All language subtitles for My 600-lb Life S08E11

Tommy: I WENT ONLINE
AND BOUGHT GRIP SOCKS

BECAUSE I'M TERRIFIED
OF FALLING IN THE SHOWER.

I DON'T KNOW IF I'D EVER
GET BACK UP IF THAT HAPPENS.

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.

NO!
IT HURTS!

Woman #2: I REFUSE
TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

AT WHAT AGE
DID YOU FINALLY DISCLOSE?

I DIDN'T.

SO, TO THIS DAY YOU HAVEN'T
DISCLOSED TO ANYONE?

NO.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Tommy: EVERY DAY OF MY LIFE
IS A HARD REMINDER

OF HOW BAD I'VE LET MYSELF
AND MY BODY GET

BECAUSE MY WEIGHT
HAS REACHED A POINT

WHERE I STRUGGLE TO DO
EVERY SINGLE THING I NEED,

AND I'M DISAPPOINTED BECAUSE
I LET MYSELF GET LIKE THIS.

I DON'T GO OUT. I CAN'T DO MUCH.

AND I GET SAD ABOUT IT
BECAUSE I REMEMBER A DAY

WHERE I'D JUST GET UP AND GO.

BUT NOW MY HOME IS MY CAGE,
AND THE WAY MY BODY IS,

IS WHAT KEEPS ME TRAPPED HERE.

BUT WHEN I GET UP,
IT PUTS PAIN ALL THROUGH

MY WHOLE BODY, AND MY FEET HURT
BECAUSE THEY'RE GETTING

STOMPED TO THE GROUND.

MY LEGS ACHE BECAUSE OF
THE LYMPHEDEMA,

AND MY KNEES ACHE BECAUSE
THEY'RE DETERIORATING.

SO IF I CAN STAND FOR
MAYBE 30 SECONDS TO A MINUTE

BEFORE MY KNEES ARE SHAKING
AND MY HIPS ARE HURTING

AND I WANT TO JUST
KIND OF FALL OVER.

I ALSO START
TO LOSE MY BREATH

BECAUSE IT'S HARD FOR ME
TO BREATHE NOW.

SO I HAVE TO USE OXYGEN
FOR THAT.

AND BECAUSE OF ALL THAT,
MY FEAR IS FALLING BECAUSE

I DON'T KNOW IF I'LL EVER
GET BACK UP IF THAT HAPPENS.

NO ONE CAN LIFT ME.

I WENT ONLINE AND BOUGHT
LIKE 15 PAIR OF GRIP SOCKS.

I EVEN WEAR THEM IN THE SHOWER
JUST SO IT GIVES ME

A BETTER CHANCE
OF NOT SLIPPING AND FALLING.

RIGHT NOW I LIVE
WITH MY FIANCéE, AMANDA.

SHE IS THE ONE THAT TAKES CARE
OF EVERYTHING AROUND THE HOUSE,

INCLUDING ME, BUT I STILL TRY
TO DO WHAT I CAN TO HELP HER.

AND I'M GETTING UP AND GOING TO
THE BATHROOM OR TAKING A SHOWER

IS THE ONLY INDEPENDENCE
I REALLY HAVE LEFT.

IF I LOST THAT, I WOULDN'T
KNOW WHAT I WOULD DO.

PROBABLY WOULD HAVE NO REASON
TO EVEN WANT TO BE HERE.

I ALREADY FEEL VERY HELPLESS
BECAUSE EVEN DOING THIS

AND CLEANING MYSELF
TAKES A LOT OUT OF ME.

AND EVERY DAY I TRY TO DO THAT,
IT'S TAKING ME LONGER.

IT'S TAKING ME MORE.

AND IT'S THE SCARIEST
MOMENT OF MY DAY,

BEING IN THAT SHOWER
AND ON THAT SLIPPERY FLOOR

BECAUSE I'M
TERRIFIED OF FALLING.

SO I HAVE TO SIT BECAUSE
OF THAT AND JUST BECAUSE

I CAN'T HANDLE
STANDING FOR VERY LONG.

SO I USE A BENCH,
AND I TRY TO CLEAN

AS MUCH OF MYSELF AS I CAN,

BUT I KNOW
I DO NOT GET FULLY CLEAN.

I KNOW THAT I'M NOT GETTING
AS GOOD AS I SHOULD

BECAUSE I JUST CAN'T.

I'M TOO BIG.

TAKES TOO MUCH
FOR ME ENERGY WISE

TO TRY TO GET TO EVERYWHERE.

SO I JUST FOCUS ON THE IMPORTANT
PARTS TO CLEAN,

WHICH ARE UNDER MY FOLDS
AND UNDER MY STOMACH

BECAUSE THAT'S THE DANGEROUS
AREAS THAT GET CHAFED

AND GET SORES IF I DON'T.

SO I DO THAT AS BEST
AND AS FAST AS I CAN

BEFORE I'M OUT OF TOO MUCH
STAMINA BECAUSE I HAVE TO TRY

NOT TO WEAR MYSELF OUT SO MUCH

THAT I CAN'T GET
OUT THIS SHOWER.

BUT IT DOES TAKE
A LOT OUT OF ME,

AND I START TO REALLY
NEED MY OXYGEN

BECAUSE OF HOW HARD IT GETS ME
TO BREATH DOING ALL THIS.

AT THAT POINT,
ALL I WANT TO DO IS EAT.

SO THAT'S WHEN MY CRAVINGS
FOR MY FIRST MEAL

START TO GET
OVERWHELMING FOR ME.

FOOD IS WHAT I LIVE FOR.

I'D EAT EVERY MINUTE OF THE DAY
IF I COULD.

IN SOME WAYS,
I'M ALREADY CLOSE TO DOING THAT

BECAUSE I EAT LIKE
EIGHT MEALS A DAY.

AND AMANDA IS THE ONE THAT COOKS

AND BRINGS IT TO ME
TO MAKE SURE I'M HAPPY,

AND SHE ALWAYS MAKES SOMETHING
GOOD, VERY, VERY GOOD,

BUT MY FAVORITE
IS WHEN SHE MAKES ME

A BUNCH OF BOLOGNA SANDWICHES.

A BOLOGNA AND CHEESE SANDWICH,

THAT'S PROBABLY
MY ACHILLES HEEL.

IT'S HARD TO STOP BECAUSE IT'S
HARD TO BE HAPPY ONCE I'M DONE.

IF I'M EATING
AND I STILL WANT TO EAT,

I'M GOING TO EAT AND I'M GOING
TO BE JOYFUL FOR A FEW MINUTES,

BUT I KNOW WHEN IT'S OVER WITH,
I'M GOING TO FEEL LIKE

SO THAT'S WHY I CAN'T STOP,
AND I DON'T WANT TO STOP.

SO I KNOW I AM A FOOD ADDICT,

BUT I DON'T CARE
AS LONG AS I HAVE IT.

I JUST NEED ALL THE BAD STUFF
AND PAIN TO GO AWAY

TO HAVE THAT JOY AND PEACE
THAT COMES FROM FOOD.

FOOD DOESN'T JUDGE ME.

I HAVE NEVER LOOKED
AT A SANDWICH

AND SEE IT LOOK BACK
IN A PITIFUL LOOK

OR A SHAMEFUL LOOK
OR ANY LOOK OF ANGST

OR ANYTHING OF THAT NATURE.

SO I FEEL LIKE FOOD
IS THE ONE THING

I CAN TRUST TO NEVER BETRAY ME.

AND WHEN I NEEDED IT MOST,
IT'S ALWAYS BEEN THERE FOR ME

TO LIFT ME UP,
TAKE ME AWAY, AND TO SAVE ME.

AND THERE HAVE BEEN A LOT
OF MOMENTS I NEEDED TO BE SAVED.

SINCE I CAN REMEMBER,

IT WAS MORE THAN PLEASURE
OF EATING FOR ME.

IT HELPED ME WHEN I NEEDED HELP
GETTING PAST SOME THINGS

THAT HAPPENED TO ME
WHEN I NEEDED IT AS A KID.

A LOT OF TIMES IT WAS
BECAUSE OF MY DAD.

MY FATHER WAS AN ALCOHOLIC.

HE MEANT WELL,
BUT HIM AND MY MOM

DID FIGHT QUITE A BIT,
AND MOST OF THAT

WAS BECAUSE HE DRANK.

AND BECAUSE OF ALL THAT, THINGS
IN OUR HOUSE WERE CHAOTIC,

AND IT WOULD GET LOUD AND SCARY.

SO WHAT I REMEMBER I'D DO
IS GET SOME FOOD AND GO EAT

BECAUSE IT ALWAYS HELPED MY FEAR
GO AWAY AND I FELT BETTER.

I REALLY NEEDED FOOD TO HELP
FEEL THINGS WHEN I WAS 8

BECAUSE THAT'S WHEN
I SUDDENLY LOST MY DAD

BECAUSE HE PASSED AWAY
OF HEART ATTACK.

HE WAS SUPPOSED TO COME
EAT LUNCH WITH ME THAT DAY.

HE SAID HE WOULD AT ABOUT
9:00 IN THE MORNING.

HE PASSED AWAY
SITTING AT A DINER.

SO I HAD ALL THIS SADNESS,

AND WHAT HELPED MAKE
THAT GO AWAY WAS EATING.

I THINK THAT'S WHEN MY WEIGHT
STARTED BECOMING A PROBLEM

BECAUSE I WAS ALREADY OVER
200 POUNDS BY THE TIME I WAS 10,

AND I WAS JUST GETTING
BIGGER THROUGH ALL THIS.

IT GOT EVEN WORSE WHEN I WAS 11
BECAUSE WITH MY MOM HAVING TO

WORK A LOT, SHE HAD A FRIEND
START TO WATCH ME

WHEN SHE COULDN'T BE AROUND,
AND HE KIND OF STARTED

AN INAPPROPRIATE RELATIONSHIP
WITH ME, AND HE MOLESTED ME.

I DIDN'T UNDERSTAND
WHAT WAS GOING ON.

I KNOW I WAS IN PAIN.

I KNOW I DIDN'T LIKE IT,

AND I KNEW I COULDN'T SAY
ANYTHING OR I MIGHT GET HURT,

BECAUSE THE MAN DOING
THIS TO ME THREATENED ME.

HE WAS GOING TO WHIP ME.

AND I WAS KIND OF ASHAMED,
AND I REALLY DIDN'T KNOW

WHAT TO SAY TO ANYBODY.

I DIDN'T TELL NOBODY.

I DIDN'T EVEN TELL MY MOM,

AND I'VE KEPT IT TO MYSELF
ALL THESE YEARS.

MY FIANCéE, AMANDA,
DOESN'T EVEN KNOW,

AND OUTSIDE OF SOME FRIENDS
I TOLD A YEAR AGO,

NO ONE CLOSE TO ME
KNOWS IT HAPPENED.

I WAS JUST A KID,
AND I WAS SCARED,

SO I JUST USED FOOD
TO HELP ME FORGET ABOUT IT

AS MUCH AS POSSIBLE
UNTIL WE MOVED AWAY.

IT STOPPED WHEN I WAS 12,
BUT BY THEN, I GAINED

A WHOLE LOT AND WAS UP
TO OVER 350 POUNDS.

ALL THAT HAPPENING TO ME
CHANGED ME A LOT

BECAUSE AFTER THAT, I HAD
A HARD TIME TRUSTING PEOPLE.

EVEN WHEN MY MOM GOT RE-MARRIED
WHEN I WAS 13,

I DIDN'T TRUST
MY NEW STEP-FATHER.

BEFORE I STARTED HIGH SCHOOL,

I FOUND OUT MY WEIGHT
WAS OVER 400 POUNDS THEN.

I TRIED TO EAT LESS
AND SLOW THINGS DOWN,

BUT IT NEVER WORKED.

SO MY WEIGHT GAIN THROUGH
HIGH SCHOOL

JUST KEPT GETTING WORSE.

BY THE TIME I GRADUATED
HIGH SCHOOL AT 18,

I BALLOONED TO JUST ABOUT
500 POUNDS.

AND IT KEPT GETTING WORSE
FROM THERE, YOU KNOW?

I TRIED GOING TO
A LOCAL COLLEGE,

BUT IN THE END,
IT WAS TOO MUCH FOR ME

AND I DROPPED OUT REALLY QUICK.

I MOVED BACK IN WITH MY MOM

AND GOT A JOB AT CASINO NEARBY
DOING SOME CLEANING.

I WANTED TO BE A DEALER,

BUT I COULDN'T REALLY HANDLE
TOO MUCH ACTIVITY.

I MOSTLY USED EVERYTHING
I MADE ON FOOD,

SO MY EATING NEVER
REALLY SLOWED DOWN MUCH.

AND AS I GOT BIGGER
WHEN I WAS AROUND 22,

I STARTED TO DEVELOP LYMPHEDEMA
ON MY LEGS,

WHICH GETS IN
THE WAY OF WALKING,

WHICH IS ALREADY HARD TO DO
AT MY SIZE.

SO IT COULDN'T REALLY WORK.

MY MOM COULDN'T GIVE ME THE CARE
I WAS STARTING TO NEED.

I WANTED TO BECOME
MORE INDEPENDENT FROM HER.

SO MY FRIEND JEFFREY
I MET IN COLLEGE TOLD ME

I COULD MOVE IN WITH HIM
AND HIS GIRLFRIEND, CARMEN,

BECAUSE THEY FELT BAD FOR ME.

SO I DID THAT WHEN I WAS 23,

AND I LIVED
WITH THEM FOR AWHILE.

I WAS STARTING
TO GET BED BOUND THEN.

SO HE HELPED TAKE CARE OF ME
IN EXCHANGE FOR ME

WATCHING THEIR TWO KIDS
WHEN THEY WERE OUT.

EVEN THOUGH
I COULDN'T GET AROUND MUCH,

I COULD KEEP AN EYE ON THEM.

