All language subtitles for My 600-lb Life S11E01

[man] It's very difficult
to be this heavy.

And it's getting worse.

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

I just wanna be
a normal person.

[gasping, breathing heavily]

[man 1] You can't do it
and then I just get mad.

[woman 1] If I don't
make a change now,

I'm scared
it's gonna be too late.

[groaning in pain]

It hurts.

-[woman] I refuse
to stop fighting.
-Oh, God.

I have to do this
for my children.

Ow!

What is different today
from past 31 years?

What is different today
from past 31 years?

This is probably
my last chance.

Well, I agree with that.

-[alarm ringing]
-[breathing heavily]

[Geno] Things
are getting worse
and harder every day.

Because of my weight.

[sighs wearily]
The sleep situation, you know.

If I sleep wrong,
I'm in excruciating pain.

So it just sucks
to move around.

It just...

Just feels horrible,
you know...

Just feels horrible,
you know...

[grunts]

[exhales wearily]

[Geno] What hurts on my body
the most...

is probably my back,

knees, and feet.

Overall, my back is the worst.

Honestly,
the most difficult thing
about my day is...

probably taking a shower.

Walking up the stairs

feels like I'm carrying
cement bags under me

and I'm trying lift them all
up the stairs.

Plus, I cannot fit
into most spaces.

[breathing heavily]

So taking a shower sucks
at my size.

I can't move too well.

I am still good
to do it by myself.

If I ever was that weight,
where I couldn't do the shower
on my own,

That's what scares me.

I wouldn't want it
to come to that, ever.

Being a big person,
there's a lot of friction.

Within my, like,
crevices, you know?

Within my, like,
crevices, you know?

And you wanna get everything
as clean as possible.

So, by the time
I'm all done with that
my back is usually on fire.

And then I end up
getting aggravated.

-[breathing heavily]
-Because I just wanna finish.

After something like that,
I use food for comfort
to make me, you know...

-[breathing heavily]
-just feel just happier.

I just wanna be full.

[breathing heavily]

[breathing heavily]

And, um...

Don't tell my mom,
but I make the best eggs
in the house.

She's a good cook,
but she's not me.

I do go to culinary school,
so I do know what I'm doing.

But she, of course,
still treats me
like a little kid.

I've been living with her
off and on for 31 years now.

So I guess it's normal for

-us getting on each other's
nerves at this point.
-Geno.

Hey, Ma.

-Morning.
-Let me do that.

-Morning.
-Let me do that.

-Just...
-I don't want you
to make a mess, please.

My back's killing me,
I want...

-You're already sweating.
-Yeah.

I wanna sit down for a moment.

-Do it.
-[breathing heavily]

[Rhonda] I don't like
when Geno stands up
and he can't stand up.

Or he breathes heavy.

I can't, I can't take it,
I don't want to hear it.

It makes me upset.

[breathing heavily]

[Rhonda]

'Cause I was heavy.
My mother was heavy.

'Cause I was heavy.
My mother was heavy.

You know, my grandfather
was heavy.

And so was his father.

[exhales]

So he was getting it,
no matter what,
you know?

[Geno] I'm grateful for her.

But my mom
aggravates me sometimes.

-You want me to do 'em?
-No.

Because you know that four
can't fit in that pan.

I'm doing just fine.

All right, can you move,
please? Let me finish?

[Geno] But she never
gets in the way
of how much I want to eat.

And it's always been
like that, as far back
as I can remember.

[Geno]
We're a very close family.

And us being
an Italian family,
when we eat,

we eat in an abundance.

And we enjoy each other,
you know, that's just how
we come together,

we would always make food
for each other.

Food was, like,
always the glue.

And there was
an abundance of relatives too.

Lots of cousins, uncles,
and aunts.

Lots of cousins, uncles,
and aunts.

But the cousin I have always
been closest with
my whole life has been Nico.

[Nico] Growing up,
me and Geno,

everyone always thought
we were twins.

You know, we do, you know,
look a lot alike
and we're always been hefty.

We've always been
by each other's side.

Like, he's my best friend.
I love him.

He's always been
my best friend.

He's my wingman.

[Geno] Nico and I
would have eating contests
and stuff like that.

