All language subtitles for My 600-lb Life S10E13

[Larry] My life is hard.

When you get to be
super morbidly obese,

it's very hard.

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

I just wanna be a normal person.

[grunts, pants]

[man, crying] 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.

[groaning] It's really hard!

[woman 3] I refuse to stop fighting.
I have to do this for my children.

Larry, I can tell that
you're pretty smart.

But being smart and being
self-destructive is a bad combination.

[labored breathing]

[Larry] The first thing that comes to
my mind when I open my eyes up is,

I say God, I thank
you for another day.

Because it is a struggle
being overweight.

And when you get to be super
morbidly obese, it's really a struggle.

When I go to bed, I toss and
turn and roll from side to side

all night long.

Because I fear that I am not
going to wake up.

I have asthma, sleep
apnea, thyroid problems,

and I take medication
for depression,

'cause even food isn't enough to
completely comfort me anymore.

It brings tears to my eyes just to think
that each day could really be my last.

I'm trying to maintain
my composure.

But it... it's
very frightening.

Good morning, Larry.

[Larry] Oh, good morning.

Good morning.
It's time to wake up.

Hmm.

[Larry] I live by myself.

I have a caretaker
named Mr. Lawrence.

He comes seven days a week to help
me wash and feed myself every day.

- Do you need any help?
- Not yet.

Okay.

My right leg is a mass of
hardened lymphedema tissue,

which makes it significantly
larger than my left.

And it's very painful.

The most difficult part of my
day is getting up off the floor.

It takes all my strength,
and it pains me a lot.

[grunting]

Then once I'm up, my
lymphedema pulls me down.

And walking is very, very
difficult. And it hurts bad.

It's a challenge and a struggle
to take a shower all on my own.

But somehow, I manage to
take one every day.

Even though
I'm in constant pain.

The best, kindest, politest
way that I can say it,

I'm very flexible and
I do what I have to do

to get all the way into
the tub and clean myself.

'Cause I am a germophobe.

I make sure that
I'm thoroughly clean.

I have to use bleach
on my body because

it's the only way
I can feel truly clean.

I don't overdo it where
I put burn marks on myself,

but I do use bleach.

It's a challenge of making
sure that I'm totally clean.

I can only stand up
for maybe four minutes

because my right leg hurts
a lot and it's a lot of weight.

My knees, my thighs and
my back hurts the most.

Sharp pain, like fire almost,

running up and down my knee.

I'm not able to walk far.

Moving around
the house is a chore.

I think I use the food
sometimes instead of medicine.

The relationship that I have with
food, I know that it's not normal.

I eat to comfort myself.

When I'm cooking, it's
the only time I'm happy.

Besides when I'm eating.

So it's a time that
I like to sing.

And I sing gospel.

Because the rest of the time,
when I'm not eating,

most of my thoughts
are morbidly depressing.

[panting] Oh, yes.

Gotta start your morning
off with breakfast.

At least when I cook, I can
show the Lord I feel gratitude.

Because I don't just
crave my favorite meals.

I love them.

Whoo-hoo, I got my cheese.

[humming]

Eggs.

English muffins, yes.

I need what food does for me.

It takes a pain and fear of
what's gonna happen to me away.

And it's always been
able to do that for me.

Let's see. How many eggs will
Larry make this morning?

I'll make the normal. Seven.

When I was a child growing
up, I had three sisters,

but I was the quote-
unquote "spoiled one."

My mother would always feed me
whatever I wanted to eat.

Fried chicken, baked
macaroni and cheese.

Sweet potato pie.

And I enjoyed it.

Eating all this food,

it made me feel like I was
the center of attention.

And that made me feel special.

I always felt like I needed
one more taste of that,

whatever it was.

But as I got heavier,

my happy childhood ended
the day I started school.

'Cause I quickly discovered
I wasn't normal.

I had dyslexia,

and no matter what
the teachers tried,

I never learned to read.

So as the years went by,

not being able to read
created anxiety.

And food made me feel better.

And by the time I was ten,

I was 200 pounds.

♪ Come on, bacon ♪

♪ Get a little browner ♪

♪ Come on, bacon ♪

♪ Get a little browner ♪

As I grew bigger, Aunt Gertha,
who was like a second mother to me,

talked to me about my weight,

and I would brush it
off and say I'm fine.

"I'm happy." But I know
I wasn't happy.

At school, I was used to being
ridiculed about my reading issues.

But as I got heavier,

the bullies had more fun
ridiculing me about being obese.

That hurt me very bad.

My faith is what saved me.

Because it was through
my faith that I found singing.

The first time I sang in public,

it was in my church group
at a Sunday service.

Dear Lord, I thank you for the
food that I have prepared.

I ask you to nourish
my body with it,

and bless the ones that
don't have anything to eat.

In Jesus' name, amen.

One lady who heard me asked if I
would like to sing at the Black Expo

in front of an audience
of hundreds of people.

And after the Black Expo,

I was invited to sing at
the Cotton Club in Harlem.

A very successful
producer saw it,

and then after that, he
invited me to collaborate

on a song for his new album.

And then some people in high
school started to see me differently.

Well, everyone
loved Larry's voice,

so I don't really think they
looked at how he looked.

I think they just looked
at how he sung.

Because his voice was like
something I never heard before.

And it make you wanna stand
up if you couldn't stand,

clap your hands if
you couldn't clap.

Because there was something
about him and how he praised God.

[Larry] I felt relieved to
finally experience acceptance

by my peers at school,

and my life outside of home
finally started to improve.

And then the Lord had another
surprise in line for me.

Around the time that I was 15,
my sister Mary Owen

had a child.

She named him Larry.
After me and my father.

That made me feel special.

Little Larry was
a ray of sunshine.

But only a few years
after he was born,

Mary Owen,

she was doing
some type of drugs.

She put, uh, her hand in a pillow
over his mouth just to shut him up,

because he was crying a lot,

and she accidentally suffocated
Little Larry while she was high.

All I could remember is the
casket being so small at the funeral.

That sight got my
nerves really bad.

Of all the pain in my life, the death
of Little Larry destroys me the most.

I was young. So all I could do
is ask myself is why, why?

I still think about
him every day.

So instead of focusing on
the hurt, I focused on singing.

So I hid behind the music.

And that worked for a while,
because I had talent.

People still wanted to be
around me for that.

And for a time, I became
a minor celebrity,

which was the best
time in my life.

'Cause that was my dream,

to become a gospel
recording artist.

Singing wasn't enough to get my
mind off of what happened to Little Larry.

While I was on the stage, bringing
the gospel to thousands of people,

inside, I was enraged and
overwhelmed with sadness.

And as fast as it happened,
my music career faded.

So I was left with food
being the only thing I had

to distract me from what
happened with Little Larry.

In my 20s, I can't even
count. I just kept eating.

I must have been 500 pounds.

I couldn't even make it out
of the house anymore.

I got bigger,

and bigger,

and I lived in one
room in my house.

And that wasn't normal for
a man to live like that.

After that, I avoided
being in public

and stayed home
as much as I could.

And then my sister, who
I was very close to,

Catherine Marie Myers, died.

She had complications due
to a blood clot in her leg,

and she died
unexpectedly that day.

It hurt me to my heart
when she left us.

And the one who was impacted
more than anyone was Mom.

My mom died eight months later.

She grieved so hard over the
passing of my nephew,

and her own daughter,

that her heart literally broke.

