All language subtitles for My 600-lb Life S10E06

[Paul] I'm miserable.

And food is the only thing
that helps me with the pain.

[woman 1] Somewhere in
me is this little glimmer of hope.

I just want to be
a normal person.

[pants]

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.

[grunts] No! It hurts!

[woman 3] I refuse
to stop fighting.

I have to do this
for my children.

[man] I'm waiting for as long
as I can handle it.

It just got to be
too much for me.

A ten piece nugget
and a large chocolate shake.

[sighs]

[Paul] I never thought my life
would be like this.

I never thought I'd be
750 pounds

and at my size, I'm miserable.

My back aches
and my knees, my toes.

I mean, everything
on my body it hurts.

[exhales]

The only thing that helps me
with the pain is the food.

And the thought of being able to
eat is what motivates me to get up

and get out of bed because
I have to take a shower.

And that's a painful
ordeal for me.

And I hate it.

Even getting out of bed is hard.

Because I have lymphedema
on both of my legs,

which means my legs
are permanently swollen.

The second I'm up,
I'm already in pain.

And anytime I walk more
than 10 feet,

I can't even catch my breath.

I'm exhausted all the time.

And I almost can't fit through
the door to the bathroom

or the shower.

So, I have to move carefully
so I don't get stuck

or trip and fall.

Anybody that's my size,
the biggest fear is slipping.

If I fell I'd have to call 911.

But, no matter what,
I can't be up for long.

I may be able to stand
for 10 minutes at the most.

If I'm not leaning against
something and I just have

to give up and get out.

I don't feel like my body's
ever clean

and that depresses me
because I am ashamed

to have let my life get
to the point to where

I can't even clean myself, like,

I need every day.
I try to shower every day.

Sometimes, I don't,
sometimes it's twice a week

and makes me feel disgusting.

So, I hate the whole process
of taking a shower

and getting dressed.

I'm in so much pain afterwards,
I can barely get dressed.

I basically wear the same
thing every day

because I can only wear what's
easiest to put on at this point.

So, I can't wear pants at all.

Because of the swelling,
it's out of control.

So, during the day,
I have to wear special socks

to keep the swelling down.

But, it's hard to wrap them
on my own.

It's the one part I have
to get help from my mom to do.

-It's been a night. How are you this morning?
-Good.

- Love you.
- Love you.

Will you help me put
my socks on, please?

I live with my mom,
so she can help me

and that makes me feel
really bad,

that she has to basically
take care of me all the time.

[Teresa] I love Paul.

As much love as god could
give you to give somebody.

I'm always worried about him.

He's just gotten so extremely
large, that it's out of hand.

His legs are so tight,
so badly tight 'cause

his weight did a thing on it
and made it

to where the blood doesn't flow.

So, Paul stays swollen and he
needs his compression socks,

but he can't bend over
and put 'em on himself.

So, if I ain't doing it,
then it ain't getting done.

You see what I mean,
because he's too big to do it.

- All right, there you go.
- [sighs]

So, by the time I'm dressed,
I'm in pain and exhausted

and I feel like a failure.

And how I deal
with that is I eat.

And that's when my day
starts to turn around.

You know, after I get dressed
I make it to the couch

in the living room and that's
where I stay for the rest of the day

and all I do is eat because...

Food makes me happy.

Are you hungry?

Yeah.

Want me to make you an omelet?

- Yeah.
- Yeah?

Maybe some ham and some toast.

-And maybe some juice.
-Yeah, I got orange juice. I love ya.

And it takes everything bad
and makes it go away.

I feel like there's an empty
space there when it's not food.

So, food is everything to me
and that all started a long time ago.

From as far back as I can
remember, I've always been big.

My dad was 400 pounds.

And my mom was overweight too.

So, we all were big
and I think that was partly

because my mom is such
a good cook.

My mom's goal was
to make us happy,

so she was always feeding us
and that's how she showed us

she loved us.

And I just constantly wanted to
eat and I never wanted to stop.

So, food was everything.

But then when I was seven,
things at home started to change.

My parents started
to fight a lot more.

They often wouldn't see each
other for days

because they were always
working to make ends meet.

So, I think they would
fight because of that.

And so, when I was around 10,
they got a divorce and my dad left.

So, I just ate and ate
to make me feel better.

And by the time I was 11,
I was already over 200 pounds.

So that's when it started
to get really hard at school.

I was an outcast
and I was lonely a lot.

So, food was my friend.

But I also started to hang
around the people

at the carnival
where my dad worked,

when I see him and they
never made me feel rejected.

Because they considered me
like family.

My dad was a third generation
carnival worker.

It was like the family business

and the carnival was my family.

So, I really didn't hang out
with anybody my age.

I preferred older people
for a while.

But that changed when I was 12
because when my mom worked,

she would have a friend
of the family watch us.

And one day...

And so we were going to the
beach and he started to rub on me.

And then decided to whip out...

his private and started to.

And I told him at the time
to put it away.

And...

that I wanted to go home.

And basically, he told me you
don't tell nobody else, you know.

If so, then I'll deny it,
you're a child,

nobody's gonna believe you.

So, after that I stopped
trusting a lot of adults

because of that
and what it did to me.

'Cause I felt like I could've
stopped it if I said something,

but I just kept quiet

and just used food
to forget about what happened.

And by the time I was 14,
I weighed 475 pounds.

Food then in high school
became a problem.

That's the age when
everyone starts to date.

I wanted a girlfriend, but
girls didn't want the fat guy.

So, I just kept to myself
and continued to eat more

and food was all I cared about.

I didn't even care about
my grades.

My grades got so poor,
they held me back then.

So, by the time I finally
did manage to graduate

I was very happy to leave school

and all that behind me.

Because I wasn't being bullied
every day,

but I knew I needed to work.

So, after high school, I
went into the family business.

I became the fourth generation
in my family to do that

and I loved it 'cause
I felt like I fit right in.

So, I did that fulltime
for the next 12 years.

And I did my job well.
It was a happy place for me.

Fried chicken, baked sausages,
corndogs,

and lots of bread
and fried dough.

I could have any of it
any time I wanted.

And, by the time I was 24
until I was 29,

my weight rose to 600 pounds.

So, that's when my weight

started to become more
of a problem for me.

I had to stop working because it
was too hard to be on my feet for long.

And that was a huge blow
to my morale.

So I just ate more
to forget my misery.

And so I got even bigger.

It was a few years later
when I was 33 that I hit 700.

And shortly after that is when
I had to move in with my mom

because I needed help.

And I couldn't afford a place
on my own

since I couldn't work anymore.

And I hate that I have to
make her sleep on the couch.

So, I feel horrible
and like a failure.

But, the one bright spot in
my life is my girlfriend Jen.

She came into my life
a little over a year ago.

A friend of mine that knew
I was lonely told me about her

and told me
I should reach out to her.

My buddy had told her about me,

and she thought I was funny
and I reached out to her

to be a friend when I
didn't know who she was.

So, from there we started
hanging out and almost a year ago,

I asked her to be my
girlfriend and she said yes.

In a few weeks, it'll be
our one year anniversary.

She's the best thing
that's happened to me.

And having her in my life
is giving me hope

that I still have a chance
at life.

Thank you.

But I know, the biggest
obstacle keeping me

from getting to the life
is my weight.