BUT A FEW YEARS AGO,
IT GOT TO A POINT

WHERE ALL HER KIDS
WERE GROWN UP

AND THEY DIDN'T NEED
TO BE WATCHED ANYMORE.

I WAS LONELY, SO I PUT UP A PAGE
ON A DATING SITE WHEN I WAS 31,

AND NOT TOO LONG AFTER THAT,
I MET AMANDA.

AND I WAS SURPRISED BECAUSE
I WASN'T EXPECTING TO

MEET ANYBODY, REALLY.

THE FIRST THING I REALLY
NOTICED ABOUT TOMMY WAS THE WAY

HE LISTENED, AND IT'S KIND OF
THE WAY THAT HE IS.

HE IS EXTREMELY CONSIDERATE,

BUT I WAS GOING THROUGH
A REALLY DIFFICULT TIME,

AND HE WAS SOMEONE FOR ME
TO TALK TO.

I WAS ENGAGED BEFORE TO SOMEONE
WHO WAS ALSO MORBIDLY OBESE.

HE WAS OVER 700 POUNDS.

HE WAS JUST A WONDERFUL,
WONDERFUL MAN,

AND I LOST HIM, YOU KNOW,
TO OBESITY.

HIS HEART STOPPED.

AND THEN WHENEVER
TOMMY AND I MET AND THINGS

STARTED TO GET MORE SERIOUS,
I THOUGHT TO MYSELF,

"AM I GOING TO GO
THROUGH THIS AGAIN?"

IT TOOK ME A LITTLE TIME
TO FIND OUT HER EX PASSED AWAY

ABOUT TWO MONTHS
BEFORE WE STARTED TALKING.

AS WE TALKED AND GOT CLOSER
OVER THE NEXT YEAR

AND SHE STARTS TO RECOVER
FROM LOSING HER EX,

WE GOT TOGETHER
AND I MOVED IN WITH HER.

AND SINCE THEN,
WE'VE BEEN TOGETHER.

BUT I NEVER FELT LIKE
I'VE BEEN ABLE TO BE

THE BOYFRIEND AMANDA
REALLY DESERVES,

AND THE MORE
MY BODY BREAKS DOWN,

THE HARDER I MAKE IT FOR HER.

MY LAST FIANCé, I BEGAN
TO NOTICE SERIOUS SIGNS

OF DETERIORATION IN HIM --

THE DISCOLORATION
IN HIS TOENAILS,

ALMOST A JAUNDICED COLOR
IN HIS SKIN.

THE FACT THAT HE WAS SLEEPING
SO MUCH MORE,

AND I COULD SEE THE REDNESS
AND THE CELLULITIS

AND I JUST DIDN'T GET
HOW BAD IT WAS.

AND SO I'LL TELL TOMMY,
"I CAN'T GO THROUGH IT AGAIN,"

WATCHING HIM GO DOWNHILL.

I BARELY SURVIVED IT
THE FIRST TIME.

I KNOW I WOULD NOT
SURVIVE IT AGAIN

BECAUSE MY GRIEF WAS SO EXTREME.

IT'S A CROSS BETWEEN
MY ETOUFFéE RECIPE

AND MY TETRAZZINI
RECIPE.

LOOKS GOOD.

TASTES GOOD, TOO.
ENJOY.

I'M 38 NOW, AND MY LIFE IS
PRETTY MUCH THIS BED AND EATING,

SO I DON'T DO ANYTHING
OR SEE ANYONE.

I LOVE AMANDA WITH ALL MY HEART,

AND I WANT TO GIVE HER SO MUCH
MORE THAN THIS AND WHAT I AM.

A COUPLE OF YEARS AGO,
I PROPOSED TO HER,

AND I COMMITTED TO HER
TO LOSE THE WEIGHT

SO I CAN GIVE HER
A PROPER WEDDING.

SHE WANTS TO BE ABLE
TO WALK DOWN THE AISLE,

BUT THAT WAS YEARS AGO
WHEN I MADE THAT COMMITMENT

TO HER, AND I STILL
HAVEN'T FULFILLED IT.

I FEEL LIKE A BURDEN.
I DON'T FEEL LIKE A MAN.

I HAVEN'T EVEN EVER TAKEN HER
ON A REAL DATE.

WHEN WE FIRST GOT TOGETHER,
I ASKED HER WHAT SHE WISHED

SHE COULD DO WITH ME,
AND SHE SAYS SHE LOVES SINGING

AND SHE ALWAYS WANTED
TO GO DO KARAOKE WITH ME.

AND I PROMISED HER I'D TAKE HER,
AND THAT WAS FIVE YEARS AGO,

AND I STILL HAVEN'T DONE
THAT SIMPLE THING

SHE WANTED FOR ME EITHER.

I'VE JUST MADE HER MY CARETAKER.

WE CAN'T BE INTIMATE
WITH HOW I AM RIGHT NOW.

NOT BEING ABLE TO SLEEP
IN THE SAME BED AS MY FIANCéE,

IT'S JUST ANOTHER
ONE OF THOSE THINGS

JUST MAKES YOU FEEL
KIND OF USELESS.

SO I KNOW I HAVE TO CHANGE,

THAT SHE IS LOSING
PATIENCE WITH ME.

I HAVE THIS CONSTANT FEAR
THAT SHE'S GOING TO LEAVE ME,

EVERY DAY JUST WONDERING WHEN'S
ENOUGH'S GOING TO BE ENOUGH.

AND I DON'T WANT TO DO TO HER

WHAT HAPPENED TO HER
WITH HER EX,

BUT I DON'T KNOW HOW TO STOP
THAT FROM HAPPENING NOW.

SO I KNOW I HAVE TO CHANGE

BEFORE I LOSE HER
OR MY LIFE OR BOTH.

I FEEL LIKE TOMMY
IS KILLING HIMSELF

WITH EVERY BITE OF FOOD
THAT HE KNOWS IS BAD FOR HIM,

HE IS KILLING HIMSELF.

AND I'M TELLING YOU LITERALLY,
I SWEAR TO GOD,

I AM TO THE POINT
WHERE I AM READY

TO BEAT HIM WITH A WHIP
IF HE DOES ANYTHING WRONG,

IF HE FALLS OUT OF LINE,

BECAUSE IT'S NOT JUST HIS LIFE
ON THE LINE HERE.

IT WOULD MEAN MY LIFE
BECAUSE I HAVE GROWN

TO LOVE TOMMY SO MUCH.

Tommy: I'M ALMOST 40 YEARS OLD,

AND I REALLY HAVEN'T
LIVED A LIFE.

I HAVE A GOOD WOMAN,

BUT IF I DON'T FIND A WAY
TO LOSE THE WEIGHT SOON,

AMANDA'S GOING TO FIND ME IN
THIS BED NOT BREATHING ANYMORE,

HAVING NOT LIVED LIFE
AND HAD ANY PURPOSE.

I'M TERRIFIED THAT
I MAY ALREADY BE OUT OF TIME,

SO I DON'T KNOW WHAT TO DO.

I FEEL VERY HELPLESS.

SO I'M JUST PRAYING
FOR A MIRACLE.

PLEASE, GOD, HELP ME BECAUSE
SOON IT'S GOING TO BE TOO LATE

FOR ME, AND I'M NOT
GOING TO MAKE IT.

Tommy: LAST NIGHT I BARELY SLEPT
BECAUSE I'M JUST ANXIOUS,

AND I'VE JUST BEEN UP ALL NIGHT
WORRYING BECAUSE AMANDA CALLED

DR. NOW'S OFFICE IN HOUSTON
AND GOT ME AN APPOINTMENT

TO SEE HIM TO TRY
TO GET HIS HELP.

AND TODAY WE'RE GOING
TO DRIVE TO HOUSTON

TO GET ME THERE
FOR THAT BY TOMORROW.

AND I'M JUST REALLY NERVOUS
AND SCARED

ABOUT ALL THE THINGS
THAT COULD GO WRONG.

BUT AT LEAST WE HAVE SOME HELP
BECAUSE AMANDA'S MOM, SHARON,

SAID SHE'D HELP DRIVE US.

AND AMANDA HAS ALREADY STAYED UP
LATE PACKING MOST EVERYTHING,

SO WE JUST HAVE TO GET IT IN
SHARON'S CAR, AND THEN WE'LL GO.

Sharon:
WHAT GOES NEXT, AMANDA?

ICE CHEST.
OKAY.

THAT'S JUST
FULL OF STUFF.

LOOK, TOMMY.
LOOK AT ALL THE MUSCLES.

SEE?

I'M THANKFUL FOR THIS CHANCE
TO GET HELP.

IT'S JUST SCARY TO DO A TRIP
LIKE THIS FOR ME.

IT'D NORMALLY BE
A FIVE- TO SIX-HOUR DRIVE,

BUT WE'RE GOING TO TRY
IT OVER TWO DAYS

SO IT'S NOT TOO MUCH FROM ME,

ASSUMING I CAN EVEN FIT
IN THE CAR LIKE I NEED.

BECAUSE IF IT HURTS TOO MUCH,
I DON'T KNOW HOW LONG

I'LL BE ABLE TO GO AT ONCE.

YOU READY?

YEAH, I GUESS
I'M ABOUT READY.

ALL RIGHT, Y'ALL.

I KNOW I NEED TO TRY
AND DO THIS,

SO HERE GOES NOTHING,
I GUESS.

I JUST REALLY HOPE THIS DOESN'T
GO BAD AND I CAN FIT NOW.

GOING TO TURN OFF THE LIGHTS
AND LOCK EVERYTHING UP, HON?

YEAH, I GOT IT.

ALL RIGHT, I'M GOING TO
HEAD OUT THAT WAY THEN.

ALL RIGHT.

SEE YOU IN A MINUTE.

MAKE A RUN THROUGH.

YEAH. THE BACK DOOR
LOCKED AND EVERYTHING.

A LITTLE BIT MORE LEVEL?
IS THAT OKAY?

THAT'S OKAY.
OKAY.

DO YOU WANT ME TO HOLD
THOSE DRINKS FOR YOU?

YES, PLEASE.

BECAUSE I KNOW YOU NEED
TWO HANDS TO GET IN.

LET ME HELP YOU.

JUST NEED
TO TAKE A BREAK?

WELL, NO, I JUST GOT
TO GET SITUATED FIRST.

OKAY.

TAKE YOUR TIME, BABY.

ABOUT TWO MORE PULLS
AND YOU'RE THERE, HUH?

-OKAY.
-OKAY?

ALL RIGHT,
CAN WE SHUT THE DOOR NOW?

AMANDA, I'LL LET YOU
SHUT THE DOOR.

NOW, TOMMY, WHENEVER
YOU NEED TO TAKE A BREAK,

WE'LL STOP.

Tommy: YES, MA'AM.

ALL RIGHT.

I MANAGED TO FIT,
SO THAT'S GOOD, I GUESS,

BUT THIS IS HURTFUL.

THE POSITION THAT I HAVE
TO BE IN IS PAINFUL,

SO I'M NOT SURE HOW LONG
I CAN GO AND LAST LIKE THIS.

BUT IF I CAN GET
SOME FOOD OR SNACKS,

I KNOW THAT IT WILL
HELP ME HANDLE THIS.

CAN WE GET SOMETHING TO EAT
BEFORE WE GET GOING, PLEASE?

WELL, OKAY.

YEAH, I CAN GO IN ORDER
FOR ME AND TOMMY.

AMANDA, WE'RE GOING
TO SIT IN THE CAR,

AND YOU GO SEE.

OKAY.

TAKE THAT.

RIGHT, HERE WE GO.

I'M HOPING
TO AT LEAST HOLD OUT

TO MAKE IT HALFWAY THERE TODAY
BEFORE I HAVE TO STOP AND REST.

BUT I REALLY DON'T KNOW
HOW LONG I'LL BE ABLE TO LAST,

SO I JUST HAVE TO WAIT AND SEE.

BUT HAVING FOOD
IS GOING TO BE VERY KEY

TO HELP ME TO GET
ALL THE WAY I NEED.

I'M JUST OUT OF ALL MY ENERGY.

THIS TRIP HAS WORE ME OUT,

AND IN SO MUCH PAIN THAT I CAN
BARELY GO ON LIKE THIS,

AND I JUST NEED OUT.

I JUST HOPE I CAN MAKE
THE WALK TO THE ROOM

BECAUSE RIGHT NOW
I FEEL LIKE MY BODY IS DONE.

SO I WISH THEY HAD A WHEELCHAIR
OR SOMETHING TO CARRY ME OUT

BECAUSE I DON'T KNOW
IF I CAN CLIMB MYSELF

OUT OF THE BACK SEAT.

OKAY.

Sharon: LET'S SEE
IF WE CAN GET OUT

AND FIND A ROOM.

I FEEL WHAT A SARDINE
FEELS LIKE.

CIRCULATION.

A FREE SARDINE.

WATCH YOUR FOOT.
THAT'S A DROP RIGHT THERE.

YEAH, I SEE, I SEE.

WE MADE IT.
WE'RE HERE. YAY.

LIGHTS.

ALL RIGHTY, THEN.
WATCH YOUR STEP.

I JUST NEED SOME REST RIGHT NOW
TO RECOVER,

BUT WE STILL HAVE, LIKE,
FOUR OR FIVE HOURS

TO MAKE IT TO HOUSTON.

BUT I'M NOT GOING TO THINK
ABOUT THAT RIGHT NOW

OR WHAT DR. NOW
IS GOING TO TELL ME TO DO.

BUT THIS FIRST PART OF TRAVEL
HAS WHOOPED ME AND WIPED ME OUT.

I REMEMBER WHEN YOU SAID YOU
COULD NEVER GET THERE,

YOU COULDN'T DO THAT.

HERE WE ARE.
WE'RE HERE.

Amanda: OKAY, I'M GOING
TO GET YOU SET UP.

YOU HUNGRY?

YEAH.

ALL RIGHT.I GOT IT.

OKAY.

BABY, GET YOUR LEGS UP.

