All language subtitles for My 600-lb Life S08E14

Megan: FOOD IS THE ONLY THING
THAT MAKES ME FEEL

ALL THE WAYS I WANT TO FEEL.

SO THAT MEANS GASTRIC BYPASS IS
THE ONLY HOPE I HAVE TO CHANGE.

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 GONNA BE TOO LATE.

IT HURTS!

Woman #3:
I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

I'M TRYING TO OPEN MY HORIZONS
TO VEGETABLES

BECAUSE I'M
A PRETTY PICKY EATER.

YOU'RE NOT A PICKY EATER
IF YOU ARE 600 POUNDS.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

THE FIRST THING I THINK OF
WHEN I GET UP IN THE MORNING

IS IF TODAY'S GONNA BE
THE DAY THAT I LOSE MY BATTLE

BECAUSE MY BODY FINALLY
GIVES OUT FROM MY WEIGHT.

OR WILL I BE ABLE
TO SURVIVE ANOTHER DAY?

MOST DAYS I FEEL LIKE I WON'T.

BECAUSE WITH ALL THE WEIGHT
I HAVE ON ME

AND THE PAIN AND ACHES
IT GIVES MY WHOLE BODY,

I FEEL LIKE
I'M A PRISONER IN MY OWN BODY.

TO THE POINT WHERE I HAVE
TO LIVE WITH MY MOM

BECAUSE I'M TOO BIG TO EVEN
TAKE CARE OF MYSELF ON MY OWN.

Donna:
MEGAN DOES HAVE A WEIGHT ISSUE.

BECAUSE OF HER WEIGHT, SHE CAN'T
DO ANYTHING. SHE NEEDS HELP.

SO SHE MOVED INTO MY HOUSE SO IT
COULD BE A LOT EASIER FOR HER.

BUT SHE HAS BEEN DOING LESS
AND LESS EACH DAY.

SHE JUST CONSTANTLY
EATS AND EATS.

BUT I DO FIX A MEAL
WHEN SHE WAKES UP

'CAUSE I KNOW SHE'S HUNGRY
AND AS A MOTHER,

I DON'T WANT HER
TO GO WITHOUT IT.

Megan: I CAN'T PHYSICALLY GET UP
AND DO STUFF

JUST BECAUSE MY BODY HURTS
SO BAD BECAUSE OF MY WEIGHT.

I WOULD LOVE TO BE INDEPENDENT
AND NOT HAVE TO RELY ON ANYONE.

I KNOW IT'S A BURDEN ON MY MOM
AND I HATE THAT FEELING.

AND IT'S GETTING WORSE EVERY DAY

BECAUSE I FEEL LIKE MY LEGS
ARE GETTING WEAKER AND WEAKER.

AND EVENTUALLY ONE DAY,
THEY'RE JUST GOING TO

NOT BE ABLE TO CARRY MY WEIGHT.

AND ALL OF A SUDDEN,
I'LL BE IMMOBILE,

AND I'M DREADING THAT.

I WISH I COULD CHANGE
AND BE HEALTHY

AND BE HAPPY WITH MY BODY.

BUT I CAN'T BECAUSE
THE ONLY THING THAT GIVES ME

ANY HAPPINESS IS THE SAME THING
MAKING ME THIS WAY --

EATING FOOD.

-GOOD MORNING.
-MORNING.

HOW ARE YOU TODAY?

GOOD.

GOOD. I'M FIXING YOU
SOME BREAKFAST.

WOULD THAT SOUND OKAY?

OKAY. YEAH.

Megan: I LOVE TO EAT.

AFTER I GET DRESSED,

IT'S THE FIRST THING
I WANT TO DO EVERY SINGLE DAY.

MY MOM MAKES ME BREAKFAST,
AND I CAN'T WAIT FOR IT.

IT'S ONE OF THE FEW THINGS
I GET UP FOR

BECAUSE IT MAKES
THE PAIN GO AWAY.

MEGAN CAN'T DO ANYTHING
LIKE SHE USED TO BE ABLE TO.

AND SO,
SHE JUST EATS FOR COMFORT.

AND I JUST WANT MEGAN
TO HAVE A HAPPY LIFE,

YOU KNOW.

SO I LET HER EAT AND EAT,
YOU KNOW,

WHICH I SHOULDN'T, BUT I DO.

Megan: EATING IS MY FAVORITE
THING TO DO,

AND I KNOW IT'S BECAUSE FOOD IS
A COMFORT MECHANISM FOR ME.

AND WHEN I EAT,
I FEEL A SENSE OF LOVE

AND A SENSE OF FULLNESS
AND ACCOMPLISHMENT.

AND BECAUSE OF THAT, I FEEL THAT
FOOD IS MY CLOSEST BEST FRIEND.

IT ALWAYS TAKES CARE OF ME
NO MATTER HOW BAD MY LIFE IS.

IT'S EVERYTHING TO ME.

ARE YOU FINISHED,
HONEY?

YEAH.
OKAY.

DO YOU WANT TO GO WITH ME
TO THE STORE?

YEAH.
I'LL GO WITH YOU.

ON DAYS WHEN I FEEL UP TO IT,

I GO TO THE GROCERY STORE
WITH MY MOM.

IT'S REALLY THE ONLY THING
I EVER GO OUT FOR ANYMORE.

AND IT'S LIKE
CHRISTMAS DAY FOR ME,

BEING AROUND ALL THAT FOOD
AND ALL THOSE OPTIONS.

BEING IN PUBLIC
IS SOMETHING I DREAD

BECAUSE OF HOW PEOPLE LOOK AT ME

AND HOW HARD IT IS
FOR ME TO GET AROUND.

AND THE ONLY WAY
I'M EVEN ABLE TO HANDLE IT

IS THAT I USE THE MOTORIZED
CARTS THAT THEY HAVE.

WITHOUT THOSE, THERE'D BE NO WAY
I'D BE ABLE TO GO WITH MY MOM.

IT'S HARD TO DESCRIBE THE JOY
AND EXCITEMENT

I FEEL EVERY TIME
I GO INTO THE GROCERY STORE.

THERE'S
MARSHMALLOW MARS.

YOU WANT TO GET SOME?
YEAH.

OOH, THE CHOCOLATE
MARSHMALLOW ONE, MOM.

IT'S THE BEST PLACE
IN THE WORLD TO ME

AND I WISH
I COULD GET EVERYTHING

I HAVE A CRAVING FOR,
BUT WE CAN'T AFFORD THAT.

SO I HAVE TO BE SELECTIVE
TO MAKE SURE

I GET ENOUGH OF WHAT I WANT.

HERE ARE PEAS, HONEY.

OKAY.

WHEN WE GO GROCERY SHOPPING,
MEGAN WILL GET UPSET WITH ME

WHEN I TELL HER
SHE SHOULDN'T EAT THE SWEETS.

I'M TRYING TO GET HER
HEALTHIER SNACKS LIKE CHIPS,

BUT MEGAN NEEDS QUITE
A BIT OF SWEETS,

SO WE'LL GET CANDY,
CHOCOLATE, CHOCOLATE CAKE,

CUPCAKE, SODA,
COUPLE THINGS TO MAKE COOKIES.

SOMETIMES IT MAKES ME SAD

BECAUSE SHE NEEDS TO EAT
THE HEALTHIER FOOD,

BUT MEGAN DOES HAVE
A SWEET TOOTH.

-HAVE A GOOD DAY.
-YOU TOO.

Megan:
ONCE I FEEL LIKE I HAVE ENOUGH

TO AT LEAST LAST ME
FOR A LITTLE BIT,

THE NEXT THING IS,
IS I JUST HAVE TO PUSH MYSELF

A LITTLE LONGER TO GET HOME
BECAUSE I KNOW WHAT'S COMING.

AND I'M GONNA
BE ABLE TO EAT SOMETHING

THAT LETS ME
ESCAPE MY LIFE AGAIN.

WHEN IT COMES TO EATING,
I CAN FORGET ABOUT MY PAST

AND ALL THE THINGS
THAT HAVE HURT ME

AND THINGS
OTHER PEOPLE HAVE DONE TO ME

THAT HAVE LED ME HERE,

THAT I WISH
I COULD CHANGE BUT I CAN'T.

GROWING UP, I FEEL LIKE THINGS

WITH MY PARENTS
AND ME WERE ALWAYS GOOD,

BUT THAT WASN'T THE CASE
WITH MY SIBLINGS.

I HAVE TWO HALF SISTERS,

EMILY AND ASHLEY,
FROM MY MOM'S PREVIOUS MARRIAGE.

AND EVEN THOUGH
THEY WERE MY STEPSISTERS,

THEY WERE REALLY JEALOUS OF ME

BECAUSE THEIR DAD WAS NOT
IN THEIR LIFE AND MINE WAS.

AND THEY HELD THAT AGAINST ME,

AND THEY TREATED ME LIKE
I WAS THE OUTCAST.

OUR MOM WAS
A PHARMACY TECHNICIAN,

AND SHE HAD TO WORK A LOT,
SO SHE REALLY WASN'T HOME A LOT.

BUT MY DAD ONLY WORKED UNTIL
LIKE 5:00 OR 6:00 AT NIGHT,

SO HE'D BE HERE WITH ME AT NIGHT
AND WE'D HANG OUT TOGETHER.

AND I THINK THAT'S WHERE
THE RESENTMENT

STARTED WITH MY SISTERS.

EMILY AND ASHLEY WAS MEAN
TO MEGAN

BECAUSE SHE HAD
A DIFFERENT FATHER THAN THEM,

AND THEY DIDN'T WANT
MEGAN TO BE IN THE PICTURE.

THEY DIDN'T LIKE THAT.

Megan: THINGS JUST GOT WORSE
BETWEEN ME AND MY SISTERS

AS I GOT OLDER,

AND I JUST FOCUSED ON
SPENDING TIME

WITH MY DAD AND BEING WITH HIM.

HE WAS MY SAFE PLACE.

AND I WAS HAPPY WHEN WE WERE
SPENDING TIME TOGETHER.

AND MOST OF THE TIME,
HE'D END UP GETTING ME

WHATEVER I WANTED TO EAT --
PIZZA, CHIPS, SODA, FAST FOOD,

ESPECIALLY
SINCE MY DAD DIDN'T COOK.

AND I STARTED TO KIND OF THINK
OF MY TIME WITH MY DAD

AS MY TIME TO EAT.

AND BECAUSE OF THAT, BY THE TIME
I WAS 5 OR 6,

I PROBABLY WEIGHED
ABOUT 250 POUNDS.

MY MOM ALWAYS TRIED
TO PUT ME ON DIETS,

BUT SHE WAS NEVER AROUND.

AND MY DAD
JUST IGNORED THE RESTRICTIONS

MY MOM PUT ON MY EATING.

SO I KEPT GETTING BIGGER
AND PUTTING ON MORE WEIGHT

AND GOT OVER 300 WHEN I WAS 11.

BUT THAT'S WHEN THINGS
CHANGED IN MY LIFE

BECAUSE MY PARENTS ENDED UP
GETTING A DIVORCE THEN.

AND IT SEEMED LIKE IT
ALL HAPPENED SUDDENLY.

WHEN MY DAD LEFT, IT WAS VERY,
VERY HARD FOR ME

BECAUSE I WAS VERY,
VERY CLOSE WITH MY DAD.

SO I WAS DEVASTATED.

AND TO MAKE THINGS A LOT WORSE,

WITH MY DAD GONE NOW AND MY MOM
STILL WORKING ALL THE TIME,

I HAD TO BE HOME ALONE
WITH MY SISTERS

WHO WERE EXTREMELY MEAN TO ME.

SO I WOULD EAT WHATEVER I WANTED
TO TRY

TO MAKE MYSELF FEEL BETTER.

I THINK MEGAN TURNED TO FOOD
FOR COMFORT

WHEN ME AND MEGAN'S FATHER
GOT A DIVORCE.

MEGAN WAS REALLY SAD
WHEN HER DAD LEFT

BECAUSE HE WAS ALWAYS HERE
WITH HER AT THE HOUSE.

I WASN'T HERE A LOT,
SO SHE'D GET UP IN THE CABINETS

AND EVERYTHING AND GET FOOD
AND MAKE FOOD.

AND SHE WAS WITH FOOD
ALL THE TIME.

Megan: SO THOSE YEARS
WERE THE HARDEST FOR ME

WITH HOW BAD IT WAS
AT HOME AND SCHOOL.

MY HIGH SCHOOL EXPERIENCE
WAS AWFUL

BECAUSE I GOT MADE FUN OF
EVERY DAY FOR MY WEIGHT,

AND I HATED SCHOOL.

I NEVER WANTED TO GO
BECAUSE OF THAT.

IT WAS LIKE THERE
WAS NOWHERE SAFE

I COULD GO ANYMORE,
EXCEPT TO FOOD.

AND WHEN I WAS 17, IT GOT TO BE
WHERE I COULDN'T TAKE IT,

SO I JUST WANTED TO LEAVE TO BE
WITH MY DAD AFTER THAT.

AND I ASKED HIM
IF I COULD COME LIVE WITH HIM,

AND HE SAID I COULD.

SO I MOVED OUT OF MY MOM'S HOUSE
AND INTO HIS.

I WAS NOT SPEAKING TO MY MOM
AT THAT TIME.

AND SO I WAS VERY THANKFUL
TO BE BACK WITH MY DAD.

BUT, YOU KNOW,
BEING BACK WITH HIM,

THERE WERE NO RESTRICTIONS
ON MY EATING.

SO BY THE TIME I GOT OUT OF
HIGH SCHOOL, OVER THE NEXT YEAR,

I WAS CLOSE TO 600 POUNDS.

MY PLAN AFTER THAT
WAS TO GET A JOB

TO TRY
AND GET A PLACE OF MY OWN,

BUT THAT WAS HARD
FOR ME TO DO AT THAT WEIGHT

BECAUSE I COULDN'T STAND.

SO ALL I'VE BEEN ABLE TO
ARE SIT-DOWN JOBS

WHERE I DON'T HAVE TO STAND
OR BE ACTIVE.

