEE YOU AGAIN. -YES, SIR.

IF Y'ALL NEED ANYTHING, LET ME KNOW.

-OKAY. -THANKS, DOC.

120 POUNDS LIGHTER NEXT TIME YOU SEE US.

ALRIGHT. I HOPE SO.

SHANTEL AND CARLTON THANKFULLY HAVE STARTED LOSING A LITTLE,

BUT THE RATE OF THEIR PROGRESS

IS FAR FROM WHERE IT NEEDS TO BE, AND RIGHT NOW,

I THINK THE BIGGEST CONTRIBUTING FACTOR TO THAT

IS THEIR EXTREMELY DYSFUNCTIONAL DYNAMIC

AND HOW MUCH IT REVOLVES AROUND FOOD.

AND THE ONLY CHANCE WE HAVE TO GET THEM

TO WHERE THEY NEED IS TO START BREAKING THAT PATTERN

OF ENABLING THEY HAVE WITH EACH OTHER.

SO HOPEFULLY PSYCHOTHERAPY WILL BE ABLE TO DO THAT

AND START THAT PROCESS. BUT IF NOT,

THEN EITHER WE'LL NEED TO CONSIDER

PUTTING THEM IN A CONTROLLED ENVIRONMENT

WHERE WE SEPARATE THEM, OR THEY WON'T MAKE IT.

Carlton: I HEAR DR. NOW WITH EVERYTHING HE'S SAYING,

AND I THINK HE'S RIGHT ABOUT ME AND SHANTEL

NEEDING TO WORK ON THINGS

TO CHANGE HOW WE BOTH HAVE BAD HABITS TOGETHER WITH FOOD.

BUT I CAN'T BE APART FROM HER,

SO IF THAT MEANS WE DO THERAPY TO WORK ON IT,

I'LL AGREE WITH THAT, AND I'M READY TO DO IT

AND WHATEVER ELSE IT TAKES FOR US TO BE SUCCESSFUL,

AND I KNOW SHANTEL WILL FEEL THE SAME WAY AS ME

BECAUSE WE BOTH KNOW WE NEED TO DO THIS.

Shantel: I FEEL A LITTLE SHOCKED RIGHT NOW.

EVEN THE THOUGHT OF HAVING TO BE SEPARATED FROM CARLTON

IS TERRIFYING TO ME,

SO I'M A LITTLE EMOTIONAL FROM THIS,

BUT I KNOW WHEN WE GET HOME, CARLTON AND ME

ARE GOING TO HAVE A TALK TOGETHER ABOUT HOW WE DO BETTER,

AND WHATEVER WE NEED TO DO, WE HAVE TO DO BEFORE IT'S TOO LATE.

I CAN'T WALK ANYMORE.

WHY ARE WE SO FAR?

Shantel: YOU GOT IT.COME ON!

COME ON. YOU GOT IT.

I DON'T WANT TO DO THIS, MAN.

JUST KEEP MOVING.

WE GOT THIS.

Carlton: ME AND SHANTEL ARE GOING TO OUR THERAPY.

WE DON'T KNOW HOW IT'S GOING TO BE LIKE,

SO WE'RE NOT NECESSARILY LOOKING FORWARD

TO DOING ALL THAT THIS IS GOING TO TAKE.

YOU GOOD.

SHANTEL AND CARLTON?

YES.COME RIGHT ON BACK.

Shantel: ME AND CARLTON HAVE NEVER HAD THERAPY BEFORE,

SO WE DON'T KNOW WHAT TO EXPECT FROM IT

AND WHAT ALL IS INVOLVED WITH IT.

HAVE A SEAT WHEREVER YOU'RE COMFORTABLE, GUYS.

SO, SHANTEL AND CARLTON,

IT'S SO NICE TO HAVE YOU GUYS HERE TODAY.

TELL ME A LITTLE BIT ABOUT YOUR LIVES GROWING UP.

WHO WERE Y'ALL RAISED WITH?

MY MOM...MOM?

...AND MY DAD WHEN WE WERE YOUNGER.

OKAY.

WHAT WAS THAT LIKE FOR YOU AS KIDS?

THERE WAS A LOT OF, LIKE, ABUSE AND STUFF LIKE THAT.

OH, REALLY?

SO, BASICALLY YOU'RE SAYING THAT YOU GUYS GREW UP

IN DOMESTIC VIOLENCE TO A CERTAIN EXTENT.

MM-HMM.

IT WAS MORE TOWARDS MY MOTHER.OKAY.

BUT WE, LIKE, KIND OF WAS THERE, SO...

WHAT DO YOU WANT TO SAY, CARLTON?

OH, NOTHING.

NOTHING?

WHAT DO YOU REMEMBER ABOUT LIFE GROWING UP?

UH, YOU KNOW,

SUMMER, SCHOOL, STUFF LIKE THAT.

I CAN DEFINITELY SEE THAT IT'S DIFFICULT FOR YOU

TO TALK A LOT ABOUT YOUR CHILDHOOD.

BUT GROWING UP IN DOMESTIC VIOLENCE,

THE FEAR AND THE UNPREDICTABILITY

THAT THAT CREATES

IN TURN CREATES, FOR A LOT OF PEOPLE,

A DEPENDENCE ON FOOD

BECAUSE IT DOES PROVIDE COMFORT.

IS THAT ANYTHING THAT EITHER OF YOU HAVE EXPERIENCED?

YOU DON'T THINK? NO.NAH.