My whole life revolves
around food.

So, I know it's a death
coming up.

Because my size is killing me.

It's already taken everything
else from me.

And I don't see anyone most
days except my mom and Jen.

And she has to come to me now
if I'm gonna see her.

And so our whole relationship
mostly revolves on her

coming here to eat with me.

She lives an hour
and a half away.

So, I know that's hard
for her to keep doing.

I want to have a future
with Jen.

She makes me happy, but I
know that's not going to happen

the direction I'm headed.

So, I feel like I need
to change my life,

so we could be happy together.

[knocking at door]

- [Jennifer] Hey, hey.
- Hi!

- Oh, it smells good in here.
- Hi, babe, how are you?

- [Jennifer] Good, how are you?
- [Teresa] It's good to see you.

- [laughs] How you doing?
- Good.

- Oh, it smells so good.
- Hi, Booker.

I got hamburgers.

- Hi, babe.
- Hi, babe.

And potatoes and appetizers.

- Good.
- Hey, Punk. What's up, man?

[Paul] She has a son too.

And it makes me so sad
that I can't play sports

with my girlfriend's son.

Thanks, bud.

I can't go for long walks
with my girlfriend.

And I want to change all that.

So, I know I got to change,
so I'm trying to fight

this addiction.

But, I can't do it alone.

I'm feeling like I'm at
a crossroads and I'm scared.

Even though I'm finally
starting to see that

I can have the life
that I wanted.

And I have hope.

My fear is that it could
already be too late for me,

that my body's
too far gone already.

[Teresa] Paul's hit rock bottom.

My son is the size of three men.

But, he only has one heart.

And I'm afraid, I'm afraid
of losing my kid.

Me and Paul are very close
and I would say

if my son doesn't survive,
I will probably lose it.

I don't know.

But I know that I beg God
all the time to let me go first.

I'm not ready to go.

I have so much to live for now.

So, I have to do it now
because if I don't change,

I'm gonna die.

I'm gonna talk to Dr. Now
today on a video call.

To talk to him about
doing his program.

I know I need help in that I have to
get some sort of aid to lose weight

before things get worse.

But, my big concern
is that Dr. Now

is all the way in Houston.

And if I did his program, I don't
know how that'll affect my life.

[Skype ringing]

Hello.

Hello.

Hi, Paul, I'm Dr. Nowzaradan,
how you doing?

I'm good.

So, Paul I understand you want
to get some help to lose weight.

- Yes.
- Okay.

So, Paul, what's
going on with you?

I'm a very large man.

I'm 750 pounds
and I'm in dire need of help.

Yes, I live
in Auburndale, Florida.

And Paul I'm gonna ask you
some questions about your health.

Yes, sir.

You said you are
about 750 pounds.

6'6".

So you have a BMI of 87.

Paul, how far you can walk?

I can walk to the end
of the driveway.

- Okay.
- Maybe 500 feet.

And you get short of breath
walking

or your stamina gives out?

A shortness of breath and
my knees start to give out.

So, you can get around, but
your mobility is severely limited.

Yes, sir. Yes, sir.

Okay.

And if you're ready
to lose weight...

But even though it may be safe
for you drive to Houston,

it will put too much strain
on you to go back and forth

and keep making that trip
many different times.

And stay for at least a year
or more to do the program.

- Okay?
- Yes, sir.

So, you think you can do that?

I, I would love
to do the program.

But I need to have some
conversations first about moving.

Conversation with who?

My family and my girlfriend.

Well...

In your situation, if you want
to get help on lose weight,

so that is something that
you need to figure out.

And you need to make
a decision and plan on coming

to see us in Houston
if you want to do my program,

- okay?
- Yes, sir.

And then we go from there, okay?

Yes, sir.

And that means
you're only gonna eat

three times a day
and no snacking.

And you're gonna eat
around 1,200 calories a day.

And you start that diet
right now.

And once you get down here...

Okay?

Yes, sir.

And it won't be easy for you.
You get that?

I do.

Okay, so tell me what do your
eating habits look like right now?

I eat all the time.

I eat lots of sweets
and a lot of food.

I eat a lot of fast food.

A lot of greasy food.

So, you eat because you're
hungry or you eat it from habit?

Um, more of a habit
than anything.

There is no excuse for that.

So, if you're telling me
you're eating to get

over 700 pounds out of habit,

then it's time to change
and break the habit.

- You got that?
- Yes, sir.

Does anyone in your family
enable you to eat like you do?

Not really.

Who do you live with?

I live with my mom
for most of the time.

Does she feed you?

Yes, sir. My mom cooks...
Almost every night, she cooks.

Is your mom helping you
to eat less

or she encourage you to eat?

She puts too much on the plate.

And I don't tell her no.

Well, if you don't learn
to say no,

then you're gonna be 700 pounds.

So, this is not a healthy way.

You know, people like you,
they don't make it to age 40.

And this is very high
risk situation

with all the strain that
you're putting on your system.

Any day, your body can give
out and you're not gonna make it.

And that'll be it for you.

So, you have to realize your
situation is very dangerous

and you have to change
your eating habit

and this is gonna be all up to
you to make that decision, okay?

Yes, sir. I'm ready
to do it, sir.

I'm ready to change.

Okay.

You said that you have
a girlfriend.

Is your girlfriend encourage
you to watch your diet

or what's going on with that?

She tries to watch my diet
and cook better,

but I sometimes just go
eat stuff that I shouldn't eat.

Well, that needs to change
immediately.

- Yes, sir.
- Okay?

And do your exercises.

Yes, sir.

- You understand that?
- Yes, sir.

And that diet
is no carb on your diet.

And high protein
and a lot of vegetable

like a salad or cooked
vegetable on your diet, okay?

Yes, sir.

Well, if you need anything,
give me a call.

Yes, sir. Thank you, sir.

Okay.

- Bye now.
- Bye.

I know I need to make
my health a priority

like Dr. Now says.

It's just I'm scared about
what Jen is gonna think

and what it's gonna mean
for our relationship.

I just don't want
to mess things up with her

because she's already told me
she wishes we lived closer.

So, this is tough because
both options for me

seems like a big risk.

So, I feel like I just need
to discuss it all with Jennifer

before I make a final decision.

So, I just hope this doesn't
end up messing things up

with us in the end.

Today, I'm headed to Houston
to see Dr. Now in person

to start his program

and to see what I have
to do to get

weight loss surgery with him.

Mom, you ready?

I'm getting there, babe.
Just got my meds.

I don't think my truck will
make it all the way to Houston

and I can't fit in my mom's car,

so I didn't have an option until
my friend JJ offered to take me.

So, I'm thankful she is
willing to be a good friend

and do this to help me out.

Hey!

Hey, JJ in the house.

I'm going to Houston.

You ready for a road trip?

Yes, I'm ready.

I'm Jessica, Paul
calls me JJ though.

It's a nickname
I've had my whole life.

Me and Paul have been
best friends, you know,

pretty much our whole lives.

- What's up, homie? JJ.
- [JJ] Hey.

- Are you excited?
- Oh, yeah.

Oh, I'm so stoked for you.

I'm so excited for him
to go to Houston.

This is gonna be a whole, you
know, chance at a new life for him,

you know, just be able
to live a normal life again.

You guys ready?