Tommy: SO I JUST NEED TO EAT
SOMETHING AND REST

SO I CAN GET MY STAMINA BACK UP
AND TRY AGAIN TOMORROW

BECAUSE I HAVE TO MAKE IT
TO MY APPOINTMENT TOMORROW.

AND I HOPE DR. NOW
TAKES ME ON HIS PROGRAM

SO I CAN GET THE HELP
I NEED, BECAUSE WITHOUT IT,

I DON'T KNOW WHAT CHANCE
I HAVE LEFT TO CHANGE MY LIFE.

Tommy: WE MADE IT TO HOUSTON,

BUT THIS HAS BEEN
A REALLY LONG TRIP.

SO I PUSHED MYSELF TO GET HERE,
BUT IT'S TAKEN ALL I HAD.

AND I'M JUST BATTLING BEING
REALLY NERVOUS RIGHT NOW

BECAUSE IF I DON'T END UP
GETTING HELP TODAY,

THEN I HONESTLY DON'T KNOW
WHAT I'M GOING TO DO.

TOMMY.

I REALLY DON'T KNOW
HOW MUCH I WEIGH,

SO I'M WORRIED WHAT
THAT NUMBER'S GOING TO BE.

I JUST HOPE IT'S NOT TOO BAD.

THAT'S DISAPPOINTING,

BUT I CAN'T SAY THAT WEIGHT
IS MUCH OF A SURPRISE TO ME.

I NEED TO START TO GET IT
TO DROP A LOT,

AND THAT'S WHAT I'M HERE FOR.

SO I'M HOPING DR. NOW WILL BE
ABLE TO HELP ME DO THAT

BEFORE IT GETS ANY WORSE.

-HELLO.
-HEY, SIR.

HOW Y'ALL DOING?

I'M DOING ALL RIGHT.

OKAY, GOOD.

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

YES, SIR.

COMING ALL THE WAY
FROM LOUISIANA, HUH?

YES, SIR.

ALL RIGHT.
WHAT BROUGHT YOU DOWN HERE?

I COME TO TRY TO GET
INTO YOUR PROGRAM.

SO YOU WANT
TO LOSE SOME WEIGHT?

YES, SIR.

AT 641 POUNDS,
I WOULD AGREE WITH YOU.

SO YOU'RE 38 NOW?

YES, SIR.

AND DO YOUR WORK?

NO, SIR. I'M DISABLED.

AND WHAT'S YOUR
DISABILITY?

MY KNEES
ARE DETERIORATING,

MY HIPS ARE
DETERIORATING.

BASICALLY, BAD HIP, BAD KNEES,
CAN'T REALLY STAND.

OKAY. SO THE REASON
YOU'RE HAVING SO MUCH PAIN

AND DISABILITY WITH THAT
IS BECAUSE OF YOUR WEIGHT.

HAVE YOU FIGURED THAT OUT?

YES, SIR.

OKAY.

SO HOW LONG HAVE
YOU BEEN DISABLED?

SINCE 2006.

2006?
YES, SIR.

SO IT'S BEEN A LONG TIME

SINCE YOU'VE BEEN
FUNCTIONAL LIKE YOU NEED.

YES, SIR.

OKAY.

SO WHO YOU GOT HERE
WITH YOU?

THIS IS MY FIANCéE, AMANDA,
AND MY MOTHER-IN-LAW, SHARON.

SOON-TO-BE
MOTHER-IN-LAW.

SOON TO BE MOTHER-IN-LAW.

SOON-TO-BE MOTHER-IN-LAW,
SHARON.

SO THAT IS YOUR FIANCéE?

YES, SIR.
OKAY.

DO YOU LIVE BY YOURSELF,
OR YOU LIVE WITH YOUR FIANCéE?

WE LIVE TOGETHER.
YES, SIR.

WE LIVE TOGETHER.
SHE LIVES SEPARATE.

YOU LIVE TOGETHER?
OKAY.

SO I SEE BOTH OF YOU
HAVE PROBLEMS WITH YOUR WEIGHT.

SO IF YOU'RE
LIVING TOGETHER

AND SHE'S THE ONE
WHO FEEDS YOU,

WHERE YOU'RE
BOTH OVERWEIGHT,

THEN WE HAVE A DYSFUNCTIONAL
DYNAMIC BETWEEN YOU TWO,

ENABLING EACH OTHER
TO OVEREAT.

SO IS THAT SOMETHING
YOU BOTH REALIZE?

NO. NO, SIR.

I WOULDN'T AGREE WITH THAT
BECAUSE I PROBABLY ENABLE HER.

BUT SHE'S THE ONE
BRINGING YOU THE FOOD

SO YOU CAN'T OVEREAT
WITHOUT HER HELP, OKAY?

THIS YOUNG LADY,
DO YOU KNOW HOW MUCH YOU WEIGH?

ME?
MM-HMM.

320.

SO YOU BOTH NEED TO
MAKE CHANGES NOW

BEFORE YOUR SITUATIONS
GET WORSE.

YOU BOTH GET THAT?

YES, SIR.YES, SIR.

I HOPE SO BECAUSE, TOMMY,
YOU ESPECIALLY,

YOU CAN'T GO MUCH
LONGER LIKE YOU ARE.

YOU'RE 38. HOW DO YOU
SEE YOURSELF BEING 48?

I DON'T SEE
MYSELF BEING 48.

I'M SURPRISED
I MADE THIS FAR.

SO YOU OVEREAT,
YOU HAVE A LOT OF PAIN,

AND YOU DON'T WORK,
AND YOU'RE DISABLED.

WHAT I'M HEARING FROM YOU,

YOU'RE HERE SOMEBODY ELSE
TO DO ALL THE MAGIC FOR YOU

AND MAGICALLY, YOU GET BETTER
AND LOSE THE WEIGHT.

NO, I JUST NEED HELP.
I JUST --

OKAY. YOU NEED HELP?

YES, SIR.

OKAY, SO I'M GOING TO
GIVE YOU SOME ROAD MAP,

BUT THE HELP
IS GOING TO BE YOU.

OKAY? YOU NEED
TO UNDERSTAND THAT.

AND THE CHANGES
YOU NEED TO MAKE,

YOU BOTH HAVE TO
MAKE THEM.

YOU'RE ALL GOING TO BE
IN THE SAME HOUSEHOLD.

AND THE CHALLENGE
IS GOING TO BE

FOR BOTH OF YOU
TO UNDERSTAND

WHAT CHANGES
YOU'RE GOING TO MAKE.

YOU THINK
YOU CAN DO THAT?

YES, SIR.

OKAY.

SO FIRST THING
I WANT TO DO IS,

I'M GOING TO GIVE YOU
BOTH A NEW DIET

TO START IMMEDIATELY, OKAY?

OKAY.

IT'S A 1,200 CALORIE A DAY,
HIGH PROTEIN, LOW CARB DIET,

THAT WILL BREAKDOWN
WHAT YOU SHOULD

AND YOU SHOULDN'T
EAT, OKAY?

OKAY.

YOU NEED TO MAKE THOSE
CHANGES TO BE PERMANENT

AND STICK WITH THEM.

YOU THINK
YOU CAN DO THAT?

YES, SIR. I'M READY.

GOOD. AND WHAT I WANT
TO SEE FROM YOU

IS TO LOSE AT LEAST
80 POUNDS OVER THE NEXT

TWO MONTHS, OKAY?

OKAY.

AND THAT'S GOING TO BE
VERY EASY FOR YOU.

YOU UNDERSTAND THAT?
OKAY.

YES, SIR.

AND I'M GOING TO GIVE YOU
SOME EXERCISES.

YOU START TO GET
MORE ACTIVE

AND MAKE THE CHANGES
YOU NEED TO DO THAT.

OKAY.

BUT YOU KNOW THE WORST
HABIT THAT YOU HAVE

THAT YOU'RE GOING
TO BE HARD TO GIVE UP?

FOOD.

NO.

WHAT'S THAT?

DEPENDENCY ON
YOUR DISABILITY.

THAT'S GOING TO BE
THE WORST THING TO GIVE UP.

BECAUSE YOU GET USED
TO GETTING YOUR PAYCHECK

FOR BEING DISABLED, AND LATER ON
IF WE GET YOU TO THE POINT

THAT YOU'RE NOT DISABLED,
YOU'RE GOING TO HAVE

A STEP DOWN TO CONSIDER
YOURSELF NOT TO BE DISABLED

AND BE MORE PRODUCTIVE
AND EARN YOUR LIVING.

I'M READY FOR THAT.

OKAY. WE WILL SEE WHEN WE GET
TO THAT POINT, OKAY?

ALL RIGHT.
ANY OTHER QUESTIONS?

I HAVE THE CELLULITIS,
LYMPHEDEMA IN MY LEGS

AND MY STOMACH AREA.

MM-HMM. ARE YOU TAKING
ANY MEDICINE FOR THAT?

I WAS GIVEN MEDICINE
A WHILE BACK FOR IT,

BUT IT WAS ONLY LIKE
FOR A FEW DAYS, JUST...

OKAY. AND ARE YOU HAVING
ANY PROBLEM WITH IT NOW?

WELL, MY LEGS ARE NOT DRAINING
ANYTHING ANYMORE, SO...

BUT MY STOMACH
STILL, IT...

YOU STILL HAVING A RASH
ON THE STOMACH?

YEAH, YOU GOT A LOT OF
SCAR TISSUE

AND A REALLY BAD RASH.

I'LL GIVE YOU SOME
ANTI-FUNGAL CREAM

AND TABLET TO TAKE.

THE BIGGEST THING
TO HELP THAT ISSUE IS

TO LOSE WEIGHT, OKAY?

OKAY.

IF YOU HAVE ANY ISSUES,
GIVE ME A CALL, OKAY?

WILL DO, SIR.

ALL RIGHT. I WILL
SEE YOU IN TWO MONTHS.

NICE TO MEET YOU.

NICE MEETING YOU,
DR. NOWZARADAN.

ALL RIGHT.
NICE TO MEET YOU.

NICE TO MEET YOU.

AND NICE TO MEET YOU.

ALL RIGHT.
I'LL SEE YOU SOON.

Dr. Nowzaradan: WE HAVE A LOT
WE'RE GOING TO NEED TO ADDRESS

WITH TOMMY'S SITUATION
BEFORE WE ARE ABLE TO GET HIM

TO A PLACE
WHERE HE WILL HAVE A CHANCE

TO BE SUCCESSFUL
IN THE LONG RUN.

BUT MY BIGGEST CONCERN RIGHT NOW

IS THE DYNAMIC
HE HAS WITH HIS FIANCéE

BECAUSE THEY ARE BOTH ENABLING
AND USING EACH OTHER

TO JUSTIFY THEIR OVER EATING.

BUT RIGHT NOW, THE FIRST STEP
TO START TURNING THINGS AROUND

IS BY MAKING THE CHANGES
HE NEEDS WITH HIS LIFESTYLE,

TO GET HEALTHY BEFORE
HIS CONDITION DETERIORATES

ANY FURTHER AND HE GETS WORSE.

AND UNTIL HE DOES THAT,

ANYTHING WE DO WOULD ONLY MAKE
FOR A TEMPORARY CHANGE.

BECAUSE IF NOT,
HE'S GOING TO START

RUNNING OUT OF TIME VERY SOON.

SO HE NEEDS TO DO THIS NOW
BEFORE IT'S TOO LATE.

Tommy: I KNOW IT'S TIME FOR ME
TO FINALLY MAKE SOME BIG CHANGES

THAT I STICK TO,
TO GET MY LIFE RIGHT BEFORE

IT GETS TO A REALLY BAD
PLACE FOR ME.

SO I'M GOING TO TRY MY HARDEST
WITH THE DOCTOR'S DIET

AND EXERCISES BECAUSE I KNOW
WITHOUT THIS HELP,

I DON'T STAND MUCH OF A CHANCE.

THIS PAST MONTH I'VE BEEN
WORKING TO MAKE A LOT OF CHANGES

LIKE I NEED.

BUT, YOU KNOW, I WON'T LIE,

IT'S BEEN A LOT HARDER
THAN I WAS FIGURING.

SO I'VE BEEN MAKING
THE CHANGES AND STEPS

AND FOCUSING ON SOME THINGS
MORE THAN OTHERS.

I'D LIKE TO ORDER A PIZZA
FOR DELIVERY.

AND THE BIGGEST THING
I'M FOCUSING ON IS MY EXERCISES.

PART OF DR. NOW'S INSTRUCTIONS
SAYS THAT I NEED TO GET UP

AT LEAST TWICE A DAY
TO WALK AND BE ACTIVE.

I GOT MY STAMINA UP ENOUGH TO BE
ABLE TO GO OUTSIDE FOR A BIT.

THAT'S BEEN EXCITING TO ME.

SO THAT ALONE HAS MADE ME
FEEL LIKE I'VE COME A LONG WAY,

AND I THINK THAT'S
MY BIGGEST ACHIEVEMENT.

BUT MY DIET HAS BEEN
A LITTLE HARDER FOR ME

AND TAKEN A LOT OF DISCIPLINE.

SO THE DIET, THAT'S WHY
I'VE BEEN GOING AT IN STAGES,

BECAUSE IF I CAN JUST HAVE
SOMETHING THAT I CRAVE JUST

ONCE IN A DAY,
IT GIVES ME THE WILLPOWER

TO DISCIPLINE MYSELF
THE REST OF THE DAY.

HEY.
HOW YOU DOING, SIR?

HOW YOU DOING, SIR?HAVE YOUR DELIVERY.

THANK YOU, SIR.

KEEP IT.
THANK YOU, SIR.

THANK YOU, SIR.YOU HAVE A GOOD DAY.

YOU TOO.

BUT I'M GETTING THE SMALL SIZES
FOR EVERYTHING.

AND I FEEL LIKE THAT SACRIFICE
IS MAKING A HUGE CHANGE FOR ME,

EVEN THOUGH IT'S NOT EXACTLY
COMPLETELY DR. NOW'S DIET.

Amanda: WHAT THE HELL?