I DON'T THINK THAT, YOU KNOW, MY PAST IS WHY,

YOU KNOW, I BECAME THIS SIZE.

I GOT LIKE THIS 'CAUSE I WAS LAZY

AND BECAUSE I DIDN'T CARE ABOUT THE FUTURE.

I DIDN'T CARE ABOUT ANYTHING, YOU KNOW? SO...

WHAT YOU'RE DESCRIBING IS DEPRESSION.

CARLTON, HAVE YOU BEEN TREATED FOR DEPRESSION IN THE PAST?

MM-HMM.

ARE YOU CURRENTLY TAKING MEDICATION FOR DEPRESSION?

MNH-MNH.OKAY.

HE'S DOING GOOD NOW.

HE HAS A GIRLFRIEND WHO HE LOVES,

AND, YOU KNOW, SHE'S A GOOD MOTIVATOR, TOO.

WELL, YOU'RE JUST TELLING ALL HIS BUSINESS, SHANTEL!

HE DON'T TALK!MY GOODNESS.

LIKE, LISTEN, LISTEN.

HONEY, WE CAN HELP. LIKE --

AND SO YOU DO HAVE SOMEONE SPECIAL IN YOUR LIFE?

YEAH.OKAY.

I'M OKAY, YOU KNOW? I JUST -- I'M FINE.

OKAY.

WELL, I'M GLAD YOU'RE FINE.

CARLTON, HOW DO YOU FEEL LIKE GROWING UP IN DOMESTIC VIOLENCE

IMPACTED THE SIBLING RELATIONSHIP BETWEEN YOU GUYS?

IT MADE US CLOSER.

YOU KNOW, I WAS ABLE TO RELY ON MY OLDER SISTER A LOT.

YEAH?

AND SO WHAT'S THE RELATIONSHIP LIKE TODAY?

WE CLOSE. I THINK WE'RE CLOSE,

AND HE'S, LIKE, REALLY, LIKE, CLOSE TO MY CHILDREN.

I'M REALLY HAPPY FOR THE BOTH OF YOU

BECAUSE YOU HAVE THIS VALUABLE SIBLING RELATIONSHIP.

HOWEVER, WHAT YOU GUYS CAN'T HAVE

IS A SENSE OF CODEPENDENCY.YEAH.

YOU EACH HAVE TO BE SELF-FOCUSED AND SELF-DRIVEN.

AND ALSO, WHILE I WANT YOU TO FOCUS

ON DEVELOPING YOUR AUTONOMY,

THERE'S GOING TO BE TIMES WHEN YOU ARE TOGETHER.

AND SO GROCERY SHOPPING TOGETHER FOR HEALTHY FOODS

COULD BE SOMETHING THAT YOU ALL DO TOGETHER.

OKAY?

AND, CARLTON, SOME HOMEWORK FOR YOU --

FOCUS ON YOUR ROMANTIC RELATIONSHIP,

THINKING ABOUT WHAT YOU WANT YOUR NEXT MOVE IN LIFE TO BE.

OKAY.

SHANTEL, I WANT YOU TO SHIFT YOUR FOCUS A LITTLE FROM CARLTON

BECAUSE HE'S NOT ONE OF YOUR KIDDOS.

I AGREE. I GOT TO LET HIM BE GROWN.

I JUST ALWAYS FELT THE NEED TO PROTECT HIM, SO...

BUT HE DOESN'T NEED PROTECTING ANYMORE.

YOU'RE RIGHT.

I'M OKAY.

OKAY. WELL, GUYS, I REALLY APPRECIATE

THE TWO OF YOU BEING HERE TODAY TO TALK TO ME.

-YEAH. -THANK YOU.

-THANK YOU SO MUCH. -THANK YOU.

ALRIGHT.

Carlton: THAT WAS A LITTLE HARDER THAN I WAS THINKING IT WOULD BE.

I GUESS I HAVE THINGS I DON'T WANT TO TALK OF,

AND I DON'T THINK ABOUT THEM TO REALIZE IT.

FOOD HAS HELPED ME AVOID THAT,

SO I KNOW CHANGING THAT WON'T BE EASY.

BUT I THINK A BIG HELP FOR ME IS HAVING MONICA

TO HELP ME WITH BECOMING MORE SEPARATE FROM MY SISTER

SO WE CAN STOP ENABLING EACH OTHER,

BECAUSE I KNOW WE'LL HAVE TO GET EXTREME

AND DO THINGS WE SHOULD HAVE DONE BUT COULDN'T

BEFORE WE GET ANY WORSE.

Shantel: I THINK MANY OF LOLA'S THOUGHTS AND IDEAS MADE SENSE TO ME.

IN A LOT OF WAYS, I FELT RESPONSIBLE

FOR CARLTON ALMOST ALL HIS LIFE.

AND THE ONLY THING I MAY LIKE MORE THAN EATING MYSELF

IS SEEING CARLTON HAPPY AND HOW FOOD MAKES HIM THAT WAY.

SO I END UP HURTING HIM WHEN I TRY TO BE LOVING TO HIM.

AND THAT'S NEVER MY INTENT,

AND IT HURTS MY HEART TO THINK THAT, SO I HAVE TO CHANGE THAT

TO HELP HIM AND ME.

AND I'M READY TO DO THE THINGS I NEED

TO MAKE SURE I GO IN THE DIRECTION THAT I NEED

FOR MYSELF AND FOR CARLTON TO START BEING A SOLUTION

INSTEAD OF PART OF A PROBLEM FOR HIM.