And between that,
and all the eating we did
as a family,

I got to 100 pounds
by the time I was six.

I got to 100 pounds
by the time I was six.

Geno was always
kind of a chubby kid.

I was 36 years old
when I had
the gastric bypass myself.

I didn't want him
to get as heavy as I was.

But then again, you know,
deprive my kids
from something to eat?

It's, it's unheard of
in my family.

[Geno] So by the time
I was eight years old,
I was 150.

I think that Geno might have
some food addiction.

Because, you know,
Geno's dad was a drug addict.

Because, you know,
Geno's dad was a drug addict.

He didn't do the drugs
when Geno was little.

He stayed clean.

When Geno got a little older,
his dad was doing drugs,

and I couldn't have that
around my son.

We got a divorce
when Geno was about
12 years old.

But he'd never seen
his father's drug use.

I don't think he knew
why we were even divorced.

Because John hid it well.

[Geno] When my parents
got divorced,
it was definitely hard on me.

Food brought me comfort.

Food brought me comfort.

And if I have to say,
that was probably
when eating for me

became something bigger
than just filling up on food.

It became something
I needed in order
to feel better emotionally.

And by the time
I was in the fourth grade,
I was already 200 pounds.

So, after they got divorced,
Mom had been given
full custody

of me and my sister.

I did see my dad
a little less.

It was much different.

The only constant was food.

And by the time I was 13,
I weighed almost 300 pounds.

And by the time I was 13,
I weighed almost 300 pounds.

In high school,
I also had problems too,
because...

I was getting much,
much bigger at that time.

Sophomore year,
I actually couldn't fit

into like those seats
that had the desk
attached to them.

I couldn't fit into one.

So I was,
I was completely embarrassed,

I never even went to class.

But, you know,
did what I had to do,
got through it.

After high school,
when I went to college

In college,
I went for culinary school.

And, of course,
I ate my way through it.

And, of course,
I ate my way through it.

They call it, like,
the freshman 15.

Yeah, mine was like
the freshman 50.

I started to gain
a lot of weight
around that time.

After culinary school,
I got a couple different jobs

in a couple
different kitchens.

But I wasn't able
to keep anything
for very long.

It was like, the bigger I got,
the more the kitchen
couldn't hold me.

And I just kept
getting bigger.

And then,
I suffered a really bad
workplace accident,

where I blew out my knee
on the job.

And I've been outta work
ever since.

And I've been outta work
ever since.

Because there's no MRI machine
to fit me.

So I can't even get
a proper diagnosis.

And that's when
I had to move back in
with my mother.

Which was humiliating,
and not at all
what I wanted to do.

But then, something happened
that rocked my world
a little bit.

You want any more,
before I take the plate?

Nah, I think I'm all set Ma,
thank you.

[Geno] I got a phone call.

"Your father's
in the hospital."

"Found a tumor type cell."

[exhales]

[exhales]

[Rhonda] I'mma put my
hair up, Geno, then we'll
go to the store.

I remember being there,
in the room,
when the doctor came in,

the cancer specialist.

And she was like "Well...

you have pancreatic cancer,
stage four."

And I just immediately
broke down.

It's basically
a death sentence.

It threw me into a big loop,
you know,

It been, I tried to, you know,
see him as much as I could.

It only took five months
after he was diagnosed
with cancer.

It only took five months
after he was diagnosed
with cancer.

That was it.

I was heartbroken.

[voice shaking] 'Cause
we're so family oriented.

We all love each other
to death...

So...

[Geno] Yeah, so after
my father passed away,
that was it.

I just went off the deep end
and and started eating
like crazy.

It just was pure comfort,
and...

and food was, like,
the only comfort.

[Nico] Geno's dad's death...

it hit him really hard.

It was really painful
to see that for him.

That was the most upset
I'd ever seen him.

It's at a point now
where Geno's weight gain...

Anything emotional
is gonna add to it.

His health is declining.

Like, it's rough.

[breathing heavily]

When you start to pass
a certain weight on the scale,

then it becomes
an effort to stand up.

It's brutal.

I know what that's like
because at one point,

I know what that's like
because at one point,

I was 450 pounds myself, so...