AND THAT'S MADE IT HARD
TO MAKE MUCH OF A LIVING

TO WHERE I COULD GET OUT
ON MY OWN,

SO I KEPT LIVING WITH MY DAD.

DATING AT MY SIZE
IS VERY, VERY HARD

BECAUSE A LOT OF GUYS DON'T LIKE
THE LOOK OF A BIGGER GIRL.

BUT I MET SOMEONE ONLINE
WHO I STARTED TO SEE,

BUT HE WASN'T THE BEST INFLUENCE
ON ME.

HE STARTED BECOMING
MENTALLY ABUSIVE,

AND I KEPT SPIRALING OUT
OF CONTROL WITH MY LIFE...

...NOT JUST WITH MY EATING,

BUT I STARTED TO PARTY SOME,
TOO,

AND FELL IN WITH A BAD CROWD

WHERE I WAS DRINKING
AND DOING OTHER THINGS.

SO I WAS GETTING TO
A REALLY BAD PLACE

AND I JUST KEPT GOING ON
THAT ROAD.

AND EVENTUALLY,
I REALIZED I HAD TO STOP.

AND I CALLED MY MOM
AND ASKED HER

IF I COULD MOVE BACK WITH HER
AND SHE SAID I COULD.

I WAS 20 THEN AND MY SISTERS
HAD MOVED OUT OF HER HOUSE,

SO OUR RELATIONSHIP
GOT A LITTLE BETTER AFTER THAT,

BUT IT'S STILL A LITTLE STRAINED
BECAUSE OF EVERYTHING

AND I'M STILL NOT ON
TALKING TERMS WITH MY SISTERS.

MOVING IN WITH MY MOM AGAIN
DID HELP ME

TO START TO GET MY LIFE BACK

ON TRACK IN A LOT OF WAYS,
BUT NOT WITH MY EATING

BECAUSE THAT'S NEVER CHANGED
TO THE POINT NOW WHERE I'M 24

AND I'M PROBABLY OVER
600 POUNDS.

AND OVER THE LAST FOUR YEARS,

I'VE JUST HAD ONE MEDICAL ISSUE
AFTER THE OTHER.

MEGAN IS 24, AND SHE'S ON, LIKE,
NINE MEDICATIONS A DAY.

SHE STARTED OUT
WITH HIGH BLOOD PRESSURE

AND THEN FROM THERE,
SHE WAS HOSPITALIZED

THREE YEARS AGO
FOR BLOOD CLOTS --

50 AND 75 BLOOD CLOTS

THAT WENT THROUGH HER HEART
TO HER LUNGS.

THAT COULD HAVE BEEN THE END,
YOU KNOW.

BUT AFTER THE BLOOD CLOTS,

SHE DID NOT STOP EATING
THE WRONG THINGS,

SO I'M JUST AFRAID
ONE OF THESE DAYS

THAT I MAY GO IN THERE
AND SHE WON'T BE THERE.

Megan: I KNOW MY HEALTH
IS REALLY BAD NOW,

BECAUSE THE MORE I MOVE,

MY BREATHING
GETS WORSE AND WORSE.

I DON'T HAVE A LIFE

BECAUSE OF HOW MY WEIGHT
HAS KEPT ME FROM IT.

SINCE I WAS YOUNG, I'VE ALWAYS
WANTED TO BE A PEDIATRIC NURSE.

BUT HONESTLY,
IF I WENT TO NURSING SCHOOL

AND I GOT AN RN DEGREE,

I WOULDN'T BE ABLE TO STAND
ON MY FEET FOR 12 HOURS.

SO MY WEIGHT IS
KEEPING ME FROM THAT,

AND IT'S KEEPING ME
FROM MEETING SOMEONE

AND HAVING A FAMILY.

MY DOCTORS ALWAYS TOLD ME

I CAN'T CONCEIVE
BECAUSE OF MY WEIGHT.

AND NOW MY WEIGHT IS KEEPING ME
FROM SEEING MY DAD.

BECAUSE A COUPLE YEARS AGO,
HE GOT SICK

AND HE HAD TO GO
INTO A REHAB CENTER,

BUT IT'S 30 TO 45 MINUTES AWAY,
SO IT'S TOO MUCH FOR ME.

BECAUSE THE CAR RIDE THERE,

MY FEET
FALL ASLEEP WHILE DRIVING,

AND IT JUST IS A STRUGGLE
WITH ME

GETTING IN
AND OUT OF THE CAR A LOT

BECAUSE IT WEARS ME
OUT REALLY EASILY.

LOOKS GOOD.

YEAH, IT DOES.

SO MY WEIGHT HAS JUST ABOUT
TAKEN EVERYTHING FROM ME.

THE ONLY THING LEFT IS FOR IT
TO COMPLETELY TAKE MY HEALTH,

TO WHERE SOME PART OF MY BODY
STOPS AND I DIE.

I KNOW I'M CLOSE
TO THAT HAPPENING

UNLESS SOMETHING LIKE A MIRACLE
HAPPENS TO STOP IT.

IF I DON'T FIGURE OUT SOMETHING
SOMEHOW TO CHANGE,

THEN I WON'T EVEN HAVE A CHANCE.

I DON'T THINK
I'M GONNA BE ABLE TO SURVIVE

MUCH LONGER AT THIS WEIGHT.

I JUST WANT TO BREAK THROUGH

AND, YOU KNOW, GET OUT OF THIS
SITUATION THAT I'M IN

AND BECOME HEALTHIER AND
ACTUALLY HAVE A LIFE TO LIVE.

I JUST CAN'T CONTINUE TO LIVE
LIKE THIS.

IT'S A LIVING HELL.

IF MEGAN DOESN'T LOSE THE WEIGHT
SHE WON'T BE AROUND,

AND THAT'S VERY,
VERY, VERY SCARY.

I JUST HOPE SHE
CAN GET THE HELP,

BECAUSE IF I LOST MEGAN,
I COULDN'T HANDLE IT AT ALL.

I DON'T EVEN WANT
TO THINK OF IT, YOU KNOW.

Megan: SO I HAVE TO FIND A WAY
TO CHANGE REALLY SOON,

BECAUSE I FEEL LIKE
IF I LET THINGS GET ANY WORSE,

THEN I WON'T BE HERE ANY LONGER.

SO IF I DON'T LOSE WEIGHT,

I'M JUST GOING
TO CONTINUE EATING

AND EVENTUALLY...

KILL MYSELF.

AND AT THIS POINT,
I'M JUST REALLY,

REALLY SCARED
THAT I'M NOT GONNA MAKE IT.

Megan: TODAY, ME AND MY MOM ARE
GOING TO HOUSTON TO SEE DR. NOW.

MY MOM GOT ME AN APPOINTMENT
THAT'S IN A FEW DAYS,

BUT WE DON'T KNOW
HOW LONG IT WILL TAKE US

OR HOW I'LL HANDLE THE DRIVE,

BECAUSE I'VE NEVER REALLY DONE
A DRIVE LIKE THIS.

AT MY CURRENT WEIGHT, I'M JUST
NOT SURE HOW IT'S GONNA GO.

IT WOULD NORMALLY BE
A 13-HOUR DRIVE,

AND I'M HOPING THAT SHOULD TAKE
PROBABLY TWO DAYS TO DO.

PREPARING TO DO THIS
FOR THE PAST FEW DAYS

HAS BEEN MENTALLY HARD
AND DRAINING,

BUT I'M MORE SCARED ABOUT
THE PHYSICAL TOLL ON MY BODY.

BECAUSE MY CAR IS PRETTY LITTLE,
SO IT'S DEFINITELY GONNA BE

UNCOMFORTABLE BEING IN THE CAR
FOR 13 HOURS.

MY LEGS ARE GONNA DEFINITELY
HURT AT THE END OF THE DAY,

AND THEY MAY EVEN SWELL.

BUT I JUST HAVE TO BRAVE THIS
AND TRY TO DO IT,

BECAUSE THE ONLY OTHER OPTION
IS TO RISK DOING NOTHING,

AND ME AND MY MOM BOTH KNOW HOW
THAT'S GONNA END UP FOR ME.

HEY, MOM?

MOM?

ARE YOU GETTING PACKED?

I'M GONNA BE IN A MINUTE.OKAY.

I'M EXCITED ABOUT
THE TRIP FOR YOU.

I AM, TOO. I'M JUST NERVOUS
ABOUT THE CAR RIDE.

IT'S GONNA --

WELL, WE'LL HAVE TO STOP
EVERY TWO HOURS FOR YOUR LEGS.

YEAH.

SO YOU CAN WALK AROUND,
AND SO THEY DON'T HURT.

BECAUSE OF THE BLOOD
CLOTS, TOO.

YEAH.

BUT IT'S EXCITING
FOR BOTH OF US.

I'M EXCITED, BUT I'M NERVOUS
AT THE SAME TIME.

THIS TRIP TO HOUSTON
IS VERY IMPORTANT FOR MEGAN,

SO SHE CAN GET A BETTER LIFE.

TALK TO THE DOCTOR,
GET THE SURGERY, YOU KNOW,

SO SHE CAN LIVE
JUST LIKE A NORMAL PERSON.

WE'VE DID DIETS.
WE'VE DID EXERCISE,

BUT IT DIDN'T WORK WITH HER,
SO THIS IS MEGAN'S LAST CHANCE.

Megan: I THINK MY BIGGEST FEAR
RIGHT NOW

IS WHAT DR. NOW
IS GONNA TELL ME.

BECAUSE IF I GET TO HOUSTON
AND DR. NOW SAYS HE CAN'T HELP,

IT WILL BE LIKE
A DEATH SENTENCE.

I KNOW HE WANTS TO HELP PEOPLE
WHO ARE MY SIZE,

BUT YOU NEVER CAN KNOW
WHAT ISSUES THERE COULD BE,

OR REASONS HE CAN'T HELP ME.

SO IT'S JUST MY BIGGEST FEAR,

AND I'M TRYING TO KEEP MY MIND
OFF IT AND STAY POSITIVE.

13 HOURS
AND 4 MINUTES.

THAT'S NOT TOO BAD.

BUT I NEED SOMETHING TO EAT
BEFORE WE GET ON THE FREEWAY.

FOOD MAKES EVERYTHING BETTER.

I WANT A HOMESTYLE
CHICKEN SANDWICH.

Man: ANYTHING ELSE?

I WANT FOUR OF
THE CHICKEN WRAPS.

AND A LARGE FRENCH FRY.

AND A LARGE FRENCH FRY.

ANYTHING ELSE
AFTER ALL THAT?

THAT'LL BE IT.

THAT IS $18.56.
NEXT WINDOW.

THANK YOU.

AND CAN I HAVE
SOME RANCH PACKETS, PLEASE?

THANK YOU.

Megan: I CAN ALWAYS COUNT
ON FOOD TO HELP ME,

BUT I'M GONNA TRY TO TAKE IT
OUT OF MY LIFE AS MUCH AS I CAN.

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

BECAUSE FOOD IS THE ONLY THING
THAT MAKES ME FEEL

ALL THE WAYS I WANT TO FEEL.

THAT'S WHY I'VE NEVER
BEEN ABLE TO DO IT.

SO THAT MEANS SOMETHING
LIKE GASTRIC BYPASS,

THAT PHYSICALLY STOPS ME
FROM GIVING IN,

IS THE ONLY HOPE
I HAVE TO CHANGE.

BECAUSE WITHOUT THE SURGERY,
I WON'T BE ABLE TO DO IT.

AND THAT'S WHY DR. NOW

IS THE ONLY CHANCE
I EVEN HAVE LEFT.

I HAVE TO GET THIS HELP

OR I'M JUST GONNA BE
WAITING AROUND MY HOUSE TO DIE.

I JUST REALLY HOPE THAT WE CAN
GET THERE AS QUICKLY AS WE CAN,

AND THAT IT'S WORTH IT
IN THE END.

WE'VE JUST ABOUT MADE IT
TO A GOOD HALFWAY POINT,

BUT I'M REALLY READY TO GET
SOMETHING TO EAT AND GET OUT

SO I CAN STRETCH AND GET SOME
FOOD, AND HOPEFULLY REST SOON.

PIZZA.

OH, THEY HAVE WINGS.

WHAT DO YOU THINK?

THAT'S GREAT.

I GUESS YOU COULD JUST PARK HERE
TO GO GET THE ORDER.

DOING THIS IS HARD,
BUT I'M REALLY PROUD

OF HOW I'VE HANDLED IT.

BUT IT IS A LOT FOR ME,

AND IT'S MORE ACTIVITY
AND EXCITEMENT

THAN I'VE HAD IN YEARS.

THIS REALLY SMELLS GOOD
AND LOOKS GREAT, MEGAN.

IT DOES SMELL GOOD.

MEGAN, I'M GONNA GO IN
AND CHECK IN.

AND WE'LL PULL AROUND
CLOSER TO OUR ROOM.

OKAY.

I'M REALLY READY TO REST

AND HOPEFULLY
DO THE SAME THINGS TOMORROW

AND MAKE IT ALL THE WAY
TO HOUSTON.

I JUST HOPE IT'S ALL WORTH IT
ONCE WE GET THERE

AND THAT DR. NOW HELPS ME,

BECAUSE MY BIG FEAR IS THAT ME
AND MY MOM COULD END UP

HAVING TO COME ALL THE WAY
BACK HOME WITH NO OPTIONS.

DID YOU GET IT
ALL SETTLED?

YEAH, I GOT A ROOM
ON THE FIRST FLOOR FOR US.

OH, OKAY. COOL.

OKAY. ROOM 102.

SO I'M STILL JUST TRYING
TO STAY POSITIVE

AND JUST STAY FOCUSED ON DOING
WHAT I NEED TO GET THERE

AND HOPE THAT IT ALL WORKS OUT.

I'M ALREADY HURTING, SO WE'LL
SEE WHAT TOMORROW BRINGS.

BUT FOR NOW,
I JUST NEED TO EAT AND REST

AND TRY TO PREPARE MYSELF
TO DO THIS AGAIN.

HERE, HONEY.