ALRIGHT, BABE. I'M GOING TO GO GET THAT WHEELIE CART. ALRIGHT?

ONE OF THE THINGS THAT LOLA GAVE US AS AN EXERCISE

IS TO GO SHOP FOR HEALTHY FOOD TOGETHER.

BUT IT'S BEEN YEARS SINCE ME AND CARLTON

HAVE GONE TO A GROCERY STORE,

AND HE'S NOT SURE HE CAN HANDLE ALL THE WALKING.

READY?

I'M RIGHT BEHIND YOU, OKAY?

SO I'LL GO INSIDE TO BE OUR HANDS AND FEET

AND PICK WHAT WE NEED.

DOING THIS ISN'T EASY.

THERE ARE SO MANY THINGS THAT I WANT THAT I CAN'T HAVE,

BUT I'M COMMITTED TO DOING THIS LIKE WE NEED.

SO I'M WALKING AWAY FROM ALL TEMPTATION

AND STICKING TO OUR HEALTH FOOD.

BUT IT JUST ISN'T EASY TO DO THIS.

THEN WE NEED -- ALRIGHT, SO, I THINK WE GOT ALL THE PRODUCE.

Michael: OOH, GOD. THEY HAVE NICE DISPLAYS.

IF WE WASN'T ON THIS DIET, MAN, I'LL TELL YOU.

BUT IT'S NOT GOOD FOR US, SO WE'RE GOING TO STAY --

THIS IS THE MEAT RIGHT HERE.

IT GOT TO BE LEAN.OKAY.

YEP, THAT'S 60 CALORIES.

THIS ONE IS --

THIS ONE IS 80.

CARLTON: Yo.SO, WE TRYING TO FIGURE OUT

WHAT TYPE OF LUNCH MEAT TO GET.

SO, I HAVE THE CHICKEN BREAST,

WHICH THIS ONE HAS 36 SLICES AND 60 CALORIES.

YEAH.THEN WE HAVE THE TURKEY BREAST,

WHICH YOU GET FOUR SLICES WITH 80 CALORIES.

WHAT DO YOU THINK? WOULD YOU EAT THESE?

YEAH.YOU WOULD EAT THESE?

OKAY.YEAH. THAT ALL SOUNDS GREAT.

GETTING OFF OF THIS, AND THEN WE'RE DONE.

YEP, OKAY, YEAH.

OKAY.

Carlton: ME AND SHANTEL HAVE BEEN PAYING MORE ATTENTION

TO WHAT WE'RE EATING THIS TIME.

WE DIDN'T REALLY REALIZE HOW MUCH WE WERE EATING,

BUT WE KNEW WE WEREN'T FOLLOWING THE DIET LIKE WE SHOULD.

WE CAN SEE THAT NOW, SO HOW WE'RE EATING NOW

IS A LOT STRICTER THAN WE DID THE FIRST MONTH, AND IT'S HARD.

I'VE NEVER HAD SUCH STRONG TEMPTATIONS IN MY ENTIRE LIFE

BECAUSE I'VE NEVER TRIED TO REALLY CONTROL MYSELF

WHEN I HAVE A HUNGER FOR SOMETHING.

SO THIS IS TAKING A LOT, BUT ME AND SHANTEL

HAVE COMMITTED TO DOING THIS WITH OURSELVES AND EACH OTHER

BECAUSE WE KNOW WE'RE GETTING TO OUR LAST CHANCE SOON.

OH, YOU KNOW I WOULD SMASH ON THOSE.

PIZZA ROLLS.

I KNOW. THIS IS INSANE.

I CANNOT BELIEVE I'M LITERALLY GOING THROUGH THIS AISLE

AND NOT, LIKE, FREAKING OUT.

Shantel: ME AND CARLTON CAN'T FAIL THIS CHALLENGE,

TO LOSE AS MUCH AS DR. NOW SAID WE NEED.

WE HAVE 7 WEEKS UNTIL OUR NEXT APPOINTMENT TO DO THAT,

AND WE BOTH KNOW IT'S GOING TO TAKE STICKING TO THE DIET,

EXERCISING FOR OUR STAMINA,

AND WORKING ON WHAT LOLA TOLD US TO DO

IF WE'RE GOING TO HAVE A CHANCE

TO MAKE IT TO WHERE WE NEED BY THEN.

AND WE CAN'T MESS AROUND AND SLIDE ON ANY OF THAT,

OR THAT'S GOING TO LEAD US TO FAIL.

WE KNOW THAT THIS TIME, BECAUSE IF WE FAIL,

IT CAN COST ME AND CARLTON OUR LIVES.

Carlton: ME AND SHANTEL ARE HEADED BACK TO SEE DR. NOW AGAIN.

WE'VE WORKED SO HARD

DOING EVERYTHING DR. NOW AND LOLA WANTED US TO DO.

WE DID THE DIET.

WE'VE BEEN EXERCISING, SO ME AND SHANTEL ARE SEEING

A LOT OF POSITIVE THINGS THAT ARE MAKING US FEEL LIKE

WE'RE DOING THIS AND COMING A LONG WAY.

THE BIG QUESTION IS IF IT'S ENOUGH, THOUGH.

LET'S GO.