I definitely want Geno
to do the gastric bypass.

Because that's what I got
and it was successful.

It's getting close to the time
where he has to either
do something about it or...

it's gonna cost him his life.

-[Rhonda] Damn, Geno,
for real?
-[breathing heavily] Ma!

[Geno] Please.

Hold on, I need a minute.

[breathing heavily]

[breathing heavily]

[Rhonda] Take a minute.
I don't like you breathing
like that.

[breathing heavily]

[Geno] If I had the option
of what I wanted to do,

I would be cooking
at a restaurant of my own.

That's what
I would like to do.

[grunting]

[breathing heavily]

It's very difficult
to be this heavy

and try to work
into a kitchen.

It's almost nearly impossible.

It's almost nearly impossible.

[breathing heavily]

[Rhonda] That's the porchetta.

-Moroccan style--
-Put it in, just put it in,
put it in, put it in.

-Come on, I wanna go.
-I don't know what it is.
Go.

[Rhonda] Come on,
you gotta stay with me.

-[Geno] This is why
I don't go shopping.
-[Rhonda] I know.

[breathing heavily]

In my family,
we never ran out of food.

Here's cereal,
your kind that you like.

You ate the whole box
I got you the other day.

Yeah.

Oh, look at this,
strawberry fluff.

Oh, look at this,
strawberry fluff.

-You know,
I actually want this.
-I actually wanna try this.

[Rhonda] We'd have
backup food.

But, I'm scared for Geno.

[Rhonda] You wanna
drink some now?

[Rhonda] Geno does not do
any form of exercise.

No, he doesn't even walk in
through the front door.

So he doesn't
have to come upstairs.

He calls me to ask me
to open the garage for him.

It's really bad.

You want a chair?

[Rhonda] As soon
as we get out of here,
go home and sit down.

[Rhonda] As soon
as we get out of here,
go home and sit down.

[clicks tongue]

I can't be mobile
for too long.

[breathing heavily]

I used to be able
to walk around
in public places for hours.

-[breathing heavily]
-But recently, I can't...

walk too long.

That's how I know,
things are getting worse.

That's how I know,
things are getting worse.

[grunts]

I don't think I'm far away
from being bedridden.

I wouldn't have enough power
to, on my own, to get up.

That's what scares me.

I just am annoyed with myself
that I got to this point.

[Geno speaking]

[breathing heavily]

[Rhonda] If you want,
put 'em on the stairs
and I'll take 'em up, Geno.

Up the stairs, Ma,
get up the stairs.

[breathing heavily]

[exhales]

[exhales]

[between breaths] Oh, man.

I wanna instantly come home
and lay down.

That's the first thing
I wanna do.

I'll go right into the room,
and I'll eat.

[breathing heavily]

My family,
they do wanna help me
any way they can.

My family,
they do wanna help me
any way they can.

I need to stop. I know that.

But the reality is,
is that I need help.

Any minute he could
stop breathin'.

I don't even want
that day to come.

I think I'm finally dyin'
on sight of him dyin',

I can't do that.

So he is gonna have to shine.

You ready for this long trip?

-Yup, it's gonna be fun.
-Yeah?

It's gonna be like when
we used to go to Vermont.

[Nico] Who is ready for Texas?

[Geno] What's up, baby?
Let's get this goin'.

-What's up, baby?
-It's time, baby.

-Hey, baby.
-Hey, Unc.

[Geno talking]

-How're you doing?
-Good, how are you?

-Hey, baby.
-Let's get some pounds off.

[Geno talking]

-[Nico talking]
-[Geno talking]

-You ready to rock?
-I'm ready, let's go,
let's kick ass.

-Let's pack you up.
-[Mike] Here, lemme get that.

[Geno] Today is a big day
because we're gettin' ready
to head down to Houston,

so I can meet Dr. Now
and hopefully get his help
to lose weight.

I got my mom going with me,
as well as my uncle, Mike,
and my cousin, Nico.

I got my mom going with me,
as well as my uncle, Mike,
and my cousin, Nico.

And I'm really grateful that
everyone is coming with me.

Because it just means
a lot to me to have
my family there for me.