UNLESS I'M MISTAKEN,
THAT'S A PIZZA, RIGHT?

I...

IS THAT ON
DR. NOW'S DIET?

IS THAT ON
THE LIST OF

YOU AIN'T SUPPOSED
TO EAT?

YEAH.

THEN WHAT THE
YOU DOING WITH IT?

YOU DON'T NEED
THIS

THIS IS BULL

I UNDERSTAND WHY SHE'S UPSET
BECAUSE I KNEW

SHE WOULDN'T AGREE WITH IT.

THIS IS JUST A LOT HARDER
THAN I REALIZED IT WOULD BE,

BUT I KNOW MY LIFE
IS DEPENDING ON THIS

AND ON ME MAKING IT TO MY GOAL.

SO I WANT TO DO THIS FOR HER

BECAUSE IT'S JUST GOING TO BE
REALLY BAD IF I DON'T.

Tommy: ME AND AMANDA ARE BACK
IN HOUSTON FOR MY NEXT

DR. NOW APPOINTMENT,

AND I'M CURIOUS
TO FIND OUT WHAT I LOST.

I FEEL LIKE I'M DOING GOOD
BECAUSE I CAN WALK AROUND EASIER

AND I DON'T NEED
MY OXYGEN AS MUCH NOW.

TOMMY.

AND WHAT I NEED IS FOR
MY PROGRESS TO BE AT THE GOAL

DR. NOW GAVE ME,
TO SHOW HIM HOW SERIOUS I AM.

AT MY LAST WEIGH IN
TWO MONTHS AGO, I WAS AT 641.

AND DR. NOW GAVE ME THE GOAL
TO LOSE 80 POUNDS,

TO GET DOWN TO 561.

WHENEVER YOU'RE READY,
YOU CAN GO AHEAD

AND GO TO THE ROOM.

THAT'S NOT AS MUCH AS
I WAS HOPING FOR,

SO I'M A LITTLE DISAPPOINTED.

I JUST WISH I LOST MORE,

AND I THOUGHT WITH HOW HARD
I WAS WORKING, I WAS.

SO IT'S JUST DISCOURAGING.

I'M WORRIED ABOUT HOW
DR. NOW'S GOING TO REACT

SINCE I'M NOT AT MY GOAL.

-HELLO.
-HELLO, DR. NOW.

-HOW Y'ALL DOING?
-WE'RE DOING OKAY.

SO YOU'RE 613 POUNDS.

YES, SIR.

SO IN TWO MONTHS,
YOU LOST ONLY 28 POUNDS?

YES, SIR.
I'M A LITTLE SHY.

SO WHAT'S GOING ON THAT
YOU HAVEN'T BEEN ABLE

TO LOSE MORE?

HONESTLY, I'M NOT SURE.

AND WHAT DO YOU MEAN
YOU'RE NOT SURE?

THERE'S SOMEBODY ELSE
WHO'S EATING FOR YOU?

NO.THEN YOU HAVE NO IDEA.

NO, SIR,
THAT'S NOT WHAT I MEAN.

I'M...

I REALLY DON'T KNOW.
I'M...

YOU'RE STILL
OVER-EATING TOO MUCH.

YOU UNDERSTAND
THAT, RIGHT?

YES, SIR.

OKAY. SO WHAT WE CAN DO
TO GET YOU TO EAT BETTER

AND WAKE YOU UP
TO LOSE SOME WEIGHT?

I GUESS I'M GONNA TRY HARDER,
JUST STICK DOWN TO IT.

WHATEVER YOU'RE EATING
RIGHT NOW IS TOO MUCH.

SO THIS IS A PROBLEM
THAT BOTH OF YOU

HAVE TO FACE AND ADDRESS.

YOU REALIZE YOU'RE BOTH
OVER-EATING MORE THAN 1,200,

AND YOU BOTH NEED
TO REDUCE THAT, OKAY?

BECAUSE, AMANDA, YOU DON'T
LOOK LIKE YOU LOST MUCH EITHER.

SO BOTH OF YOU NEED
TO DO THE DIET TOGETHER.

OH, THIS IS HIS PROGRAM.IT'S WHAT?

THIS IS HIS PROGRAM.

WELL, BUT YOU KNOW
IT'S GOING TO BE MUCH HARDER

FOR HIM UNLESS YOU MAKE
THE CHANGES, TOO.

AND MY BIG CONCERN IS
YOU'RE GOING TO SABOTAGE HIM

BECAUSE I GOT THE FEELING
THAT YOU ARE, TO SOME DEGREE,

ENABLING HIM.

ACTUALLY, NO, I'M THE ONE
KICKING HIM IN THE ASS.

YEAH, SHE'S...

WELL, IF HE --
I'M THE ONE

CRACKING THE WHIP
AND MAKING HIM DO --

I REFUSE TO DO
ANYTHING FOR HIM

THAT HE CAN DO
FOR HIMSELF.

I DON'T EVEN CARE IF IT
TAKES HIM TWICE AS LONG

AND IT KILLS HIM
AND PUTS HIM OUT OF BREATH.

I'M WANT HIM UP
AND DOING FOR HIMSELF.

OKAY.

THIS IS ALL ENABLER LOGIC
YOU'RE GIVING ME.

AND IF IT WERE TRUE,
YOU WOULD DO THE DIET WITH HIM.

SO YOU BOTH DO SEE HOW YOU USE
EACH OTHER TO OVEREAT.

THAT DOESN'T MEAN
YOU DON'T WANT HIM HEALTHY

OR TO LOSE WEIGHT.

THE PROBLEM IS WHEN IT COMES TO
WHAT YOU WANT TO OVEREAT,

YOU NEED YOUR DYNAMIC
TO JUSTIFY THAT.

SO YOU ENABLE HIM,
AND YOU DON'T SEE THAT.

AND THAT'S PART OF THE PROBLEM
WE HAVE IN THIS SITUATION.

SO HIS ENABLER HAS
TO MAKE CHANGES, TOO,

IF YOU WANT HIM
TO HAVE A CHANCE TO DO THIS.

AND YOU CAN'T EXPECT
TO BE UNHEALTHY

AND EXPECT ONE PERSON
TO BE HEALTHY.

IF HE IS TRYING TO EAT HEALTHY,
HOW ABOUT YOU?

YOU EAT HEALTHY, TOO?

I TRY TO EAT
HEALTHY, YEAH.

I DON'T DO HIS -- I DON'T DO
HIGH PROTEIN, LOW CARB.

I'M ON
A DIFFERENT DIET.

WELL, DO YOU WANT
TO LOSE WEIGHT?

DON'T YOU THINK
YOU'RE OVERWEIGHT?

OH, YEAH.

I MEAN, AND I'M JUST
DOING IT DIFFERENTLY,

BUT I'M TRYING.

IT DOESN'T MATTER
HOW DIFFERENT DO YOU DO IT.

IF YOU'RE STILL EATING TOO MUCH,
IT'S NOT GOING TO WORK.

SO WHATEVER YOU'RE EATING,
IF YOU NOT LOSING WEIGHT,

THEN CUT BACK.

SO THERE'S NO MAGIC
ABOUT THAT.

BUT IF YOU WANT TOMMY TO HAVE
A BETTER CHANCE TO DO THIS,

YOU NEED TO MAKE
YOUR CHANGES NOW,

BECAUSE HE DOESN'T HAVE
A LOT OF TIME WITH THE STATE

HE IS IN BECAUSE HIS
CONDITION IS VERY POOR,

AND IF HE CONTINUES
TO GAIN WEIGHT

OR GET ANYMORE
WEIGHT ON HIM,

HIS BREATHING IS GOING
TO GET SO BAD

THAT HIS HEALTH WILL START
TO RAPIDLY DECLINE

UNTIL IT'S TOO LATE
FOR HIM.

SO THIS IS A MATTER
OF LIFE AND DEATH

FOR HIM TO MAKE THE CHANGES
ON HIS EATING HABITS.

DO YOU UNDERSTAND THAT
IT'S IMPORTANT TO LOSE WEIGHT?

YEAH.

SO YOU BOTH ARE IN
THE PROGRAM AND NEED

TO MAKE THE CHANGES
BECAUSE EVERYBODY NEEDS

TO BE HEALTHY
IN THAT HOUSEHOLD.

OKAY?

SO THIS ISN'T LIKE,
"OH, I'M A DIFFERENT PROGRAM,

I'M GOING TO FOLLOW
A DIFFERENT DIET."

THAT'S NOT GOING TO WORK.

EVERYBODY HAS TO EAT HEALTHY
IN THE HOUSEHOLD

FOR EVERYBODY TO BE
ON THE SAME PAGE.

IF SOMETHING IS GOOD
FOR ANYBODY,

IT'S GOING TO BE GOOD
FOR EVERYBODY.

OKAY?
YOU GOT THAT?

YES, SIR.
YEAH.

OKAY, SO YOU BOTH REDUCE
HOW MUCH YOU'RE EATING.

BUT, TOMMY, THIS IS ULTIMATELY
YOUR RESPONSIBILITY,

AND YOU'RE GOING TO HAVE
TO BE TRYING MUCH HARDER, OKAY?

OKAY.
OKAY.

HOW MUCH ACTIVITY
ARE YOU DOING?

HOW MUCH YOU CAN WALK?

I DON'T REALLY HAVE --
I WALK A PRETTY GOOD BIT.

OKAY, SO HOW MUCH
WALKING DO YOU DO EVERY DAY?

I REALLY COULDN'T GIVE YOU,
LIKE, AN AMOUNT,

BUT I DO A GOOD BIT
OF WALKING.

YOU DON'T DO AS MUCH WALKING
AS YOU THINK YOU DO.

OKAY, MAYBE I DON'T.

SO WHAT DO YOU DO
ALL DAY?

I MAKE HIM GET UP
AND WASH THE DISHES,

AND I MAKE HIM
DO HIS OWN COOKING

AND HIS OWN PREPARING OF
HIS OWN MEALS AND EVERYTHING.

AND HE DOES GO
OUTSIDE THE APARTMENT

AND WALKS BACK AND FORTH
IN FRONT OF THE APARTMENT,

AND HE'S INCREASED
TO THAT GRADUALLY.

HE'S BEEN GRADUALLY
INCREASING THAT.

SO IS HE STILL HAVING
ANY PROBLEM

WITH THE BREATHING
OR ANY ISSUE WITH THAT?

NO, I DON'T REALLY HAVE
A PROBLEM WITH THE BREATHING.

SWELLING IN YOUR FEET?

WELL, BEING THAT TRIP,
MY SWELLING PROBABLY

A LITTLE BIT HIGHER
BECAUSE OF THE SITTING

UPRIGHT IN THE VEHICLE.

LET'S SEE HOW THE INFECTION
ON YOUR STOMACH.

WELL, THAT'S PRETTY GOOD.

I MEAN, THAT'S
PRETTY BAD STILL.

SO WE NEED TO GET YOU
SOME CREAM AND POWDER AGAIN

AND SEE WHAT WE CAN DO
WITH THAT.

I'VE BEEN USING NYSTATIN,
THAT'S IT.

OKAY. SO WE'LL GET YOU
SOME MEDICINE.

YOU KNOW, YOUR INFECTION
ISN'T GOING TO GET BETTER

UNLESS YOU DO BETTER
WITH YOUR DIET,

AND THAT IS GONNA BE
A VERY IMPORTANT FACTOR FOR YOU.

YOU UNDERSTAND
THAT, RIGHT?

OKAY. SO, ALRIGHT.
ANY QUESTIONS?

I GUESS I HAVE EVERYTHING
I NEED NOW.

OKAY. SO THE GOAL I'M GIVING YOU
IS THE SAME AS THE LAST TIME.

LOSE 80 POUNDS
IN THE NEXT FEW MONTHS

IF YOU WANT TO SHOW ME
YOU'RE SERIOUS

AND READY TO MOVE AHEAD
WITH THE NEXT STEP.

YOU THINK
YOU CAN DO THAT?

YEAH,
I'LL DO WHATEVER.

HE'S GOT
THE DISCIPLINE.

HE'S GOT THE DISCIPLINE,
SO IT'S THERE.

OKAY. WELL, PUT ACTION
TO WHAT YOU'RE SAYING

AND SHOW ME
ON THE SCALE NEXT TIME.

YOU GOT IT?
ALRIGHT.

IF YOU NEED ANYTHING,
GIVE ME A CALL.

YES, SIR.SEE YOU ALL LATER.

THANK YOU.

IT'S UNFORTUNATE THAT TOMMY
DIDN'T MAKE

MUCH PROGRESS
OVER THE LAST FEW MONTHS,

AND IT SEEMED THAT
THE UNHEALTHY DYNAMIC

HE AND AMANDA HAVE
IS A BIG FACTOR IN THAT

BECAUSE THEY ARE BOTH
STILL NOT FACING THE REALITY

OF HOW THEY'RE USING EACH OTHER
TO JUSTIFY THEIR OVEREATING.

SO WE STILL HAVE A LOT OF ISSUES
TO ADDRESS TO GET TOMMY

TO WHERE HE ULTIMATELY NEEDS.

BUT THE FIRST STEP
TOWARD DOING THAT

IS STILL THE SAME AS BEFORE.

TOMMY HAS TO START TAKING
RESPONSIBILITY FOR HIMSELF

AND HIS CHOICES BEFORE ANYTHING
WE DO WILL HAVE LASTING EFFECTS.

BECAUSE IF HE'S NOT WILLING
TO WORK TO DO THIS,

THEN HE WILL FAIL IN THE END.

Tommy:
I KNOW I NEED TO DO BETTER.

AND I'M GOING TO GO WORK HARDER

BECAUSE THIS IS ALL MY FAULT,
YOU KNOW?

I'M THE ONE THAT GETS US
OFF TRACK WITH MY CHOICES.

SO I KNOW
IT'S MY RESPONSIBILITY

TO MAKE CHANGES
LIKE DR. NOW SAYS.