Shantel: THESE LAST TWO MONTHS HAVE TAKEN A LOT FOR ME AND CARLTON,

BECAUSE WE PUSHED OURSELVES TO DO SO MUCH,

BUT I FEEL LIKE IT'S BEEN PAYING OFF

FOR BOTH OF US IN A LOT OF WAYS.

I'VE STOPPED HAVING TO USE MY INHALER

BECAUSE I'M NOT OUT OF BREATH WHEN I GET AROUND,

AND I ACTUALLY DON'T HAVE TO USE MY WALKER NOW,

SO THAT'S BEEN AN AMAZING FEELING.

SHANTEL AND CARLTON?

SO I'M EXCITED TO SEE THE PROGRESS THAT WE BOTH MADE TODAY

BECAUSE I THINK IT'S GOING TO BE A LOT,

AND I'M HOPING IT'S AT LEAST 120 POUNDS,

BECAUSE THAT'S THE GOAL DR. NOW GAVE US BOTH TO LOSE.

AND SINCE I WAS 632 POUNDS LAST TIME,

THAT MEANS I HAVE TO BE AT 512 TODAY,

AND I THINK I HAVE A GOOD CHANCE AT THAT NUMBER COMING UP.

Carlton: GOOD JOB, SHAN.

GOOD JOB, SHAN.

Shantel: THAT NUMBER COMING UP FILLS ME WITH A LOT OF PRIDE

BECAUSE I KNOW HOW HARD I WORKED FOR THAT,

SO I'M REALLY HAPPY RIGHT NOW,

AND I'M HOPING TO SEE THE SAME FOR CARLTON.

Carlton: I'M REALLY EXCITED ABOUT SHANTEL'S RESULTS,

AND I'M HOPING FOR THE SAME THING RIGHT NOW

WITH MY WEIGH-IN.

-THE DEVIL.

Michael: YOU DID IT. DROPPED DOWN.

-YOU DID IT, BABY. -WHENEVER YOU GUYS ARE READY,

-YOU CAN GO AHEAD AND GO AROUND. -OKAY.

Carlton: I AM REALLY HAPPY.

WE DID WHAT WE SET OUT TO DO THIS TIME,

WITH BOTH OF US HITTING OUR GOAL,

SO I'M REALLY EXCITED ABOUT THAT.

AND I'M REALLY HOPING THIS MEANS ME AND SHANTEL

WILL BE GETTING OUR APPROVALS WE HOPED FOR

THIS WHOLE TIME SINCE WE GOT HERE.

-HELLO. -HEY.

HEY, DOC.

-HOW Y'ALL DOING? -DOING GOOD. HOW ABOUT YOU?

I'M DOING GOOD, TOO.

ALRIGHT. SO, SHANTEL, YOU'RE DOWN TO 502.

YOU'RE ALMOST GOING TO GET IN 400s, HUH?

ALMOST, ALMOST.ALMOST.

ALRIGHT.

SO YOU LOST 130 POUNDS EXACTLY, SO THAT'S GREAT.

I'M PROUD OF YOU.

THANK YOU SO MUCH, DOC.

YOU'RE WELCOME. SO, HOW IS YOUR ACTIVITY?

I'M DOING WELL, ESPECIALLY WITH MY INHALER

'CAUSE I USUALLY HAVE TO CARRY, YOU KNOW,

MY INHALER AROUND WITH ME ALL THE TIME,

AND I HAVEN'T, AND I ALSO DON'T HAVE MY WALKER,

SO I HAVE BEEN ABLE JUST TO WALK ON MY OWN.

OKAY, THAT'S GREAT.

YOU'RE ON THE RIGHT TRACK AND MAKING GOOD PROGRESS.

THAT'S GREAT.

SO I'M PROUD OF YOU, THAT YOU'RE STICKING WITH THE DIET,

SO I'M GOING TO GO AHEAD AND APPROVE YOU

FOR WEIGHT-LOSS SURGERY.

Michael: BABY.

-YOU DID IT, SHAN! -YOU DID IT.

SO EXCITING. YES.

OKAY, SO, I'M GOING TO TAKE YOU UP FOR SOME TESTING

TO SEE WHAT YOUR LUNG AND YOUR HEART IS DOING

AND MAKE SURE THAT YOU'RE GOING TO BE FIT TO CONSIDER SURGERY.

OKAY?I'M SUPER EXCITED.

LIKE, THANK YOU SO MUCH.

YOU'RE WELCOME.

LET'S SEE. WHAT'S CARLTON DOING?

WELL, YOU LOST 132 POUNDS, WHICH IS VERY GOOD,

SO I'M PROUD OF YOU, SO I AM GOING TO APPROVE YOU

FOR WEIGHT-LOSS SURGERY PENDING SOME TESTING

AND MAKE SURE IT'S GOING TO BE SAFE FOR YOU, TOO.

YEAH.THAT SOUND GOOD?

THAT DEFINITELY SOUNDS GOOD.

THANK YOU.

OKAY, GREAT.

WELL, I'M PROUD OF YOU BOTH.

YOU'RE DOING GREAT, SO I'M GOING TO SCHEDULE

BOTH YOUR WEIGHT-LOSS SURGERIES FOR ONE MONTH FROM NOW,

BUT YOU BOTH NEED TO KEEP LOSING WEIGHT.

IF YOUR PROGRESS STOPS AND YOU GAIN OR YOU DON'T LOSE MUCH,

THEN WE'LL CANCEL YOUR SURGERY.

-YOU BOTH GOT IT? -ALRIGHT.