- I'm ready you ready, J?
- I've been ready.

All right, we got to load up.

Get your luggage, let's go.

All right, let's go.

[Paul] Overall, I'm nervous
about the trip down there

just because of how long it is.

This is gonna be
a thousand mile trip.

That's a total of 15
to 16 hours of just driving.

But, my big concern is after
a couple of hours,

it's just gonna get too hard
for me.

But, my hope for now
is to divide up the drive

across two days,
so I don't make it

too hard on my body.

But, how I'm going to handle
being in a car for seven

to eight hours at a time,
I still don't even know.

Right now, my plan is
to take it an hour at a time.

- Or you want this in the front?
- Back seat.

This third seat will
probably be better.

If it starts to get too much
for me and I get sore,

I know we can stop
and take breaks.

- All right, all right.
- It's kinda heavy.

And I'm definitely gonna
want to eat

when I can on the way there.

Because this trip down there
to Houston

is kind of my last chance
to eat.

Yeah, I think so.

Because I know when I get
to Dr. Now,

everything is going to change.

We've been on the road
for about an hour and a half.

And I'm starting to feel it.

Hey, guys.

- Yeah?
- I'm hungry.

Can we stop?

Yeah, sure.

Where do you want to stop?

Some fast food.

So, I told JJ I just need
to eat and call it a day.

So, we found a hotel up ahead

and we're getting some fast
food and then going to rest.

Which I'm very happy about
because this has been

so much harder than
I realized it was gonna be.

And it's taking everything
out of me

to even make it this far.

So, I'm disappointed in myself
because we didn't even

make it out of Florida.

We needed to at least make
it to Alabama to stay on track.

But, I did the best
that I could and waited

for as long as I can handle.

It just got to be too
much for me.

I need a double quarter pounder

and then another double
quarter pounder with no pickle,

and no onion.

I need a McDouble,
add Big Mac sauce.

That spicy chicken sandwich,
a 10 piece nugget,

a large fry,
and a large chocolate shake.

And can I get
baker's dozen chocolate chip?

- Mom, you want anything?
- I'll have some of your nuggets.

And an apple fritter.

That'll be it.

And now, I got to make
it to Houston on time.

I'm gonna have to spend, like,
11 hours on the road tomorrow.

I don't know how
I'm gonna do that.

But I'm just trying not to
think about it right now.

Because I'm in so much pain,

I just want to eat
and go to sleep.

At this point, I'm so sore.

And in so much
pain that I'm worried that

it could seriously take me a
whole day to bounce back from this.

But, I'm just trying not
to think about that

or anything
that stresses me out.

Apple fritter.

I just need a bed and to
be able to sleep for a while

and hopefully when I wake up,

I'll feel a lot better.

And I'll figure out some way
to make it to Houston tomorrow.

[Teresa] Oh, here we go.

But so far, this trip
is kicking my butt

and it's just a lot harder
to be in a car that long

than I thought
it was going to be.

I was worried about that but I
didn't know how bad it was gonna be.

Because I can't even remember how long
it's been since I did a trip like this.

So, when I hit that wall
with my body...

Around the third hour
in the car,

it took me by surprise.

And there was a part of me
right then

that started thinking
that this was a mistake

and that I bit off more
than I can chew.

In trying to make this trip
and go this far.

But I know I'm doing this
for an important reason.

So, I have to keep going.

No matter how much pain I'm in.

- Or how hard it is.
- [sighs]

Here. Want to get
your shoes off?

- Yeah.
- Let me help you.

Oh, man, your legs
are so swollen.

[Paul] I'm just gonna go to bed.

It really hurts.

Come on. We'll help you.

- You want to try to get under the blankets?
- Yeah.

And even though I don't know
how I'm gonna figure out

how to push myself to get
to Houston on time.

A whole lot is depending on me
making it.

Here you go, babe.

[exhales]

You guys turn lights off,
please?

- Yeah.
- And getting the chance I need to lose weight.

So whatever it takes,
I'll figure it out.

Because I have to.

Today is gonna be hard.

Somehow, I have to
make it to Houston.

I slept past breakfast
so my mom and JJ went

and got me something.

Hey, son.

[Paul] Thank God, the
food's here. I'm starving.

So, I'm going to have a bite
before I left

and hopefully give me
a little boost to start out.

As soon as I eat,
we're gonna hit the road.

And do our best to get to
Houston today

before my appointment
with Dr. Now tomorrow.

- That's good [bleep].
- How'd you sleep last night?

- Rough.
- Are you still hurting being in the car all day?

Yeah.

The trip I think has been
a lot harder on Paul than

we really expected it to be.

You know, someone 700 pounds,

his size being crammed
in the car,

it's hard on his legs
and it's really rough.

And we're all tired, but I know
it's taken a toll on him worse

and he slept in this morning.

You could just tell his body's
tired and he's hurting

and now I'm really concerned
we're gonna miss this appointment.

Because he slept in longer
than he should have

and I, you know,
could not get him up

and moving him out of bed.

Seems like he's just
dragging today.

And I'm really concerned
and stressed out.

[JJ] I don't mean to rush you
on eating,

but we really got to get going.

We're gonna probably be late
for your appointment, Paul.

- Nah, we'll be good.
- We overslept, like...

We'll be good.

You don't have to eat
all that right now.

You can save some.

Uh-huh, [mumbles]

I feel I'm trying
to pressure him

and push him and...

It's been hard
to get him motivated and going

and, just, I just want
to get on the road

road and get
to this appointment.

And I feel like I'm the only
one really taking it serious.

Paul.

Like, you don't
have to eat all of it.

You don't have
to eat everything there.

I'm hungry.

I'm very concerned
about Paul's eating.

You know, we're on our way
to see the doctor and I know

he really has to start the diet

after, but, I just,
I wish I would see him

trying to put in
the effort now ahead of time.

Um, I had the surgery
and it's really a mental thing.

So, you have to be mentally
prepared to stop yourself from eating.

And it's hard
and I just don't feel like

he's really taking it
as serious as I wish he was.

And I know it's hard,

I do, but he just,
he won't stop eating.

And I try to tell him are you,
are you sure you're so hungry?

Like, and he says yes,
but it just doesn't stop.

And I'm really
getting concerned.

You got me two omelets.

That was all they had.

I'm scared, really scared.

And that Dr. Now isn't
gonna approve the surgery

because he's not gonna see
what he needs to see from Paul.

Like, he wants to see that
you're dedicated

and ready for this change
and he's not gonna want

to waste his time on somebody
that's not gonna put in the effort.

Can we go now?

Yeah.

And I really want this
for him, but I'm,

I'm really worried he's not
gonna get approved for it.

I'm so concerned about him.

And I don't want to lose
my best friend. [sniffles]

[Paul] The one thing that I
do have to look forward to

is the food on the road.

And my plan is to use that to try
and motivate me to push myself

to keep going today.

So, every time I make it
another 100 miles closer

to Houston, I'll reward myself

with something good to eat.

And if I do that around
six or seven times,

I'll be able to make it
to Houston.

I don't know if that's gonna
be enough

to help me deal with the pain.

Especially after a few hours.

But, at least it gives me
something to try.

And do to keep going.

So, hopefully that helps,
but I'll just have to wait

and see how it goes.

And how I handle it all.