SO WHEN I GET BACK HOME,

I'M GOING TO TRY
A LOT HARDER TO DO BETTER

AND MAKE SURE I DON'T LET
AMANDA AND EVERYONE DOWN.

SINCE MY LAST APPOINTMENT
WITH DR. NOW,

I'VE NOT ONLY BEEN
PUSHING MYSELF TO DO BETTER,

BUT AMANDA'S
BEEN PUSHING ME TOO.

SHE STOPPED MAKING
ANY OF MY MEALS

AND EVEN THOUGH IT'S HARD,
I'M OKAY WITH IT.

AND I KNOW IT'S WHAT I NEED
TO DO RIGHT NOW

TO BE RESPONSIBLE FOR MYSELF.

IT'S BEEN AN ADJUSTMENT FOR ME,
AND SOMETIMES IT'S FRUSTRATING,

BUT MY BIG FOCUS HAS BEEN
ON THE PORTION SIZES

AND EATING LESS SINCE DR. NOW
SAID THAT'S WHAT I HAD TO DO.

SO ME AND AMANDA HAVE BOTH CUT
BACK ON HOW MUCH WE EAT A LOT.

BUT WE'RE BOTH COMMITTED
TO DOING THIS NO MATTER WHAT.

NO SLIP-UPS OR PIZZA
OR EVEN A BITE OF SOMETHING

I'M NOT SUPPOSED TO HAVE
LIKE ICE CREAM.

THIS MY SOUP?

YEAH, SOUP
AND YOUR PASTA.

AND IT'S NOT EASY,

BUT I'M DOING A WHOLE LOT
TO TRY AND DO BETTER THIS TIME,

AND I'M HOPING IT'S ALL ENOUGH
TO GET ME TO THE GOAL

DR. NOW GAVE ME
BECAUSE IF I FAIL,

THEN THAT'S IT.

THIS IS MY ABSOLUTE LAST HOPE.

Tommy: ME AND AMANDA ARE
ALMOST BACK TO DR. NOW'S AGAIN

FOR ANOTHER APPOINTMENT
WITH HIM.

AND I'M A BIT UNSETTLED
AND NERVOUS RIGHT NOW

BECAUSE IT'S BEEN HARD
FOR ME TO GET UP

AND GET AROUND THE PAST
TWO OR THREE WEEKS.

AND IT'S MADE ME WORRY A LITTLE

BECAUSE IF THAT'S
GETTING HARDER,

MAYBE I'M NOT MAKING AS MUCH
PROGRESS AS I'M THINKING.

I JUST NEED TO BE
AT MY GOAL TODAY

AND FOR EVERYTHING
I'VE DONE TO BE ENOUGH.

I DON'T WANT TO LET AMANDA
AND DR. NOW DOWN

AND MESS UP MY CHANCE
FOR THIS HELP.

TOMMY?

AT MY LAST APPOINTMENT,
I WAS 613.

I NEEDED TO LOSE 80 POUNDS.

SO BEING AT 533
IS MY GOAL FOR TODAY.

I FEEL REALLY HAPPY WITH THAT
BECAUSE THAT'S CLOSE TO MY GOAL.

SO SEEING THAT WEIGHT COME UP
WAS A BIG RELIEF.

SO NOW I'M JUST HOPING
IT'S ENOUGH FOR DR. NOW.

HI, TOMMY.
HEY, DOC.

HOW YOU ALL DOING?

WE'RE DOING ALRIGHT.
HOW ABOUT YOURSELF?

GOOD.

ALRIGHT.
SO YOU'RE DOWN TO 543?

YES, SIR.

SO A 70-POUND WEIGHT LOSS
THIS TIME?

YES.

OKAY. WELL, I'M HAPPY TO SEE
A MOVE IN THE RIGHT DIRECTION.

THANK YOU, SIR.

HOW'S YOUR ACTIVITY?

IT'S BETTER.
IT'S A LOT BETTER.

SHE'S SHAKING HER HEAD,
AND THAT MEANS NO.

LET'S ASK YOU.
YOU TELL ME THE TRUTH.

HIS DIET STUFF HE'S BEEN
DOING FAIRLY WELL.

BUT HIS ACTIVITY LEVEL'S
BEEN REALLY LOW.

SO HE'S LACKING WITH
HIS ACTIVITY AND NOT GETTING UP.

HE'S TRYING TO.

I MEAN, I GET HIM UP,
HE DOES HOUSEWORK,

AND HE COOKS FOR HIMSELF,
HIS OWN MEALS AND EVERYTHING,

AND HE HELPS AROUND
THE HOUSE AND STUFF,

BUT HE'S NOT PUSHING AS HARD
FOR 30 MINUTES

OF PHYSICAL EXERCISE
LIKE HE WAS BEFORE.

OKAY. SO IT LOOKS LIKE WE'RE
MAKING SOME PROGRESS WITH AMANDA

NOT BEING YOUR ENABLER ANYMORE.YEAH.

AND SHE'S NOT HAPPY
WITH YOUR LEVEL OF ACTIVITY?

NO, SHE'S NOT.

SO YOU NEED TO
WORK ON THAT.

YOU'RE TIRED
OR NO MOTIVATION OR WHAT?

NO, IT'S NOT REALLY TIRED,
IT'S JUST IN PAIN.

PAIN?
YES.

WHERE'S YOUR PAIN?

MY KNEES, MY HIPS,
AND MY BACK.

THOSE ARE JUST THE AREA
THAT I KEEP TELLING YOU

THAT YOU HAVE TOO
MUCH WEIGHT ON YOUR BODY.

YEAH.

BUT YOU HAVE LOST ENOUGH WEIGHT
AND SHOWN ME

THAT YOU'RE STICKING
WITH YOUR DIET,

SO WE'RE GOING TO AHEAD
AND APPROVE YOU

FOR WEIGHT-LOSS SURGERY.

REALLY?
YES.

ALRIGHT, COOL.

THAT'S GOOD NEWS.

OKAY.

WE'LL GO AHEAD AND SET YOU UP
FOR WEIGHT-LOSS SURGERY

PENDING IF ALL YOUR TESTS
LOOK LIKE

YOU'RE GOING TO BE FIT
TO HAVE SURGERY.

IF ALL YOUR TESTS ARE GOOD
AND YOU STAY ON TRACK

AND CONTINUE LOSING WEIGHT,

WE'LL MOVE AHEAD,
OKAY?

YES, SIR.

ALRIGHT.

SO I'LL SCHEDULE YOUR SURGERY
FOR ONE MONTH FROM NOW.

AND AS LONG AS YOU DO THAT
AND THERE ARE NO ISSUES,

WE'LL MOVE AHEAD.
THAT SOUND GOOD TO YOU?

YES, SIR.

OKAY. SO, YOU THINK
YOU'RE READY FOR IT?

YES,
I'LL BE READY FOR IT.

ALRIGHT, GREAT.

SO STAY ON TRACK
AND WE WILL MOVE AHEAD

SOON WITH THAT,
ALRIGHT?

THANK YOU, SIR.

THAT'LL GIVE YOU SOME MOTIVATION
TO GET A LITTLE MORE ACTIVE.

SHE'S NOT
GOING EASY ON YOU.

NO, SIR.

WELL, GOOD. I'M GLAD TO SEE
THE POSITIVE CHANGES

IN BOTH OF YOU.

JUST KEEP IT UP,

AND IF EITHER OF YOU NEED
ANYTHING, GIVE ME A CALL.

THANK YOU, SIR.

I'M VERY HAPPY TO SEE
SOME POSITIVE CHANGES

WITH BOTH TOMMY
AND AMANDA.

EVEN THOUGH TOMMY'S WEIGHT LOSS
COULD'VE BEEN A LITTLE BETTER,

IT'S ENOUGH TO SHOW ME
HE'S WORKING HARDER

AND APPLYING HIMSELF
LIKE HE NEEDS TO DO THIS,

AND I'M GLAD TO SEE AMANDA
IS TRYING TO WORK ON THINGS TOO

TO START IMPROVING
THEIR DYNAMIC

TO GET TO
A HEALTHIER PLACE TOGETHER.

SO EVEN THOUGH WE STILL HAVE
A LOT TO WORK ON

AND A LONG WAY TO GO
BEFORE WE GET TOMMY

TO THE PLACE HE NEEDS,

THIS ALL IS A MOVE
IN THE RIGHT DIRECTION

THAT I'M ENCOURAGED BY.

AND AS LONG AS HE STAYS
ON TRACK THIS NEXT MONTH

AND HIS TESTS LOOK GOOD,
HE WILL BE READY TO MOVE AHEAD

WITH WEIGHT-LOSS SURGERY
HERE SOON.

Tommy: PART OF ME CAN'T BELIEVE
I GOT APPROVED,

BUT I FEEL REALLY HAPPY
THAT I ACHIEVED THIS HUGE GOAL

FOR MYSELF AND FOR AMANDA.

IT FILLS ME WITH A LOT OF PRIDE

TO HAVE EARNED
MY WEIGHT-LOSS SURGERY.

SO I'M VERY EXCITED, BUT I KNOW
I HAVE TO STAY ON TRACK,

AND I'M GOING TO KEEP WORKING
TO MAKE SURE I CAN DO THAT.

I'M HERE AT THE HOSPITAL
FOR MY WEIGHT-LOSS SURGERY.

DR. NOW SAYS I'M MOVING AHEAD
AND GETTING IT,

SO I'M REALLY HAPPY ABOUT THAT.

TO HAVE AMANDA AND MY MOM
HERE WITH ME TO SUPPORT ME

AND BE HERE FOR ME,
IT MAKES ME HAPPY.

BUT THERE'S A PART OF ME
THAT'S REALLY NERVOUS

BECAUSE I'VE NEVER REALLY
HAD SURGERY LIKE THIS

AND THEY TOLD ME MY SIZE
MAKES IT A HIGH-RISK THING

SINCE MY BODY IS SO STRAINED
FROM ALL THE WEIGHT ON ME.

NO. YOU TRY TO BACK OUT,
AND I'LL HAVE TO TIE YOU DOWN.

I'M NOT GOING TO
LET YOU BACK OUT.

NOT TOO SKINNY, THOUGH.

GIVE US A KISS.
YEAH.

WE'LL SEE YOU WHEN
YOU COME OUT, BABY.

YEAH, I'LL SEE YOU
IN A COUPLE HOURS.

IT'S HARD NOT TO HAVE THE FEARS
IN THE BACK OF YOUR MIND

ABOUT WHAT COULD HAPPEN,
BUT AMANDA IS MY WHOLE LIFE,

AND I'M DOING THIS SO I CAN BE
THE PERSON I WANT FOR HER

AND SO WE COULD SPEND
THE REST OF OUR LIVES TOGETHER.

SO IF I DON'T DO THIS,
I LOSE THE CHANCE FOR THAT,

AND THAT'S MORE
TERRIFYING TO ME,

SO I KNOW I'M READY TO DO THIS

SO I CAN KEEP MOVING CLOSER
TO HAVING THE LIFE

I DESPERATELY WANT.

Dr. Nowzaradan: TODAY WE'RE
ATTEMPTING TO PERFORM

A BARIATRIC SLEEVE ON TOMMY.

HE'S DOWN TO 522,

SO HE'S CONTINUED
TO MAKE PROGRESS

WITH A 21-POUND WEIGHT LOSS
THIS PAST MONTH.

SO HE'S SHOWING ME ENOUGH

TO SEE HE'S STILL WORKING
TO DO WHAT HE NEEDS,

BUT HE'S CLEARLY
LOSING MOMENTUM.

ALRIGHT, ROOM LIGHT OFF.

SO THIS SURGERY SHOULD BE
A BIG HELP FOR HIM

BECAUSE WHAT THIS
OPERATION DOES IS

IT REMOVES
80% TO 90% OF THE STOMACH,

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

THIS LIMITS THE AMOUNT OF FOOD

THAT THE PATIENT CAN EAT
AT ONE TIME

AND ALSO CHANGES
THE PATIENT'S METABOLISM

SO THEY FEEL LESS HUNGRY.

SO THIS OPERATION WILL GIVE THEM

AN OPPORTUNITY
TO LOSE EVEN MORE WEIGHT

AND BE AN IMPORTANT TOOL
TO HELP TOMMY TO STAY ON TRACK

AND GET TO WHERE HE NEEDS
FOR THE LONG TERM.

BUT TOMMY IS STILL
OVER 500 POUNDS,

AND DOING ANY SURGERY ON ANYONE
HIS SIZE IS EXTREMELY HAZARDOUS

BECAUSE OF THE STRAIN
ALL THEIR WEIGHT

IS ALREADY
PUTTING ON THEIR BODY.

SO ANY NUMBER OF SMALL ISSUES

CAN LEAD TO COMPLICATIONS
DURING THE OPERATION.

AND IF THAT HAPPENS AND HIS BODY
STARTS TO STRUGGLE,

WE MAY HAVE TO
END THE OPERATION EARLY

TO PREVENT
A LIFE-THREATENING SITUATION.

BUT HOPEFULLY
THAT WON'T BE THE CASE

AND WE'LL BE ABLE TO COMPLETE
HIS OPERATION WITHOUT ISSUE.

Amanda: I HAVE BEEN VERY,
VERY ANXIOUS TODAY JUST WORRYING

BECAUSE OF HOW DANGEROUS
THAT THIS SURGERY CAN BE,

AND IT WOULD BE
PRETTY DEVASTATING

IF SOMETHING WERE TO HAPPEN.

BUT I THINK THAT
WITHOUT THE SURGERY,

TOMMY IS PROBABLY LIVING
IN THE LAST DECADE OF HIS LIFE.

SO THE RISK OF THE SURGERY
FAR OUTWEIGHS

THE POSSIBILITY OF HIM
HAVING ANOTHER 40 YEARS.

AND I'M JUST HOPING EVERYTHING
IS GOING RIGHT.

Dr. Nowzaradan: ALRIGHT.

ALRIGHT. ROOM LIGHT ON.

ALRIGHT, ALL FINISHED.