When my mother died,
it was very hard on me.

That was the first time I had seen
my father fall on the floor crying.

He was paralyzed by grief,

and being the only
other man in the family,

I had to pull myself
together and help.

'Cause it fell on my shoulders
to make the arrangement.

And that was all
really hard on me,

mentally and emotionally.

Not to mention
physically challenging.

'Cause I was 600 pounds.

When I saw my mom in
the casket, I wanted to cry.

But instead,
I froze emotionally.

'Cause I was in such
a state of shock,

after the service, I fell
down the steps of the church.

Then the fire department
came to assist me.

That's when I was able to admit to
myself that I had a serious problem.

But I still
kept eating after that.

Eggs, you were good
to me to this morning.

After my mom died, I started
snacking more at night.

And just crying more at night.

I was in a wheelchair. I couldn't
even walk from here to there.

And before I knew it,
I was 940 pounds.

I was too big
to take care of myself,

and I had to hire a home attendant
to help me with the most basic things.

I was barely hanging on.

And then one day, my attendant
came and found me in a coma.

He called the ER, and they
admitted me to the hospital.

And then after I was stabilized,

they transferred me into
a rehab nursing home,

and there I stayed
for two and a half years.

I did not like the nursing home.

Aunt Gertha found a hospital in
Harlem that would work with me,

for me to lose 100 pounds.

So I could get a gastric sleeve
operation and start taking care of myself.

I did it in three months.

I was persistent.

Then I had a gastric
sleeve operation.

Then I lost another 300 pounds,

and was able to leave
the nursing home.

As soon as I came
down to 400 pounds,

I was ready to go back to
church and sing the gospel again.

Can I hold your hand, Mr. Lawrence,
for a second? I don't wanna hurt you.

[grunts] Thank you.

And then, my sister Tanya
died of walking pneumonia.

She was gone in five minutes.

It hit hard, even to this day.

There's so much loss.

Then I got depressed
again all of a sudden.

And I would begin to
snack here, snack there.

And next thing I know, I
stretched my stomach back out.

I ate my stitches away.

Which put me right back where
I was being housebound.

Today, I live in this
walk-up on my own.

The weight of my body is too
heavy for my knees and my legs.

I can't. I'm sorry.

My leg is killing me.

And the pain is unbearable.

Mr. Lawrence has to drive me
to the grocery store twice a week,

which is the most
difficult thing.

I can't walk around the store

the way that normal people can,

'cause of my knees,
I get so tired.

Mr. Lawrence?

- [Mr. Lawrence] Yes, come down. Come down.
- [Larry] Okay.

I can't. I'm sorry.

[wheezing]

[Lawrence] Mango.

I feel very dizzy.

When I'm moving around,
I need to drink a lotta juice.

Otherwise, I get dizzy.

And I'm so worried
about fainting.

And creating a scene
with the paramedics.

Thank you.

Food is like a drug.

When I'm exhausted,
I need to eat.

[Lawrence] Okay, two?

♪ Oh yes ♪

They got ice cream. Yes,
let's get some ice cream.

Let's get some
cookies and cream.

[Lawrence] How many you want?

[Larry] Three'll be good.

[knocking at door]

Who is it?

[man speaks]

Just a second.

[grunts]

[grunts]

[Larry] On a good day, I
think I eat about 3,000 calories.

Thank you.

I'm gonna enjoy.

I try to diet
but there is a void.

I miss my mother.
I miss my sisters.

So, the only thing
I have is my food.

And, so, constantly
eating in portion control

are the hardest parts for me.

When I eat,
it's hard for me to stop.

Even when I'm full,
I can always have more.

Every single bite
to the last of it.

♪ Buttermilk biscuits ♪

I enjoy it.

I'm trapped in this body.

And I just want to be free.

If I don't do
something different,

I know I'm going to die.

So, Larry, you ready
to get dressed?

Yes.

[Larry] Time to pack for Texas!

I gotta pack enough
for a couple of days.

On my way to Houston.

Well, today is the day.

I'm gonna be headed
to Texas in a car.

We gotta stop and get
something to eat on the way.

At your house.

No. Wife is not there,

- so there's no food.
- Oh, nevermind then.

[Larry] The Internet
says it's gonna be 26 hours.

So that's about three days if I'm
going eight or nine hours a day,

if I can do that.

I don't know if I'll be able to.

It's gonna be hard on me.

My legs get swollen.

I worry about blood clots

'cause those
can be life-threatening

in situations like this.

I know 'cause that's
how my sister died...

from deep vein thrombosis.

And I'll take the clothes.

Okay, sir.

You want all of these, right?

Yes, those are all new.

And you can turn some of these
over on the right side, please.

Do you think this fit me?

No, that don't fit you.

I'll take this.

Let's see what I could do
with it.

[Larry] Want me
to put my foot on it?

[Lawrence grunts]

[knock at the door]

[Larry] Who is it?

- Tavaris.
- Come in.

-[Larry] What! You could've told me...
-Hey, man, you ready, man?

[Larry laughing]

Good to see you, brother.

- What's going on?
- What's going on with you?

- [Larry] You coming to take me to Houston?
- Oh, man.

[Tavaris] Oh, yeah.

Good seeing you, man.

Good seeing you, man.

Absolutely. We're gonna
get a earlier start out.

- Oh, can't get no earlier than right now.
- I know that's right.

- It's too late for that, huh?
- I know that's right.

[Larry] Luckily,
I got someone to drive me.

My good friend, Tavaris,
he helps me out a lot.

We both see
the weight struggle in life.

Before we get on the road, though,
I need to get me something to eat.

All right, Larry. I don't want
you beating me up on this trip.

No, gotta get something
to eat from somewhere.

This is a 25-hour trip.

Do you want a salad?

Sure, got some monster cheese
you can put on it?

[Tavaris laughs]

That'd be cool.

-Okay, Mr. Myers. Do you want me to put your...
-[Larry] All right.

-[Lawrence]...crackers in?
-My crackers! Oh, yes, please!

- [Larry] Put them in that black bag for me.
- [Lawrence] Yes, sir, I will.

[Larry] That should
be enough for an hour.

- [Larry] All right.
- Two of these things.

[Larry] And Tavaris, I'll
meet you right in the front.

Can't believe it took this
to get you here.

[Tavaris laughs]

[Larry] My Dr. Now's
appointment is five days from now.

But what's good
is when I get down there...

I got a uncle and a cousin
that I can stay with.

- Is this the car or...
- Yeah, yeah.

- You can put it there.
- All right.

[Larry] So that's a blessing.

But I gotta
get down there, first.

It's gonna be hard on me

because moving my body around
is so difficult.

And I don't really go to the
bathroom in this situation

'cause I refuse
to use public bathrooms.

It's too gross.

So, I have to hold it and
go at the end of each day.

I didn't bring
my diuretic medicine.

I wouldn't have
to go more than once a day.

The upside to that is we'd
make it farther without stopping.

But the downside is discomfort.

And that it could lead
to more swelling in my legs.

Seeing Dr. Now
could save my life.

But the trip to Houston
could kill me.

It's a nice car.

[Tavaris] Yeah.

- So you take care.
- [Larry] All right, you, too.

- [Larry] Thank you.
- You're welcome.

[Larry] It's just that curve
is no joke.

- [Larry] Tavaris.
- [Tavaris] What's up, brother?

[Larry] I'm getting hungry.