I'm just worried because
of how sore I already am

and how hard I know
it's gonna get for me.

But, all I have to do
is keep moving forward

and do my best
and hopefully I can make it.

I'm really tired.

I lasted as long as I can today.

But, I'm at my limit.

So, I told JJ we had to stop.

She wants me to keep going
because we still have

five hours left to go
to get to Houston.

We're about to be in Louisiana.

But, I can't do it.

I have to rest.

I really want to keep going,
but my body just can't take it.

It hurts.

My knees hurt.

I don't know what this is
gonna mean about tomorrow

and my appointment
with Dr. Now.

But, I can't think about it
right now.

I just need to get into bed
and rest.

[grunts]

I've done my best today
and I'm out.

I've got no more in me.

And so I don't know
what we're gonna do

about getting to
my appointment on time,

but I'll figure it out tomorrow.

Because I don't have it in me
to do anything more today.

Mom.

[Teresa] Coming.

I'm just done.

We have a chance of making it to
Dr. Now's in time for my appointment.

My appointment is five
and a half hours from now.

So, that's tight, but we can
make it if we don't stop a lot.

We need to get on the road.

JJ says it'll look bad
and show Dr. Now

I'm not invested in
doing this, but I am.

I'm very invested and I
want Dr. Now to know that.

So, I'm gonna push myself
and try and make it today.

I'm just hoping my body
can handle it.

We made it to Houston
and I'm so very thankful

we're getting close

and it looks like
we're gonna make it.

The appointment's at 1:30
and it's a little past one now,

and we're about 30 minutes away.

So, we may be a little late,
but pretty much on time.

I'm in a lot of pain
because we mostly done

a straight shot down
the interstate 10

to get here with just about
no stopping.

So, I'm really looking forward
to just getting there

and being able to get out.

My legs are so sore,
but I'm just glad we made it.

We're a little late,
but not too bad,

so I don't think Dr. Now
is gonna be upset.

- You ready?
- Yeah.

- Are you gonna do this?
- Yeah.

But, I'm really getting
nervous about this appointment

because we had to rush here
so fast

that I haven't had time to
kind of mentally prepare myself

to talk to Dr. Now
and do this.

I just hope that he has a plan
for me that can work,

so I can finally lose
the weight.

Mr. McNeill.

I know that I have a lot
to lose,

no matter what
my weight is today.

Whatever the scale number,
it's gonna be a lot higher

than what it should be.

And I want to fix that.

But, I hope the number
I get from the scale today

is at least in the range
I was at last time.

It's been at least five months
since I got my weight

and I was around 750 then.

So, if I'm around 800
or something like that now,

it's gonna be
a huge shock for me.

I'm worried and nervous about
that

and I'm in a lot of pain still.

And I feel rushed,
so I'm just hoping

I can get through this
and it all goes right

because in a fight
to save my life.

And if I don't get a plan
to do that today,

then I don't know
what I'm gonna do.

I'm at Dr. Now's for my first
in person appointment with him

and I'm about to get my weight.

[woman] Go ahead,
and step on the scale.

I was 744 about four months ago.

[breathing heavily]

So, I'm hoping I'm still
in the 740 range.

757.

[JJ] It's gonna be okay, Paul.

Oh, son.

What are we gonna do?

Gotta do something about it.

[JJ] Never gonna
see that number again.

- Never again.
- Never again.

Whenever you mess up, just
remember seeing that number

and how you feel right now.

Yeah.

I gained a little,
but not a whole lot.

So I'm a little relieved,

but 750 pounds is still
a little embarrassing

to see come up on the scale.

And when it did,
it made me sick to my stomach.

So, I'm here to change.

I just hope that Dr. Now
is able to give me an option

and a plan to help me do that.

[knocking at door]

Hello.

- Hey, Doc.
- How you all doing?

[Paul] How you doing.

All right, Paul, you finally
made it just a little late,

but you're here,
so I'm glad to see you.

So, how was your trip down here?

Long.

All right, how long it
take you to get down here?

Almost three days.

Three days.
Are you holding up okay?

My body hurts.

I'm tired.

[Dr. Now] Tired
and your body hurts.

So, that's a lot of strain
on your body

going back and forth.

So, this is not gonna be
something that

you're gonna be able to do.

And that's why it important
you move here.

So, if you want to do
the program,

then you need to plan to do that

and stay for at least
a year or so.

Because going back and forth
is going to be very hard

on your body
and it not gonna be possible

for us to keep the track
of your weight

and make sure that
you stay committed.

And if we need to intervene
to get you back on track,

it won't be possible to do it
being in Florida.

So, that is something
you need to consider.

But, I'm glad you made it here
this time.

[Paul] Thank you.

So, Paul, you weren't kidding
about your weight.

You're over 750
and that's a lot.

But, thankfully,
you're still mobile.

But, no one that weight
is getting food

without some help.

So, who you got with you?

Um, my mother
and my best friend.

- All right, nice to meet you.
- Nice to meet you.

So, who is enabling you more,

your mother or your friend?

Probably me
'cause he's with me more.

So are you the one
that encourage him to eat

whatever he wants,
whenever he wants?

I allow it,
and I give it to him.

And I cook so I said it before
and I'm very, very sorry

because I was a big woman myself

and I ate wrong.

And then you know
just tragedy, things happened.

And Paul would
get bigger and bigger.

And then when he'd say he wants
something to eat, I'd fix it for him.

So how did you lose your weight?

Actually I had...

It started out...
I had a gallbladder problem

and so I took my gallbladder
out and then I just decided

to take a change on my way

and I tried to go on
just like chicken,

very little starches and,
you know, lots of vegetables,

and no sweets.

Well you're doing that for yourself
but you're not doing that for Paul.

Paul, Paul I...

[sighing]

He was on the road a lot,
so he wasn't always home.

Then when he was home,
I tried to make him happy

and fix what he wanted to eat.

- Well...
- I didn't see it before--

Looking at his leg
and you think he's happy now?

No, sir.

So this is a dynamic
that we need to change.

But I don't know
how we gonna change that.

I know how we're
gonna change it.

We're gonna try.

We're gonna try
and I'm gonna cook right.

And he has a young lady
that he sees.

And she has already told him

that food will be
cooked good, too.

So we're not gonna do things
in front of him

and we're gonna try
to all start eating healthy.

Yeah.

So Paul you come down
to Houston,

who's gonna be with you?

I mean I wanted
my girlfriend to come

but I don't think she's able
to make it. So I'm not sure yet.

You're gonna need
somebody to help you out

because you know
you're not a person

that you're gonna
take care of yourself.

And it's not safe
for you to be alone

because if anything
happen to you, if you fall,

who's gonna help you.

And somebody need to be
around with you

so it'll be safe, okay?

So if you want to do the program

you're gonna have to
figure that out.

Yes, sir.

So just think about that and
let me know what you decide.

But for the time being, your
mother is gonna stop enabling you.

Yes.

Is that what your mom said?

That's what I say.

And your friend is
not enabling you, huh?

I do sometimes.

I'm a little more stern with him

because I also had the surgery
five years ago.

So I know the struggles but...

So everybody look like
they know what to do.

- Right.
- But not for Paul.

So let's keep Paul happy and
give him more... whatever he want.

Instead of making
him permanently happy

we try to make him happy
in that moment. But, yeah.