ALRIGHT. TOMMY'S SURGERY
WENT VERY WELL.

WE WERE ABLE TO DO
A SLEEVE GASTRECTOMY ON HIM,

AND HE HAD NO ISSUES WITH
ANESTHESIA AND NO COMPLICATIONS.

WE TOOK ABOUT 80%
OF HIS STOMACH,

SO HE SHOULD BE ABLE
TO EAT A SMALL AMOUNT

AND LOSE WEIGHT MUCH EASIER.

ALRIGHT. THAT'S TOMMY'S
STOMACH WE TOOK OUT.

VERY LONG STOMACH,

BUT THAT CAN DISTEND LATER ON
AND GET MUCH BIGGER.

SO WE GET HIM TO RECOVERY,

AND HE WILL BE ABLE TO GO HOME
IN A COUPLE DAYS.

HE'LL BE ON LIQUID DIET
FOR A MONTH,

AND FOR THE FIRST MONTH
AFTER SURGERY

TOMMY SHOULD BE ABLE
TO LOSE ANOTHER 40 POUNDS.

BUT AFTER HE GOES BACK
ON SOLID FOODS,

HIS WEIGHT LOSS SHOULD MAINTAIN
AT LEAST 20 POUNDS A MONTH

UNTIL HE GETS CLOSE
TO HIS TARGET WEIGHT.

BUT THIS SURGERY
ISN'T A MAGIC FIX.

AND IF TOMMY HAS AN EMOTION
OR PATHOLOGICAL ISSUES

THAT DRIVE HIM TO EAT,

HE'S NOT GOING TO HAVE
THE FOOD COMFORT,

AND THAT MAY BE AN ISSUE

THAT CAUSES EMOTIONAL ISSUES
TO COME TO THE SURFACE.

WE'RE GOING TO GET HIM
TO SEE A THERAPIST

TO DEAL WITH THOSE ISSUES.

BUT IF THAT'S THE CASE,
THEN IT WILL STILL BE POSSIBLE

FOR HIM TO EAT A LITTLE BIT
ALL DAY LONG

TO TRY AND GET
THAT FOOD COMFORT AGAIN.

AND IF HE PUSHES HIMSELF
TO OVEREAT,

IT CAN START TO STRETCH
HIS STOMACH BACK OUT

AND UNDO IT ALL,
SO WE'RE GOING TO GET HIM

TO SEE THERAPIST TO DEAL
WITH THOSE ISSUES.

SO TOMMY STILL HAS A LOT OF WORK
TO DO TO GET HIS GOAL WEIGHT,

WHICH IS UNDER 200 POUNDS.

BUT AS LONG
AS HE KEEPS PUSHING HIMSELF

TO MAKE THE RIGHT CHOICES,

WE WILL BE ABLE TO WORK WITH HIM
TO GET HIM WHERE HE NEEDS.

Tommy: IT'S BEEN A MONTH
SINCE MY WEIGHT-LOSS SURGERY,

AND DR. NOW SAID I'M DOING GOOD.

I WAS ON A LIQUID DIET
UP UNTIL THIS WEEK

AND NOT BEING ABLE
TO EAT SOLID FOOD

OR ANYTHING REAL WAS HARD,

SO I'M GLAD
I'M ABLE TO DO THAT AGAIN.

BUT THE SURGERY
AND BEING ON THE LIQUID DIET

HELPED ME GET DOWN
TO THE 400s NOW.

AND WITH HOW MUCH I'VE LOST NOW,
I'M ABLE TO HAVE MORE ACTIVITY

WITHOUT GETTING OUT OF BREATH
AND TIRED SO QUICK.

SO I'M TRYING TO HELP AMANDA OUT

BY DOING THINGS
AROUND THE HOUSE MORE.

AND IT MAKES ME HAPPY
BECAUSE DOING THIS

AND BECOMING MORE INDEPENDENT
HAS BEEN SOMETHING

I WANTED TO START SUPPORTING
AMANDA HOW SHE SUPPORTS ME.

EVEN IF IT'S JUST SMALL STEPS
LIKE THIS, IT'S SOMETHING.

AND WHILE SHE'S OUT
THE PAST COUPLE OF WEEKS,

I'VE BEEN TRYING TO DO A LITTLE
CLEANING TO SURPRISE HER

WHEN SHE GETS HOME.

IT'S NOT MUCH, BUT I'M TRYING
TO DO AS MUCH AS I CAN.

AND AS SOON AS
I CAN RUN ERRANDS,

I WANT TO DO THAT TOO.

THE BIG STEP TO THAT
WILL BE GETTING TO

WHERE I CAN DRIVE MYSELF
IN THE CAR AGAIN,

AND I'M HOPING TO BE ABLE
TO GET MY LICENSE AGAIN.

I JUST GOT TOO BIG LIKE SIX
OR SEVEN YEARS AGO,

BUT A FEW WEEKS AGO,

I DECIDED TO TRY TO SEE
IF I CAN FIT AGAIN.

I WAS STILL TOO BIG,
BUT I WAS CLOSE

AND SINCE THEN,
I'VE BEEN TRYING TO DO IT

EVERY THREE OR FOUR DAYS.

AND THE LAST TIME I TRIED
WAS LIKE FOUR DAYS AGO,

SO I'M HOPING I CAN FIT NOW.

I'M NOT SURE
I'M GOING TO MAKE IT,

BUT I'M REALLY CLOSE.

FOR A MOMENT I DIDN'T THINK
I'D BE ABLE TO FIT,

BUT I DID IT.

AND THIS IS THE FIRST TIME
I'VE BEEN ABLE TO DO THIS

IN LIKE SEVEN YEARS,
SO THIS IS BIG FOR ME.

I'M REALLY EXCITED

AND I CAN'T WAIT
TO TELL AMANDA ABOUT IT

BECAUSE ONCE I CAN DRIVE AGAIN
AND GET MY LICENSE,

IT OPENS UP SO MUCH FOR ME TO BE
ABLE TO GO OUT AND DO THINGS.

EVENTUALLY I WANT TO WORK
AND GET A CAREER

SO I CAN PROVIDE FOR US

AND MAYBE HAVE A FAMILY ONE DAY
WITH AMANDA.

I KNOW I STILL HAVE
A LONG WAY TO GO,

BUT I FEEL REALLY GOOD
I MADE IT TO THIS POINT,

AND I CAN'T WAIT TO START TO DO
EVEN MORE AS I GET FURTHER

AND HAVE EVEN MORE PROGRESS.

I'M ALMOST BACK TO DR. NOW'S
FOR ANOTHER FOLLOW-UP.

THIS PAST MONTH AFTER SURGERY
HAS BEEN A LITTLE HARDER.

THAT FIRST MONTH,
MY BIG STRUGGLE

WAS TO JUST DO LIQUIDS
FOR SO LONG.

BUT THEN AFTER I COULD START
EATING REGULAR FOOD,

I STARTED TO HAVE CRAVINGS
FOR THINGS

THAT GOT BAD AT TIMES.

AND THAT'S BEEN MY STRUGGLE

BECAUSE I'VE BEEN
REALLY HUNGRY AT TIMES

EVEN THOUGHT I CAN'T EAT A LOT
AND DON'T WANT A LOT OF FOOD.

AND I'M SCARED
IF I GET OFF TRACK,

IT'S GOING TO START TO MESS
WITH MY PROGRESS.

SO I JUST WANT TO GET THE BEST
WEIGH-IN POSSIBLE RIGHT NOW.

TOMMY?

AT MY LAST APPOINTMENT,
I DID WELL

AND I WAS AT 484,
AND DR. NOW SAID

I SHOULD BE LOSING AT LEAST
20 POUNDS A MONTH RIGHT NOW.

SO IF I'M ON TRACK,
I'LL BE DOWN AT LEAST TO 464.

SO I'M HOPING
I AT LEAST DID THAT.

THAT'S NOT AS MUCH
AS IT'S SUPPOSED TO BE.

AND THAT'S WHAT
I WAS WORRIED ABOUT.

I DIDN'T STOP TRYING,
IT JUST GOT A LOT HARDER

THAN I WAS EXPECTING.

BUT HOPEFULLY DR. NOW CAN GIVE
ME SOME GUIDANCE ON WHAT TO DO.

HELLO.
HEY, DOCTOR.

HOW ARE YOU ALL DOING?

I'M DOING ALRIGHT.
HOW ARE YOU?

GOOD.

SO YOU ONLY LOST
EIGHT POUNDS THIS MONTH,

SO YOU'RE NOT LOSING
AS MUCH WEIGHT AS YOU SHOULD.

SO WHAT'S GOING ON?

YEAH, I'M REALLY DISAPPOINTED
ABOUT THAT.

I'M NOT SURE
WHAT'S GOING ON.

IT'S JUST BEEN MORE
OF A STRUGGLE FOR ME RECENTLY.

ARE YOU EATING
MORE FREQUENTLY?

YEAH, I'VE KIND OF
BEEN GRAZING A LOT,

THAT YOU WARNED ME
ABOUT AT THE HOSPITAL.

I'M JUST HAVING
THE CRAVINGS AGAIN.

I'M TRYING TO IGNORE THEM, BUT
I GUESS IT'S JUST NOT ENOUGH.

I DON'T KNOW.

WELL, IT'S A BIG CONCERN
WHEN A PATIENT'S WEIGHT LOSS

GOES DOWN LIKE THIS
SO SOON AFTER SURGERY.

AND WHAT THAT INDICATES IS

THAT THERE IS A SIGNIFICANT
EMOTIONAL COMPONENT

BEHIND YOUR
PATHOLOGICAL EATING.

AND BEFORE SURGERY,
YOU HAD FOOD COMFORT.

IF ANYTHING GOES WRONG,
YOU GO TO FOOD, YOU FEEL BETTER.

BUT AFTER SURGERY, YOU'RE NOT
GOING TO HAVE FOOD COMFORT.

AND THOSE EMOTIONAL ISSUES

THAT DRIVE YOU
TO GET FOOD COMFORT

MAY DRIVE YOU TO EAT MORE
AND MORE,

AND THAT'S GOING TO BE AN ISSUE
THAT WE NEED TO WORK ON IT.

AND TO DO THAT, WE NEED TO WORK
WITH PSYCHOTHERAPY

TO HELP YOU WITH THAT
RIGHT NOW.

SO I'M GONG TO SET YOU UP
TO SEE A THERAPIST

AND SEE IF
WE CAN WORK OUT THIS ISSUE

AND GET YOU TO GET BACK TO
START LOSING MORE WEIGHT. OKAY?

YES, SIR.

ALRIGHT.
SO HOW IS YOUR ACTIVITY?

IT'S A LOT BETTER NOW.IS IT?

YES, SIR.
I CAN DO A WHOLE LOT MORE,

AND I FEEL
PRETTY GOOD ABOUT THAT.

BUT I'M STILL WORKING ON
GETTING A LOT BETTER.

I'M BETTER, I'M JUST NOT AS GOOD
AS I COULD BE.

OKAY. SO WHAT ARE YOU
BEING ACTIVE DOING?

WELL, I CLEAN,
I COOK MEALS FOR US

AND CLEAN AROUND THE HOUSE,

AND I GO OUT
AND WALK A LITTLE BIT.

I'M HOPING TO START
DRIVING AGAIN SOON.

SO I FEEL REALLY
GOOD ABOUT THAT.

OKAY, THAT'S GREAT.

SO LET'S GET YOU
TO SEE A THERAPIST

AND HOPEFULLY GET YOU
TO YOUR IDEAL BODY WEIGHT.

YES, SIR.

YOU'VE STILL GOT
300 POUNDS TO LOSE.

SO STICK WITH THE HEALTHY EATING
HABIT AND SEE THE THERAPIST.

AND LET'S SEE HOW WE DO
IN A COUPLE MONTHS. OKAY?

DO YOU THINK
YOU CAN DO THAT?

I'M RELUCTANT TO GO
TO THE THERAPY.

BUT IF YOU THINK
IT WILL HELP, SIR, I'LL TRY IT.

WELL, I THINK ONCE YOU DO IT
A FEW TIMES

AND HAVE A FEW SESSIONS,
YOU'LL CHANGE YOUR MIND.

OKAY?
YES.

BUT TO START AND THE
FIRST TIME IS THE HARDEST.

BUT YOU NEED TO DO THIS

IF YOU WANT TO BE SUCCESSFUL
FOR THE LONG TERM.

ALRIGHT. SO I'M GOING
TO SEE YOU IN A COUPLE MONTHS.

AND IN A COUPLE MONTHS
YOU SHOULD BE ABLE

TO LOSE EASILY 40 TO 50 POUNDS
IF YOU STICK WITH THE THERAPY.

AND IF YOU NEED ANYTHING,
GIVE ME A CALL.

YES, SIR.

OTHERWISE, I'LL SEE YOU
IN TWO MONTHS, OKAY?

YES, SIR.
ALRIGHT.

NICE TO SEE YOU, TOMMY.THANK YOU.

NICE TO SEE YOU TOO.

THANK YOU, SIR.THANK YOU.

IT'S CONCERNING
THAT TOMMY'S WEIGHT LOSS

IS GOING LIKE THIS
SO SOON AFTER SURGERY.

BUT THAT LIKELY MEANS THAT HE
HAS SOME SEVERE EMOTIONAL ISSUES

HE NEEDS TO ADDRESS,
AND PSYCHOTHERAPY

IS GOING TO BE VERY IMPORTANT
TO HELP DO THAT.

HE HAS SOME HESITATION
ABOUT DOING THAT.

HE SEEMS TO HAVE SOME HESITATION
ABOUT STARTING THAT,

BUT IT'S GOING TO BE ESSENTIAL
FOR HIM TO DO THAT

AND DEAL WITH HIS CORE ISSUES

IF HE WANTS TO BE ABLE TO STAY
ON TRACK FOR THE LONG TERM.