You got enough leg room, baby?

-Uh, yeah.
-All right.

[Geno] I'm a little worried
because Nico said

it's something like 26 hours
on the road.

I can already tell
it's gonna be painful,

but I have an appointment
with Dr. Now in four days.

I'm just hoping
to make it there.

Everything that's big in Texas
is about to get bigger.

[all laughing]

[Geno] My back and my spine
feel like they're ready
to jump out of my body.

God, gracious.

-[Geno exclaiming in pain]
-Here we are.

[Rhonda] And walk in, Nico.

You all right, baby?

You all right, baby?

-[Geno exclaiming in relief]
-That good?

Oh, my God.

Beautiful.

Nice, didn't break the car
or the curb, nice.

Geno, your bag
is over there, man.

I don't want to...

There you are.

[Geno] To get to Dr. Now
on time, I have to do at least
eight hours a day.

And that's a lot,
but I'm hoping
that once I rest...

...tomorrow I'll be able
to do a farther piece.

...tomorrow I'll be able
to do a farther piece.

It's weird.
[breathing heavily]

-You ready?
-How did you guys sleep?

-You got your stuff?
-Yeah, I'm all set, baby.
I'm ready.

[Nico] So far the road trip,

Geno seems to be...

...a mixture of some fun,
some laughs,

but also some discomfort.

I will tell you,
it feels like this really
could be, uh,

I will tell you,
it feels like this really
could be, uh,

finally the thing that
gets his life back on track.

[Rhonda] You got enough
room, Geno?

Yeah, I'm pretty sure.

[Mike] Geno has been
in such pain,

and I'm astounded at
effort he has to make

-just gettin' in and out
of a vehicle.
-All right, Unc.

[Geno struggling]
Lemme get my foot in.

Here we go.

[Mike] The first day Geno
could do an hour or so

before we got to a point
where he had to stop.

Tough to see.

-Good?
-Yeah.

I feel like a part
of me would feel more
happy if I'd seen a...

I feel like a part
of me would feel more
happy if I'd seen a...

...initiative being taken,
like a, I'm gonna start
dieting now, kinda thing.

But I see more
of a last hurrah
approach being taken.

[Geno] Oh, my God,
I want a bagel or somethin'.

[Geno] I feel ready for today.

Our goal is going
eight hours straight.

I know it's gonna be
tough for my body,

then we'll be on track
to making it to Houston
on time.

I'm sore.

Being in this car
is getting to me.

We still have, like,
six hours to go
to meet our goal.

So I'm trying to hold
it together to keep going,
but it's really getting hard.

I've been, we've been driving
for quite sometimes now
and uh,

you know, I've a...

you know, I've a...

Leg and backs
are a little still messed up.

And then, then the cramp
situation, so...
It's just painful.

Tryin' to think
of somethin' else.

[Mike] Well, there is
254 miles left before you
leave this state. [chuckles]

[Geno] I'm at my limit
for today.

[Geno crying in pain]

When I can't stretch
my legs out,
it starts to hurt.

When I can't stretch
my legs out,
it starts to hurt.

I'm in excruciating
pain right now.

And all I can think about
is stretching my legs out.

[sighing in pain]
Got a nice cramp
on the way out.

But I know this isn't enough
and I had to do better.

I'm gonna make it
because I have to.

Because if I don't get
the help I want,

then you're guess
is as good as mine
as to what happens to me.

-[Nico] Yeah, baby, Houston!
-Houston.

-[Nico] Yeah, baby, Houston!
-Houston.

-Oh baby, we're here.
[cheers]
-Finally did it.

-[Mike] Geno,
we made it, baby.
-[Nico] Okay, chill out.

-You need to chill--
-Nah, I've never seen him--

[Mike cheering]

-Let's unpack
these bags, baby.
-We made it, baby.

We're here, Geno baby.

-Welcome to Texas, sir.
-[Geno laughs]

It's a complimentary cap.

-Let's do this man.
-Team Texas, let's go.

[Geno] We finally made
it to Houston.

It just took, like,
five days to get here.

But this is a lot harder
on me than I thought
it was gonna be.

I've never felt pain this bad
in my ankles, feet,
back and butt.