[Tavaris] All right, uh...

Can you stop at the next place?

[Tavaris] Yeah, I guess
so, man. I guess so.

What do you mean you guess?
I'm hungry.

[Tavaris] All right, all
right, brother, calm down.

I'll feed you.

I'm a diabetic. I gotta eat.

Hello!

I am very hungry.

May I have a number three?

[server] Medium or large?

Large! Everything large.

Two chickens, two double
cheeseburgers and a triple cheeseburger

with lots and lots
and lots and lots of ketchup.

[server] Would you like
anything else?

And a ten-piece nugget.
I'm hungry.

- [server] All right.
- Thank you.

[Larry] Thank you!

[server] Have a good night.

[Larry] I don't know why
you didn't order you anything.

This is do or die for me.

I have no choice, I figure.

I have to do it if I wanna live.

This is for saving my life.

And this is for my new future
that I'm trying to get.

'Cause right now
I don't have a future.

So, I'm trying
to write a new one for myself.

[Tavaris] So, you can
get up out of here.

- All right, thank you so much.
- [Tavaris] No problem.

[Tavaris] I'm going to see if they
got a wheelchair for you, all right?

[Larry] Yes, sir.

We left Albany
about a quarter to three.

And I believe
now it's 12:00, midnight.

I had not been in a car that
long time in over two years.

But I'm very afraid

how am I going
to make it to Houston

'cause my leg is getting
bigger and harder.

And I'm in excruciating pain.

I have nothing for pain.
I don't take pain medicine.

So, I'm just going to try
to put some IcyHot on it,

and say a prayer
and go to sleep...

'cause I'm exhausted.

Your keys are right here.

All right, thank you.

And I'll see you in the morning.

- All right, you need anything else?
- No, I'm good. Thank you.

Got a long ways to go tomorrow,
man, so, uh, get some rest.

- [Larry] Yes, sir.
- All right.

[Larry] A lot of emotions
going through my mind.

Hoping and praying
that Dr. Now can help me.

'Cause I can't take it
living like this. It's too much.

I'd rather be six feet under
than to live like this.

[Larry] The fat boys' road trip.

One last hoorah!

All right, they should've took
us down in one of these, man.

[Tavaris] One of what?

[Larry] One of these
oversized load trucks.

You know what, Tavaris?
[chuckling]

- [Larry] Don't do it.
- [Tavaris laughs]

[Larry] I'm already
in excruciating pain.

Today is the last day
of this long road trip.

This ride's a journey.

And I'm determined
to get to Houston.

My face is buried in the seat.

I'm laying on a swollen leg.

Sideways.

Halfway on, halfway off,
'cause I can't fit on those.

Then I have to lay on my side

because of the lymphedema
in this leg, so it's a mess.

Ow. Ow.

I am so uncomfortable.

[Tavaris] Suck it up, buttercup.

[Larry sneers]

Ow.

[Larry groans]

[Tavaris] You all right?

[Larry] It feels like...

It feels like it could
be a DVT in my leg.

'Cause I know what it feels,
I know what it feels like.

It's like a jumping pain,
where it feels like fire, almost.

It's... Something's wrong
and it needs to be addressed.

My sister died
from a blood clot,

and I don't wanna die from one.

[Larry] Ow.

Ow, Jesus.

My pain right now
is at like a nine-and-a-half.

[Larry groans]

This is hurting so bad.

Maybe I should just try
to roll over a little bit more.

[Larry groans]

Okay.

[Larry groans]

Ooh, oh, my God.

Uh-oh.

[Larry panting]

- [Tavaris] You all right?
- [Larry] One second.

[Larry exhales]

You're killing me. Push it.

There it is again.

[Larry groans]

[Larry exhales]

[Larry exhales]

[Larry] Lord, please don't
let me fall out of this door.

[Larry groans]

[Larry]
It's excruciating pain.

I mean, I knew
it was gonna be a hectic ride,

but I didn't know that it
was gonna be like this.

This is war.

This is the last hope.

I'm expecting Larry to arrive
at the hospital pretty soon.

He called me and told me
he's having problems

because he's been
on the road for five days.

He's almost to Houston and
that he's coming from New York.

He's having a lot of issues
with the pain from the trip.

Particularly in his leg,
and that is very concerning.

So, my concern in these
situations are blood clots

that can be devastating for him.

So, I advised Larry to come
to the hospital directly,

so we can check him
and make sure

there is nothing acute
going on with him

that could be life-threatening
right now.

- [Larry] Hello.
- [Dr. Now] Hi, Larry.

- How you doing?
- All right, nice to meet you.

Nice to meet you.
How you feeling?

Not too good, Doctor.

[Dr. Now] Where are
you hurting?

In the upper part of my leg.

The back and the front.

Not just from
the long-distance ride.

It feels more like, um, like
when I had a DVT in the past.

'Cause it's like a popping
and it's tremendously burning.

- [Dr. Now] Okay, and are you short of breath at all?
- No, sir.

Okay, and we're
gonna get you inside fast,

- and, um, check you out and see what's going on, okay?
- [Larry] Yes, sir.

Okay.

This trip is very dangerous
for Larry

because at Larry's size and
with his overall lack of activity,

a blood clot can easily form
in the legs.

And if it dislodges
from sudden activity,

it can travel
in the bloodstream...

from his leg
into the heart and lung

and causing pulmonary
embolism that can be devastating

and can be fatal in some cases.

So, we're gonna take him in
and do some tests,

so we can determine
if there is anything

we need to address immediately.

If there is
and we don't act fast,

his life is gonna be
in jeopardy.

[Larry] That's better,
thank you.

- Larry, which leg is bothering you most?
- This leg.

- Is that the one?
- Yes, sir.

I could take my pants off
if I have a sheet.

[exhales] It hurts so bad.

[Dr. Now] So how old are you?

I am 45.

All right,
so, do you live at home?

I live at home.

I have a home health aid that
comes and, um, is an enabler.

'Cause certain things I could do
for myself, I'm being honest with you,

certain things
I could do for myself,

he, uh, I call on him
to do it for me

and I just, I'm tired, Doctor,

and I don't
wanna live like that.

That's not a normal way to live.

How do you get the food?
They bring you food?

He brings me food.

I'll go in the kitchen
and I'll sit in a chair

and cook the food
in my air fryer.

And that's not normal
to just eat like that.

Sometime I eat
and I'm not even hungry.

- So, you don't work?
- No, sir.

- You're on disability?
- Yes, sir.

I used to sing professionally
in London and Denmark.

And you're not able to walk?

[stammers] I can walk some.
It's just, right now my leg hurts.

[Dr. Now] And this is
something new?

- As far as the pain in my leg?
- [Dr. Now] Yeah.

[Larry] Yes. You gonna
have some pain in life.

But this pain that I have is
much different and it hurts.

- [Larry] It hurts.
- Where do you feel the pain?

In the... In the upper part
of my leg.

- It feels like...
- Is it this area?

A little, a little bit more over
to the side where it's hard...

- Right here?
- Yes, sir.

But you have the big
lymphedema mass in here.

- Yes.
- That's all a bump.

And I had that removed
too, and it grew back.

Well, of course
that will grow back.

So how long ago did you have
that removed?

About six years ago.

Did you have,
uh, any other operation?

- Yes.
- What did you have?

I had a sleeve.
I had a, um, hernia operation

and just normal, like, tonsils
and stuff like that.