BECAUSE IF HE DOESN'T, IT WILL
ONLY BE A MATTER OF TIME

BEFORE THE STRUGGLE
TO USE FOOD FOR COMFORT

WILL BE TOO MUCH FOR HIM
AND HE STARTS TO OVEREAT

AND SLOWLY START TO STRETCH
HIS STOMACH BACK OUT

UNTIL HE STARTS GAINING AGAIN.

SO THIS IS A VERY IMPORTANT STEP
FOR HIM RIGHT NOW

THAT HE NEEDS TO TAKE SERIOUSLY

IF HE DOESN'T WANT TO END UP
HEADING BACK

IN THE WRONG DIRECTION

AND END UP OVER 600 POUNDS
AGAIN, STRUGGLING TO LIVE

IF HE DOESN'T WANT TO START TO
GAIN AGAIN AND END UP LIKE THAT.

Tommy: I'M NERVOUS ABOUT DOING
SOMETHING LIKE THERAPY

BECAUSE I NEVER HAD
ANYTHING LIKE THAT.

BUT I'M AT LEAST GLAD
THAT DR. NOW

KNOWS THE REASON BEHIND
WHAT'S GOING ON WITH ME

AND WHY IT FEELS LIKE
SUCH A STRUGGLE RIGHT NOW.

IT'S JUST A SCARY REASON TO ME
BECAUSE I DON'T WANT TO HAVE

TO GO TALKING
ABOUT THINGS FROM MY PAST

AND WHAT HAPPENED TO ME BECAUSE
OF THE PAIN THEY GIVE ME.

BUT I KNOW
I DON'T WANT TO GO BACKWARDS.

SO I GUESS IT JUST FEELS LIKE
A ROCK AND A HARD PLACE

BECAUSE I'D JUST RATHER
NOT DO THIS.

AND THE ONLY REASON I'M WILLING
TO GO DO WHAT DR. NOW

IS SAYING ABOUT THERAPY
IS THAT IT'S A SCARIER THOUGHT

TO ME TO LOSE THIS CHANCE
BY MESSING UP MY PROGRESS.

I JUST KNOW THIS ISN'T
GOING TO BE EASY FOR ME.

Tommy:
I'M GOING TO THERAPY TODAY,

AND I'M REALLY NERVOUS ABOUT IT.

I'VE JUST NEVER REALLY DONE
ANYTHING LIKE THIS

WHERE I TALKED ABOUT THINGS,

SO I KNOW IT'S GOING
TO BE HARD FOR ME,

AND THAT'S MOSTLY
WHAT I'M SCARED ABOUT.

BUT AMANDA IS BEING
A BIG SUPPORT TO ME

AND ENCOURAGING ME

BY TELLING ME SHE'S PROUD OF ME
FOR DOING THIS.

BUT I STILL FEEL
REALLY QUEASY AND STUFF.

I WISH THERE WAS ANOTHER WAY
AROUND DOING THIS.

TOMMY?
Tommy: YES, MA'AM.

HI. I'M LOLA.HOW ARE YOU DOING?

IT'S A PLEASURE TO MEET YOU.NICE TO MEET YOU.

IF YOU'RE READY, YOU CAN JUST
COME ON BACK WITH ME.

BUT I KNOW
FROM WHAT DR. NOW SAYS,

THIS IS PART OF WHAT
I HAVE TO DO.

AND I'M JUST REALLY HOPING
IT GOES WELL.

OKAY.

SO LET'S START OFF
WITH YOU

TELLING ME A LITTLE BIT
ABOUT YOURSELF.

WHAT WOULD YOU SAY
ABOUT YOUR UPBRINGING?

PROBABLY ABOUT
AS NORMAL AS MOST.

WE MOVED AROUND
A GOOD BIT.

I SPENT THE MAJORITY
IN MISSISSIPPI

WITH MY MOTHER,
MY STEPFATHER.

SO, TOMMY, HAVE YOU EVER BEEN
VERBALLY ABUSED?

I GREW UP A BIG KID.
I'VE BEEN VERBALLY ABUSED A LOT.

OKAY. HAVE YOU EVER BEEN
PHYSICALLY ABUSED OR BEATEN?

OH, YES.

HAVE YOU EVER BEEN
SEXUALLY ABUSED OR MOLESTED?

IT'S BEEN A WHILE
BUT YES.

I WAS MOLESTED WHEN I WAS
YOUNGER, YES, BUT THAT'S THEN.

I'VE GOTTEN OVER THAT.

WHO ABUSED YOU?

IT WAS A FRIEND OF OURS
GROWING UP.

A FAMILY FRIEND WAS
YOUR PERPETRATOR?

FAMILY FRIEND.

AND HOW DID YOUR FAMILY
HANDLE IT WHEN YOU DISCLOSED?

I DIDN'T.YOU DIDN'T DISCLOSE THE ABUSE?

I KEPT IT WITH ME.

OKAY.

AT WHAT AGE
DID YOU FINALLY DISCLOSE?

I DIDN'T.

SO TO THIS DAY YOU HAVEN'T
DISCLOSED TO ANYONE.

NO.
AND I WON'T.

I DO NOT WANT MY MOM
TO KNOW FOR THE FACT IS

I DO NOT WANT HER
TO THINK IT'S HER FAULT.

MY MOM WORKED UP TO THREE JOBS
AT ONE POINT

JUST TO KEEP US IN FOOD
AND HOUSE OVER OUR HEADS.

SO IT SOUNDS LIKE
YOU'RE VERY APPRECIATIVE

OF THE THINGS THAT
YOUR MOM HAS BEEN THROUGH.

MY MOM IS AN ANGEL,
AND THAT'S THE REASON

I DON'T WANT HER HAVING TO FEEL
ANY GUILT TOWARDS THAT.

WELL, SURVIVORS
OF SEXUAL ASSAULT

DEAL WITH THINGS BY BURYING
THOSE FEELINGS REALLY DEEPLY,

AND THEY TEND
TO TAKE RESPONSIBILITY

FOR THE FEELINGS
OF OTHER PERSONS,

AND SO IT LEADS YOU TO COPE WITH
STRESS OR SADNESS IN OTHER WAYS.

FOR SOME PEOPLE THAT'S ALCOHOL,
OTHERS IT MAY BE DRUGS,

AND IN SOME INSTANCES,
IT'S FOOD.

AND ALL OF THOSE CAN BE
VERY DETRIMENTAL

TO A PERSON'S
OVERALL WELLBEING.

SO I WANT YOU TO THINK OF THIS
AS A BRAND-NEW OPPORTUNITY

TO HAVE A CONVERSATION
WITH YOUR MOM

BECAUSE THERE'S NO WAY
YOU CAN CARRY SUCH A SECRET

FOR SO MANY DECADES

AND NOT HAVE IT IMPACT THE WAY
YOU INTERACT WITH YOUR MOM.

I DON'T KNOW ABOUT THAT,
MISS LOLA.

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

I DON'T KNOW.

SO TELL ME A LITTLE BIT ABOUT
YOUR RELATIONSHIP

WITH YOUR FIANCéE.

IS SHE AWARE OF YOUR
SEXUAL ABUSE TRAUMA?

NO.

OKAY.

WELL,
I PERSONALLY ADVISE YOU

TO SHARE YOUR SEXUAL ASSAULT
TRAUMA WITH YOUR FIANCéE

BECAUSE IT'S IMPORTANT FOR YOU
GUYS IN A COMMITTED RELATIONSHIP

TO BE ABLE TO SCULPT
EMOTIONAL INTIMACY.

NOW,
WITH THAT BEING SAID,

JUST KNOW THAT IF YOU ARE READY
TO PROCESS THAT WITH AMANDA,

AND AT SOME POINT
WITH YOUR MOTHER,

I'M OBLIGED TO HELP
FACILITATE THAT.

AND IF THAT DAY NEVER COMES,
THAT'S OKAY.

IT'S RECOMMENDED,
BUT I CAN'T FORCE YOU TO

NOR WOULD I EVER TRY
AND MAKE YOU DO SOMETHING

BEFORE YOU'RE READY TO DO IT.
OKAY?

SO DO YOU HAVE
ANY QUESTIONS FOR ME?

NOT REALLY.
I JUST...

OKAY.

WELL, THANK YOU
FOR MEETING WITH ME, TOMMY.

THANK YOU, MISS LOLA.

I APPRECIATE IT.

OKAY.
SO WE ARE ALL DONE.

PLEASURE MEETING WITH YOU,

AND I LOOK FORWARD
TO HEARING FROM YOU, OKAY?

YES, MA'AM.

MY MIND IS RACING
AND I FEEL REALLY QUEASY AGAIN,

AND I JUST WANT TO GO BACK
TO THE HOTEL

AND LIE DOWN AND REST
BECAUSE I DON'T FEEL GOOD.

I, IN ALL HONESTY,
DON'T KNOW IF I CAN DO

WHAT LOLA WANTS ME TO CONSIDER.

BUT SHE AND DR. NOW

BOTH SAID I CAN GET WORSE
IN MY WEIGHT LOSS

IF I DON'T DEAL WITH

THE EMOTIONAL THINGS
BEHIND MY EATING.

AND SO I THINK THAT MEANS
I HAVE TO TO BE ON TRACK AGAIN.

SO I'M JUST REALLY TERRIFIED
RIGHT NOW

BECAUSE I DON'T WANT TO START
LOSING MY PROGRESS

FOR ANY REASON.

AND I'M NOT SURE
WHAT I'M GOING TO DO.

Tommy: SINCE SEEING A LOLA
A COUPLE WEEKS AGO,

I'VE BEEN STRUGGLING WITH
GETTING TO WHERE I FEEL LIKE

I CAN TALK TO MY MOM

ABOUT THE THINGS THAT HAPPENED
TO ME WHEN I WAS A KID.

MY BIGGEST FEAR IS THAT
I MAKE HER FEEL BAD

OR LIKE I'M BLAMING HER.

SO I JUST HAVEN'T BEEN ABLE
TO GET OKAY WITH THAT YET.

BUT LOLA ALSO TALKED TO ME
ABOUT TELLING AMANDA.

THE THING SHE TOLD ME WAS, LIKE,
KEEPING STUFF STOPS INTIMACY.

SO I THINK TELLING HER ABOUT IT
IS AN IMPORTANT STEP

BECAUSE I NEVER WANT THERE
TO BE ANYTHING BETWEEN US,

ESPECIALLY IF IT KEEPS US
FROM INTIMACY.

SO I TOLD HER I WANTED TO TALK
AND TELL HER SOMETHING IMPORTANT

WHEN SHE GETS HOME TODAY,

BUT I'M REALLY SCARED ABOUT IT,
AND MY BIG FEAR

IS THAT SHE'LL SEE ME DIFFERENT
OR TREAT ME DIFFERENT AFTER.

SO I'M JUST HOPING
I CAN GET THROUGH THIS

AND THAT IT HELPS ME INSTEAD
OF MAKING THINGS WORSE FOR ME.

Tommy: HEY, BABY.
HEY.

HOW DID EVERYTHING GO?

IT WENT.
IT WENT?

IT WENT.
IT'S OVER AND DONE WITH.

THAT'S GOOD.

AND I'M TIRED.
WHAT YOU BEEN UP TO?

I WANT TO TALK TO YOU
ABOUT SOMETHING.

OKAY.

I TOOK SOME ADVICE AND...

IS THIS MORE OF
MISS LOLA'S ADVICE?

YEAH.

AND WHAT WAS THAT?

SHE TOLD ME I NEEDED TO
SHARE SOME THINGS

AND GET THEM OUT
SO I CAN DEAL WITH THEM.

AND IT'S NOT EASY
FOR ME TO SAY.

IT'S HARD TO TALK
ABOUT IT SOMETIMES.

WHATEVER IT IS, I'M THE ONE
TO LOVE YOU AND SUPPORT YOU.

I SHOULD HAVE TOLD YOU
A LONG TIME AGO

BUT I JUST DIDN'T.

IT WAS JUST KIND OF HARD.

WHEN I WAS YOUNGER,
I WAS MOLESTED.

I'M SO SORRY
THAT HAPPENED TO YOU,

AND I'M SORRY YOU THOUGHT YOU
HAD TO KEEP THAT TO YOURSELF.

I GUESS
I WAS JUST EMBARRASSED

AND I WAS JUST TRYING
TO FIGURE OUT

HOW TO GET OVER IT MYSELF,
I GUESS.

I KEPT IT A SECRET FOR
20-SOMETHING YEARS, YOU KNOW.

THEN THERE'S NO REASON
FOR YOU TO KEEP IT ANY LONGER.

I WAS SCARED
TO TELL YOU.

I'M GLAD YOU TOLD ME.

I WISH YOU COULD HAVE
TOLD ME SOONER

BECAUSE MAYBE I COULD HAVE
SUPPORTED YOU IN A DIFFERENT WAY

OR ENCOURAGED YOU
IN A DIFFERENT WAY.

THERE'S A REASON
WHY THEY CALL

ALL OF THOSE TYPES
OF THINGS BAGGAGE.

IT'S BECAUSE WE CARRY THEM
AROUND WITH US ALL THE TIME.

AND THERE'S NO HARM
IN TALKING ABOUT THEM

SO THAT WE CAN
UNLOAD THEM

AND QUIT LETTING THEM
WEIGH US DOWN.

LOLA SAID IT'S GOOD
TO TELL SOMEONE.

I'M GLAD I DID TELL YOU.

I FEEL A LITTLE RELIEVED
JUST TO HAVE THAT BEHIND ME

AND I WAS ABLE TO LET IT OUT.

BUT IT WAS JUST HARD
TO MAKE THE WORDS TO SAY IT.

IT FEELS LIKE I HAVE ADRENALINE
JUST RACING ALL IN ME

RIGHT NOW FROM IT.

I DON'T REALLY KNOW
IF I FEEL LIKE IT HELPED ME

OR ANYTHING LIKE THAT
RIGHT NOW.

ALL I FEEL ARE
MY NERVES STILL.

BUT I AM RELIEVED
TO HAVE GOTTEN PAST THIS.