-YES. -ALRIGHT.

WELL, NICE TO SEE YOU GUYS.

-ALRIGHT. -NICE TO SEE YOU, TOO, SIR.

-I'LL SEE Y'ALL IN ONE MONTH. -OKAY.

IF YOU NEED ANYTHING BEFORE THEN, GIVE ME A CALL.

OKAY? YES, SIR.

ALRIGHT. I'LL SEE Y'ALL LATER.

-ALRIGHT. -ALRIGHT. THANKS, DOC.

THANK YOU, DOCTOR.

WE'RE DOING THIS?WE ARE DOING THIS.

LIKE, OH, MY GOD.

WE ARE REALLY APPROVED.

LIKE, BOTH OF US.WHAT?

IT'S, LIKE, WE STARTED THIS TOGETHER.

WE'RE, LIKE, BOTH APPROVED.

NOT, LIKE, ONE OF US APPROVED AND THE OTHER APPROVED.

LIKE, WE'RE TOGETHER APPROVED.

Dr. Nowzaradan: I'M VERY PROUD OF SHANTEL AND CARLTON.

THEY WORKED VERY HARD THESE PAST MONTHS

AND SHOWED ME THAT THEY'RE TAKING THIS OPPORTUNITY

TO TURN THEIR LIFE AROUND VERY SERIOUSLY.

AND I'M VERY HAPPY WITH THEIR OVERALL PROGRESS

AND LOSING AS MUCH WEIGHT AS THEY DID

AND BUILDING UP THEIR STAMINA LIKE THEY HAVE.

BUT THE FACT THAT THEY LOST ALMOST EXACT SAME AMOUNT

SHOWS ME THAT THERE'S STILL A CODEPENDENCE IN THE DYNAMIC

BETWEEN THEM THAT WE STILL NEED TO WORK ON

TO MAKE SURE THEY ARE SUCCESSFUL IN THE LONG-TERM.

BUT FOR RIGHT NOW, AS LONG AS THEY KEEP MAKING PROGRESS

AND THEIR TESTS SHOW THEIR SYSTEMS CAN HANDLE SURGERY,

WE WILL MOVE AHEAD WITH THEM IN A MONTH.

Carlton: I'M SO EXCITED WE GET SURGERY.

WE'VE RISKED A LOT FOR THIS AND WORKED A WHOLE LOT TO GET THIS,

SO TO SEE IT COME TO FRUITION

AND GET APPROVED FEELS REALLY GOOD,

AND I KNOW MY SISTER IS EXCITED, JUST LIKE ME.

Shantel: THIS IS LIKE A DREAM COME TRUE FOR ME AND CARLTON,

BECAUSE WE TRIED TO GET HELP LIKE THIS FOR MOST OUR LIVES,

SO TO BE TOLD THAT WE DID IT

AND WE FINALLY GOT IT IS LIFE-CHANGING TO HEAR.

SO WE'RE GOING TO KEEP OUR FOCUS ON DOING THE RIGHT THINGS

AND HOPE THAT WHEN WE HAVE OUR TESTS,

IT ALL TURNS OUT GOOD,

BECAUSE ME AND CARLTON NEED THIS AS SOON AS POSSIBLE.

WE HAVE TWO MORE WEEKS UNTIL ME AND CARLTON ARE SUPPOSED TO BE

AT THE HOSPITAL FOR OUR WEIGHT-LOSS SURGERY,

AND WE'RE GETTING OUR TESTING RIGHT BEFORE THAT.

SO ME AND CARLTON HAVE CONTINUED WORKING AS MUCH AS WE CAN

TO GET TO THE HEALTHIEST PLACE POSSIBLE BY THEN.

WE'VE BEEN DOING THE DIET JUST LIKE WE'VE BEEN

THE PAST TWO-PLUS MONTHS.

AND WE'RE ALSO EXERCISING A LOT.

CARLTON HAS BEEN TAKING SOME SHORT WALKS WITH MONICA

FOR HIS EXERCISE TO DO THAT,

BUT I'VE BEEN FOCUSED ON DOING THE STAIRS

BECAUSE THEY'RE, LIKE, MY ENEMY

BECAUSE NOT BEING ABLE TO DO THEM

AND GO UP AND DOWN LIKE I NEED HAS LIMITED MY LIFE A LOT.

HEY, HON.Michael: HEY, BABY.

WHAT YOU DOING?

OH, SPRAYING THE SHIRTS.

DR. NOW WANT ME TO TRY TO GET SOME MORE EXERCISE, THOUGH,

DO THE STEPS.

FIRST STEP IS GETTING ON THE STEPS.

GETTING ON THE STEPS.

IT'S NOW OR NEVER.

PRAY FOR ME, LORD.

SO ONE OF MY GOALS HAS BEEN TO GET BETTER AT DOING THEM.

AND WITH ALL MY WEIGHT LOSS AND GOOD PROGRESS,

I'VE BEEN ABLE TO, AND I'M AMAZED AT MYSELF,

BECAUSE NOT ONLY CAN I GO UP AND BACK DOWN THEM

A WHOLE LOT EASIER...

...BUT I CAN DO THEM AGAIN RIGHT AFTER.

ALRIGHT, BABY. THAT'S ONE.

I'M WATCHING YOU.

YOU GOT THIS. A'IGHT?

THAT'S TWO.

ALRIGHT. YOU ONLY GOT ONE MORE. ALRIGHT?

ONE MORE.