When was the sleeve done?

Like close to 15, 16 years ago.

And, uh, how much
you weighed then?

Um, what did I go down to,
or how much--

No, how much you weighed
before surgery?

Like close to 600
and some change.

600?

What was the lowest weight
you got to?

302.

And how much your weight now?

I don't know.

You have no idea.

- No.
- Okay.

And you have a filter put in?

Two Greenfield filters 'cause
my sister died from a blood clot.

And my daddy was just in the
hospital two weeks ago with a DVT.

So they run in my family.

Okay, so you had
two filters put in?

Two filters, yes,
one in each hip.

How long ago was that?

That was about...

ten years ago,
after Cathy died.

Okay.

- And the surgery that they did was, uh, laparoscopically.
- Yes, laparoscopic.

[Dr. Now] Okay.

- You don't have any stomach pain or anything?
- No, sir.

[Dr. Now] What was your
highest weight before the surgery?

[Larry Myers] I used
to weigh 940 pounds.

And I'm scared, Doctor. I
don't wanna go back up to that.

[Dr. Now] When was that?

That was close to 20 years ago.

- Okay, that was before you had your weight-loss surgery?
- Yes.

I couldn't walk.
I was bed-bound.

[Dr. Now] So what happened?

You had weight-loss surgery.
You're supposed to lose weight.

- What happened?
- I did, but I have a problem with food.

So what kind of problem
you have with food?

Sometimes I just eat,
and I'm not hungry.

And I, um...

This is a battle.
It's an ongoing battle for me.

And...

they never
took care of why I eat.

Sometimes I eat,
and I'm not even hungry.

Okay.

[Larry] And I know you might
say that doesn't make sense,

but, um, when you suffer with
deep depression the way that I do,

I just turn to food.

[Dr. Now] You're not
the first person to do that.

Any other issues
you have right now?

Not urinating.

Albany's very far from
Houston, and I'm not urinating.

I explained I didn't get
out of the car

'cause I don't like public
bathrooms. I'm germophobic.

I realized
that I wasn't urinating.

All right, well, we'll check
everything and see what's going on

with your leg, okay?

- All right, thank you.
- Okay.

[Dr. Now] We ran
some tests on him,

and fortunately,
everything is normal.

I think Larry has been
in the car for five days,

and he's worn out, and his leg
got sore, and it got some swelling.

We can give him some
medication and let him rest,

and then send him home.

- [groans]
- Okay, Larry, how you feeling?

[Larry] Great.

[Dr. Now] I got
good news for you.

All your lab looked perfect.

- Excellent.
- So all you need, just rest.

Part of your lab report
is back...

- Mm-hmm.
- and white count is not elevated...

- And that's good.
- which is good.

So you don't have any subliners.

You're gonna be fine.

You're traveling five days and
ten hours, every day in a car.

- It's gonna cause you a lot of pain and discomfort.
- Right.

And, you know,
with your size of leg...

So this, um, you know,
situation when you travel,

the planning for that is starting
a blood thinner before you travel.

Oh, I didn't do that.

So that is something
that you should've done

if you gonna travel
in the car...

- Okay.
- or even with a plane, too.

- [Larry] Really?
- So... Mm, uh, yeah.

- Because you put your leg down and brought the stagger down.
- Right.

- And that will have a tendency to form clots.
- Makes sense.

So blood thinner
before any kind of travel

is very important
part of your well being

that you should be
aware of that, okay?

I understand that.

So what actually you coming
to Houston for?

I am terrified of dying,

of being buried...
And I'm Pentecostal.

And in my religion...
My dad is a pastor.

And in my religion,
we don't believe in cremation.

And when I was
even bigger than this,

I did my research online on what
they bury a person in of my size,

and it looked like a piano box.

And I'm terrified of putting
on more weight and eating.

And I just...

I'm at my ends, Doctor, and
I don't know what else to do.

And me relocating, losing...

my house in New York.

I'm willing to do that and start
all over again, even struggle...

to lose weight 'cause I'm
very uncomfortable like this.

Well, I understand that.

But, you know, the
weight-loss surgery is not--

It's not a quick fix.
I know that.

And you already had
your weight-loss surgery.

And you still are overeating.

So those are issues that
surgery's not gonna change.

Right.

So you think that changing the
environment is gonna help you?

No, not so much...

Well, that and changing
the environment,

and from looking at your track
record of how you help people,

physically and mentally.

I just know that me, personally,

I am completely desperate
for help.

All right, if you are
so terrified of dying,

then you should be terrified
of overeating.

Makes sense.

And I'm kinda puzzled.

So it seems like you know what
you're doing, and you doing it,

and you're convincing yourself
that you cannot stop doing that?

And that doesn't sound rational,

but it's the truth.

But at this point,
what is new today,

and what are you willing to do?

I'm willing to do anything
that I have to do

- to try-- - Come on, you
know what you have to do

is eat less and don't overeat.

- So are you willing to make the changes?
- Yes, I am.

So why haven't you done
that so far?

I don't have an honest answer,

and I believe in being
straightforward and honest with people.

I don't know why I
haven't done the change.

And I know that I should.

You're defeating the purpose
of the operation.

So the operation is working,
and you're just eating more often.

Right.

So that's,
uh, totally up to you.

And this is something that you're
gonna have to decide to change, so...

But I don't know how to do that.

- And I'm trying.
- All right.

I'm 45.

I abuse food, but I've
never smoked, never drank,

never did any type of drugs
a day in my life.

Good. We got your weight,
and you're 648.

So if you want to do my program,

then you can come back
in a month.

And I want you to lose
50 pounds by then.

You think you can do that?

Yes.

All right, so you get
to go on home.

- Okay.
- Okay?

- Thank you, Doctor.
- All right.

[Dr. Now] We'll see if Larry is
serious this time about his weight loss.

But the fact that he has
already failed weight-loss surgery

is a big concern.

He's clearly going to need
a lot psychotherapy

to be successful
in the long term.

But he needs to take the first
step to show me he is serious

if he wants to move ahead with my
program and get a second chance.

Hopefully, he is serious,
and he does that.

Are you ready?

[Larry] Yes, I'm ready, Mama.

[Daisy] So it may not look
like it's the best meal.

However, it's healthy.

Oh, yes, thank you.

[Larry] I'm still down
in Houston.

I've been staying at my uncle and
cousin's house for the past month.

It took me a while to recover
from the trip down here.

And the pain didn't fully stop
until about two weeks ago.

So I'm not looking forward
to doing that trip again.

Tavaris went back home, so my cousin's
been helping me and looking after me.

I'm finished.

Okay.

[Larry] And I've been working
hard since I've seen Dr. Now

to lose 50 pounds like he said.

[Larry] So I have to start thinking
about how am I going to move.

[Daisy speaking]

I mean, I was kinda wondering...

Would you happen
to have room for me here?

How is this gonna go?

Well, especially now that I've
seen you're beautiful apartment.

Yes, but I have
my two little ones.

- You know, my babies, I have...
- That's right.

my two little girls, and, you
know, it's a two bedroom, and...

I can help you find a place.

- Okay.
- Because they do have some vacancies over here

if you wanna still be close by me
if you're looking for your support,

and, you know, I can
always be there to help you.

- I appreciate that.
- You can tell me anything that you doing positive.

- Thank you.
- I'm 110% behind you.

- Thank you.
- Okay?