We know it's not good
and we have to change.

So this is all more reason
you need to be here

so we can get you to be accountable
for your eating habit, okay?

Yes, sir.

But until then,
you need to realize that

enabling people
are gonna be around you,

but ultimately it is
your responsibility

to change your eating habit.

- Yes, sir.
- And that's gonna be something

that you're gonna have to do.
You understand that right?

- Yes, sir.
- Okay.

All right Paul, so right now,
because you live so far

I'm gonna set your next appointment
for three months from now.

I don't want you traveling
again too soon after this trip.

In that time you need to lose
100 pounds in three months.

You think you can do that?

Yes, sir.

So you should be
around 650 by then, okay?

And if you do that I'll approve
you for weight loss surgery

to help you lose weight.

And also what's going on
with your legs

and all the swelling you got?

[Paul] Lymphedema.

You got it also down in the leg.

All the way down to my feet.

- Okay.
- All through the back of my legs, yeah.

Hasn't really opened right now

but sometimes they do open.

Okay. So what you doing
with the lymphedema?

I try to put socks on.

I have some compression socks
but sometimes it's hard to do.

Okay. So how mobile are you?
How much you can walk?

I can stand for probably
about ten minutes.

I can walk to the end of
my mom's driveway, you know.

- You get short of breath?
- Yes sir,

So we have a lot
of work to do with you

to get you healthy, Paul.

But nothing we do
is gonna matter

if you don't make the choices
to work hard.

- You get that?
- Yes sir.

Everyone come here
to lose weight.

The only way you're gonna be
able to do that

is that you're gonna
have to do the hard work,

and you're gonna make
those changes happen. Okay?

So you're gonna have to prove
that you can change your eating habit

and motivate yourself so
that's gonna be all up to you

- to do the hard work, okay?
- Okay.

So I sent you the diet and
exercises a couple of weeks ago.

Have you started following it
and doing what it says?

[Paul] Not yet.

So how does that make sense

if you're telling me
that you're ready to change?

I'm ready now.
And I'm gonna do what I need.

Okay. In order to get the
temptation out of the house,

get all the unhealthy food
out of the house.

- Okay?
- Yes, sir.

Then Paul, follow the diet.

You only eat three time a day.

Make sure it's high protein,
low carb diet.

So I know I gave you
some instruction,

but I'm gonna bring you it again

and maybe I'll give
another copy to your mom

so she can be more familiar

what you're gonna be
doing that. Okay?

Also do your exercises,
and if you do all that

you should easily be able to
lose 100 pound in three months.

- Okay.
- When you're 700 pounds you can lose 100 pounds easily.

So you got a lot of room
to lose that very quickly.

- Okay?
- Yes, sir.

- All right, any questions?
- [Paul] No sir.

Okay. I'm gonna bring you
another copy of the diet

and exercises
that I want you to do

and I want you to go over it.
I'll be back.

[Paul] All right. Thank you.

[Teresa] Thank you, sir.

I'm glad to see that everyone
seems ready to support Paul.

And do what it takes
to help him get healthy.

And that Paul feels he's ready
to make the changes

he need to save his life.

But as ready as
they all are to do this,

it's not gonna be simple
for Paul and his mom

to change
their dynamic instantly.

But it is Paul's responsibility

to make sure that no matter
the situation or temptation,

the choice to do
what he need is up to him.

[Dr. Now] No more nothing to
do and watching for the food.

You get all this homework,
you start working on it, okay?

- Yes, sir.
- And,

let me know if you need anything

and then we go from there, okay?

Sounds good, thank you.

Before you go
we do some tests, okay?

Thank you.

All right.

- And if you need anything give me a call.
- Yes, sir.

Thank you very much.

All right you're welcome.
I'll see you all later.

- See you later.
- All right. Bye-bye.

So far it is concerning
that he has a few weeks

to start making those changes

with the diet and exercises
I sent him.

But hasn't.

So it's time for him to
put action to all he's saying

and show me he can do this.

Because if he doesn't, we
won't be moving ahead with him.

[Paul] I know I have to do this.

I'm out of options so I have to
lose 100 pounds in three months.

And do everything
Dr. Now says starting now.

I know 100 pounds
is a whole lot to lose

but I'm actually excited
about the goal.

Because I feel like
I have a plan to fix things.

And there's still time
for me to turn it all around

before it's too late.

I'm making it to that goal

because I'm getting
a second chance in life

and I'm gonna do whatever it
takes to get approved for surgery.

[Paul] I've been back home
from Houston for a few days now.

And as soon as we made it home
my focus went 100 percent

towards making the changes
I need to do Dr. Now's diet.

Because I'm determined
to get to my goal.

But we don't have
the ingredients I need at home

to make the healthy stuff
in this diet.

So I'm trying to make sure
I have what I need now.

- Yeah, Dad?
- Turkeys.

Turkey gizzards,
stuff like that?

It has to be high protein.

-Turkey's high protein. All protein.
-No.

Yeah it is.

I'm looking forward to the day
where I can go somewhere

and walk around enough
without having to have a scooter.

Right now, this is the only
option I have to go anywhere

where I have to walk a lot
or be on my feet for a while.

[Thomas] You can have that
without, without the butter--

That's too many carbs.

They're small though.

Still dad.

I think I'm gonna get this.

[Paul] This is gonna be
a little tougher to do

than I thought
just because I have to learn

what options that I can get
that work and what don't.

Bananas.

No I can't.
I can't have no fruit.

I'm not supposed to have it
because I'm a diabetic.

- I didn't know you couldn't 'cause you're fat.
- Yeah.

[Paul] There's a lot of good
ingredients Dr. Now listed in his diet

that I'm allowed to use
to make my healthy meals.

I didn't realize how many
things have a lot of stuff

that you're not
supposed to have.

But I know that's the stuff
that makes it taste so good.

So I'm not getting as much
as I was thinking,

but at least I feel like I got
a good starting point

to begin doing the diet.

But I know this is mostly
gonna come down

to having to make meals myself
or with my mom's help.

And that's not gonna be
easy to do three times a day.

But I'm committed
to doing this because I know

everything depends on me
losing weight and qualifying.

So no matter what it takes,
I'm gonna figure this out.

For the past month,
I've continued making

a lot of adjustments
to what I'm doing.

After I went shopping
for some better ingredients,

my mom did what Dr. Now said

and threw out
all the bad stuff in my house

so it wouldn't be there
to tempt me.

And it was hard
to watch all that stuff go,

but I knew it had to be done,

because I couldn't be around it.

A part of what me
and my mom decided to do

was to have me start cooking
most of my meals

because her temptation is making
the food taste as good as she can.

That's how she showed people
her love for so long.

So she just instinctly puts
butter and all this other stuff.

So for right now, I'm trying
to do my own cooking

for most of my meals.

And I learned to make
some simple meals

so I don't have to head
back to the store as often.

The first stuff I got
from the grocery store

ran out in less than a week,
and I had to go back again.

So I tried just
to do simpler meals

so I can stretch out
what I have for longer

so that doesn't happen again.

And it's working some.

I don't run out as fast but it's
only like an extra three or four days.

So my mom's trying to help me by
grabbing what I need when she can.

But for the past month I've
been complying to Dr. Now's diet

and only eating
what I'm supposed to eat.