I'M GLAD FOR
HOW AMANDA REACTED,

AND HER ENCOURAGEMENT TO ME

MAKES ME WISH I DID TRY TELLING
HER SOONER LIKE SHE SAID.

I'M JUST STILL REALLY SCARED

AT THE THOUGHT
OF TELLING MY MOM, THOUGH.

THAT'S WHAT'S GOING TO BE
THE SCARIEST FOR ME.

SO I'M STILL NOT SURE
I CAN DO IT,

BUT I WANT TO KEEP TRYING
TO PUSH MYSELF

TO GET TO WHERE I CAN.

AND I HOPE BY DOING
WHAT I DID NOW,

IT STARTS TO HELP
WITH MY EMOTIONAL STUFF

SO I CAN START TO GET
ON TRACK MORE AGAIN

AND SO I CAN LOSE
MORE WEIGHT LIKE I SHOULD.

RIGHT NOW, I REALLY
DON'T KNOW HOW I FEEL.

BUT I GUESS ALL I CAN DO NOW
IS KEEP WORKING AT THINGS

AND THEN SEE WHERE MY WEIGHT IS
AT WHEN I GO BACK TO DR. NOW'S

AND FIND OUT HOW I'M DOING.

I'M BACK IN HOUSTON AT
DR. NOW'S WITH AMANDA

TO FIND OUT HOW I'M DOING.

I WENT TO MY THERAPY
APPOINTMENT AGAIN,

AND LOLA SAID SHE'S PROUD OF ME
FOR TALKING TO AMANDA

AND SHARING WHAT I DID WITH HER

BECAUSE SHE KNOWS
IT WASN'T EASY.

TOMMY?

I'M STILL WORKING ON
GETTING TO WHERE I FEEL

LIKE I'M READY TO TALK
TO MY MOM, BUT I'M NOT YET.

I'M JUST HOPING
THAT TAKING THE FIRST STEP

BY TALKING TO AMANDA
HELPED ME.

I'M NOT SURE
IF IT DID MUCH.

AFTER, I FELT BETTER
EMOTIONALLY SOME,

BUT I WAS STILL STRUGGLING
WITH CRAVINGS.

AND MY BIG FEAR RIGHT NOW

IS THAT NOTHING I'VE DONE
HAS CHANGED ANYTHING

AND THAT I COULD STILL BE
LOSING LESS OR ABOUT TO GAIN.

AND IF I AM, I DON'T KNOW
WHAT MORE I CAN DO

AND WHAT THAT'S GOING TO MEAN.

SO I'M JUST REALLY
SCARED RIGHT NOW.

Tommy: I'M BACK AT DR. NOW'S
TO FIND OUT HOW I'M DOING

AND IF I'M LOSING LIKE I NEED.

AND I'M NERVOUS TO FIND OUT.

LAST TIME, I WAS ONLY LOSING
EIGHT POUNDS A MONTH

AND WAS DOWN TO 476.

AND DR. NOW SAID
I SHOULD BE LOSING

AT LEAST
20 POUNDS A MONTH BY NOW.

SO THAT MEANS
IF I GOT BACK ON TRACK,

I'M AT LEAST DOWN TO 436.

BUT I'LL BE HAPPY IF I'M JUST
LOSING MORE THAN BEFORE.

WOW!

I KNOW I'M NOT AT MY GOAL,
BUT I'M JUST REALLY RELIEVED

I'M LOSING MORE INSTEAD OF
SLOWING DOWN EVEN WORSE.

I HAD A LOT OF FEAR ABOUT THAT,
SO I FEEL REALLY GOOD RIGHT NOW,

AND I'M JUST HOPING
DR. NOW SEES IT LIKE THAT TOO.

IT FEELS LIKE THIS SHOWS
I'M TRYING LIKE I NEED.

HELLO.
HEY, DOCTOR.

HOW ARE YOU ALL DOING?

WE'RE DOING OKAY.
HOW ARE YOU DOING?

GOOD.

ALRIGHT, TOMMY.
HOW ARE YOU GETTING ALONG?

I'M DOING PRETTY GOOD.

OKAY. AND, NOW, HOW IS THE
THERAPY WORKING FOR YOU?

DR. LOLA
IS DOING PRETTY GOOD.

SHE HAS HELPED ME A LOT
WITH MY ISSUES.

ALRIGHT.
WELL, YOU LOST 24 POUNDS

OVER THE LAST TWO MONTHS
INSTEAD OF 40.

BUT THE GOOD NEWS IS,
12 POUNDS A MONTH

IS BETTER
THAN EIGHT POUNDS A MONTH,

SO YOU ARE AT LEAST MOVING IN
THE RIGHT DIRECTION WITH THAT.

BUT THERE IS STILL ROOM
FOR IMPROVEMENT,

SO KEEP WORKING HARD,
CONTINUE WITH YOUR DIET,

AND KEEP GOING TO THERAPY AND
WORKING AT THE THINGS YOU NEED.

AND AS LONG AS YOU KEEP THINGS
MOVING IN THE RIGHT DIRECTION

WITH YOUR WEIGHT LOSS,
YOU WILL BE FINE.

OKAY?

YES, SIR.

IF YOU START LOSING 20 POUNDS
A MONTH

AND IN A FEW MONTHS
WE DO EXTRA SKIN REMOVAL,

THEN YOU'RE GOING TO
BE IN GOOD SHAPE.

YES, SIR.OKAY? SO KEEP WORKING HARD,

AND WE SEE HOW YOU ARE GETTING
ALONG IN TWO, THREE MONTHS.

OKAY? HOW IS THAT
COMING ALONG WITH YOU?

Amanda:
I'M NOT DOING AS GOOD AS HE IS.

I TOLD HIM HE'S GOING TO
HAVE TO START

PUSHING ME
A LITTLE HARDER.

JUST COPYCAT HIS DIET,
YOU'RE GOING TO BE FINE.

I'M WORKING ON IT.

ALRIGHT. TOMMY,
I'M PROUD OF YOUR PROGRESS.

YOU KEEP WORKING HARD,

BUT DON'T MISS
YOUR APPOINTMENT WITH THERAPY.

NO, I WON'T.OKAY. ALRIGHT.

I PROMISE YOU I'M GOING
TO KEEP HIM IN LINE.

I'VE ALREADY READ
THE ENTIRE BOOKLET

THAT YOU GAVE HIM
THREE TIMES.

OKAY.

I'VE HIGHLIGHTED,
NOTED.

ALRIGHT.

SO YOU'RE GOING TO KEEP
BEING HIS MORAL SUPPORT, HUH?

YES, SIR.

THAT'S GREAT.

IF YOU NEED ANYTHING,
GIVE ME A CALL.

TOMMY, I'M HAPPY WITH YOUR
PROGRESS, AND KEEP WORKING HARD,

AND I'LL SEE YOU
IN A COUPLE MONTHS.

THANK YOU, SIR.

ALRIGHT.
THANK YOU.

NICE TO SEE YOU.
SEE YOU ALL LATER.

I'M PROUD OF TOMMY
AND THE PROGRESS HE'S MAKING.

HE'S STILL BELOW WHAT HE SHOULD
BE LOSING EACH MONTH,

BUT I CAN SEE HE'S WORKING HARD
TO ADDRESS

WHAT HE NEEDS TO BE SUCCESSFUL
IN THE LONG RUN.

SO FAR, HE HAS ALREADY
LOST ALMOST 200 POUNDS,

WITH A LITTLE OVER 250 POUNDS

LEFT TO GO
TO GET TO HIS TARGET WEIGHT.

BUT IF YOU TAKE
INTO CONSIDERATION

HE HAS AROUND 40 TO 50 POUNDS
OF EXCESS SKIN

THAT WILL NEED TO BE REMOVED
ONCE HE LOSES ALL THE WEIGHT,

HE'S JUST ABOUT
TO THE HALFWAY POINT

OF LOSING
ALL THE WEIGHT HE NEEDS.

SO I'M VERY HAPPY TO SEE HOW FAR
HE HAS COME THIS PAST YEAR,

AS WELL THE PROGRESS

AMANDA HAS MADE TRYING
TO IMPROVE THEIR DYNAMIC.

AND AS LONG AS
TOMMY'S WEIGHT LOSS

CONTINUES
TO CONSISTENTLY IMPROVE

AND THAT TREND CONTINUES,

THEN I'M CONFIDENT
WE'LL BE ABLE TO GET HIM

TO HIS TARGET WEIGHT
IN THE NEXT YEAR.

Tommy: I'M FEELING
REALLY ENCOURAGED

AND JUST GOOD OVERALL RIGHT NOW.

I WAS VERY WORRIED
WHEN I STARTED TO STRUGGLE

AND THAT I WAS GOING TO
START TO LOSE CONTROL,

BUT TO HEAR DR. NOW SAY
HE THINKS I'M DOING GOOD

AND THAT HE'S PROUD OF ME
HAS MADE THOSE FEARS GO AWAY.

I KNOW I NEED TO KEEP
GOING TO THERAPY

AND WORK ON THINGS,
AND I WILL.

BUT I'M JUST REALLY HAPPY
RIGHT NOW THAT ALL THE HARD WORK

I'M DOING IS RESULTING
IN MORE PROGRESS

AND THAT I'M GOING BACK TOWARD
WHERE I NEED TO GET TO MY GOAL.

AND I'LL KEEP DOING WHAT I CAN
AND WORKING HARD

UNTIL I GET THERE
BECAUSE I REALLY WANT TO DO THAT

AND FOLLOW THROUGH
WITH ALL THE THINGS

I'VE DREAMED OF
AND I PROMISED AMANDA.

TONIGHT, I'M TAKING AMANDA
OUT ON A DATE

FOR THE FIRST TIME
IN OUR WHOLE RELATIONSHIP,

AND I'M PRETTY EXCITED ABOUT IT.

ONE THING SHE TOLD ME
SHE ALWAYS WANTED TO DO WITH ME

FROM VERY EARLY ON WAS DO
KARAOKE DATE NIGHT WITH ME.

SHE LOVES SINGING,
AND I KNOW THAT'S SOMETHING

SHE WANTED TO DO WITH ME,
BUT I COULD NEVER DO IT.

AND I ALWAYS TOLD HER
THAT WE WOULD SOMEDAY.

AND WITH BEING DOWN
IN THE 420s NOW,

I FEEL LIKE I CAN HANDLE IT.

AND IT MAKES ME REALLY HAPPY
THAT THIS IS A POSSIBILITY NOW.

I CAN SEE WAYS
I'M GETTING CLOSE TO THE LIFE

I ALWAYS WANTED WITH AMANDA.

I'M LOOKING FORWARD
TO TRYING TO SHOW HER

THAT LIFE FOR US
IS NOT TOO FAR OFF,

AND I'M GOING TO KEEP WORKING
UNTIL WE HAVE IT.

I'VE BEEN WAITING YEARS

FOR US TO BE ABLE TO GET OUT
AND DO THIS.

YOU'LL SING FOR ME?

YEAH, I'LL SING.

CAN YOU GET UP?

THAT WOULD BE
THE NEXT QUESTION.

I'M FOCUSED ON STAYING ON TRACK
AND DOING ALL THE THINGS

I NEED TO GET
TO WHERE I WANT TO BE.

I'M STILL GOING TO THERAPY.

I'M GOING TO KEEP WORKING
ON THINGS WITH LOLA.

I HAVEN'T TALKED TO MY MOM YET,
BUT I WILL WHEN I'M READY,

AND I KNOW I CAN GET TO
THAT PLACE WHERE I DO.

SO I'M GOING TO GET MY EMOTIONAL
STUFF MORE UNDER CONTROL.

BUT FOR NOW, DOC SAYS I'M STILL
MOVING IN THE RIGHT DIRECTION.

AND ONCE I GET
IN THE 300s HERE SOON,

HE SAYS WE CAN CONSIDER
SOME SKIN REMOVALS.

AND THEN HE THINKS
IF I KEEP GOING LIKE I AM,

I COULD BE AT MY TARGET WEIGHT

AND DONE WITH EVERYTHING
IN THE NEXT YEAR

AS LONG AS I KEEP WORKING HARD.

SO THAT'S WHAT
I'M PLANNING TO DO.

YOUR TURN.

WHAT?

AND WHEN I FINALLY SUCCEED,

I'M GOING TO GIVE AMANDA
THE BIGGEST WEDDING I CAN.

SHE'S BEEN MY MOTIVATION
AND ENCOURAGEMENT

THROUGH ALL THIS
AND WITHOUT HER IN MY LIFE,

I THINK I'D BE LOOKING
AT EARLY DEATH STILL.

AND ONCE I GET HEALTHY,

I PLAN ON SPENDING THE REST
OF MY LIFE PAYING HER BACK.

I'M JUST THANKFUL I HAD
THE CHANCE TO CHANGE MY LIFE

SO I CAN HAVE A FUTURE
I CAN PLAN FOR NOW.

AND I'M EXCITED FOR
WHATEVER IT HOLDS FOR ME

BY DOING EVERYTHING I CAN TO
GIVE HER THE LIFE SHE DESERVES

AND NOT ONE
WHERE SHE HAS TO WAIT ON ME

OR TAKE CARE OF ME EVER AGAIN.

WE EVEN TALKED ABOUT
THE POSSIBILITY

OF SOMEDAY HAVING A FAMILY,

WHICH WE'VE NEVER DONE BEFORE
BECAUSE WE BOTH KNEW

I PROBABLY WOULDN'T SURVIVE
LONG ENOUGH.

BUT NOW I HAVE SO MANY THINGS
THAT ARE POSSIBLE

FOR ME AND AMANDA.

A YEAR AGO,
I WAS ALMOST TRAPPED IN MY BED.

AND NOW MY LIFE
IS COMPLETELY DIFFERENT,

AND IT'S GOING TO KEEP GETTING
BETTER OVER THE NEXT YEAR

BECAUSE I'M NOT GOING TO STOP
UNTIL I HAVE THE LIFE

I WANT FOR US,
AND I CAN'T WAIT FOR THAT.