[Larry] I'm disappointed that
they won't let me stay with them.

I know I can be a burden.

But this is to save my life, and I
wished they could've seen that.

But I need Dr. Now's help.

And I know
I can't keep doing that trip.

So I guess that means I have to find
somewhere else to live down here for myself.

I'm terrified.

[Daisy] Of what?

What you scared of?

Scale.

[Daisy] But you know
you got a chance

that you can do something
about it.

- You don't have to stay that size, right?
- Right.

[Daisy] You know, the only thing
you can do is just keep moving.

You know, make your next meal
your best meal.

Make it better, you know.

Nobody's expecting
a miracle overnight.

And in order for you to change,
you gotta wanna change,

and it starts here, baby.

[Larry] Today, I'm back
to see Dr. Now.

I'm hoping I made the progress
that I'm supposed to make

in order to get approved
for weight-loss surgery.

[Daisy] There you go.

[Daisy] You can make it
to that door.

- Push yourself.
- Let's go!

All right, you go it.
Let's go. Come on.

All right, look at that.

[Daisy] Take your life back.
It's a start.

[Larry] My plan
is to get approved.

And once I know
I'm getting surgery,

then I can find a place
to live down there.

And I don't have to do
that drive anymore.

Larry.

[Larry] So I was 648 pounds.

And I needed to lose 50 pounds.

So that means
today I should be at 598.

And I'm really hoping
that I did that.

[nurse] You're weight is 639.

I'm ready.

[Larry] That's
really upsetting to see.

Very upsetting.

I was expecting
a lot better than that.

So I guess I can forget about
any type of surgery approval today.

- [knocking on door]
- Come in.

Hello, how y'all doing?

- Hi.
- All right. How are you?

I'm doing well, thank you.

So, Larry,
good to see you again.

[Larry] Thank you, Doctor.

All right, who is this
young lady with you?

My cousin.
I have family in Houston.

Yes, yes.

[Dr. Now] Well,
nice to meet you.

All right, so wow, you've got
matching shoes with your outfit, huh?

- I had to get dressed up to come see you.
- Oh, well, thank you.

[Dr. Now] I appreciate that.

So, Larry, you only lost
10 pounds this month.

So how do you think you did?

Not good, Doctor.

All right, be more specific.

Not good with the weight.

Well, you know, you have had
weight-loss surgery.

- Yes.
- And you have done everything to defeat the purpose of that.

You had lymphedema
taken off your leg.

You have done everything
to bring that back up.

So you got all the tools that you
needed given to you in the past,

and you didn't use them right.

And everything that you have
done is being self-destructive.

So why you doing that?

'Cause I have a problem.

What is your problem?

Food.

I mean, you have to eat to live,
but you don't have to overeat.

And I have an addiction.

- And-- - Well, you not the
only person to have an addiction.

- No, I understand that.
- And you convincing that you have an addiction.

You convincing yourself that
you have no choice but to overeat.

[Dr. Now]
None of that's reality.

You just convincing yourself
that you gotta continue to overeat,

and you have no control over it.

[Dr. Now] So this
is all just excuses.

I understand.

You know, Larry, I can tell
that your pretty smart, okay?

But being smart and being
self-destructive is a bad combination.

Right.

So at this point, you have to
realize everything's up to you.

You're the one that you have
to decide to change your life.

We can't magically make
you do that.

Right.

So what are you willing to do
at this point?

I'm desperate, Doctor.
I'll do anything

that I have to do.

Like I stated to you before,

this is my last hope here.

And I don't wanna die.

And I know you can die
at any age.

Well, you gonna die
because you're killing yourself.

And I don't want to, so I'm willing
to do anything that I have to do

to change my life
for the better.

You say that, then you didn't
do the diet for the past month,

and hardly lost any weight.

And until you take
the first step,

and show that you're taking
responsibility for yourself,

there is nothing we can do
to help you.

So do you think
you're ready to do that?

[Larry] I'm ready.

And you're gonna have to
control your eating habit.

And I'm sure you can do that.

With God's grace and mercy.

- [Dr. Now] Okay?
- Thank you.

All right, then you need to make
right choices before it's too late.

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

Thank you, Doctor.

All right, Larry,
I got great hopes for you

that you're gonna change
your life.

- So...
- I appreciate it.

don't disappoint me.

-[Larry] I won't. Trust me.
[chuckles] -[Daisy whispers] He won't.

All right, so if you have
any issues, give me a call.

- I will.
- And then we go from there.

Yes, sir.

- See you later.
- [Larry] See you later.

Bye, bye.

[Dr. Now] Bye.

[Dr. Now] I was disappointed
to see such little progress

from Larry over the past month.

He says he's ready to change and
do whatever he needs to get healthy

because he knows
this is his last chance

after failing one
weight-loss surgery already.

But so far, he's shown me no
evidence that he means what he says.

And until he does that, there
is nothing we can do to help him

because he's already been given
every tool possible to lose weight.

So until he decides to take that first
step, we won't be moving forward with him.

[Larry] I'm not happy
with myself.

I thought I'd done
better than that.

But I'm not gonna give excuses.

[Larry] I'm gonna get back
to New York,

and then I'm gonna work
on getting my weight down

to hit that goal.

It's a lot to lose,
but I'm going to do it.

And I'm just overwhelmed. I
can't wait to get back to Houston

'cause I believe that
I see a change coming.

Oh, Dear Heavenly Father,
we come before you this morning

as humble as we know how, thanking and
praising you, God, for allowing us to live,

to see another day that
we've never seen before, God.

In Jesus' name we pray,
and we thank you today, God.

Amen.

- [exhales]
- [Lawrence] Okay. You ready?

Yes. All right.

[Larry] I've been back a month.

And I have another two months before
it's time for me to go back to see Dr. Now.

I thought maybe Tavaris was
gonna come get me.

But he quit so I had
to fly back.

But that turned out
to be a lot easier.

But I'm thinking about
going back early

so I can find a place to live

because I wanna move to Houston

and be officially part
of Dr. Now's program.

And my priority is
to prove to Dr. Now

that I deserve a second chance
to get weight-loss surgery.

You wanna put your shirt on?

[Larry] So I'm trying to do
a lot better this time.

I know I have to lose a lot so
I'm working hard to do that.

Is it me or is it
chilly in here?

[Lawrence] It's not chilly
in here, man.

It's you this time.

Me this time? All righty.

It's just really hard 'cause
food is an addiction for me.

[Lawrence] Okay, sir.
Here's your breakfast.

Let me put this
on the side over here.

This is what 1200 calories
look like.

This doesn't look like
my old breakfast.

That's a lot.

You think you have
too much on here?

For what my calorie intake
is supposed to be,

this is sufficient.

Okay, sir.

[Larry] Food has a hold on me

even though Dr. Now says
that's an excuse.

It's hard to get free,
and every day is a struggle.

But I've been doing the diet
and working at it.

I do all of the exercises that
Dr. Now showed me.

And I know when I get back
to seeing him,

that I'm going to have
progress to show him.

And that's when
I'll get approved.

So I'm just working my very
hardest to do that

and make sure that happens.

- Mr. Lawrence?
- [Lawrence] Yes, sir?

- Can you set this on the table for me, please?
- [Lawrence] Yes, I will.

- [Larry] Thank you.
- [Lawrence] You're welcome.

[Larry] I'm on my way
to see Dr. Now.