GO AHEAD.

IT'S OUR SECOND DAY ON THE ROAD,

AND WE'VE BEEN DRIVING
FOR ABOUT FIVE HOURS,

AND WE'RE GETTING CLOSE
TO HOUSTON.

I'VE BEEN ABLE TO HOLD UP
ALRIGHT AND PUSH MYSELF

TO MAKE IT WITHIN
THE TWO-DAY WINDOW WE WANTED.

SO I'M HAPPY ABOUT THAT,

BUT IT'S PUT A LOT OF STRAIN
ON MY BODY.

SO I'M REALLY SORE
AND HURTING A LOT,

BUT MY MOM AND ME STOCKED UP
ON A LOT OF SNACKS

TO HELP KEEP ME DISTRACTED
FROM HOW MY BODY FEELS,

SO I CAN KEEP GOING EVEN THOUGH
IT'S REALLY UNCOMFORTABLE.

MY APPOINTMENT WAS TOMORROW,
BUT ME AND MY MOM

WANTED TO MAKE SURE
THAT WE MADE IT ON TIME,

SO WE GAVE OURSELF
A GOOD CUSHION JUST IN CASE.

BUT SINCE WE WERE EARLY,
WE CALLED DR. NOW

AND ASKED HIM IF I COULD
COME TODAY AND HE SAID I COULD.

SO HOPEFULLY WE'LL BE THERE
SOON, AND IT'LL ALL GO WELL.

AS HARD AS IT'S BEEN,
THIS HAS BEEN AN AMAZING TRIP.

IT'S THE FIRST TIME I FEEL LIKE

I'VE ACTUALLY SEEN SOME
OF THE WORLD WITH MY OWN EYES.

AND IT'S INSPIRED ME TO WANT
TO GET OUT THERE AND DO MORE,

BUT I HAVE TO LOSE
THE WEIGHT TO DO THAT.

AND HOPEFULLY THIS IS GOING
TO BE A BIG STEP

TOWARDS GETTING MY LIFE BACK.

THIS IS SO AWESOME
BEING IN TEXAS.

MAYBE YOU CAN FIND YOU
A TEXAN, MOM.

I AIN'T LOOKING FOR NO MAN.

I JUST WANT TO DO ME.

WELL, YOU GOT
TO GET A JOB FIRST.

YEAH.

I'M GONNA GO BACK
TO SCHOOL, THOUGH,

TO BE
A PEDIATRIC NURSE.

THAT'D BE WONDERFUL.

I HAVE SO MANY DREAMS
FOR MY LIFE THAT FOOD

AND MY WEIGHT
HAVE TAKEN FROM ME.

AND I'M READY TO FIGHT TO CHANGE
THIS AND LIVE LIKE I WANT

BEFORE IT'S TOO LATE FOR ME
AND I CAN'T.

MEGAN, DO YOU HAVE
THE JITTERS?

THE CLOSER I GET, THE MORE
AND MORE NERVOUS I GET.

YEAH.
SO WE'LL SEE.

I'M HOPING THAT THIS IS THE DAY
THAT I'VE BEEN WAITING FOR,

BUT NOW THAT WE'RE CLOSE,
I'M REALLY GETTING NERVOUS,

BECAUSE I REALLY NEED
DR. NOW'S HELP.

MY BODY CAN'T TAKE MUCH MORE.

SO IF I DON'T GET HELP TODAY,

THERE WILL BE
NO OPTIONS OR ANYTHING

I CAN DO TO STOP
WHAT'S GONNA HAPPEN TO ME.

MEGAN?

AND THE ONLY THING ME AND MY MOM
WILL BE ABLE TO DO

IS GO BACK HOME
AND JUST WAIT FOR ME TO DIE.

Megan: I'M AT DR. NOW'S
FOR MY FIRST APPOINTMENT,

AND I'M ABOUT TO FIND OUT
WHAT MY CURRENT WEIGHT IS,

SO I'M NERVOUS ABOUT THAT

AND ABOUT
HOW ALL THIS IS GONNA GO

BECAUSE I REALLY NEED HELP
AND I'M HOPING I GET IT TODAY

AND THAT MY WEIGHT IS STILL
AT LEAST AROUND 600

AND NOT TOO FAR OVER.

OKAY.

AT LEAST MY WEIGHT IS STILL
AROUND WHERE I THOUGHT IT WAS.

SO THAT'S A POSITIVE
IN A WAY, I GUESS.

THE PROBLEM IS,
IS I'M STILL OVER 600 POUNDS,

AND I KNOW I'M ONLY GONNA
GET BIGGER IF I DON'T CHANGE.

SO THAT'S WHY IT'S SO IMPORTANT
THAT I GET DR. NOW'S HELP TODAY.

HELLO.

-HELLO, HOW ARE YOU?
-HOW ARE YOU, DOCTOR?

I'M DOING OKAY.
HOW YOU ALL DOING?

GOOD.

ALRIGHT. I'M DR. NOWZARADAN.
AND YOU ARE?

MEGAN.MEGAN. ALRIGHT.

AND WHERE ARE YOU
COMING FROM MEGAN?

FROM ILLINOIS.

ILLINOIS. ALRIGHT.
A LONG WAY FROM HERE.

HOW DID YOU
GET DOWN HERE?

WE DROVE.

THAT'S A LONG DRIVE,
ISN'T IT?

IT WAS DEFINITELY.

YOU FEELING OKAY
AFTER THAT?

I'M SORE, BUT I'M OKAY.

OKAY, WELL,
THAT'S GOOD.

SO WHO IS THIS
YOUNG LADY WITH YOU?

THIS IS MY MOM, DONNA.

OKAY.
WELL, HOW ARE YOU DOING?

I'M FINE, DOCTOR.

ALRIGHT.
GOOD TO MEET YOU TOO.

SO YOU ARE 604 POUNDS

AND BMI OF ALMOST 87.

AND YOU'RE ONLY 24?

YES.

THAT'S A LOT OF WEIGHT TO GAIN
AT SUCH A YOUNG AGE.

SO HAVE YOU ALWAYS
BEEN OVERWEIGHT?

YEAH, I HAVE.

I'VE BEEN OVERWEIGHT
SINCE I WAS PROBABLY ABOUT 1?

YEAH.

YEAH, I'VE ALWAYS
BEEN OVERWEIGHT.

OKAY. AND YOU HAVE
HIGH BLOOD PRESSURE?

YES.

AND YOU'RE TAKING
SOME BLOOD THINNERS?

YES.

SO WHAT HAPPENED WITH THAT,
YOU HAD THE BLOOD CLOT?

YEAH. IN 2017 AND '18,

I WAS HOSPITALIZED
WITH DVTs IN MY LEGS,

AND I HAD 50
TO 75 IN MY LUNGS.

AND EVER SINCE THEN,
I'VE BEEN ON BLOOD THINNERS.

THAT'S A VERY SERIOUS
HEALTH ISSUE

TO HAVE AT YOUR WEIGHT.

I KNOW.

ALRIGHT, SO YOU'RE TAKING
ONE, TWO, THREE,

FOUR, FIVE, SIX,
SEVEN, EIGHT MEDICATION.

LIKE SOMEBODY
WITH THE 40s AND 50s.

SO THIS IS NOT
A GOOD SITUATION.

AND AT THIS POINT,

DO YOU THINK
YOU'RE GONNA MAKE IT TO 30?

NO, NOT IF I DON'T
GET YOUR HELP.

SO IF YOU REALIZE THAT,

THEN WHAT SEEMS TO BE
BIGGEST CHALLENGE

WITH YOUR EATING HABIT?

I SNACK A LOT.

SNACK A LOT.

HAVE YOU FIGURED OUT
THAT MOST OF YOUR PROBLEM

IS BECAUSE
OF YOUR WEIGHT?

YES. ALL OF MY HEALTH PROBLEMS
IS DUE TO MY WEIGHT.

OKAY. THEN WHY ARE YOU
CONTINUING TO DO SOMETHING

YOU KNOW IS MAKING
THAT WORSE AND KILLING YOU?

UM...

HONESTLY, I DON'T HAVE AN ANSWER
FOR YOU, DOCTOR.

I DON'T KNOW.

YOU DON'T KNOW?
THAT'S YOUR ANSWER?

BECAUSE YOU'RE
600 POUNDS,

YOU HAVE
HIGH BLOOD PRESSURE

AND BLOOD CLOTS,
AND YOU'RE ON BLOOD THINNER,

BLOOD-PRESSURE
MEDICATION,

AND ALL THE ISSUES
ARE BECAUSE OUR WEIGHT,

AND YOU'RE SNACKING,

AND YOU HAVEN'T
FIGURED OUT WHY?

DID I GET IT RIGHT?

YOU DID.

OKAY. SO WE GOT ONE ELEMENT
OF BEHAVIORAL PROBLEM

THAT WE NEED TO WORK ON.

AND WE HAVE A LONG WAY
TO GO TO GET YOU

TO THAT POINT
THAT YOU WILL BE SAFE

TO CONSIDER
WEIGHT-LOSS SURGERY.

SO LET'S SEE HOW THE ABDOMEN
HANG AROUND.

YEAH, IT HANGS LOW.

THAT IS THE LOWER PART
OF YOUR ABDOMEN, HUH?

MM-HMM.

THAT'S HANGING VERY LOW.

IT CAUSE A LOT OF ISSUES
WITH YOUR MOBILITY, TOO, HUH?

MM-HMM.

OKAY. ALRIGHT.

OKAY.

ALRIGHT.
IT IS VERY IMPORTANT

YOU START LOSING
AS MUCH WEIGHT

AS YOU CAN RIGHT NOW.

OTHERWISE YOU'RE NOT
GONNA MAKE IT TO 30.

OKAY.
OKAY?

YEP.

AND SO THE FIRST STEP
TO DO THAT

IS FOR YOU
TO START THE DIET

AND EXERCISE PLAN
THAT I'M GONNA GIVE YOU.

OKAY.

WHICH MEAN YOU ONLY EAT
THREE TIME A DAY.

OKAY.AND NO SNACKING.

OKAY.

OKAY?
MM-HMM.

SO THE DIET IS GONNA KEEP YOU
AT 1,200 CALORIE A DAY LIMIT.

BUT IT FOCUS ON THE FOOD
THAT ARE HIGH PROTEIN

AND LOW CARB, OKAY?OKAY.

AND IT'S VERY IMPORTANT FOR YOU
TO GET AS MUCH WEIGHT

OFF OF YOUR SYSTEM
AS SOON AS POSSIBLE

BECAUSE THE WAY RIGHT NOW
YOU ARE LOOKING

AT YOUR BACKGROUND
AND HISTORY,

YOU'VE GOT
SO MANY HEALTH ISSUES

THAT ARE TYPICAL OF PEOPLE
IN 40s

OR 50s
WITH POOR HEALTH.

SO THIS IS REALLY
ACCELERATED AGING PROCESS

FROM OBESITY

THAT WE HAVE TO ERASE
SOME OF THAT.

YOU STILL MAY BE A VERY HIGH
RISK FOR CONSIDERING SURGERY

EVEN IF YOU LOSE
A LOT OF WEIGHT.

BUT THE ONLY CHANCE YOU HAVE
IS TO LOSE AS MUCH WEIGHT

AS YOU CAN,
AS FAST AS YOU CAN,

TO GET A MUCH
HEALTHIER PLACE, OKAY?

RIGHT.

SO YOU HAVE A LOT OF WORK TO DO
TO GET TO THAT POINT.

I WANT YOU TO STICK
WITH THE DIET,

AND IF YOU DO THAT,

YOU'RE GONNA BE ABLE TO LOSE
40 POUNDS EASILY EACH MONTH.

SO OVER THE NEXT 2 MONTHS,
I WANT YOU TO LOSE 80 POUNDS.

OKAY?
OKAY.

SO YOU NEED TO START
TO MAKE A LOT OF CHANGES

IF YOU WANT
TO SAVE YOUR LIFE.

AND THOSE CHANGES
NEED TO BE MADE NOW

BECAUSE YOU'RE
RUNNING OUT OF TIME.

OKAY.

OKAY?
MM-HMM.

BUT THIS IS NOT
GONNA BE EASY.

YOU'RE GONNA NEED THE HELP
AND SUPPORT OF THOSE

IN YOUR HOUSE WITH YOU
TO BE ABLE TO DO THIS.

OKAY.

SO DO YOU LIVE
WITH YOUR MOM?

YEAH.

SO IS THERE ONLY THREE OF YOU
IN YOUR HOUSEHOLD?

UH, YES.

OKAY. SO IS YOUR MOM
YOUR ENABLER,

OR IS IT HELPING YOU
TO CHANGE YOUR EATING HABIT?

SHE DEFINITELY HELPS ME
BECAUSE SHE'S DIABETIC,

SO SHE WATCHES
WHAT SHE EATS A LOT.

SO ACTUALLY SHE HELPS ME.

OKAY, WELL, I'M NOT SURE
THAT'S ACCURATE.

BUT THE ONLY WAY YOU'RE GONNA
BE ABLE TO DO THIS

IS IF YOU TAKE RESPONSIBILITY
FOR YOUR FOOD CHOICES

AND START TO MAKE
THE CHANGES YOU NEED.

AND THAT MEANS
YOU DON'T GET MOM

TO BRING YOU
ANYTHING TO EAT, OKAY?

OKAY.

YOU GET IT YOURSELF.
SO YOU BOTH UNDERSTAND THAT?

YEAH.
YES.

OKAY, GOOD.

I NEED TO LOSE WEIGHT, TOO,
I KNOW, DOCTOR.

WELL, I'M GONNA GIVE YOU STUFF
TO READ EVERY NIGHT.

I'M GONNA GIVE YOU
A COPY FOR YOU, TOO,

SO YOU'LL HAVE
A PROPER UNDERSTANDING

WITH WHAT SHE NEEDS.

BUT YOU NEED TO MAKE
HEALTHY ADJUSTMENTS, TOO,

BECAUSE IT CAN BE
VERY HARD

FOR ONE PERSON
IN THE HOUSEHOLD

TO EAT PROPERLY...RIGHT, YEAH.