KEEP BREATHING WHILE YOU GOING UP AND GOING DOWN.

IT'S EXCITING TO ME, THAT ME AND CARLTON HAVE COME THIS FAR,

AND I'M LOOKING FORWARD TO US BEING ABLE TO DO EVEN MORE.

BUT WE KNOW THAT WEIGHT-LOSS SURGERY IS KEY

TO BEING ABLE TO DO THAT,

SO WE'RE WORKING TO MAKE SURE OF THAT

BECAUSE IT'S ALL GOING TO COME DOWN TO OUR TESTS

IN A COUPLE OF WEEKS,

AND WE NEED TO BE AS READY AS WE CAN FOR THEM,

BECAUSE EVERYTHING RELIES ON THEM.

Michael: YOU ALRIGHT?

YEAH, I'M ALRIGHT, NOW THAT YOU'RE HERE.

ALRIGHT. THE KIDS ARE AT SCHOOL, OKAY?

OKAY.

Shantel: THIS IS A BIG STEP FOR ME AND CARLTON TODAY.

I HAVE SOME NERVES ABOUT IT,

BUT I'M GRATEFUL FOR THIS CHANCE AND OPPORTUNITY TO SAVE MY LIFE.

I STARTED TO LOSE HOPE WE'D EVEN BE ABLE TO GET HELP LIKE THIS,

SO IT FEELS LIKE REALIZING A DREAM TODAY WITH THIS.

SO I'M REALLY LOOKING FORWARD

TO MAKING A LOT MORE PROGRESS WITH CARLTON ONCE WE GET THIS.

Nurse: I NEED YOU TO TAKE BIG, DEEP BREATHS.

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

ON BOTH SHANTEL AND CARLTON,

AND WE'RE STARTING WITH SHANTEL FIRST.

BOTH OF THEM HAVE MADE REALLY GOOD PROGRESS OVERALL

AND HAVE ALSO STAYED ON-TRACK

WITH THEIR WEIGHT LOSS THIS PAST MONTH.

OKAY, LET'S BEGIN.

STARTING THE FIRST INCISION.

ALRIGHT. ROOM LIGHT OFF.

I'M VERY HAPPY WITH HOW WELL THEY ARE DOING,

AND I KNOW THAT THEY'RE READY TO TAKE THIS NEXT STEP TODAY.

AND UNLESS WE ENCOUNTER ANY ISSUES

THAT PREVENT US FROM COMPLETING THEIR OPERATIONS TODAY,

WE WILL BE ABLE TO GIVE THEM BOTH

A VERY IMPORTANT TOOL WITH THIS SURGERY

TO HELP THEM STAY ON TRACK AND CONTINUE TO LOSE MORE,

BECAUSE WHAT THIS OPERATION DOES

IS IT REDUCES THE STOMACH BY 90%,

LEAVING A SMALL, NARROW TUBE THAT LOOKS SIMILAR TO A SLEEVE

SO THE PATIENT'S FOOD INTAKE IS PHYSICALLY LIMITED

AND THE PATIENT IS LESS HUNGRY.

SO THIS OPERATION WILL GIVE THEM AN OPPORTUNITY

TO LOSE EVEN MORE WEIGHT.

SO THIS IS SOMETHING THAT'S GOING TO HELP THEM BOTH

A GREAT DEAL.

Carlton: HAVING SHANTEL GO FIRST IS NERVE-RACKING.

I CARE ABOUT MY SISTER SO MUCH. AND JUST, LIKE, WHENEVER I HEAR,

LIKE, SOMEONE SPEAK OVER THE, LIKE, THE LOUDSPEAKER,

I'M LIKE, "IS THAT SHANTEL? IS SHE OKAY?"

SO MY WORST FEAR RIGHT NOW

IS THAT SOMETHING WOULD HAPPEN TO MY SISTER.

Dr. Nowzaradan: ALRIGHT.

OKAY.

ALRIGHT. YOU CAN TURN THE ROOM LIGHT ON.

OKAY, ALL FINISHED.

SHANTEL'S SURGERY WENT VERY WELL.

WE WERE ABLE TO DO A SLEEVE GASTRECTOMY,

AND WE WERE ABLE TO COMPLETE THE SURGERY

WITHOUT ANY COMPLICATION OR ANY PROBLEMS.

SO WE'LL GET HER TO RECOVERY AND START CARLTON'S OPERATION SOON.

BUT FOR THE NEXT MONTH,

SHANTEL WILL BE ON A LIQUID DIET,

AND IN THAT TIME, SHE SHOULD LOSE AT LEAST 40 POUND.

AND THEN IF SHE STAYS ON TRACK,

SHE SHOULD BE ABLE TO LOSE 25 POUNDS A MONTH

UNTIL SHE GET CLOSE TO HER TARGET.

RIGHT NOW, WE ARE ATTEMPTING TO PERFORM

A GASTRIC SLEEVE ON CARLTON,

AND UNLESS WE ENCOUNTER ANY ISSUES THAT PREVENT US

FROM COMPLETING THE OPERATION, WE'LL BE ABLE TO PROVIDE HIM

WITH THE SAME TOOL AS HIS SISTER,

TO KEEP HIM ON TRACK AND MOVING IN THE RIGHT DIRECTION.

THANKFULLY, WITH THE PROGRESS CARLTON MADE

OVER THE LAST MONTH, HE IS UNDER 600.