And I'm making meals with
the only approved ingredients.

So I feel good about that.

But it's been
a lonely experience,

because I'm having
to eat alone a lot

since I'm avoiding temptation.

When my mom,
Jen or JJ eat with me,

they don't get anything bad
to support me,

but it's hard for them
to do it every meal.

So I try to eat breakfast
and lunch on my own right now,

so I can make what I need
and not be around anything else

that can tempt me.

I'm scared I'm gonna
give in if I do.

So I just make my meals
and eat them.

And then I try to occupy
myself throughout the day

so I don't think about food
and all the stuff I wish I can eat.

And I'm making sure not to snack

because Dr. Now made it clear,
absolutely no snacking.

And I'm also doing
my exercises every day.

Those were hard to start
because walking's still tough for me.

And the upper body exercises
were a little tough to start at first.

But I'm able to do
all the stretches

and mom exercises now.

After doing 'em for a while
it's not too bad.

But I'm still trying to work
on my ability to walk.

Right now, I can't go very far.

My limit when I started was
the end of my mom's driveway.

I knew I could walk that far

because I've had to walk it
to get to the car

that was parked
at the end of the driveway.

I can't go
much further than that.

So I walk to the edge of the
driveway and take a small break.

And enjoy the view for a moment.

That makes me think
about the whole world

that's out there,
that's out of reach for me.

And I can't enjoy
or be a part of.

And I use that to try to
motivate myself to work hard.

And then I head back
inside to rest

because that tires me out.

And I do that twice a day
like Dr. Now said.

But I'm noticing that
when I come back in

that I'm not as out of breath
as I was

when I started all this
a month ago.

That makes me feel good
because it feels like

it's some
proof I'm making progress.

I'm doing good.

I have two more months
before I go back

to see Dr. Now and to find
how I did.

But I'm determined
to get to my goal

to make sure I get approved
for his program

and weight loss surgery.

And once that happens,
the next step is for me

to move there to Houston.

And that's gonna be
hard and scary

because I don't want
to leave Jen

and I still don't know
who's gonna move with me.

But I know I'm gonna figure
it out because I'm ready to do

whatever I have to and have a
chance at the future I want with Jen.

So until then,
I'm gonna push myself

to work as hard as I can.

And hopefully
when I go back to see Dr. Now,

it'll be enough
for me to qualify

and take the step I need
to get my life back.

I'm back at Dr. Now's
for my second appointment

to find out if I made it
to my goal or not.

And I'm a little nervous
to find out.

But overall, I'm doing okay.

I'm just a little sore
from the trip here,

but it's not nearly
as bad as the last time

because this time I flew,

and that was
an experience for me.

Hopefully, this appointment
is a good one

and I feel like there's
a good chance it will be.

Mr. MacNeill.

The last time I was here
I weighed in at 757.

That was three months ago,

and Dr. Now gave me a goal
to lose 100 pounds by today.

So that means my weight
has to be down to 657

if I made it to my goal to
qualify for Dr. Now's program

so that's what I'm really hoping
to see on the scale right now.

[nurse] Your weight is 695.

I got mixed feelings
seeing that weight I guess

because I'm disappointed
I didn't lose what I needed.

But I did still lose a lot

and it's hard not to feel
a little proud of that.

But ultimately,
I'm nervous right now

because I don't know
what Dr. Now's gonna say.

I just hope it's positive.

[knock at door]

Hello. How you doing, Paul?

I'm good, Dr. Now.

Where is your family?

Uh, at home.

So you left your enablers
all at home?

- [laughs] Yeah.
- Except yourself?

Except myself.
I'm my own enabler.

All right. How was your trip?

It was a little cramped,
but it was an easier trip.

It's a whole lot easier than being
on the road two to three days.

Definitely, sir.

But still it's a lot of strain
on your system

going back and forth like that.

So if you want to do the program

you need to move
down to Houston.

I'm gonna do that as soon as I
get approved for weight loss surgery.

So if you tell me today
that I'm getting it,

I'll move down here
as soon as possible.

Well you lost 62 pounds
in the last three months

so that's positive, but still it's a
lot less than you should have lost.

I know.

So right now instead of losing
at least 33 pounds a month,

you only lost 20.

So that means that
you're not doing the diet

like you should
because if you were

you would have easily lost
what you should have.

What did you do
with your eating habit

to start making
the changes you need?

I just been trying
to learn your diet

and cut back
to only what's on it.

So I cut out bread and pastas
and all the junk food.

No sugars and sodas.

I feel like I made a big change.

But I guess it wasn't enough.

Are you still
emotional eating at all?

I don't think I am.

So you're working on things
with Dr. Paradise?

Yes, I am, sir.

Okay. Keep that up,
but how's your portion size?

A lot smaller than what
I usually eat, a whole lot.

- Do you eat 'til you're full?
- Sometimes.

With a stomach your size
you shouldn't eat to get full.

You have a stomach about
the size of two footballs.

So you need surgery to fix that

so you can get full
much quicker.

So you need to cut back
on your portion size.

I'll do that 'cause
I didn't realize that.

Now if you look at my book
I explain the portion size.

So if you eat meat it should
be around four to six ounces.

So four to six ounces
is what fit in my hand, okay?

But then, when you're eating
a salad or cooked vegetable,

put that on a smaller plate so you'll
have control of your portion size.

So before you eat, you
put everything on the plate,

so you see
what the portion size are.

- So you can control that, okay?
- Yes, sir.

So if you do that then over time

you get full
as your stomach shrinks.

I will do that,
and I didn't realize that,

but I'm dedicated to do this.
I promise you Dr. Now.

[Dr. Now] Okay, great.

So here's what we can do.

Since you showed me
some good progress,

I'm gonna reduce your goal
to 50 pounds over two months.

And if you do that then I'm gonna
approve you for weight loss surgery.

You think you can do that?

I'll definitely do that, sir.

Good. But remember, you
have to move down here first

before we go ahead
and do surgery.

That's no problem, sir.

If I'm getting weight loss
surgery, I'll move down here

and stay as long as I
need to do your program.

Great. So lose
another 50 pounds

by cutting back
on your portion sizes.

And once you do that, move here,

then we'll schedule
your surgery.

You got it, Dr. Now.
Thank you.

You're welcome. Okay,
I'll see you in two months.

Have a safe trip back and if you need
anything before then give me a call.

I will, thank you, Dr. Now.

Okay. Take care.

- You too.
- Bye now.

Bye.

[Dr. Now] I am very encouraged
to see the progress Paul's made

over the last three months.

Even though it's not as much
as he should have made,

it shows me he's trying to make
the changes he needs to do this.

But it sounds like
the portion sizes

are the issue that he
need to focus on still.

And there may be some
emotional component to that

to where he eats to get full,

to get the satisfied feeling
he wants from food still

even though he has cut back.

So if he works on that
and loses another 50 pounds

to show me he's getting some
control over his eating habits

in all the ways he needs.

And I feel confident he's ready to
move ahead and get weight loss surgery.

As soon as he moves to Houston.

I feel like Dr. Now was
fair with me so I feel good.

You know I lost,
but it was the goal I needed.

So I didn't qualify this time.

But even though I didn't get
approved for weight loss surgery

I have an easier goal
for next time.

And I know I'm gonna be
able to do it

with what I've done so far
and everything I've learned.