...AND THE OTHER
PERSON --

OH, I PLAN ON EATING WITH HER
LIKE SHE NEEDS TO EAT.

THAT WOULD BE GOOD, BECAUSE
MEGAN NEEDS TO DO THIS NOW.

SO MEGAN,
IT'S VERY IMPORTANT

THAT YOU CHANGE
YOUR EATING HABITS NOW.

OKAY.

BECAUSE YOU'RE RUNNING
OUT OF TIME.

YEAH.
OKAY.

SO NO SNACKING

AND NO SUGARY DRINKS,
NO CHIPS,

AND YOU'RE GONNA EAT HEALTHY,
WHICH MEANS HIGH PROTEIN,

AND WITH A LOT OF GREENS
AND SALAD, OKAY?

OKAY.

SO MAKE THOSE CHANGES
RIGHT NOW

AND START DOING
SOME EXERCISES.

AND IN 2 MONTHS,
LOSE 80 POUNDS, OKAY?

THAT SHOULD BE EASY GOAL
FOR YOU, OKAY?

OKAY.

BUT THE MORE YOU CAN LOSE,
THE BETTER.

BECAUSE WE'VE HAD
A LOT OF HEALTH ISSUE

THAT WE NEED TO CONSIDER,

AND THE ONLY WAY TO ADDRESS
THAT IS FOR YOU

TO LOSE A LOT OF WEIGHT.

OKAY.

MEGAN,
NICE TO MEET YOU.

YES,
NICE TO MEET YOU, TOO.

AND NICE TO MEET YOU.NICE TO MEET YOU, DOCTOR.

AND HOPE WE'LL
SEE YOU SOON.

OKAY?
YES.

GREAT.

Dr. Nowzaradan:
I AM VERY CONCERNED

ABOUT THE STATE
OF MEGAN'S HEALTH.

IT'S SHOCKING TO SEE
THAT MANY MEDICAL ISSUES

WITH SOMEONE SO YOUNG.

SO HER WEIGHT HAS BEEN
A SIGNIFICANT STRAIN,

TO THE POINT WHERE
SHE'S STRUGGLING WITH ISSUES

SOMEONE IN THEIR 50s
OR OLDER WOULD STRUGGLE WITH.

SO WE HAVE A VERY
DANGEROUS SITUATION WITH HER

THAT WE NEED TO ADDRESS.

AND WEIGHT-LOSS SURGERY
ISN'T EVEN GOING TO BE AN OPTION

UNTIL WE GET HER
TO WHERE HER BODY

WILL BE ABLE TO SURVIVE
THE STRAIN OF SURGERY.

SO IT'S VERY IMPORTANT
SHE STARTS TO LOSE

AS MUCH MUCH WEIGHT
AS SHE CAN IMMEDIATELY

BECAUSE SHE DOESN'T HAVE
MUCH TIME

BEFORE HER BODY
DETERIORATES FURTHER.

Megan:
I'M FEELING REALLY RELIEVED

NOW THAT I'VE HAD MY FIRST
APPOINTMENT WITH DR. NOW.

AND I KNOW
HE'S GIVING ME A CHANCE,

EVEN THOUGH HE KNOWS ABOUT
ALL MY MEDICAL ISSUES.

THOSE WERE MY BIGGEST CONCERN,

AND I WAS SCARED
IT WAS ALREADY TOO LATE FOR ME,

BECAUSE I KNOW HE'S RIGHT ABOUT
HOW I'M RUNNING OUT OF TIME.

SO I NEED TO START
LOSING WEIGHT NOW

BEFORE SOMETHING
REALLY BAD HAPPENS TO ME.

BUT I'M READY TO DO HIS DIET
AND EXERCISES TO PROVE TO HIM

THAT I SHOULD
GET GASTRIC BYPASS.

SO I'M GONNA GO BACK HOME
AND WORK HARD TO DO THAT.

Megan: IT'S BEEN ABOUT A WEEK

SINCE MY INITIAL APPOINTMENT
WITH DR. NOW,

AND ME AND MY MOM HAVE BOTH BEEN
TRYING TO ADAPT TO THE NEW DIET,

BUT IT'S VERY STRICT
AND NOTHING'S ON IT THAT I LIKE.

BUT I'M NOT LETTING
THAT SCARE ME OFF

OR MAKE ME LESS DETERMINED.

ME AND MY MOM ARE JUST
WORKING ON UNDERSTANDING IT.

THERE'S A LOT OF STUFF
THAT WE NEED TO CUT OUT,

BUT WE CAN DO IT.

YEAH,
I JUST WANT HIM TO KNOW

THAT I'M REALLY SERIOUS
ABOUT IT.

I'M DONE
LIVING A LIVING HELL.

I KNOW.

DID YOU WANT ME TO FRY
A LITTLE BIT OF BACON

SO YOU CAN PUT IT
IN YOUR SALAD?

AH, YEAH, YOU CAN.

THIS IS A LOT
TO TAKE IN AND CHANGE,

BUT I'M GONNA DO MY BEST

BECAUSE I KNOW
THIS IS MY LAST CHANCE.

SO I'LL MAKE
THE DIET ADJUSTMENTS I NEED.

AND I ALSO PLAN TO START DOING
THE EXERCISES, BUT I FIGURE

I NEED TO FIND A GYM FOR THAT,
BUT I'VE NEVER BEEN TO ONE

SO I'M GONNA HAVE TO
START FIGURING THAT OUT.

THIS IS A LOT OF CHANGE FOR ME
AND THERE'S A PART OF ME

THAT WANTS TO FREAK OUT AND SAY,
"WHAT AM I DOING?"

BUT I'M NOT LETTING MYSELF
HAVE CARBS OR SUGARS.

I'M JUST GONNA FOCUS ON PROTEIN
AND EAT

AS MUCH OF THAT AS I NEED
TO GET RID OF THOSE CRAVINGS.

YOU WANT SOME CHEESE
ON YOURS OR NO?

NO.

AND HOPEFULLY WHEN I GO BACK
TO SEE DR. NOW,

ALL THAT WILL PAY OFF
WITH MY WEIGHT LOSS

SO I CAN GET
WEIGHT LOSS SURGERY.

BECAUSE IT'S STILL
THE ONLY CHANCE I HAVE.

SO I'M GIVING THIS
EVERYTHING I GOT.

I JUST REALLY HOPE IT'S ENOUGH.

ME AND MY MOM ARE BACK
IN HOUSTON

FOR MY SECOND APPOINTMENT
WITH DR. NOW,

AND I FEEL LIKE I'VE DONE WELL

WITH MY WEIGHT LOSS
OVER THE PAST FEW MONTHS

AND THAT I SHOULD BE
AT MY GOAL TODAY.

BUT I DON'T KNOW WHAT THE SCALE
IS GONNA SHOW

AND THAT'S THE ONLY THING
I'M NERVOUS ABOUT.

I DEFINITELY KNOW
I MADE PROGRESS

BECAUSE THERE'S MORE DISTANCE
BETWEEN MY STOMACH

AND THE STEERING WHEEL NOW

AND I WAS ABLE TO HANDLE
THE TRIP

A LITTLE BIT BETTER THIS TIME.

IT JUST NEEDS TO BE ENOUGH TO
GET WEIGHT-LOSS SURGERY TODAY.

MEGAN.

AT MY LAST APPOINTMENT
A COUPLE MONTHS AGO,

I WAS AT 604 AND I WAS SUPPOSED
TO LOSE 80 POUNDS.

SO MY GOAL WAS
TO GET BELOW 524 TODAY

AND I'M REALLY HOPING
I DID THAT.

I DID OKAY.

YOU DID FINE.

THAT'S DISAPPOINTING.

I'M GLAD I LOST WEIGHT,
BUT I THOUGHT IT'D BE MORE.

SO I'M REALLY DISAPPOINTED
AND WORRIED NOW,

BECAUSE I WANTED TO MAKE
DR. NOW PROUD

AND SHOW HIM HOW READY I AM.

BUT EVEN WITH HOW HARD I WORKED,
THAT STILL DIDN'T HAPPEN.

AND I'M SO SCARED OF LOSING
THIS CHANCE

THAT DR. NOW GAVE ME.

HELLO.
HI.

HOW YOU ALL DOING?

GOOD. HOW ARE YOU?

GOOD.

ALRIGHT.

SO, MEGAN, HOW YOU BEEN?

GOOD.

WELL, I'M GLAD
TO HEAR THAT.

BUT YOUR WEIGHT LOSS,
UNFORTUNATELY, ISN'T THE SAME.

BECAUSE IN 2 MONTHS,
YOU LOST 14 POUNDS.

ALRIGHT.
SO WHAT HAPPENED?

I DON'T KNOW.

I WORKED HARD,
BUT THE TIME PASSED REALLY FAST

AND I WASN'T ABLE
TO LOSE ENOUGH.

YES, TIME FLIES
WHEN YOU HAVE FUN, HUH?

BUT THAT NOT AN EXPLANATION
FOR NOT DOING THE DIET.

SO YOU WANT TO TELL ME
WHAT HAPPENED?

WELL, I'VE BEEN DRINKING
DIET SODA INSTEAD OF WATER.

DIET SODA
IS NOT HEALTHY,

BUT IT DOESN'T CAUSE
ANY WEIGHT GAIN

BECAUSE IT DOESN'T
ANY CALORIE.

IT HAS A LOT OF SODIUM,

BUT IT'S NOT THE SOURCE
OF YOUR CALORIE INTAKE.

SO WHAT ARE YOU EATING
THAT IS?

I HAVE WENT OUT TO EAT

AND PROBABLY THE ITEMS
HAD A LOT OF SODIUM IN THEM.

THE SODIUM IS NOT GONNA
CONTRIBUTE TO YOUR WEIGHT.

IF YOU CUT BACK ON HOW
MANY CALORIES YOU'RE EATING,

THEN YOU'RE GOING
TO TAP INTO CALORIE

THAT YOU STORE
IN THE FORM OF FAT.

SO YOUR BODY BURNS FAT
AND YOU LOSE WEIGHT.

BUT THAT DIDN'T HAPPEN.

SO IT MEANS THAT
YOU'RE STILL EATING AROUND

5,500 TO 6,000
CALORIES A DAY.

AND EVEN IF YOU ONLY CUT BACK
TO 2,000 CALORIES A DAY

INSTEAD OF 1,200,
WHEN YOU'RE 600 POUND,

YOU WOULD HAVE STILL LOST
50 TO 60 POUNDS EASILY

IN ONE MONTH.
OKAY?

SO 14 POUNDS FOR --
THAT IS NOT REALLY

THAT SIGNIFICANT
WEIGHT LOSS, OKAY?

AND YOU DON'T SEEM TO GET
THE URGENCY OF NEEDING

AS MUCH WEIGHT
OFF OF YOU AS POSSIBLE

BECAUSE YOUR BODY
HAS ALREADY DETERIORATED

TO A DANGEROUS POINT.

AND IT'S GONNA KEEP GETTING
WORSE UNTIL YOU DON'T MAKE IT,

UNLESS YOU LOSE
A LOT OF WEIGHT SOON.

SO IT'S VERY IMPORTANT
YOU UNDERSTAND THAT

AND START DOING
WHAT YOU NEED.

OKAY.

SO TELL ME WHAT KIND
OF CHANGES YOU HAVE MADE

IN YOUR EATING HABIT.

I USED TO EAT A LOT
OF FRIED FOODS

AND A LOT OF PASTAS
AND A LOT OF CARBS.

FORGET ABOUT WHAT
YOU USED TO.

TELL ME WHAT CHANGES
YOU MAKING NOW.

WHAT ARE YOU EATING NOW?

TYPICALLY, I EAT CHEF SALADS
A LOT.

MM-HMM.

I EAT, LIKE,
THE BEEF JERKY STICKS

WITH CHEESE,
COTTAGE CHEESE.

SOME OF THAT IS NOT
GREAT CHOICES,

BUT HOW MANY TIME
YOU EAT IN A DAY?

SOMETIMES
I'LL EAT THREE TIMES,

BUT SOMETIMES
I'LL JUST EAT TWICE A DAY.

ANY SNACKING?

NO. NO SNACKING.

SO, NO SNACKING. NO SODA?
NO SUGARY DRINK?

NOPE.

OKAY.
IF ALL OF THAT IS ACCURATE,

THEN THE ISSUE IS

YOU'RE STILL EATING
TOO MUCH OF EVERYTHING.

AND YOU NEED TO DRASTICALLY
CUT BACK EVEN MORE.

UNDERSTAND THAT?

YES.

OKAY.
WHAT ABOUT YOUR ACTIVITY?

HAVE YOU MADE ANY PROGRESS
WITH THAT?

I'VE BEEN GETTING UP
AND MOVING MORE.

I HAVEN'T ACTUALLY EXERCISED

BECAUSE WE DON'T BELONG
TO A GYM OR ANYTHING

BECAUSE IT'S REALLY COLD
IN ILLINOIS.

SO WE CAN'T WALK OUTSIDE.

YOU DON'T HAVE TO GO
TO GYM TO EXERCISE.

YOU CAN DO SOME EXERCISE
AT HOME.

DID I GIVE YOU
AN EXERCISE PLAN?

YOU DID.

AND DID YOU READ
THAT SECTION FOR EXERCISE?

I DID, YES.

DID YOU SEE
THOSE EXERCISES?

I DID.

BUT YOU DIDN'T
DO THEM?

I HAVEN'T DID THEM, NO.

SO, WHAT'S THE USE
OF GIVING YOU GUIDANCE

AND INFORMATION
IF YOU DON'T FOLLOW IT?

I STILL HAVE IT,
AND I READ IT.

HOW MUCH OF DID YOU READ?

I'VE READ IT, LIKE,
PARTIALLY THROUGH.

SO, YOU REALLY
HAVEN'T READ IT

VERY MUCH CAREFULLY,
RIGHT?

NO, I PROBABLY SHOULD GO BACK
OVER IT AND READ IT THOROUGHLY.