I'm excited about that. I
haven't seen him in over 30 days.

I'm very nervous to see
what the scale says.

The scale doesn't lie.
People do.

He said for me to lose
30 to 40 pounds.

I think I've done that.

I don't know.
We'll see what happens.

I hope Dr. Now tells me,
"Good job, young man."

I'm definitely motivated
to lose weight.

I have the mindset and
the energy to change my life.

[Larry] Thank you.

Thank you.

That's fine.

I flew here by myself this time

which was much more
comfortable than driving.

But I'm also a lot lighter now.

So I think that's helping me
get around better.

I was going to come in early
to try to find a place.

But then I decided
to wait because

I would feel better about it if I
got my approval for surgery first.

Larry?

[Larry] So I'm hoping with all my
heart that Dr. Now approves me this time

and that I made the progress I
need to show him that I'm ready.

I was 639 pounds
at my last appointment

and my goal was to lose
120 by today.

Okay. You can go ahead
and step on the scale.

[Larry] So if everything goes
according to plan, I'll be at 519.

I'm not sure if I made that
exactly but I know it's close.

[nurse] Okay.
Your weight is 602.

[Larry] What was that?

We're gonna go to room five.

All right. I'm ready.

I'm upset with those results
'cause I know I did better than that.

I definitely should have
lost more

and I don't think Dr. Now
is gonna be impressed.

And that's what has me really
scared and worried right now.

[knocking on door]

[Larry] Come in.

[exclaims]

Hello. How you doing, Larry?

I'm all right. How are you?

I'm doing okay.

So how was your trip down here?

[Larry] Nice and smooth.
We flew.

- [Larry] Long drive.
- Oh, you figured out how to do that?

Yes.

All right, Larry.
Let's see what you got.

You lost, uh, 37 pounds
over 3 months which is

12 to 13 pounds a month

which isn't much more than
you were losing the first time.

So what's going on?

Did you make any more changes
to your eating habit?

I stopped snacking.

- [Dr. Now] Okay.
- And I cut the portions down.

Okay.

And I stopped all the cheese
and the bad stuff.

- Okay.
- I'm still a little confused

with how much protein am I
actually supposed to have.

I don't wanna have
too less or too much.

Okay. Whatever you eat,
it must be protein

and to eat as little
as possible.

- [chuckles]
- [Dr. Now] Okay?

That's what I thought.
The less is better.

Okay. So you already had
the one weight-loss surgery.

Yes.

And if you stick with the diet and make
all the changes you say you've made,

then you should easily lose
50 to 60 pounds a month.

- Okay.
- [Dr. Now] But you lost 37 pounds in 3 months.

- So you need to do better with that...
- [Larry] Yes.

and, um,
change your eating habit.

Because, um,
second weight-loss surgery,

the chances of success
are not very high.

- I understand.
- [Dr. Now] Okay.

So how's your activity now?

- It's getting better day by day.
- [Dr. Now] Okay.

You're doing those
exercises anymore?

I'm doing the exercises
and I'm getting on the floor

doing the exercises that you
gave me with TheraBand, too.

[Dr. Now] Okay.
From what you describe,

you wouldn't need to be
dependent on your walker anymore.

You should have been doing all
that for the past few months.

So you're still lying to yourself about
how much you're doing with everything

and if you're not gonna make
the progress you should,

then there is no point in coming back
down at your weight even if you're flying.

Okay.

[Dr. Now] So I'm gonna give
you the same goal.

Lose 120 pounds in 3 months.

But if you haven't moved down
here to Houston by then,

we'll set up somewhere local
for you to check your weight

and see how you're doing.

So you don't put all that
strain on your system

for no reason if you're not
losing the weight.

- That work for you?
- [Larry] Yes.

[Dr. Now] I hope so.

Okay, Larry. If you need
anything, give me a call.

All right.

- [Dr. Now] I'll see you in three months.
- Thank you.

- [Dr. Now] Bye.
- [Larry] Bye-bye.

Larry still barely made any
changes to his eating habit.

If he hadn't had any
weight-loss surgery before,

I would consider a number
of additional tools such as

a nutritionist or psychotherapy.

But he was already provided
those in addition to surgery

and he ended up gaining
all the weight back.

So the issue is simple.

He never got to the point where
he was willing to give up the food

and unless he does that
and shows me he can make

a much bigger change
with his eating habit,

there is nowhere to go with him.

So this is all still
completely up to him.

[Larry] I'm proud that I lost
over 40 pounds at this point.

But I know that I really need to do better
and I'm going to, no matter what it takes,

because that's the only option
that I have.

I'm going to find
a place in Houston

because my future is here,
getting Dr. Now's help.

So whatever it takes to make
that happen, I'm ready to do it.

[woman] All right.
Here we are.

[Larry] All righty.

Today, I'm looking for a place
to live in Houston

'cause I know I need to move down
here regardless whatever happens.

And I know I need a place
on the first floor

'cause I'm not gonna
be climbing steps.

At least, not yet.

Oh, that's a lot of steps.

- [laughs]
- [woman] You think so?

That's a lot of steps
in three flights.

[woman] Well, um, your
apartment will be on the first floor.

But unfortunately,
at the moment,

I don't have anything on
the first floor to show you.

But what I can gladly do is

take a video of the apartment and,
you know, show you the video of it.

That would be lovely,
but that's a lot.

[woman] All right.

All right. So here it is.

Stainless steel appliances,
wood-style flooring.

[woman] There it is.

[footsteps approaching]

All right.

Oh, wow!

So granite countertops,
stainless steel appliances,

- um, wood-style flooring all throughout the apartment.
- [Larry] Very nice.

Thank you.

You're welcome, Larry. All
right. Any other questions?

Um, no. That will be all.

[exhales]

[Larry] I love the place, but the
limitations of my body are very real.

And that's just showing me
how far I have still to go.

[woman] All right. We're here.

[Larry] All right.

[woman] You enjoy the tour,
Larry?

- Absolutely.
- [woman] Everything good?

- Thank you.
- [woman] You're welcome so much.

Hopefully I will see you soon.

[woman] All right. For sure.

- Uh, I'll keep you posted on...
- [Larry] Please do.

- everything else.
- [Larry] All right. Thank you.

[woman] All right, Larry.

And if you have any other
questions, feel free to call me.

[Larry] I sure will.

- May I sit here until the Uber comes, please?
- [woman] Of course.

- [Larry] Thank you.
- [woman] No problem.

-[Larry] All righty.
-[woman] All right, Larry. Nice meeting you.

- [Larry] Nice meeting you, too.
- [woman] You take care.

- [woman] Good luck with everything.
- [Larry] Thank you.

[woman] You're welcome.

[Larry] I know it's gonna be a big step
for me to get this move under my belt.

But if I'm not ready,
I'm not ready.

And that means I'mma have to head
back to New York and keep working hard.

'Cause I have a lot of work
to do to prove to Dr. Now

that I'm ready for
another surgery.

[knocking at door]

[Larry] Come in!

- Hello!
- How you doing, Larry?

I'm doing all right.
How are you?

[Fred] I'm good.
Good to see you.

Good to see you.

[Fred] Yeah.

[Fred] How's things going today?

Pretty good.
I smell some chicken.

No, no chicken today.
Got you a smoothie though.

All right. Times have changed.

[Fred] Yeah.

[Larry] I've been in New York
for a month.

I'm hoping a first-floor apartment
in Houston becomes available soon.