So I'll go back focused and
cutting my portion sizes down

like Dr. Now said,

and see if I can lose even
more each month by doing that.

Because I want to do
everything I can

to make sure my next appointment
is the one I get my approval at.

I'm done wasting time
and wasting my life.

So every choice I make
from here on out

it's gonna be one that moves me

towards getting my life back

because I'm taking back control
of my life no matter what it takes.

Today I'm at the carnival
I used to work at

to start working there again.

Hey, Butch.

- Whoa!
- What's up, man?

- What's up, man?
- All right.

- What's going on man.
- Good, how are you, how you doing?

All right.
You doing All right?

- I'm good.
- Look like you're losing a little weight there.

- Yeah, a little bit.
- Yeah?

All right, boss, let's go.

[Paul] I cut back
on my portions,

and I'm eating smaller sizes.

And I'm able to get around
even better now

to where I can even go out
without the scooter now.

And trying to figure out
and plan my move to Houston

and looking at places
to live and all that.

Where you want it at, Butch?

I realize I need to
save up some money

to be able to afford
to stay there for a year

because I'm gonna be on my own.

Over there, Michele?

And I don't know what kind of job
or work I'll be able to do in Houston.

Carnival work is what I know,

so I called the guys
and asked them

if I could jump back in,

and they told me
it was gonna be no problem.

Hey!

I'll sit on this cooler.

And they'd love to have me back

so I'm excited to be doing
this, and to see everyone.

I just hope I could do
the full day like I need.

So far I feel like
I'm holding up pretty good.

This has taken a lot out of me,

but it feels good to be back.

I really missed it
more than I realized.

So as exhausted as I am,
I'm happy to be doing this.

It's kinda like coming home
and I just miss being here.

That may sound weird,
but this is where I grew up.

And this is where I worked
for my whole adult life.

Right now I'm gonna work off
days so it's not that crowded.

Just because I'm still nervous
being around a lot of people.

One thing
that I didn't think about

is being around all the
food I love, carnival food

because it's all the stuff
I used to eat constantly,

every day of my life
for so many years.

But I'm not gonna give in.

I'm gonna stay focused
on the work.

Once I lose the weight then I
can do the things I want with Jen.

I'm hoping we can get married

and maybe even have
some kids together some day.

And as long as I keep
reminding myself of that

I know I can resist.

That's what's helped me so far

because right now I feel like
everything's coming together.

And I'm starting
to get my life back.

So I feel good about today,

and I'm trying to keep
doing this a few times a week.

Hopefully, I'll be able to save up a
good amount before I get to Houston.

Because I'm determined
to get to my goal

and get weight loss surgery
no matter what.

[Paul] It's been almost
two months

since my last appointment
with Dr. Now.

My next appointment
with him is in a week,

and I'm feeling pretty good
about how I'm doing

and my chances
of meeting my goal.

Ultimately, I'm still not sure
what my weight loss is right now.

But I stayed
on the diet completely

and I made sure I'm paying
attention to my portion sizes.

And I've just really simplified what
I eat and how I make my meals.

The easiest thing for me is that
I'm hard boiling a bunch of eggs

at the beginning of the week.

And I put them in the fridge
to use through the week.

Or I get some sliced
turkey with it.

And then I make a simple salad so
I don't have to cook for every meal.

Having to cook each meal
was taking a long time

especially doing it
three times a day.

And my frustration was that
it increases my temptation

to order something
from somewhere

because it's convenient,
and it's quick.

But I've made sure
not to do that.

So I'm resisting all temptations

even at the carnival.

I haven't given in once

even when I'm around
all that food.

So I feel like I'm getting more
control over my eating habits.

Like Dr. Now said.

And that makes me
feel good and confident

I'm doing good and headed
in the direction I should.

When I started,
I couldn't do a whole lot.

Mostly I could only do the arm
exercises and the stretching.

The upper body stuff.

That's all something I could do.

But it still made me really
tired by the time I finish.

But now, I'm barely
breaking a sweat

when I'm doing 'em,
and I can do 'em a lot faster

because it hurts less
with all the movement.

So I've been happy about that.

But what's been really
is great is my walking.

When I first started
five months ago,

I could barely get to the end
of my mom's driveway,

and even that wiped me out.

And now, I can walk for blocks.

And that's an amazing feeling.

So far, my record is nine blocks

and I'm working on ten.

But I have to be careful not to
accidentally get too far past my limit.

Because whatever extra
distance I push myself to go

I have to cover it coming back.

So it's like double that
when I do it.

And I don't want to
end up hitting a wall

before I go back home
and get stuck out here.

So I just be careful when I
try to see if I can go further.

So it's been a slower process

figuring out what my limits are.

But I'm really excited
by how far I've come

with my walking and my stamina.

Because that's been
the biggest thing for me.

Being able to go places
changes everything for me.

And it's opening up
a whole new world for me.

Being able to work again
is a good example of that.

So it's been amazing
to just go outside

and enjoy being out
and looking at the ocean,

and just take a moment
to enjoy life.

It's been so long since I've
been able to do anything like that.

So I feel great now.

And I'm really excited
about my progress

because I know I'm working
towards a better future now

and I'm doing everything
I can to make sure

nothing stops me
from doing that.

So I'm just hoping next week
when I go back to see Dr. Now

that my weight loss is enough
to make it to my goal

to get approved
for weight loss surgery.

So I can keep going
on this journey

and make it to
where I need to be.

[Paul] I'm back in Houston again

for another appointment
with Dr. Now.

I flew again just because it's
easier than having to drive in.

And I know that Dr. Now prefers
me to put less strain on my body.

But I'm less sore this time

even from the last time I flew.

So I think that's positive.

It shows that I'm moving
in the right direction.

So I'm feeling really good
about where I'm at.

And my chances of being
where I need to be today.

But like the other times,
I'm still nervous

because I just don't know
what my weight's gonna be

until I see it on the scale.

But I've worked extremely hard
to qualify for Dr. Now's program

and hopefully get
weight loss surgery.

Mr. McNeill.

[Paul] Because I know I'm not
gonna be able to move ahead

unless I show him
I'm ready to work at this.

So that's what I'm hoping
I do today.

Because I know if I don't
I can't do his program.

There's no other options
for me out there.

So I really hope I did it.

I'm back at Dr. Now's to see if
I made it to my goal this time.

And I'm really hoping I did.

Two months ago,
I made it down to 695.

Dr. Now gave me
another weight loss goal

to lose 50 pounds by that day.

So if I made it
I'll be down to 645 today.

[nurse] Your weight is 641.

Yes!

That's awesome.

It felt really good to see
that number come up,

I'm excited.
I'm really excited.

I set my mind to something,
and I did it.

And it wasn't easy.

So it just feels really good
to see it pay off

especially when I
wanted it so bad.

So I'm hoping
that the next steps for me

are to figure out
how to move to Houston.

Because Dr. Now's
about to tell me

I'm approved
for weight loss surgery.

Hey, Paul, how you doing?

Good, Dr. Now,
how are you, sir?

I'm doing well.

So you made it down here
on your own again?

Yes, sir, this time
it was easier,

so I feel like what I'm doing
is paying off.

Well, I agree with you because
you lost 54 pound, and that's great.

Yes, sir. I almost
did a cartwheel.

All right.