But right now I'm trying
not to think about that,

and just focus
on getting to Dr. Now

and hopefully getting
weight-loss surgery soon.

We called Dr. Now
and let him know we weren't
gonna make it on time,

and he moved my appointment
a couple of days.

and he moved my appointment
a couple of days.

It's freezin' in here.

-Yeah?
-A little bit.

I know I'm gonna
have to do a lot,

to show him I'm ready
to change my life.

So whatever I have to do
to prove that to him, I will.

-You okay?
-Yeah.

[laughs] Here, we are here.

-That's beautiful,
I'm so happy that we're here.
-Huddle up.

It's time, baby.

It's time, baby.

[Nico talking]

[Geno] Thank you so much
for doing this.

[Nico talking]

-[Geno talking]
-[Nico talking]

[Nico talking]

[Nico talking]

-Yeah.
-Yeah.

Rest tonight and wash up,

huge day tomorrow,
so you need that rest.

-Yeah, I'm gonna go to sleep.
-All right, good night,

-I love you.
-I love you too.

-We got this.
-Night, you got it.

-Houston!
-Get fired up, baby.

I'm excited.

-Here we go, Houston.
-I'm real excited.

-Here we go, baby.
-You know you got this.

-Can't wait to meet him.
-Oh, I'm, I'm nervous.

-All of you guys are nervous.
-[indistinct]

Is it available?

There is one here down there.
oh, no there isn't.

[Rhonda] This is the first day
of the rest of your life.

[Geno] Let's go meet
this fellow.

[Geno struggling]

All right.

[Rhonda] Can you uh...

Whoo.

Okay.

[Geno] This whole trip
has been more of a challenge
than I thought it would be.

And it's just shown me
how important it is

that I get Dr. Now's help
to lose weight.

'Cause if I don't,

then the end of my life sure
is gonna come a lot quicker
than it should.

Geno.

Geno.

[Geno] Five days on the road,

and we're finally here
at Dr. Now's to hear
what he has to say

and to hopefully get
his help losing weight.

-How you doing?
-We're gonna go
to the scale, okay?

-But don't get on it
until I zero it out.
-Okay.

-[nurse] Hi, how are you?
-[Rhonda] Hi.

One sec,
I can zero it out, okay?

-Now you can step up.
-Sure.

[Geno] I'm a little nervous
'cause it's been long time
since went and weighed myself.

I don't wanna see
a huge increase in my weight.

I, I think it's over 600.

[nurse] Your weight is 684.

-Now, we're gonna go
to room five now.
-Okay.

-Now, we're gonna go
to room five now.
-Okay.

[Geno] Damn, that's a pretty
high number.

Don't know what to expect with
Dr. Now's going to tell me.

He might just
turn me down flat.

-Hello.
-Hello, Dr. Now.

How you all doing?

-How are you?
-Hi, how are you?

-Good, how are you?
-I'm doing well.

-All right, you must be Geno.
-Yes, sir.

So, who've we got here?

We got a full house, hmm?

-My, my cousin Nico's here
with me today.
-All right, nice to meet you.

Nice to meet you Dr. Now.

I have my mother Rhonda.

I have my mother Rhonda.

How are you?

-And I have my uncle Mike.
-Hi, how are you?

I'm doing good,
so you all came here
to support him, huh?

-Of course.
-Absolutely.

Well, good to meet you all.

All right, so Geno,

-I take it you're hoping
to lose some weight.
-Yeah.

-Sure.
-All right, so you're 31
and you're 684lb.

Yes.

So, what is different today

that you deciding
on lose weight from
past 31 years?

Well, um...

I've tried diets
in the past and...

I've tried diets
in the past and...

...it's been many years since
I tried from the last time,
I figured

this is, like,

probably my last chance to...

...really take care of myself

'cause I'm pretty unhealthy
at this moment.

Well, I agree with that.

All right, and so,

and you said in past
you've tried to lose weight,

what did you do
to lose weight?

Um, we've done a few,
we've, we've done
a few diets in the past.

Um...

And I've tried, uh,
the most recent one

And I've tried, uh,
the most recent one

I was eating, um,
in small amounts of food
in seven-eight times a day.