YES, YOU SHOULD, BECAUSE
YOU HAVE TO DO THE WORK

OR NOTHING'S
GONNA CHANGE.

YOU GET THAT?YES.

YOU GOT THAT, TOO, MOM?

YES.

MOM LOST
ANY WEIGHT IN PASS --

I'VE LOST
MAYBE A COUPLE POUNDS.

SHE'S NOT THE BEST DOCTOR
SOMETIMES.

WELL, ALL SHE NEED TO BE
IS SUPPORT FOR YOU RIGHT NOW,

BECAUSE YOUR SITUATION
IS STILL VERY SERIOUS

AND YOU'RE RUNNING
OUT OF TIME.

SO, YOU NEED TO DO
THIS NOW, MEGAN.

I WILL.

I HOPE SO, BUT KEEP WORKING
HARDER TO LOSE MORE WEIGHT.

CUT BACK ON THE AMOUNT
YOU EATING

AND START DOING EXERCISE
AND PUSH YOURSELF TO DO MORE

AND LOSE AT LEAST 80 POUNDS
OVER THE NEXT 2 MONTHS.

BUT THE MORE YOU CAN LOSE,
THE BETTER.

OKAY?
OKAY.

ALRIGHT, I'LL SEE YOU
IN TWO MONTHS.

ALRIGHT,
NICE TO SEE YOU AGAIN.

AWESOME. THANK YOU.NICE SEEING YOU, DOCTOR.

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

OKAY.
ALRIGHT.

WELL, HEY, AT LEAST
I DIDN'T GAIN WEIGHT.

I KNOW.

WE'RE JUST GONNA WORK
HARDER NEXT TIME.

YEAH.

Dr. Nowzaradan:
I'M VERY DISAPPOINTED
WITH MEGAN'S PROGRESS.

AND DESPITE WHAT SHE SAYS,

SHE'S STILL NOT TAKING
HER SITUATION

AS SERIOUS AS SHE NEEDS,

BECAUSE IT'S CLEAR
SHE'S STILL OVEREATING.

AND AS LONG AS HER BODY
REMAINS UNDER ALL THE STRAIN

OF HAVING 600 POUNDS ON IT,
SOMETHING AS SIMPLE AS A COLD

COULD BE THE FINAL STRAW
THAT CAUSES HER HEALTH

TO START DETERIORATING
TO WHERE SHE DOESN'T MAKE IT.

SO, IF SHE DOESN'T START TO MAKE
THE CHANGES SHE NEEDS VERY SOON,

THEN WE MAY HAVE TO START TO
CONSIDER MORE DRASTIC MEASURES,

BECAUSE SHE HAS A LONG WAY
TO GO BEFORE HER BODY

CAN SURVIVE WEIGHT-LOSS SURGERY.

AND NO TIME LEFT TO WASTE.

Megan:
I KNOW I CAN'T MESS THIS UP

BECAUSE I CAN'T AFFORD
TO LOSE THIS CHANCE.

AND I'M VERY THANKFUL AND
RELIEVED THAT I STILL HAVE IT.

YOU KNOW, I THOUGHT
I WAS TRYING REALLY HARD,

BUT I'LL FIGURE OUT HOW TO TRY
HARDER, AND I'LL FIND A GYM,

AND I'LL CUT OUT THINGS
LIKE SODIUM FROM MY DIET,

AND MAKE SURE
I DO BETTER NEXT TIME,

BECAUSE THIS IS SO IMPORTANT
TO ME IN MY LIFE.

AND IF I LOSE THIS CHANCE,
I LOSE EVERYTHING.

SO, NO MATTER WHAT IT TAKES,

I'LL FIGURE THIS OUT
BECAUSE I HAVE TO.

Megan: SINCE MY LAST
DOCTOR'S APPOINTMENT,

I'VE COME BACK HOME
AND TRIED TO WORK A LOT HARDER.

I GOT RID OF EVERYTHING

THAT I WAS EATING
THAT HAD SODIUM IN IT.

AND I'VE ALSO TRIED TO CUT BACK
ON HOW MUCH I'VE BEEN EATING.

SO, I FEEL LIKE I'M DOING
EVEN BETTER THIS TIME.

AND I'M HOPING THAT
IT HAS LED ME

TO MAKING MORE PROGRESS
LIKE I NEED.

BUT I ALSO KNOW
I NEED TO BE DOING MY EXERCISES.

SO ME AND MY MOM HAVE BEEN
RESEARCHING TO FIND A GOOD GYM,

AND I'M TRYING ONE OUT
THAT MY MOM FOUND

THAT LOOKS GOOD
FROM THE PICTURES.

AND IT COMES WITH A FREE TRAINER
ON YOUR FIRST VISIT.

SO I'M A LITTLE NERVOUS

BUT EXCITED
ABOUT TRYING THIS TODAY

BECAUSE I'VE NEVER DONE
ANYTHING LIKE THIS.

YOU'RE MEGAN?HI.

WELCOME TO THE LOCKUP GYM.

-YES. THANK YOU.
-I'M JOHN.

I GOT A LITTLE BIT OF WORKOUT
SET UP FOR YOU.

YOU JUST KIND OF TELL ME

HOW EACH INDIVIDUAL
EXERCISE FEELS,

AND WE'LL JUST KIND OF WORK
OFF OF THAT.

OKAY, COOL.

LET'S GO AHEAD AND HEAD
ON DOWN TO THE GYM.

Megan:
THIS IS A LITTLE INTIMIDATING,

BUT I'M HOPING
I CAN HANDLE IT ALL

AND NONE OF IT'S
TOO MUCH FOR ME.

John: SO, YOU GET A SEAT RIGHT
THERE ON THE BENCH.

OKAY.

I'M GONNA RAISE THIS UP
JUST A LITTLE BIT.

OKAY.

AND JUST DOWN AND OUT.

THIS RIGHT HERE WILL MAINLY
JUST TIGHTEN UP THE BACK.

IT'S GONNA BE LOW WEIGHT
WITH A LOT OF REPS.

I KNOW HOW IMPORTANT IT IS
FOR ME

TO LOSE AS MUCH WEIGHT AS I CAN,

AND I'M GONNA DO
WHATEVER IT TAKES

AND WORK AS HARD
AS I CAN TO SHOW DR. NOW

I CAN HANDLE
WEIGHT-LOSS SURGERY.

SO FAR, THIS ISN'T AS BAD
AS I WAS DREADING,

BUT IT'S STARTING TO GET A
LITTLE TOUGHER THE MORE I DO IT.

OKAY.
IT'S LIKE BURNING.

YEAH.
YEAH, TAKE A BREAK.

WE'RE GONNA GO
TO A CARDIO MACHINE,

AND I WANT YOU TO TRY OUT.

I LET TOO MUCH OF MY LIFE
PASS ME BY ALREADY,

AND I DON'T WANT TO LOSE
ANY MORE TIME

OR MISS OUT ON MORE.

I WANT TO GET OUT IN THE WORLD

AND DO ALL THE THINGS
I'VE DREAMED OF MY WHOLE LIFE.

AND THAT'S WHAT'S
MOTIVATING ME RIGHT NOW,

BECAUSE I KNOW IF I DO THIS,

THEN SO MANY THINGS WILL CHANGE
AND BE POSSIBLE FOR ME.

I'LL TAKE THOSE BACK
FROM YOU...

OKAY.

...AND LET YOU REST UP.

YEAH. MY ARMS, I THINK
THEY'RE GONNA FALL OFF.

ALRIGHT, WELL, THANKS
FOR JOINING US TODAY

AT THE LOCK-UP GYM.
NICE MEETING YOU.

YES, I WILL SEE YOU SOON,
HOPEFULLY.

OKAY.

THAT WAS DEFINITELY AS HARD AS
I THOUGHT IT WAS GONNA BE,

BUT I'M REALLY PROUD OF MYSELF
FOR DOING THIS.

AND I FEEL GOOD,
EVEN THOUGH I'M REALLY TIRED.

ARE YOU READY, MOM?
YEAH.

MY LEGS ARE LIKE JELLO.

REALLY?
YEAH.

WELL, YOU HAVEN'T EXERCISED
FOR A LONG TIME.

I KNOW.

I HAVE ONE MORE MONTH

UNTIL MY NEXT APPOINTMENT
WITH DR. NOW,

SO I KNOW I STILL HAVE A LOT
OF HARD WORK OVER THAT TIME,

BECAUSE WHEN I GO BACK, I KNOW
THAT I HAVE TO BE AT MY GOAL

OR IT CAN MEAN I MESS UP
MY CHANCE TO GET SURGERY,

AND I'M NOT
GONNA LET THAT HAPPEN.

SO, I'M GONNA KEEP
PUSHING MYSELF

AND I'M LOOKING FORWARD
TO COMING BACK

AND DOING THIS AGAIN.

RECENTLY, THINGS HAVE BEEN
A LITTLE HARDER,

AND I'M STRUGGLING A LITTLE BIT.

I'M JUST AS DETERMINED,

AND I'M STILL TRYING
AS HARD AS I HAVE BEEN.

AND I FEEL LIKE
IT'S BEEN PAYING OFF,

BECAUSE I CAN DO MORE

AND BE MORE ACTIVE
BEFORE I HIT MY WALL.

BUT MY MOM FOUND
A SCALE ONLINE

THAT GOES UP TO, LIKE,
1,000 POUNDS.

SO WE GOT IT,
AND I STARTED USING IT RECENTLY.

I'M JUST HOPING THAT IT'S NOT
REALLY ACCURATE RIGHT NOW,

BECAUSE I'VE BEEN WORKING
REALLY HARD TO LOSE MORE,

AND IT SHOWS I HAVEN'T
REALLY LOST MORE WEIGHT.

SO, I JUST DON'T UNDERSTAND
WHY IT'S NOT PAYING OFF.

I KNOW I HAVEN'T BEEN PERFECT
WITH EVERY CHOICE,

BUT THAT'S MOSTLY BEEN BECAUSE
MY MOM STARTED EATING THINGS

THAT WEREN'T ON THE DIET.

SO, I'M A LITTLE FRUSTRATED
AT MY MOM FOR THAT

BECAUSE I DON'T FEEL LIKE

I HAVE HER SUPPORT AS MUCH
AS I DID IN THE BEGINNING.

SO I TOLD DR. NOW I JUST NEED
A LITTLE MORE TIME

BEFORE I COME BACK
FOR MY NEXT APPOINTMENT

SO I CAN GET TO MY GOAL.

I JUST CAN'T TAKE MUCH LONGER,

SO I HAVE TO FIGURE THIS OUT
BEFORE IT'S TOO LATE

BECAUSE I CAN'T
MESS UP MY CHANCE.

Megan: ME AND MY MOM
ARE BACK IN HOUSTON,

AND I'M REALLY NERVOUS
BECAUSE MY SCALE AT HOME

SAYS I'M NOT AT MY GOAL.

IT'S BEEN FOUR MONTHS
SINCE MY LAST APPOINTMENT

AND I WANTED LONGER
TO KEEP WORKING AT IT,

BUT DR. NOW SAID
THAT I'M RUNNING OUT OF TIME

WITH MY HEALTH.

SO I'M HERE AND I'M JUST
REALLY, REALLY HOPING

IT GOES WELL TODAY.

MEGAN?

AT MY LAST APPOINTMENT,
I WAS AT 590.

AND DR. NOW GAVE ME A GOAL
OF LOSING 80 POUNDS.

SO I NEED TO BE DOWN
TO 510 TO MEET THAT.

BUT MY SCALE AT HOME SAYS
THAT I'M ONLY DOWN TO 555,

SO I'M JUST HOPING IT'S WRONG

AND THAT IT'S A LOT CLOSER
TO WHERE I NEED TO BE.

THAT'S DISAPPOINTING.

IT LOOKS LIKE MY SCALE
WAS PRETTY MUCH ACCURATE.

I JUST DON'T UNDERSTAND IT.

I SHOULD BE LOSING A LOT MORE,

BUT AT LEAST I HAD A GOOD DROP
IN WEIGHT THIS TIME.

SO THAT'S SOMETHING.

AND I'M REALLY HOPING DR. NOW
SEES THAT AS EVIDENCE

OF HOW HARD I'M WORKING,
BUT I'M REALLY SCARED

BECAUSE I DON'T KNOW
WHAT HE'S GONNA SAY.

HELLO.
HI.

Donna: HI, DOCTOR.HOW ARE YOU ALL DOING?

GOOD. HOW ARE YOU?
GOOD.

I'M GOOD, THANK YOU.

ALRIGHT, MEGAN, YOU HAVE
MADE SOME PROGRESS, HUH?

I HAVE.

SO WHAT CHANGES
YOU HAVE MADE

IN YOUR EATING HABIT?

I'VE BEEN WATCHING MY SODIUM
REALLY CLOSELY.

YOUR SODIUM. OKAY.YES.

YOU GOT HANG UP

ON MY EXPLANATION
OF SODIUM LAST TIME.

SO WHAT DO YOU MEAN
YOU'RE WATCHING YOUR SODIUM?

BECAUSE I RETAIN WATER
REALLY BAD ON MY FEET.

SO IN THE LAST APPOINTMENT,
YOU POINTED IT OUT

AS SOMETHING
I SHOULDN'T BE EATING.

SO I TRY TO WATCH
MY SODIUM INTAKE

BECAUSE SODIUM, OF COURSE,
RETAINS WATER.

HOW ABOUT CALORIE INTAKE?
ARE YOU WATCHING THOSE?

I HAVE. I HAVE WATCHED
MY CALORIE INTAKE.

OKAY. BECAUSE YOU DIDN'T
FULLY LISTEN TO ME LAST TIME,

SINCE WHAT I SAID
WAS THAT SODIUM

IS NOT THE SAME
AS CALORIES.

SO LOW SODIUM IS GOOD,

BUT IT'S NOT GONNA
HELP YOU LOSE WEIGHT

IF YOU'RE NOT REDUCING
THE AMOUNT YOU EAT.

SO THAT'S NOT A FACTOR
IN YOUR WEIGHT LOSS, OKAY?

OKAY.