But until it does, I just have
to stay here and keep at it.

There you go.

Oh, thank you.

[Fred] You're welcome.

And one for me, and one for you.

[Larry] All right. I thought
you was gonna bring me

some of that fried chicken
and macaroni and cheese.

No, no. I know right now
you're trying to do better so...

Yeah, that I am. I cleaned out
my refrigerator today.

- Oh, okay.
- And cleaned out the freezer 'cause I'm

getting prepared for
the new lifestyle.

So how you feeling
about the transition?

[Larry] A little anxiety but, you
know, that's comes with the territory.

- It's to be expected.
- [Fred] Okay.

But ready.

What are some of the things you're
doing to help you cope with it right now?

I pray.

- Okay.
- I learned to talk about it.

Not hold it in.
'Cause when you hold it in,

that's when things get worse.

- Okay. Okay.
- [Larry] I think that was part of my problem in the past.

Holding it in and eating late
at night, and just...

[Fred] Mm-hmm.

not talking about it.

And you gotta talk about it.

- [Fred] Yeah.
- And talk openly and honestly about it.

So what's your plans for today?

I am going to
Albany Strength gym.

Do a little bit of workout.

Oh, okay. That's wonderful.

[Larry] Yeah. Get a little bit
of workout in.

My whole life depends on getting a second
chance with another weight-loss surgery.

So whatever it takes to make
that happen, I have to do it.

Speaking of the gym, whoo.
I better get ready.

[Fred] Okay.

And I will speak to you
later on, sir.

- [Fred] Okay.
- All right.

- Thank you.
- [Fred] Nice hanging out with you.

Nice hanging out with you, too.

Keep me posted
on your progress, okay?

I sure will,
and thank you so much.

[Fred] Well,
you're more than welcome.

All righty. God bless you.

And thank you for the smoothie.

Oh, you're more than welcome.

Next time will be
some fried chicken.

No, maybe another smoothie.
But no more fried chicken.

[chuckles]

-[Larry] All right. You take care.
-[Fred] All right.

- [Larry] Hello.
- [receptionist] Hi.

[Larry] Hi. I'm Larry Myers.

Are you checking in?

- [Larry] Yes.
- Okay.

So you can take a seat, okay?

- [Larry] Thank you.
- You're welcome.

[Larry] Today, I'm at a local
clinic to get my weight checked.

Hi. Larry?
Do you wanna come with me?

[Larry] Yes. Hi.

How are you today?

[Larry] I'm okay. Thank you.

All right. Just come with me.

[Larry] Sure.

[woman] Come right in here.

[Larry] Dr. Now wanted me
to lose 120 pounds.

[woman] Good?

- [woman] Okay. You ready?
- Yes.

[Larry] And at my
last weigh-in, I was 602.

But if I did that, I will be
down to four-something today.

And I really hope I made it because
I'm ready to move on with my life,

move to Houston, and get the
weight-loss surgery that I need.

586.4.

[Larry] That's not enough

and now I have to call Dr. Now
and tell him,

and he's not gonna be happy.

[woman] Good?

You okay? You got it?

No.

I got you. I got you.
All right.

- Thank you.
- Okay.

[Skype dial tone]

- [Dr. Now] Hello.
- Hey, Doctor.

[Dr. Now] How are you?

I'm good. How are you?

I'm doing okay.

So, Larry, what did you weigh
at today?

[Larry] I'm 586.

You're 586?

Yes, sir.

[Dr. Now] So in 3 months,
you only lost 16 pounds.

So your weight loss
is slowing down

and that's not good.

If you eat appropriately,

um, you should be able to lose
40 pounds in one month.

I think you should be more
proactive to get your weight down.

And I am.

[Dr. Now] You think
you are but you're not.

As the scale is showing.

So the problem
is that, you know...

You think you're eating less,
but actually you're still overeating.

So, at this point, I'm not
sure what we can do for you.

Unless you make the changes you need
and start eating less and lose more weight.

- Yes, sir.
- At the bottom line, the goal is still the same.

What I've been telling you to lose
breaks down to about 40 pounds a month.

So you want me to lose,
just to make sure I'm clear,

you want me to lose
40 pounds in a month?

Yeah, I want you to lose
40 pounds a month.

- Okay?
- Yes, sir.

In the meantime, Larry, if you
need anything, give me a call.

- Okay. Bye-bye.
- All right. Bye.

[Larry] I can't let
myself give up.

I just feel like I'm working harder
every time and the results are the same.

So it's discouraging.

[man] Take your time. Step.

[Larry] But I know I need this
help and I'm not gonna give up.

[Larry panting]

[Larry] I decided to get some
motivational help by getting a trainer.

I know I need to do better
with my diet and exercise.

So I'm taking steps to do that.

And I'm trying to take
the initiative to do better.

And I feel like I worked
harder this past month

than any other month before now.

So I really hope I'm taking it all
up a notch, like I feel that I am.

Hello. I'm Larry. I have an
appointment with a trainer.

- I think that's me.
- Oh, you're right on time.

Yes, Larry. I'm Maja.
Nice to meet you.

- Nice to meet you too.
- Wonderful.

So if you're ready, we're gonna
head back and we're gonna get started.

We'll chat a little bit, and
talk about why you're here.

- All righty.
- All right.

[Larry] But the biggest step
I'm taking is making

the arrangements
I need to move to Houston.

The place I really like didn't
have an opening on the first floor.

But I decided I've
waited long enough.

I think the best thing for me to do is
change my environment and get to Houston.

Not only to try and do better,

but to show my commitment
by just making the move.

And I think that's going
to help me to do better.

So, Larry, tell me
why you're here.

What made you wanna
make a change?

Well, I had lost a lot of weight
and then I put back on some.

- Okay.
- [Larry panting]

And it got... I fell
in the snow last year

and it got hard for me to walk.

Okay.

Take a quick drink,
and then we'll start.

I'm gonna have you stand up,

- and we're gonna start with some arm circles.
- Okay.

[Larry] You know, a change in
environment will make a big difference.

Like Dr. Now said.

So I went online and found
another place that I could afford.

And I committed
to a lease sight-unseen.

There you go. Another five, and
then we're gonna go backwards.

And then one more, and
now let's take it backwards.

There you go.

And keep those palms forward so
that you get a nice stretch to your chest.

Very nice. You've got
about five left.

Three... Two... One.
Good. So now I want you to...

We're gonna pull that walker
away a little bit. Look down.

- You're body is gonna want to go down.
- [chuckles]

Seven... Eight...
Nine... Ten. Good.

Start counting your
steps too, you know.

Start thinking about how many
it is before you get tired.

And then, each time, we wanna
take a little further trip as well.

[Larry panting]

- Actually, this box might be blocking you a little bit.
- Yeah, that way's good.

We don't need to go fast, we
just want to move consistently.

Just like our progress here.

Slow and consistent.

[Larry] If I could walk into
Dr. Now's clinic without the walker,

that's my goal
for the next few months.

And I'm gonna keep working
as hard as I can before then.

[Maja] You are here,
let's finish up the work.

Don't let those little voices
in your head tell you

that you can't do this,
you've got eight seconds left.

Let's fight for eight more.

You're fighting for your life,
let's fight for these last five.

Four... Three... Two...
And one. There we go!

- Thank you.
- Good work. You're welcome!

See? That was a pleasure.
And I better see you in here again.