Who gave you that,
uh, freaking idea?

[all laughing]

Um, and I paid money
for it too, which is crazy.

-But, it--
-Yeah, a human body
is not made for that.

-Yeah.
-Okay?

A body actually is made to one
or two maybe maximum
three times in one day.

The question is,
what're you willing to do
to save your life?

Pretty much basically
change everything.

Okay, so who is in
the household beside you?

Okay, so who is in
the household beside you?

It is mom and me.

Okay, so...

...does mom try to stop you
from eating high calorie food?

I mean,

she's always on my case about
the eating habit,
but I'm, I'm...

Just to avoid argument,
I do everything on my own.

She had gastric bypass
herself in the past, yes.

So, you had weight-loss
surgery?

I had it done 20 years ago.

-Okay.
-My uncle also had
the bypass done.

Ten years ago,
I had mine done, but...

And you're holding up
pretty good with
your eating habit.

And you're holding up
pretty good with
your eating habit.

All right, so, Mom,
what do you think
you can do to help him?

I'm not gonna bring
the foods in house when
he asks me for it and,

you know, we've all been
noticing it, but...

...I've noticed it a lot
coming down here

that he couldn't even
take this ride and I thought
he was fine.

He hides a lot of it.

You can't honestly say that,
that someone who
is almost 700lb

is hiding how bad of
their weight problem is.

So this is something
you tell yourself
to justify enabling him.

So this is something
you tell yourself
to justify enabling him.

So, we have the dynamic
at home that has to change.

So we are gonna make
these changes, right?

-Absolutely.
-Okay.

And you, the cousin,
don't think I'm forgetting
you in this.

How often you all eat together
or with each other,
how often you do that?

A lot, everyday.

We have that deep

culture of eating bad foods
and just the bad habits.

[Dr. Now] Just because
the food is there,

does it mean you have
to eat it?

[Nico] Right, we're really
willing to change.

[Nico] Right, we're really
willing to change.

I wanna lose weight
with him and

I'll be at his door
pushin' him.

Okay, so Geno,
I'm gonna give you one month.

If you stick to healthy
eating habit

and the instruction
I'm gonna give you,

you gonna be able
to lose 60lb easily.

-Okay?
-Okay.

So, that's your goal
and if you do that,

then I'm gonna want you
to move down here to Houston

and if you continue
to lose weight,

then I'll approve you
for weight loss surgery.

-Okay.
-[Dr. Now] Okay,
and once we move down here,

-Okay.
-[Dr. Now] Okay,
and once we move down here,

you're gonna need
to commit to being here

for about a year
to do my program

and you need someone
to move with you to help you.

-You think you can do that?
-Yes.

I hope so, because you are
at a crossroads

where you either do this

or you're going to
continue to eat

and gradually get
your weight up to the point

that you're not going to be
able to walk anymore,

then after that,
everything will go, like,
pushing first dominos,

your health is gonna go down,
you're not gonna make it.

Okay? All right, so I'm gonna
get some booklets for you

Okay? All right, so I'm gonna
get some booklets for you

and give you
all the instruction that
you need to work on it,

-Okay?
-Yes.

All right, I'll be back.

[Geno] Nice to meet you.

-He's about the best
you're gonna get.
-He wants you to lose 60.

-[Geno] Yeah.
-60 pounds in a month.

-If it's from this day on,
then it's two pounds a day.
-Mmm-hmm.

[Nico]

That's the way to get
the fat out of your body
is to wash it out,

drink lots of water
and pee it out.

Hopefully, Geno is ready
to change like he says

because he is at a crossroads
with his weight.

He's not far off
from getting to 700 lb

and once he reaches
that point,

he's gonna start to
completely lose his mobility

and once that happens,
it doesn't take long

for his health
to rapidly deteriorate.

for his health
to rapidly deteriorate.

All right,

here's one thing
I want to start working on

to be successful
with your eating habits.

My biggest concern
with Geno right now
is his family dynamic.

Food is clearly important
to them all,

but the biggest issue
seems to be with his mom
and his cousin.

His mom has convinced herself

His mom has convinced herself

that she's not enabling Geno
when she is.