AND IT'S NOT GONNA
MAKE YOU SWELL

TO THE POINT
THAT BECOME A FACTOR

WITH WHAT THE SCALE SAYS
FOR YOU, NOT AT YOUR WEIGHT.

YOU UNDERSTAND THAT?

OKAY. YES.

SO WHAT ELSE
DID YOU CHANGE?

I'VE ALSO BEEN WALKING
A LOT MORE.

I TAKE MY DOGS ON WALKS
OR MY DOG ON WALKS.

OKAY. SO THAT'S ANOTHER
CHANGE THAT IS POSITIVE,

BUT NOT MUCH OF A FACTOR
WITH YOUR WEIGHT LOSS.

AND HERE IS MY CONCERN.

EVEN THOUGH I'M GLAD
YOU LOST MORE,

IT'S NOWHERE
NEAR THE GOAL I GAVE YOU

AND IT TOOK YOU TWICE
AS LONG TO DO THAT THIS TIME.

AND IF YOU DOUBLE WHAT YOU LOST
THE FIRST TWO MONTHS,

YOU'RE JUST ABOUT TO THE
WEIGHT LOSS YOU HAD THIS TIME.

SO WHAT YOU'RE LOSING EACH
MONTH IS STILL THE SAME.

SO YOU STILL HAVEN'T MADE
MUCH OF A CHANGE

IN YOUR EATING HABIT,

AND THAT'S THE ISSUE
RIGHT NOW.

I THOUGHT I HAD AND I
WAS DOING BETTER.

I MEAN, I DEFINITELY STICK
TO MY DIET.

I'M ACTUALLY
REALLY PROUD OF MYSELF

BECAUSE I KNOW WHAT
I'VE BEEN RESISTING

AND WHAT I'M NOT EATING.

SO IF YOU THINK
YOU'RE DOING BETTER,

THEN WHAT CHANGES YOU MADE
IN YOUR EATING HABIT?

I EAT A LOT OF VEGETABLES
AND A LOT OF PROTEIN NOW.

A LOT?
WHY EAT A LOT?

WELL, OKAY.

I DON'T EAT A LOT,
BUT I EAT A VARIETY,

I GUESS I SHOULD SAY,
OF VEGETABLES.

I'M TRYING TO OPEN MY HORIZONS
TO VEGETABLES

BECAUSE I'M A PRETTY PICKY
EATER SOMETIMES.

AND I'VE BEEN TRYING
DIFFERENT FISH

BECAUSE I KNOW
THAT'S HEALTHY FOR YOU.

OKAY. SO FIRST OF ALL,

NO MATTER
HOW YOU WANT TO SAY IT,

YOU'RE EATING A LOT
AND YOU'RE NOT A PICKY EATER

IF YOU'RE 600 POUNDS.
YOU GET THAT?

YES.

THE PROBLEM IS YOU ONLY WANT
TO EAT UNHEALTHY FOOD

BECAUSE IT TASTES GOOD
TO YOU.

THAT'S NOT BEING PICKY.

THAT'S A CHOICE YOU MADE
THAT IS GONNA KILL YOU

IF YOU DON'T STOP.

AND YOU'RE NOT
GETTING THAT, OKAY?

SO THIS IS NOWHERE NEAR
THE PROGRESS YOU NEED TO MAKE

IF YOU WANT TO LIVE.RIGHT.

AND YOU NEED
TO UNDERSTAND THAT

BECAUSE YOU'RE
RUNNING OUT OF TIME.

I KNOW.

YOU SAY THAT, BUT THERE IS
NO ACTION BEHIND THAT.

WORDS ARE EASY,

BUT YOU NEED TO TAKE
RESPONSIBILITY FOR YOURSELF

AND DO THIS BEFORE
IT'S TOO LATE FOR YOU.

YOU GOT THAT?

YES.

I REALLY HOPE SO.

BUT I WILL TELL YOU,
THERE IS SOME POSITIVE IN THAT

YOU HAVE STAYED CONSISTENT
OVER THE PAST SIX MONTHS.

THAT'S NOT MUCH,
BUT IT IS SOMETHING.

SO WITH ALL THE EFFORT
YOU HAVE MADE,

I'M GONNA CONSIDER YOU
PART OF THE PROGRAM.

AND IF YOU WANT
TO COMMIT TO THAT,

THEN YOU NEED
TO MOVE DOWN HERE

AND PLAN TO STAY
AT LEAST A YEAR.

BUT THAT'S NOT GUARANTEE
FOR SURGERY, OKAY?

IS THAT SOMETHING
YOU THINK YOU CAN DO?

I CAN DEFINITELY DO THAT.

ALRIGHT. WELL, GOOD.

BUT REMEMBER,
YOU NEED SOMEONE

TO BE HERE WITH YOU
TO HELP YOU.

SO WHO'S GOING
TO BE MOVING YOU?

MY MOM.

SO SHE'S GONNA BE
YOUR ENABLER

AND BAD TEMPTATION
FOR THE FOOD...

NO, WE'LL WORK TOGETHER,
DOCTOR.

NO.

WE'LL DO THAT EXERCISE.
I LIKE TO EXERCISE.

SHE MAKES HER CHOICES,
AND I MAKE MINE.

ALRIGHT. SO WHEN DO YOU THINK
YOU CAN MAKE THIS MOVE?

I CAN MOVE DOWN HERE WITHIN,
I WOULD SAY, A WEEK.

OKAY. THAT'LL BE GOOD.YEAH.

OKAY. SO LET ME KNOW
WHEN YOU'RE DOWN HERE.

BUT I WANT TO SEE YOU
IN TWO MONTHS AGAIN.

NOT FOUR MONTHS, OKAY?

OKAY. I KNOW.

AND I WANT YOU TO HIT
YOUR GOAL THIS TIME.

IF YOU DO IT,
WE WILL MOVE AHEAD

WITH WEIGHT-LOSS SURGERY
WITH YOU

IF YOUR TESTS LOOK GOOD.

BUT UNTIL THAT POINT,

WE'RE NOT MOVING
ANY FURTHER AHEAD WITH YOU.

YOU GOT IT?

OKAY. AWESOME.

ALRIGHT, GOOD.

SO AS SOON AS MOVED
TO HOUSTON, LET ME KNOW.

AND YOU NEED TO FOCUS
ON DOING THIS.

SO CUT BACK ON YOUR
EATING A LOT MORE

AND INCREASE YOUR ACTIVITY
AND HIT YOUR GOAL THIS TIME.

I CAN DO THAT.

OKAY, WELL, THAT'S GOOD.
ALRIGHT, THEN.

MEGAN, NICE TO SEE YOU AGAIN.YES, NICE TO SEE YOU, TOO.

AND LOOK FORWARD
WHEN YOU MOVE DOWN HERE.

YES.

AND WE'LL SEE YOU
IN TWO MONTHS.

THANK YOU FOR EVERYTHING,
DOCTOR.

VERY WELCOME.

IF YOU NEED ANYTHING,
LET ME KNOW. OKAY?

OKAY.
THANK YOU SO MUCH.

OKAY.

IT'S POSITIVE THAT MEGAN
HAS AT LEAST STAYED CONSISTENT

WITH HER WEIGHT LOSS
OVER A 6-MONTH PERIOD.

BUT SHE'S STILL NOT LOSING
ANYWHERE CLOSE TO THE WEIGHT

SHE NEEDS TO PREVENT HER HEALTH
FROM GETTING TO THE POINT

WHERE IT STARTS
TO DETERIORATE RAPIDLY.

SO HAVING HER IN HOUSTON
LONG TERM

WILL BE A GOOD
NEXT STEP AT THIS POINT.

BUT IF SHE DOESN'T START
TO IMPROVE HER PROGRESS

THIS NEXT TIME, WE MAY NEED
TO CONSIDER OPTIONS SUCH AS

PUTTING HER IN
A CONTROLLED ENVIRONMENT

TO GET HER HEALTH
TO A MUCH SAFER PLACE

BECAUSE SHE'S STILL NOWHERE NEAR

WHERE SHE WILL BE ABLE
TO SURVIVE WEIGHT LOSS SURGERY.

AND IF SHE DOESN'T START
MAKING PROGRESS FASTER,

THEN THERE IS A GOOD CHANCE
SHE'S GONNA RUN OUT OF TIME.

Megan: I'M REALLY HAPPY
WITH HOW IT WENT TODAY.

I WISH I WOULD'VE GOT APPROVED
FOR SURGERY,

BUT DR. NOW SEES MY PROGRESS.

AND HIM SAYING I'M OFFICIALLY
ON THIS PROGRAM

IS A BIG STEP FOR ME
AND I'M READY TO MOVE DOWN HERE.

SO EVEN THOUGH I'M STILL NOT
QUITE WHERE I WANT TO BE YET,

I'M PROUD OF MYSELF

AND I'M GONNA DO WHATEVER IT
TAKES TO GET THE SURGERY SOON.

AND I'M REALLY HAPPY
AND I CAN'T WAIT.

TODAY I'M GOING TO VISIT MY DAD.

WHEN HE GOT MOVED TO A HOME
40 MINUTES AWAY FROM ME,

IT GOT HARD TO GO VISIT HIM
BECAUSE OF MY SIZE.

BUT NOW THAT I'VE BEEN LOSING
WEIGHT AND WORKING OUT,

I CAN GO ALL THE WAY TO VISIT
DAD ON MY OWN TODAY.

AND I WANT TO SPEND TIME
WITH HIM BEFORE WE MOVE

BECAUSE IT'S JUST GONNA BE
HARD BEING AWAY FROM HIM.

SO I JUST WANT TO GO SAY
GOODBYE FOR NOW IN A WAY.

BUT I KNOW HE WANTS ME
TO GET HEALTHY

AND HE'LL BE GLAD
THAT I'M GETTING THE HELP.

HI, DAD.

Roger:
WHAT ARE YOU DOING HERE?

NOTHING. HOW ARE YOU?

OKAY.HAVE YOU ATE BREAKFAST?

NO.

OH.

I WAIT TILL LUNCH NOW.

WHAT ARE THEY HAVING?

I DON'T KNOW.

WE'LL HAVE TO ORDER LUNCH.

YEAH.

DO YOU WANT
TO ORDER SOME PIZZA?

YEAH.
UM...

THEY GOT BARBECUE WINGS?

YEAH.
GET THEM.

OKAY.

AND THEN I THINK I'M GOING
TO ORDER MYSELF A PASTA.

OKAY.

ME AND MY DAD'S RELATIONSHIP
HAS ALWAYS REVOLVED AROUND FOOD.

AND I KNOW I SHOULDN'T
GIVE IN RIGHT NOW

AND EAT SOMETHING LIKE PIZZA.

BUT RIGHT NOW, I JUST WANT TO BE
WITH MY DAD BEFORE I MOVE.

AND I DON'T THINK ONE MEAL

IS GONNA THROW OFF
ALL MY PROGRESS.

THE PIZZA'S HERE.

OKAY. GO GET IT.
I'M HUNGRY.

OKAY.

Man #2: HI, HOW'S IT GOING?
ORDER FOR MEGAN.

AWESOME. THANK YOU.

BEING APART FROM MY DAD
IS THE ONLY THING

THAT'S REALLY HARD FOR ME
WITH THIS MOVE.

BUT I KNOW IF I DON'T GO
TO HOUSTON AND GET HELP,

THEN I'LL BE WORSE OFF
THAN HIM SOON.

AND THEN THERE WOULD BE
NO CHANCE FOR ME

TO BE IN HIS LIFE AFTER THAT.

SO I'M DOING THIS
SO I COULD HAVE A FUTURE

AND DO THE THINGS I WANT
AND BE THERE FOR MY DAD MORE.

SO THE PLAN ME AND MY MOM HAVE
IS TO MOVE DOWN NEXT WEEK,

BUT IT'S A LITTLE HARDER

THAN I THOUGHT TO LEAVE
THE PLACE THAT I GREW UP.

I'VE JUST BEEN MORE EMOTIONAL
ABOUT LEAVING HOME,

BUT I'M DOING THIS
TO GET MY LIFE BACK.

AND IF I DON'T,
WHAT I'M GONNA HAVE TO FACE

WILL BE FAR WORSE
THAN LEAVING WHERE I GREW UP.

AND I'M READY TO DO WHATEVER IT
TAKES TO KEEP MOVING FORWARD

SO I CAN GET TO WHERE I WANT
AND FINALLY GET MY LIFE BACK.

Megan: ME AND MY MOM MADE
THE MOVE TO HOUSTON

A LITTLE OVER A WEEK AGO,

BUT GETTING TRANSITIONED DOWN
HERE HAS BEEN A BIG PROCESS.

YOU NEED ME TO HELP YOU?

YEAH. I CAN'T --
IT'S NOT ROLLING.

AND WE'RE STILL GETTING
EVERYTHING IN PLACE

AND UNPACKING,

BUT I'M GLAD THAT
WE FINALLY FEEL LIKE

WE'RE GETTING SETTLED IN.

IT DOESN'T FEEL LIKE HOME YET,

BUT I KNOW WE'LL GET THERE
ONCE WE GIVE IT SOME MORE TIME.

BUT MY FOCUS NOW IS TO TRY
AND GET APPROVED

FOR WEIGHT-LOSS SURGERY
WHEN I GO BACK NEXT MONTH.

THAT'S MY BIG GOAL RIGHT NOW.
AND I NEED IT TO HAPPEN SOON.

HERE'S SOME MORE OF
YOUR CLOTHES, MEGAN.

AND ONE OF THE FIRST THINGS
WE DID WHEN WE GOT HERE

WAS GO GROCERY SHOPPING
AND GET HEALTHIER INGREDIENTS,

SO I CAN KEEP MAKING MEALS
THAT ARE ON DR. NOW'S DIET.

COME ON, MINNIE.
LET'S GO POTTY.

COME ON.

AND ASIDE FROM ONE MEAL
WITH MY DAD,

I'VE MADE SURE
TO STAY ON THE DIET

AND I'VE KEPT UP WITH
MY EXERCISES THE WHOLE TIME.