-Absolutely.
-All right. Have a good day.

You too, dear.

Whoo-hoo! Houston time.
What a mess.

Oh, boy. Gotta get it done.

Well, the day is finally here.

I'm packing my whole apartment
up because I'm moving to Houston.

I'm going to pack
everything up today,

and then tomorrow
I'll be heading out.

I'm saying goodbye to
Albany and hello to Houston.

It seems like a lot of effort
and a long way to go,

considering Dr. Now has not officially
approved me for weight-loss surgery yet.

But I know in my heart that
this is the right thing to do

because I don't have
another chance.

And even though I'm making
progress, it's not as much as I hoped.

So the big thing is
to lose more weight.

Texas!

Well, hello, superstar!

What's up, man?
How you feeling?

I'm good, man.
Trying to get it together.

That was a long trip.

- It was a long flight.
- [laughing] You all right?

It was... Hey, I made it.

Well, I hope this ain't gonna scare
you. This ain't too much stuff, is it?

Nah, it ain't too much.

[Larry] I appreciate your help.

My friend Marvell came out all
the way from Chicago to Albany.

So he can help me pack up
the van and drive me to Houston.

Marvell is my online friend that
I've known for a few years now.

It's a long drive, and I'm
not looking forward to it.

But I'm choosing
the path of life.

That's why I'm going
through all this trouble.

To show up in Texas with
all my worldly belongings.

Can you take this cane, brother?

And show Dr. Now
that I'm a loser of weight.

Oh, this is perfect.

And that I can be trusted to
take a surgery to the next level.

[Larry] Here it is.
I sure hope I like this place.

I think anything
will make me happy.

You can just pull in
right there.

Just enough room
for me to get out.

That's perfect.

[grunts]

[labored breathing]

- You can go ahead.
- Yeah.

-You okay? You...
-I can open it. Go ahead.

[Larry] This trip was actually not
too bad despite the complications.

My first driver, he had to go back home
'cause he'd had a death in his family.

But he was nice enough
to get somebody else.

He's actually a truck driver.

He got me here nice and safe

'cause we ran into some severe snow
that was hitting the car and everything.

But I made it here safely.

Today, after everything else, it
rained and I got completely soaked.

But all that's behind me now,
and I'm gonna try to be positive.

And then, I got
really no time to rest

because my cousin is coming
to take me to Dr. Now's.

And I'm going to get weighed,
so we'll see if I was a good boy

with the diet,
on the road or not.

Ohhh.

This is nice.

Okay. I can get
in there. Nice.

I feel pretty good
about the apartment at least.

I'm just ready to relax,
but I know I can't yet.

I gotta go see Dr. Now.

And I still got a lot
of work ahead of me

if I'm gonna find myself
living the life I want to live.

[breathing heavily]

Thank you for bringing the microwave
in, even though I ain't got no food.

[both laugh]

My doctor said, "The less
you eat, the better it is."

But I don't think he meant
a refrigerator like that.

[both laugh]

But it's all good. You gotta
laugh about certain things.

[Donnell chuckling]

Okay.

[Larry] I'm at Dr. Now's to
find out where my weight is at.

Dr. Now wanted me to lose
120 pounds in 3 months.

So if I did that, I will
be down to 466 today.

Your weight is 529.

[Larry] All right.
57 pounds. That's not bad.

- We're gonna be going to Room 5.
- Okay.

[Larry] But I also know that is not as
much as the doctor would like to see.

In fact, it's not close
to what he would wanna see.

It's still nowhere near
the goal that Dr. Now gave me.

So I don't know how
to feel about it all.

I knew I'd been working
really, really hard

but it's like it's not working.

[knock on door]

Hello. Hi, Larry.
How you doing?

I'm doing okay.
How are you, sir?

I'm doing well.

So how are you getting along
then? How was your trip down then?

Long, but I made it.
Settled into the apartment...

- Okay.
- and I'm down here.

Well, I'm glad to hear that.

Well, Larry, I'm happy
to see that you improved.

But it's still not losing
as much as you should.

So far, you've lost
119 pounds in one year.

Which is what you should
have lost in the first three months.

And still after one year,
you're still using the walker.

- Right.
- So you shouldn't be,

right now, at this point,
using the walker.

You should have improved
that you can walk independently.

When I don't use
the walker it makes me

feel a little wobbly,
but I'll do better.

That's good, but, Larry, I
see your hard work recently,

and I'm proud of you for losing
weight consistently in the last year.

You haven't given up and
that's starting to pay off.

So here's what I'm going to do.

If you are able to lose 55
pounds over the next three months,

then I'm going to approve you
for weight-loss surgery.

- That sound fair for you?
- That made me smile.

Yes, that sounds
very fair to me.

And I'm going to do that

'cause I have the complex I
moved in, I can walk around it.

And I know you want
me to get rid of this, so...

I will do that.

Great. So you have next goal, and
you also need to improve your mobility

and be able to walk
independently without this walker.

That'd have to go on for
giving you okay before surgery.

But I need to see
improvement there too.

And so your stamina also needs
to improve. So work on that too.

- Yes.
- So, at this point, you have your work to do

for next three months,
and to prove to me

that you can be qualified
for weight-loss surgery.

- Okay?
- Okay.

You think you can do that?

I know I can. Absolutely.

So, you're not gonna
let us down, will you?

No, I've come too far and
I've moved down here for good.

So, I'm going to do it.

Great. Because if you don't, we're
not moving ahead with the surgery.

-So don't relax and slip up. You got it.
-I understand.

All right. We'll take care of you, and
if you need anything, give me a call.

- Will do.
- And we'll see how we do in three months. Okay?

Gotcha.

- All right, Larry.
- All right.

- Nice to see you again, and good luck.
- Good to see you. Thank you.

Up until recently, Larry
hasn't made much progress.

But I'm very happy to see the
improvement he's making now.

It shows me he's trying to
get hold of his eating habits,

and taking control, like he has
needed to do for a long time.

He's still not making
the progress he should.

But since he has at least
continued to lose over the past year,

and he's improving now,
if he can at least show me

that he can stick with this
level of current progress

over the next few months,
then I will approve him

for another weight-loss surgery.

And we will move ahead with him.

But even if we take that step with him, we
have a long road ahead to get Larry to a place

where he's not only healthy, but he's
able to stick with it for the long term.

But he has at least taken the first step
to show me he's willing to try to change.

So I'm happy about that,
and I'm hoping

we will able to move
ahead with him very soon.

- All right. How are you?
- Good.

[panting] Ready
to rock and roll.

[Larry] He wants me
to lose more weight.

Am I disappointed? In a way.

I'm a little sad,
but at the same token,

you take the good with the bad
and just work even harder.

And that's what I'm gonna do.

- [driver] Inside?
- Yes, sir.

[Larry] I was
a little disappointed

that he told me that I wasn't
having surgery right now, but...

I know that I will
eventually, so it's fine.

[Larry] I've been going
on walks twice a day.

My stamina has
already gone up a lot.

And that makes me really happy.

When I came here, I
was unsure if I could do it.

But now I know that I can,
and I'm fully committed.

There's a lot left to do,
but I'm ready to do it.

I want next year to start with
my weight-loss surgery approval,

and end with getting
to my target weight.

That's my goal, and that's
what I promise to do.

So I'm going to do it.

And I've already
made it this far.

Even though I know
it's gonna be really hard,

I'm going to do this.