BUT THIS IS STILL A VERY HIGH-RISK OPERATION

FOR SOMEONE HIS SIZE,

BECAUSE HIS WEIGHT IS STILL AT A POINT

WHERE IT PUTS A LOT OF STRAIN ON HIS SYSTEM,

SO ANY NUMBER OF SMALL ISSUES COULD PUSH HIS BODY

TO A POINT WHERE THAT BECOMES TOO MUCH.

Monica: I'M FEELING PRETTY NERVOUS.

I'M WORRIED ABOUT CARLTON.

I'M MOST NERVOUS ABOUT THE RISKS THAT ARE INVOLVED WITH SURGERY,

AND I DON'T WANT ANY OF THAT TO HAPPEN,

BUT I'VE BEEN TRYING MY BEST TO JUST BE A ROCK

AND BE STRONG AND HELP HIM.

AND I CAN'T HELP BUT TO THINK

OF ALL THE THINGS THAT COULD GO WRONG AND WORRY.

Dr. Nowzaradan: WE HAD A SMALL ISSUE OF CONCERN WITH CARLTON,

BUT WE HAVE BEEN ABLE TO RESOLVE IT SO WE CAN MOVE AHEAD.

OKAY.

ALRIGHT.

ALRIGHT.

OKAY, ALL FINISHED.

ALRIGHT.

CARLTON'S SURGERY WENT VERY WELL.

HIS SURGERY WAS A LITTLE BIT MORE CHALLENGING.

AT THE BEGINNING, WE HAD A SLOW HEARTBEAT,

AND WE HAD TO BACK OFF FOR A FEW MINUTES

TILL HE RECOVERED FROM THAT.

AND THEN AFTER THAT, WE WERE ABLE TO COMPLETE THE OPERATION.

SO HE'S DOING WELL, AND WE GET HIM TO RECOVERY SO HE CAN REST.

CARLTON WILL ALSO BE ON A LIQUID DIET

FOR THE FIRST MONTH, LIKE SHANTEL.

AND IN THAT TIME, HE SHOULD BE ABLE TO LOSE AT LEAST 45 POUNDS,

THEN AROUND 30 POUNDS A MONTH UNTIL HE GETS DOWN TO THE 200s.

BUT BOTH OF THEM ARE DOING VERY WELL,

AND I AM VERY PROUD OF THEM

FOR HOW HARD THEY HAVE WORKED TO GET TO THIS POINT.

WE STILL HAVE A LOT OF WORK TO DO WITH THEM,

BUT THEY HAVE ALREADY COME A LONG WAY.

AND I'M HOPING TO SEE THEM CONTINUE THAT SO WE CAN GET THEM

BOTH TO THEIR TARGET WEIGHTS OVER THE NEXT 18 MONTHS.

Carlton: IT'S BEEN A MONTH SINCE ME AND SHANTEL

HAD WEIGHT-LOSS SURGERY,

AND WE'VE BEEN ABLE TO FULLY RECOVER

TO THE POINT WE WERE ABLE TO GO BACK ON SOLID FOODS.

BUT WE BOTH FEEL GOOD,

AND DR. NOW SAYS WE'RE STILL ON TRACK WITH OUR WEIGHT LOSS,

SO WE'RE BOTH HAPPY ABOUT THAT.

BUT NOW THAT I'M LOSING WEIGHT AND ABLE TO MOVE AROUND BETTER,

I'M LOOKING TO START WORKING SOME AND MAKING A LIVING,

AND MICHAEL TOLD ME I COULD START HELPING OUT

WITH HIS BUSINESS TO MAKE A LITTLE EXTRA MONEY.

I'LL FIND A PRINTOUT RIGHT NOW.

YOU WANT ME TO SHOW YOU HOW TO DO IT?

YEAH. THAT'D BE GREAT.ALRIGHT.

HE MAKES T-SHIRTS, AND SO HE SAID HE'D TEACH ME

HOW TO START HELPING HIM OUT SO I CAN BECOME A PART OF THAT.

AND I'M EXCITED TO BE, LIKE, LEARNING THE FAMILY BUSINESS

AND START CHIPPING IN.

I WANT TO START MAKING SOME CASH, BECAUSE THE NEXT STAGE

I WANT TO GO TO IN MY RELATIONSHIP WITH MONICA

IS TO TAKE HER OUT ON SOME REAL DATES,

AND THAT COSTS MONEY, SO I HAVE TO START EARNING IT.

BUT BEING ABLE TO GIVE MONICA THE TIME SHE DESERVES

AND TAKING AND GROWING

THE ROMANTIC PART OF OUR RELATIONSHIP

IS SOMETHING I'M LOOKING FORWARD TO DOING.

THAT'S HOW YOU DO IT.

YEAH.SO, YOU WANT TO TRY ONE?

YEAH! YEAH, YEAH.

LET ME TRY IT.ALRIGHT.

THAT'S SOMETHING I'VE WANTED FOR A LONG TIME.

AND WITH MY PROGRESS,

I FINALLY HAVE THE CHANCE TO START DOING THAT.

SO I'M EXCITED, AND I'M HOPING IN A FEW DAYS

I'LL HAVE ENOUGH TO SURPRISE

AND TAKE HER OUT ON OUR FIRST OFFICIAL DATE.

ALRIGHT.

TONIGHT, I'M TAKING MONICA OUT FOR DINNER

AND TRYING TO SHOW HER THE GOOD TIME SHE DESERVES.