I'M PLANNING ON STAYING ACTIVE
AND WALKING MINNIE TWICE A DAY.

BUT I WANT TO FIND A NEW GYM

SO I CAN KEEP UP WITH
MY WORKOUTS LIKE I HAVE BEEN.

BUT THE BIG THING IS DOING
WHAT I NEED TO STICK TO MY DIET,

EVEN THOUGH MY MOM IS
STILL EATING WHAT SHE WANTS

AND GETTING FAST FOOD.

AND THAT CAN BE REALLY
TEMPTING FOR ME.

REALLY TEMPTING.

SO THAT'S BEEN
GETTING FRUSTRATING

BECAUSE I DON'T FEEL LIKE I HAVE
HER SUPPORT WHEN SHE DOES THAT.

BUT I JUST REMIND MYSELF

SHE'S DOING A LOT FOR ME
IN OTHER WAYS.

SO I'M STAYING FOCUSED
AND DETERMINED TO GET APPROVED

FOR WEIGHT-LOSS SURGERY
IN MY NEXT APPOINTMENT,

SO ALL MY WORK PAYS OFF
AND I GET TO THE LIFE I WANT.

ME AND MY MOM ARE GOING BACK
TO SEE DR. NOW

FOR MY NEXT APPOINTMENT

AND I'M REALLY HOPING
I GET APPROVED

FOR WEIGHT-LOSS SURGERY TODAY.

I'VE BEEN STICKING TO MY DIET

AND WALKING AND DOING
EXERCISES AT HOME,

SO I JUST NEED IT
TO FINALLY PAY OFF.

BUT I'M NOT SURE WHAT THE SCALE
IS GONNA SAY TODAY.

WITH THE MOVE,
I PACKED UP MY HOME SCALE,

BUT A COUPLE WEEKS AGO,

I UNPACKED IT
AND CHECKED MY WEIGHT

AND IT SAID 537, WHICH WAS
ONLY AROUND A 20-POUND LOSS.

SO I'M NOT SURE IF I WAS ABLE
TO GET TO MY WEIGHT-LOSS GOAL.

MEGAN.

BUT IF I WAS AT 558
THE LAST TIME

AND DR. NOW GAVE ME
THE SAME 80-POUND GOAL,

IT MEANS I SHOULD BE AT 478.

AND I REALLY, REALLY HOPE

THAT I MANAGED TO MAKE IT
SOMEWHAT CLOSE TO THAT.

OKAY.

THAT'S AT LEAST BETTER PROGRESS
THAN THE OTHER TIMES,

SO THAT'S SOMETHING.

AND I'M HOPING DR. NOW
SEES THE POSITIVE IN THAT.

BECAUSE I THINK I'VE LOST
OVER 80 POUNDS NOW.

SO THERE'S A PART OF ME
STILL HOLDING ON HOPE

THAT I CAN GET APPROVED
FOR WEIGHT-LOSS SURGERY TODAY.

HELLO.
HI.

HOW YOU ALL DOING?GOOD. HOW ARE YOU?

Donna: GOOD.

GOOD. ALRIGHT.

MEGAN, HOW'S EVERYTHING
GOING WITH YOU?

BETTER NOW
THAT I'M IN HOUSTON.

SO YOU MADE IT
DOWN TO HOUSTON?

YEP. WE GOT IN
ABOUT A MONTH AGO.

OKAY, THAT'S GOOD.

AND IT LOOKED LIKE YOUR WEIGHT
LOSS HAD IMPROVED SOME.

SO THAT'S GOOD, TOO.
BUT YOU'RE STILL FALLING SHORT

A GOOD WAYS FROM WHAT
YOU SHOULD BE LOSING.

SO WHAT'S GOING ON
WITH YOUR EATING HABITS?

I DON'T KNOW.
I THINK I'M DOING WELL.

SO I'M NOT SURE WHY
I'M NOT LOSING MORE.

OKAY.

WELL, MY CONCERN IS --
AND LET'S SEE --

YOU ARE ON
1, 2, 3, 4, 5,

6, 7, 8...

9, 10, 11, 12
MEDICATION.

YOU ARE ONLY WHAT, 25?

YES.

AND SOME OF THESE MEDICATION
THAT YOU ARE ON,

TYPICALLY PEOPLE IN 40s,
50s AND 60s ARE ON.

AND YOU'RE ON
BLOOD THINNER.

SO THEN
YOUR MRI IS OKAY HERE.

AND YOU HAVE BLOOD CLOT
IN THE LEG AND IN THE LUNG.

SO AT THIS POINT,
THE ONLY THING YOU CAN DO

FROM YOUR PART
IS TO LOSE WEIGHT.

BUT YOU'RE NOT.
AND THAT'S A CONCERN.

OKAY?
OKAY.

BUT HERE'S THE POSITIVE I SEE,
DESPITE ALL THAT --

OVER THE LAST NINE MONTHS,

YOU AT LEAST STAYED CONSISTENT
WITH YOUR WEIGHT LOSS

AND HAD SOME
VERY MINOR IMPROVEMENTS.

AND LOSING WEIGHT
FOR THAT LONG AT LEAST

SHOWS ME
YOU'RE TRYING SOME.

SO BECAUSE OF THAT,
I'LL MAKE YOU A DEAL.

OKAY?
OKAY.

SO FAR, YOU HAVE LOST
A TOTAL OF 84 POUNDS.

IF YOU LOSE AT LEAST 30 MORE
OVER THE NEXT 2 MONTHS

AND GET DOWN TO 500
AND ALL YOUR TESTS ARE GOOD

AFTER THAT
TO SHOW US YOUR BODY

IS HEALTHY ENOUGH
FOR WEIGHT-LOSS SURGERY,

THEN WE WILL MOVE
AHEAD WITH THAT.

DOES THAT WORK FOR YOU?

DEFINITELY.

ALRIGHT. OKAY.

BUT IF YOU DON'T DO THAT,
THEN I DON'T WANT ANY EXCUSES.

RIGHT.SO WORK HARD.

AND MAKE SURE TO STICK
WITH YOUR DIET

AND EXERCISING TO LOSE
ANOTHER 30 POUNDS.

OKAY?
OKAY.

SO IS MOM GONNA HELP YOU
WITH THAT?

I HOPE SO.
YES.

SHE'S NOT GONNA BE
ENABLING YOU

BY EATING BAD FOOD
AND ALL THAT STUFF?

WELL, I HOPE NOT.

HOPING IS
A FIGURE OF SPEECH.

YOU NEED ACTION
TO FOLLOW THAT.

RIGHT.

SO MOM,
YOU LOST ANY WEIGHT?

UM, JUST A FEW POUNDS.
IT'S REALLY HARD, YOU KNOW?

OH, YEAH.
IT'S THE WORST EXCUSE.

I HEAR IT ALL THE TIME.

WE'RE GONNA
START EXERCISING.

WE HAVE AN EXERCISE PLACE
AT OUR APARTMENT THERE.

AND A POOL.

OKAY.
SO...

SO NO MORE EXCUSES,
RIGHT?

NO. RIGHT.

FOR NOT FOLLOWING THE DIET
AND NOT DOING THE EXERCISES.

RIGHT.

RIGHT, DOCTOR. I KNOW.

I NEED TO LOSE WEIGHT.

YEAH. SO THIS IS GOING
TO BE SOMETHING

THAT YOU ALL HAVE TO DO.

YEAH.
OKAY.

AND YOU STAY ON TRACK,
GET YOUR BODY

TO A HEALTHIER PLACE
AS SOON AS POSSIBLE.

AND THEN WE'LL SEE

HOW WE'RE DOING
IN TWO MONTHS.

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

OKAY.
ALRIGHT.

THANKS.I'LL SEE YOU ALL SOON.

YES, THANK YOU.THANK YOU, DOCTOR.

Dr. Nowzaradan:
DESPITE MEGAN'S SLOW PROGRESS,

SHE'S AT LEAST STAYED CONSISTENT
OVER THE LAST NINE MONTHS.

WHAT MEGAN HAS LOST
OVER THE LAST NINE MONTHS

IS WHAT SHE SHOULD HAVE LOST
IN THE FIRST TWO.

SO SHE STILL NEED TO WORK
TO CUT HER EATING BACK MORE.

BUT WEIGHT-LOSS SURGERY
WILL BE A GOOD TOOL

TO HELP DO THAT FOR HER.

AND WITH HOW CONSISTENT SHE HAS
BEEN WITH HER WEIGHT LOSS,

SHE'S SHOWN ME THAT
SHE'S AT LEAST STICKING WITH IT,

WHICH MOST PATIENTS
DON'T DO FOR THIS LONG.

SO IF SHE CONTINUES TO DO THAT
OVER THE NEXT TWO MONTHS

AND LOSE ANOTHER 30 POUNDS,
THEN SHE'LL PROVE TO ME

THAT SHE'S READY
FOR WEIGHT-LOSS SURGERY.

THE ONLY QUESTION WILL BE
HER HEALTH AT THAT POINT

AND WHETHER OR NOT HER BODY
CAN HANDLE AN OPERATION.

BUT I'M HOPING THAT ONCE
SHE IS IN THE 400s,

THAT MAY BE A POSSIBILITY.

SO THE PRIORITY IS STILL FOR HER
TO LOSE AS MUCH AS SHE CAN,

AS QUICKLY AS SHE CAN,
UNTIL SHE GETS TO WHERE

SHE'S NO LONGER
IN SUCH A DANGEROUS PLACE.

Megan: MY BIG GOAL
FOR THIS APPOINTMENT

WAS TO GET APPROVED
FOR WEIGHT-LOSS SURGERY.

AND IN A WAY,
I FEEL LIKE I DID THAT,

BECAUSE DR. NOW TOLD ME
I WOULD GET APPROVED NEXT TIME

IF I JUST KEEP DOING
WHAT I HAVE BEEN.

SO I PLAN TO STAY FOCUSED
OVER THE NEXT TWO MONTHS

AND WORK HARD TO MAKE SURE I CAN
MOVE AHEAD AND GET MY SURGERY.

AND I'M REALLY EXCITED FOR THIS
AND I CAN'T WAIT.

Megan: THIS PAST MONTH,
I'VE JUST BEEN WORKING TO TRY

AND STAY FOCUSED ON LOSING
THE 30 POUNDS I NEED TO DROP

TO GET
MY WEIGHT-LOSS SURGERY APPROVAL.

AND SO FAR, I KNOW I'M ON TRACK

BECAUSE I PULLED
MY SCALE OUT AGAIN

AND I'VE BEEN CHARTING
MY PROGRESS

TO MAKE SURE I'M DOING IT.

AND ACCORDING TO WHAT IT SAYS,

I'VE ALREADY LOST
ANOTHER 12 POUNDS.

SO I JUST NEED TO LOSE
ANOTHER 18 THIS NEXT MONTH.

AND THAT MEANS I CAN'T SLIP UP
AND I HAVE TO STAY FOCUSED.

SO I JUST NEED TO LOSE 18 MORE.

WATCH OUT, MINNIE.

ARE YOU MAKING
THAT SQUASH, HONEY?

YEAH, I PUT IT
IN THE MICROWAVE.

DID YOU PUT SOME BROWN SUGAR
AND BUTTER ON IT?

YEAH.

THE ONLY REAL STRUGGLE I HAVE
IS THAT MY MOM

IS STILL ORDERING FAST FOOD

AND FOOD THAT
I'M NOT SUPPOSED TO HAVE.

-HI.
-HERE YOU GO.

-OKAY. THANKS.
-IT CAME WITH EXTRA SIDES.

OKAY. THANK YOU.

WHAT'D YOU GET, MOM?

A FISH AND A SALAD.

THE FISH IS FRIED,
AIN'T IT?

YEAH. WELL...

MOM...

I'M TRYING.

FRIED FOOD
IS NOT GOOD FOR YOU.

I KNOW.

Megan: AND I KNOW SHE'S BEEN
HIDING STASHES OF CANDY

AND JUNK FOOD
AROUND THE HOUSE

TO EAT SECRETLY BECAUSE I KEEP
FINDING IT WHEN I CLEAN.

AND I JUST REALLY WISH I HAD
MORE SUPPORT FROM HER RIGHT NOW.

INSTEAD OF HELPING ME,
SHE'S MAKING IT A LOT HARDER

THAN IT NEEDS TO BE FOR ME.

THAT STUFF SHOULD
NEVER BE AROUND ME,

BUT SHE DOESN'T SEEM
TO GET THAT.

BUT I HAVEN'T GIVEN IN
AND I'M NOT GONNA LET MYSELF.

I REFUSE TO.

SO EVERY TIME MY CRAVINGS
GET REALLY BAD

OR I'M REALLY TEMPTED
WITH WHAT SHE HAS,

I JUST KEEP REMINDING MYSELF
OF THE LIFE THAT I CAN HAVE

AND WHAT IT'S GONNA BE LIKE

IF I LOSE THE WEIGHT
TO HELP ME STAY MOTIVATED

AND FOCUSED LIKE I NEED.

AND I ALSO TRY TO STAY BUSY
TO KEEP ME DISTRACTED

WHEN I NEED IT.

BECAUSE I KNOW ALL I HAVE TO DO
IS TO LOSE A LITTLE BIT MORE,

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

AND TAKE ANOTHER REALLY BIG AND
IMPORTANT STEP TOWARDS THE LIFE

I WANT.

I JUST HAVE TO STAY
ON TRACK A LITTLE LONGER.

AND I'M WORKING REALLY
HARD TO DO THAT.

Woman: MEGAN.

ME AND MY MOM ARE BACK
AT DR. NOW'S

AND I'M EXCITED AND NERVOUS
ABOUT MY APPOINTMENT

ALL AT THE SAME TIME RIGHT NOW.

I'M EXCITED BECAUSE I PRETTY
MUCH LOST THE 30 POUNDS

I NEED
TO GET WEIGHT-LOSS SURGERY,

AS LONG AS DR. NOW'S SCALE
AGREES, TOO.

BUT MOST OF THE TIME,
IT'S BEEN IN THE SAME RANGE.