So did you cut back
on your portion size?

Yes, sir, I did like you said and I
followed the portions in your book.

And it was just like you told me

because after a month
of never feeling full

with that amount
I started to feel more full,

not completely, but I was
getting more satisfied with less.

That's great.
That's good progress.

Well I'm proud of you
for all your hard work.

So I'm gonna approve you
for weight loss surgery.

And I'll do that as soon as you
move down here to Houston.

Thank you. Thank you so much.

I'm so stoked. I'm so excited.

I'm gonna move down
to Houston as soon as I can.

Don't take too long.

But if you do I expect you
to stay on track

and lose at least
15 pound a month

until we do your surgery

which should be easier for
you, and it would be great

if you get under 600
before your surgery

because it will reduce
the strain on your system,

and will be easier
with anesthesia and all that.

So you think you can do that?

Yes, sir, I can do that.

I can stay on track
and lose the 15 pounds a month

until we do the surgery.

I'm gonna stick to my goals

and keep on pushing
on the diet that you gave me.

Okay, great.

So I'm gonna set you an
appointment for two months from now.

That'll give you enough time
to move down here.

So you don't have to
make these trips.

And keep me posted
about your timeframe

when you're moving down here.

But as long as
you stay on track,

we'll keep moving forward
with your surgery, okay?

That's great, doctor.

I'm thankful that you
approved me for the surgery.

It's a blessing.
Thank you so much.

You're welcome.
I'm proud of your progress,

keep working hard, and if you need
anything before then, give me a call.

Thank you, and I will.

- All right, take care.
- Bye-bye.

[Dr. Now] I'm very proud
of Paul.

He has worked hard to do
what he needs from the start.

So I have no doubt
about how dedicated he is

to change his life
and get healthy.

And I'm confident he's ready to
move ahead with weight loss surgery.

And that it will be
a good tool that will help him

to continue doing what he
needs to get to his target weight.

So as soon as he
moves down here,

we will take that step with him,

and then continue working
to help him lose

the 400 pounds he still needs

to get to his target weight
of 225 pounds.

And I think with what
I have seen from him so far,

he should be able
to do that within a year

after his weight loss surgery,

as long as he stick with it,

and keep working
as hard as he has so far.

But I'm proud of him
for how he has done,

and I'm looking forward to seeing
even more progress from him soon.

[Paul] I'm excited, because this
means I can keep on moving forward

to work towards
getting my life back.

And I have a chance
to have what I want,

which is a future with Jen.

So I'm happy that I'm gonna be
able to take this next step

to get closer to that.

And I know this is
just a start for me really.

And that there's
a lot of hard work ahead

especially figuring out the move
to come down here and all that.

But I'm ready to do this,
whatever I have to do

to have the life that I want.
I'm ready for it.

I flew back home yesterday.

After my appointment
with Dr. Now,

but I held off on telling
anyone my progress

And that I got approved.

But right now, I wanted
to do something special

to tell Jen.

This is beautiful.

Where are we going?

Ah... Wouldn't you
like to know.

Ultimately, this is good news
as this is gonna save my life.

But the bad part is
I have to move away,

and that means that Jen and me

have to have a long distance
relationship for a while.

We won't be able to see each
other often during that time.

And that's gonna be
really hard for me.

But I'm doing this for us
because I know

if I don't that I won't
have a future with Jen.

[Jen] Well, it's already
past our anniversary.

It's not my birthday.
It's not your birthday.

[Paul] It's not,
it's a surprise.

[Paul] I have plans
to tell her that I did it,

and that this is
actually happening.

So I'm moving to Houston, but
I'm gonna make her a promise.

In one year, I'm gonna
lose the weight

and come and take her
back to the beach.

It's been a minute since
we've been to the beach, huh?

- It has.
- [Paul] She loves the beach.

Whoo!

[Paul] It's one
of her favorite places.

But I've never been able
to go with her.

I can't wait to be able
to walk on the beach.

[Jen] Me, too.

[Paul] It's impossible
at my size to walk on sand,

because my weight makes it
shift too much to walk on.

So my commitment to her
is that I'm gonna go work hard

to get healthy,

to lose all the weight
in a year.

I'm gonna spin you
around, all right?

Ready? Ooh-wee!

[Paul] The main reason
I'm doing this

is to have a better life
with her and Riley someday.

And I want that day to be soon.

So what's up?

So you want to know
why I brought you here, right?

I know I have a problem.

I had to take this leap,

and have the surgery
by going to Houston.

And I know that you can't go,

because there's work and Riley.

I want you to know that
when I'm done with the surgery,

I'm gonna push myself
to lose all this weight.

Right now I'm not able
to walk on this beach.

I'm gonna make this promise that
we're gonna walk on this beach together

and be happy
for the rest of our lives.

I know you can do this.

- I love you.
- I love you.

I love you.

[Jen] I understand
why Paul has to go,

but I'm not gonna be able
to go to Houston with him.

I think the hardest thing is
we're gonna be apart 1,400 miles.

I feel like our relationship
is strong enough

to withstand this time away.

I think it's vital for him
to get healthy,

because if he doesn't,

the strain that the weight
does put on his body

I feel will cut
his life shorter.

I think if Paul lost
a lot of weight

he would be able to come out
and do more things

and be able to spend time
doing those things with Riley and I.

I want to be able
to do things with him.

- You hungry?
- Yeah.

Paul made a promise to me

that he was gonna come back
and take a walk

along the beach with me.

I feel like that's important because
the beach is one of my favorite places,

and he can't
walk with me right now.

So I think
it's a really nice promise.

And I would love to walk
on the beach with Paul.

That would make me very happy.

And I'm definitely gonna
hold him to it.

I think that Paul will be
very successful.

I'm absolutely gonna support him

in his quest to lose weight.

What sounds good to you?

[Paul] Need something healthy.

[Paul] Jen changed my life
and gave me purpose again.

So I owe her this, and even
though it's gonna be hard

for both of us to be apart,

I know we'll manage this and
figure it out to make it work.

- Just the chicken.
- Chicken?

- Do you want black beans?
- No beans.

No beans?

No sour cream, no cheese.

So no dairy on it.

[Paul] Thankfully, I have a little
more time before I'm leaving.

And a large ice water please.

I want to get my surgery
as soon as possible

so the second that
I have everything I need,

and everything lined up,
I'm making the move.

But until then, I'm making
sure I don't slack on my diet.

Dr. Now warned me about that.

But I'm sticking to my diet.

Because Dr. Now also told me

if I don't stay on track,
then I'll lose my approval,

and I can't let that happen.

But I know this means I have
a whole lot of work ahead,

not just to get ready
for Houston and the move,

but to lose the weight
and to get to where I need.

But I'm gonna work
my hardest to make sure

that all that happens
as soon as possible.

I'd offer you a bite, but
you can't have the tortilla.

I don't need a bite, baby.

I got this salad and it's good.

Every choice I make from
here on out has one purpose.

To get the life I want with Jen

so I'm using that
to keep me motivated

for every minute of every day,

so I move closer
and closer to my goal,

and that life,
so I can get back here

and keep that promise I made
to the love of my life.

And start the life with her
that I'm dreaming of.

And I can't wait for that.

Wow, you seem
really serious about this.

I gotta be.

Gotta make a better life
for both of us.