BEFORE WE STARTED ALL THIS, I DIDN'T HAVE ANY IDEA

I'D BE ABLE TO GET TO THIS POINT SO SOON.

I KNOW I STILL HAVE A LOT OF WEIGHT TO LOSE,

BUT WITH WHERE I'M AT RIGHT NOW,

I'M ALREADY ABLE TO START LIVING MY LIFE MORE.

ALRIGHT. THANK YOU.

AND THAT'S REALLY EXCITING TO ME.

PERFECT.

OKAY, YEAH.

IT'S A FUN NIGHT, THOUGH, RIGHT?

YEAH. WE'RE ACTUALLY OUT HERE.

RIGHT, WE ACTUALLY OUT.YEAH.

WE'RE NOT TRAPPED IN THE HOUSE.

HOW YOU FEELING?PRETTY HAPPY.

YEAH, I CAN TELL. YOU'RE SMILING. YOU'RE BEAUTIFUL.

I'M PROUD OF YOU.

YOU'VE LOST SO MUCH WEIGHT, YOU KNOW,

AND NOW WE'RE ACTUALLY OUT HERE.

I KNOW, RIGHT?

I MEAN, IT SHOWS HOW FAR YOU'VE COME.

WHERE YOU WANT TO BE IN A YEAR?

I WOULD BE GOING TO COLLEGE, YOU KNOW?

I'VE BEEN WANTING TO DO THAT FOR A WHILE, NOW.

ME, TOO.

MAYBE WE SHOULD BOTH GO TO COLLEGE TOGETHER.

LET'S DO IT. LET'S DO IT.YEAH.

YEAH. LET'S GET ENROLLED SOMEWHERE

AND ACTUALLY DO SOME COLLEGE. LET'S GET A DEGREE.

LET'S DO SOMETHING, HAVE LIVES,

GO TO THE CAMPUS TOGETHER, RIGHT?

YEAH. I LIKE BEING OUT HERE WITH YOU.

ME, TOO, HONESTLY.

YEAH.

Carlton: I THOUGHT MY LIFE WOULD NEVER GET TO THIS POINT AGAIN,

SO TO BE ABLE TO START DOING THIS FEELS REALLY AMAZING TO ME.

AND SO I KNOW ME AND SHANTEL

ARE GOING TO KEEP PUSHING OURSELVES FORWARD

TO GET TO THE RESULTS WE NEED

AND HAVE THAT FUTURE WE ALWAYS TALKED ABOUT AND DREAMED OF,

BECAUSE WE FINALLY HAVE A CHANCE FOR THAT TO COME TRUE FOR US,

AND SO WE'RE NOT STOPPING UNTIL IT DOES.

HELP TREASURE GO AROUND, BABY.

MY HANDS --GO AHEAD, BABY.

Shantel: THE BIGGEST THING MY WEIGHT HAS TAKEN FROM ME

IN THE PAST YEARS IS MY ABILITY TO DO THINGS WITH MY KIDS

AND BE ACTIVE LIKE I WANT IN THEIR LIVES.

I WAS TOO BIG TO GO PLACES WITH THEM

AND TAKE THEM ANYWHERE,

SO I'VE MISSED OUT ON SO MUCH WITH THEM.

WOW! YOU WENT -- HIGH FIVE!

YOU DID SO GOOD.

AND I WANTED TO CHANGE THAT WHILE THEY'RE STILL YOUNG

SO I DIDN'T MISS OUT ON THEIR CHILDHOOD COMPLETELY.

Royal: YOU'RE A LIVING FORTUNE COOKIE!

AND THAT'S BEEN MY BIGGEST GOAL TO ACHIEVE WITH MY WEIGHT LOSS.

SO TO BE ABLE TO DO THAT NOW IS BEYOND ANY WORDS FOR ME,

AND I'M AMAZED THAT LOSING WHAT I HAVE SO FAR

HAS ALLOWED ME TO BE THE MOM

I HAVE ALWAYS HAD DREAMS OF BEING.

I LOVE YOU.

JUST TAKING THEM TO A PARK

AND WATCHING THEM RUN AROUND AND PLAY AND SMILE

IS THE BIGGEST GIFT AND REWARD I COULD THINK OF.

LOVE YOU.

AND I CAN'T WAIT TO DO EVEN MORE,

BECAUSE I HAVE SO MUCH TO LOOK FORWARD TO NOW.

AND I'M MORE MOTIVATED THAN EVER

TO DO WHAT I NEED TO KEEP GOING FURTHER WITH MY PROGRESS,

BECAUSE I JUST FEEL MY WHOLE FUTURE

IS FINALLY OPENING UP TO ALL THE POSSIBILITIES I WANTED.

AND THAT'S ALL IN FRONT OF ME AS LONG AS I STAY ON TRACK

AND GET TO THE GOAL I NEED.

SO THAT'S WHAT I INTEND TO DO.

RIGHT AFTER OUR SURGERIES, CARLTON SAID HE FELT LIKE

IT WAS THE FIRST DAY OF OUR NEW LIVES,

AND I LIKE THAT, BECAUSE WE BOTH

ARE LEAVING OUR OLD LIVES BEHIND...

JUMP DOWN.

...AND WE ARE LETTING THE SUN GO DOWN

ON THAT CHAPTER AND PART OF OUR LIVES.

SO NOW WE'RE LOOKING TO THE FUTURE,

AND I CAN'T WAIT TO SEE WHAT IT HAS FOR ALL OF US.