[Dr. Now continues]

I'm gonna give you both
a copy of my book

and this will tell you

um, a lot about more
what you need to do

so you read that
and start working
on those issues, okay?

so you read that
and start working
on those issues, okay?

-Okay.
-All right.
Any other questions?

-Not that I can think of, Doc.
-[Dr. Now] Okay.

-So, if you need anything,
give me a call.
-[Geno] Okay.

All right, we'll see
you all later.

[together] See you later,
nice to meet you.

[Geno] Let's go.

Just thinking about it,
like what we had to do
to get down here and everyday,

it's gonna be now
more and more motivation
to wanna do it

because it's quite hard
what we had to do,

I mean, for a normal person
it's very easy,

I mean, for a normal person
it's very easy,

for me, it was very hard

and, uh, yeah,
that made me...
it made me angry and upset

and, uh, I just need to
use that as motivation
to push forward

and not mess up on this diet.

[Rhonda] You want
the tan bandana? I got it.

-Yeah, that's good.
-[Rhonda] What do you
need it for?

-To wrap it around my head
-What? Well...

A bandana now?

Yeah.

You hungry?

-Hmm, a little.
-I gotta make...
I'm gonna make some eggs.

-[Rhonda] You want me
to do it?
-No, I can do it.

-[Rhonda] You sure?
-You wanna just take
everything out?

[Rhonda] Yeah.

[Geno] Today will be
the 13th day that I've been
on Dr. Now's diet.

[Geno] Today will be
the 13th day that I've been
on Dr. Now's diet.

The first week
was definitely hard.

It was really tough,
I had a lot of cravings
and stuff

but, uh, now that's it's been
a little further along,
it's... it's getting easier.

We got any, um, spinach?

Yup.

You got the low-fat cheese?

No cheese.

-[Geno] Low-fat cheese.
-No cheese.

-Just take out
the low-fat cheese, Mom.
-We don't have no cheese.

We had--we had a whole thing
of cheese in there.

[Rhonda] No.

[Rhonda] No.

Um, there is cheese in here,

but, um, I don't think
it's cheese for you.

It's fine, just give me
a couple pieces.

[Rhonda] But you can't
use that cheese,
it's not the low-fat one.

[Geno] I understand that,
but I wouldn't go over calorie
if I use a slice.

I'm not, this isn't Russia.

Mealtime with mom,
she keeps telling me
the same thing over and over,

"Oh, you can't have this,
you can't have that."

I know what I cannot have,
I know what I can,

I don't need
to keep hearing it.

Well, I just don't want
you to fall off the diet.

[Geno] I don't either
and I'm not gonna
fall off the diet, trust me.

Just hand me
what I ask, please.

Just hand me
what I ask, please.

[Rhonda] The last
couple weeks, I do see
some changes in Geno.

Some are good
and some are very frustrating

because he just
has some mood swings
because he's hungry,

but the breathing,
the moving is much better.

Here, grab a--grab a fork.

Just cooperate with me,
I don't wanna argue.

I really don't wanna argue.

Already going through enough
of a life change, you know?

I just want things
o be smooth sailing.

There's definitely negativity.

We just don't get along well
these days,

We just don't get along well
these days,

so I think here, pretty soon,
I'm gonna need

to be thinking about
living on my own already.

[mumbling]

You put tomatoes in here?

-I like it with the tomato.
-Mmm-mmm.

-It makes it a little bit,
uh, uh--
-Soggy.

[Rhonda] It's not bad.

It's really good.
I know it's really good,
I made it.

[Rhonda] Stop tooting
your own horn because
you haven't cooked in weeks.

[Rhonda] Stop tooting
your own horn because
you haven't cooked in weeks.

When you start paying me
$25 an hour, I'll cook.

Who pays you $25 an hour?
You lost your damn mind.

-That's what the chefs get,
what do you want me to do?
-Um.

[sighs]

Always pushing past
where you usually go,
I love it.

Yeah, well, uh,
what do you call it?

It's been three weeks
since I saw Dr. Now

and I know that I'm making
some good progress.

and I know that I'm making
some good progress.

Nico has been here,
helping me do it every day.