SO I FEEL CONFIDENT ABOUT WHAT
THE SCALE IS GONNA SAY TODAY.

AND I CALLED HIM
AND I TOLD HIM THAT

AND HE SAID WE COULD DO
SOME TESTING TODAY

TO SEE IF I'M HEALTHY ENOUGH
FOR MY BODY

TO HANDLE WEIGHT-LOSS SURGERY.

OKAY.

AND IF I AM, HE SAID HE WOULD
APPROVE ME FOR THAT TODAY.

SO ALL OF THAT HAS ME EXCITED.

BUT I'M JUST NERVOUS AND SCARED
ABOUT THE TESTS

AND WHAT THE RESULTS
MIGHT SAY ABOUT MY HEALTH.

BECAUSE I DON'T WANT MY BODY
TO HOLD ME BACK

FROM GETTING THE SURGERY
I NEED TO SAVE MY LIFE.

SO THE DOCTOR WANTS TO DO
A FEW TESTS.

SO WHAT AM I GONNA
GET YOU TO DO

IS I'M GONNA GET YOU
TO CHANGE. OKAY?

OKAY.
ALRIGHT.

SO THERE YOU GO.

AND I'M JUST SCARED ABOUT
HOW MUCH ABUSE

I'VE PUT ON MY BODY WITH
MY WEIGHT FOR SO MANY YEARS.

AND I'M WORRIED ABOUT
HOW MUCH DAMAGE IT'S DONE TO ME

BECAUSE MY BIGGEST FEAR
HAS ALWAYS BEEN

THAT
I'M GONNA RUN OUT OF TIME.

AND THAT I'VE LET MYSELF
GET TO A POINT

WHERE IT'S TOO LATE FOR ME,
NO MATTER WHAT I DO,

JUST BECAUSE I ALREADY
LET IT GO ON FOR SO LONG

AND THE DAMAGE IT'S DONE.

SO I'M JUST REALLY HOPING
THE TEST RESULTS WERE GOOD

AND THERE'S NOTHING
THAT'S GONNA HOLD ME BACK

FROM MOVING AHEAD
AND GETTING THE SURGERY

I'VE WORKED SO HARD TO EARN
AND THAT I NEED TO SAVE MY LIFE.

Megan: I JUST FINISHED
SOME OF MY TESTING

THAT DR. NOW DID ON ME TO SEE

IF I'M HEALTHY ENOUGH
TO GET WEIGHT-LOSS SURGERY.

IF I AM, HE SAID
HE'LL APPROVE ME TODAY

AND I'LL FINALLY BE ABLE
TO GET IT.

SO I'M REALLY HOPING
THE RESULTS WERE GOOD

AND SHOW ALL MY PROGRESS
HAS PAID OFF LIKE I NEED.

AND I'M SO NERVOUS,
BECAUSE I'M JUST SO WORRIED

THAT IT'S NOT GONNA HAPPEN.

AND I REALLY NEED THE SURGERY.

SO I'M JUST HOPING
WHEN DR. NOW COMES IN,

IT'S GOOD NEWS.

HELLO.
HI.

Donna: HI, DOCTOR.

HOW YOU ALL DOING?

GOOD. HOW ARE YOU?GOOD.

GOOD. WELL, HOW ARE YOU
GETTING ALONG, MEGAN?

GOOD.

ALRIGHT, WELL,
I'M PROUD OF YOU

FOR LOSING
ANOTHER 30 POUNDS.

THANK YOU.

I'VE BEEN EATING
A LOT OF VEGETABLES.

WELL, THAT'S GOOD.

BUT LOOKING
AT YOUR ULTRASOUND,

IT LOOKS LIKE
WE HAVE SOME PROBLEM

WITH YOUR BILE DUCT
AND YOUR GALLBLADDER.

AND THAT'S JUST A START,

BECAUSE WE STILL NEED
TO RUN MORE TESTS.

BUT UNFORTUNATELY,
WE ALREADY SEEN A NUMBER

OF HEALTH ISSUES
THAT ARE CONCERNING.

YOUR GALLBLADDER
VERY DISTENDED,

AND YOU GOT STONE IN IT.

IT LOOK LIKE YOU MAY HAVE
SOME BLOCKAGE

IN YOUR BILE DUCT.

SO THAT ALONE
IS CONCERNING.

BUT COMBINED WITH
ALL YOUR OTHER ISSUES,

YOU'RE STILL
NOT HEALTHY ENOUGH

TO MAKE WEIGHT-LOSS SURGERY
SAFE TO DO ON YOU,

ESPECIALLY WITH THE ISSUES
YOU HAD

WITH BLOOD CLOTS
IN YOUR LUNG.

SO WHERE WAS THAT BLOOD CLOT
IN YOUR LUNG

THAT YOU NEEDED
TO REMOVE?

IT WAS IN MY LEFT LUNG.

WHEN?
WHEN DID THAT HAPPEN?

NOVEMBER OF 2017.

AND THEN IN NOVEMBER OF 2018,
I HAD IT TWICE.

OKAY.
WELL, I'M A BIT CONCERNED

ABOUT WHAT WE SEE
IN YOUR GALLBLADDER.

BECAUSE YOUR GALLBLADDER
IS ALMOST AS BIG

AS WHAT ONE EXPECT
THAT IT'S GONNA RUPTURE.

SO I'M GONNA SET YOU UP
FOR AN ENDOSCOPY

AND LOOK IN ON THE OPENING
OF BILE DUCT

AND SEE WHAT'S GOING ON.OKAY.

SO I'M GONNA SEE IF WE CAN
SET IT UP FOR NEXT WEEK.

OKAY?
OKAY.

WE GONNA DO THE ENDOSCOPY
AND SEE WHAT'S GOING ON.

OKAY?
OKAY.

AND THEN AFTER THAT,

WE'LL ALSO RUN SOME MORE TESTS
TO SEE WHAT'S GOING ON

WITH YOUR PULMONARY SYSTEM
AND OTHER THINGS.

BUT RIGHT NOW, AS MUCH
AS I WOULD LIKE TO TELL YOU

WE CAN MOVE AHEAD
WITH YOUR WEIGHT-LOSS SURGERY,

IT LOOKS LIKE IT IS
TOO RISKY STILL,

AND THAT YOU NEED TO REDUCE
MORE STRAIN ON YOUR BODY

BY LOSING MORE WEIGHT.

SO IT'S VERY IMPORTANT
THAT YOU STAY ON TRACK

AND CONTINUE
YOUR WEIGHT LOSS

BECAUSE YOU'RE STILL RACING
THE CLOCK WITH THAT. OKAY?

OKAY.

AND IF YOU DO THAT,
WE'LL KEEP RUNNING TESTS

ON YOU EVERY MONTH.

AND AS SOON AS THEY LOOK
GOOD ENOUGH,

WE WILL DO
A WEIGHT-LOSS SURGERY.

OKAY?
YEP.

BUT THIS COULD TAKE
ONE MONTH OR SIX MONTHS.

THERE'S NO WAY TO TELL.

SO THE MOST
IMPORTANT THING

IS THAT YOU STICK
WITH YOUR DIET.

AND DON'T USE THIS AS AN EXCUSE
TO START TO SLIDE BACK

INTO OLD HABITS.OKAY.

AND WE'RE GONNA SET YOU UP
FOR THAT ENDOSCOPY,

AND THEN FIGURE OUT WHAT'S
GOING ON WITH YOU. OKAY?

OKAY.
ALRIGHT.

MEGAN, I'M PROUD
OF YOUR PROGRESS.

JUST KEEP IT UP
AND WE'LL BE ABLE

TO DO YOUR
WEIGHT-LOSS SURGERY.

YEP.
I'VE DEFINITELY BEEN TRYING.

JUST STICK WITH IT,
OKAY?

BECAUSE IT'S STILL
VERY IMPORTANT TO GET YOU

TO A HEALTHY PLACE VERY SOON.
YOU GOT THAT?

YEAH.

OKAY, GOOD.

ALRIGHT,
I'LL SEE YOU IN THE HOSPITAL.

OKAY. AWESOME.OKAY. ALRIGHT.

THANK YOU.THANK YOU.

Dr. Nowzaradan:
I'M VERY PROUD OF MEGAN

FOR LOSING ANOTHER 30 POUNDS
OVER THE LAST 2 MONTHS

AND ULTIMATELY STAYING
CONSISTENT WITH HER WEIGHT LOSS

FOR ALMOST A YEAR.

THAT'S SOMETHING I RARELY SEE
WITH ANY PATIENT.

SO SHE'S DONE VERY WELL
IN THAT REGARD.

BUT THE UNFORTUNATE SITUATION
WE HAVE WITH HER

IS THAT HER CONDITION
IS STILL TOO POOR

AND HER HEALTH IS STILL TOO
COMPROMISED AT THIS TIME

FOR US TO SAFELY DO
ANY WEIGHT-LOSS SURGERY ON HER.

SO WE WILL CONTINUE
RUNNING TESTS ON HER

UNTIL SHE HAS REDUCED
THE STRAIN ON HER SYSTEM

ENOUGH TO HANDLE SURGERY.

BUT THAT COULD TAKE ANYWHERE
FROM A MONTH

TO SIX MONTHS OR LONGER.

BUT SHE'S AT LEAST HEADING
IN THE RIGHT DIRECTION.

AND IF SHE STARTS TO STRUGGLE,
WE'LL BE THERE TO MAKE SURE

SHE KEEPS GOING
IN THE RIGHT DIRECTION.

AND I THINK ONCE WE ARE ABLE TO
DO WEIGHT-LOSS SURGERY ON HER,

IT WILL HELP ADDRESS THE AMOUNT
SHE'S EATING AT ONE TIME

TO GET HER TO LOSE WEIGHT
A LOT MORE QUICKLY.

BUT FOR NOW, WE JUST NEED TO DO
WHAT IT TAKES

TO KEEP HER ON TRACK.

Megan:
I'M VERY DISAPPOINTED.

THIS IS WHAT I WAS AFRAID OF,

AND I'M JUST REALLY UPSET
AND DISCOURAGED

BECAUSE I'VE WORKED SO HARD
TO MAKE IT TO THIS POINT.

AND IT FEELS LIKE
ALL MY HARD WORK

AND PROGRESS
STILL DOESN'T MATTER.

SO RIGHT NOW,
I JUST WANT TO GO HOME.

AND THEN I'LL FIGURE OUT
WHAT I'M GONNA DO.

RIGHT NOW, ME AND MY MOM ARE
MAKING A HEALTHY MEAL TOGETHER.

AND THEN WE'RE GONNA GO
FOR A WALK AT THE PARK

TO GET MY AFTERNOON EXERCISE.

SHE'S RECOMMITTED
TO DOING THIS WITH ME

BECAUSE AFTER MY LAST
APPOINTMENT,

SHE COULD TELL
I WAS REALLY DISCOURAGED.

SO WE TALKED ABOUT IT
AND I SHARED A LOT OF THINGS,

BUT SPECIFICALLY

HOW I DON'T THINK
SHE'S BEEN SUPPORTIVE OF ME...

OH, MY GOSH,
THIS IS SO GOOD.

...BECAUSE OF HOW SHE EATS FAST
FOOD AND JUNK FOOD AROUND ME.

SHE SAID SHE'D TRY BETTER

BECAUSE SHE WANTS ME
TO STICK WITH THIS.

AND SHE'S ALSO GOING BACK
TO HEALTHY MEALS

TO HELP ME AVOID TEMPTATION.

AND SHE'S BEEN GOING ON MY WALKS
WITH ME TO SUPPORT ME

WITH MY EXERCISE, TOO,
AND HELP ME STAY MOTIVATED.

I'M REALLY FULL.

YOUR STOMACH'S
SHRINKING, HONEY.

WHO KNEW IT WAS OKAY
TO EAT HEALTHY?

I WENT IN FOR MORE TESTING
AND NOTHING REALLY CHANGED.

COME ON, MINNIE.

SO DR. NOW TOLD ME THAT
WE'LL KEEP RUNNING TESTS

ABOUT EVERY MONTH,

AS LONG AS I KEEP LOSING
AND STAY ON TRACK.

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

AND I'M JUST REALLY HOPING
IF I KEEP MOVING FORWARD,

THAT IT WON'T BE LONG

TO WHERE I'M ABLE
TO GET WEIGHT-LOSS SURGERY

BECAUSE MY BODY'S
HEALTHY ENOUGH AGAIN.

WE STILL DON'T KNOW
HOW LONG IT'S GONNA TAKE.

I JUST CAN'T LET MYSELF GET
DISCOURAGED, SO I'M MAKING SURE

AND I'M STILL JUST AS FOCUSED
AS I'VE EVER BEEN.

SO I STAY ON TRACK LIKE DR. NOW
SAYS UNTIL I GET MY SURGERY

AND THEN MAKE IT TO MY GOAL,
AND I'M REALLY HAPPY ABOUT THAT.

IF YOU WOULD HAVE
ASKED ME A YEAR AGO

IF I THOUGHT I COULD
CONSISTENTLY LOSE WEIGHT

THIS WHOLE TIME BY DIETING,

I WOULD'VE SAID
THERE'S NO CHANCE.

BUT THE OPPORTUNITY
TO GET SURGERY

AND HAVE A NEW LIFE
HAS MOTIVATED ME TO WORK HARDER

THAN I EVER HAVE.

AND I'VE LOST ABOUT 100
POUNDS IN THE LAST YEAR.

AND AS LONG AS I KEEP MOVING
AHEAD LIKE I HAVE BEEN,

I'LL GET TO WHERE I WANT,
WHERE I'M HEALTHY

AND I'M ABLE TO LIVE ON MY OWN

AND HAVE A CAREER
AND HAVE A FAMILY

THAT I'VE ALWAYS DREAMED OF
AND DO ALL THE OTHER THINGS

I'VE NEVER BEEN ABLE TO DO
BECAUSE OF MY WEIGHT.

AND I'M NOT LETTING ANYTHING
GET IN MY WAY

OR STOP ME
FROM GETTING THE NEW LIFE

I'M ALREADY SEEING TAKE SHAPE.