[Geno sighs]

-Yeah, I can feel it.
-That's good, awesome.
Take a break.

[breathing heavily]

See how strong the bench is.

Hope it's strong enough.

Oh, yeah.

Oh, it's holding us both
pretty nice.

-[Nico laughs] This is strong.
-Nice.

This thing's very strong.

This thing's very strong.

Just think, you were
breathing harder
than you are now

walking to the bathroom
a couple weeks ago.

It's an improvement.

You keep that head down,
keep going.

Yup.

[groans]

[Nico] Geno's definitely
losing weight, I can tell.

He's walking
and he's breathing better.

He's not sucking wind
really hard like he was

already and it's only been
under a couple weeks.

[Geno] So, I'm already
starting to save.

[Geno] So, I'm already
starting to save.

I'm, like, I'm saving up
as much as I can
to get the hell out of here.

[Nico] I know.

He's improving very quickly

and he's really
taking on the challenge.

[Geno sighs]

[Geno] All right, good walk.

To be honest with you,
I kinda wish my reward

was an ice cream cone,
but [laughs] that would
be cheating.

was an ice cream cone,
but [laughs] that would
be cheating.

Nico wanted to do it with me,
it's really nice

and it makes things
a lot easier.

Making all these changes
were difficult at first

but I can feel myself
picking up momentum

because I can do
a little bit more each day

and I still get out of breath

but it feels good
to be pushing myself.

[Geno sighs] All right.

Now, let's rummage
through the fridge,

see what you got
for vegetables.

Doing Dr. Now's diet
has been a big adjustment

Doing Dr. Now's diet
has been a big adjustment

but it's good
to have Nico help me
and encourage me along.

He's been a big source
of strength for me.

That looks nice and fresh.

All right, I got enough here
to make a salad.

Go heavy on the veggies
and light on the meat,

that's how we're gonna
get to the promised land.

[Geno] I'm gonna
sit down for a moment
while we let the meat rest.

[Nico] Go ahead, take a break.

[sighs]

[groans] Ah, man.

[groans] Ah, man.

Oh, I miss working
in the restaurant.

This looks good, Juice.

-Oh, man.
-Ready to eat?

Hell yeah.

[speaking Italian]

How am I doing here?

Salad looks good, guap.

Thank you.

Mmm.

-[Nico] You ready?
-Yeah.

[Nico] I'm excited, baby,
I know you're gonna see some
good results on that scale.

[Geno] Nico and I
are back in Houston.

My uncle drove us both down
but he's resting
back at the hotel

while Nico and I
go to see Dr. Now.

There he is.

[Nico] It's time, baby.

The trip back here
wasn't as bad
as the first time,

so we did it
in just three days,

like we hoped
to do originally,

so I was happy about that
and how I can handle more.

so I was happy about that
and how I can handle more.

I'm just hoping I made
enough progress
to be at my goal

and Nico is feeling good
about his progress

and is thinking he may want to
do Dr. Now's program, too,

so I'm hoping
Dr. Now lets him do that.

[Nico] Let's go, baby.
Time to weigh it in.

-[Geno groans]
-[Nico] Back we are.

-[Geno groans]
-[Nico] Back we are.

Geno.

-All right, baby.
-Let's get it.

-Hi, Rose.
-Hello.

-How are you?
-I'm fine, how are you?

Very good, thank you.

-[Rose] Hi, how are you?
-Good.

At my first appointment,
Dr. Now told me to lose
60 lb in one month.

So, if I did that,
I'd be down to 624 today.

-[Rose] You wanna step up
on the scale?
-Yeah.

-[Rose] You wanna step up
on the scale?
-Yeah.

[Rose] Your weight is 629.

Yeah, baby.

-[Rose] You can step down.
-Cool.

-[Nico] Right where
we wanted you.
-Yeah.

-[Nico] Right where
we wanted you.
-Yeah.

I'm only five marks...
five pounds off the mark,
that's nice.

-Hard work.
-Hard work and dedication
right there.

-Let's keep going.
-[Rose] Okay,
we're going to Room 5.

That's pretty close...

but it's not all the way,

so I don't know what
that's gonna mean for Dr. Now.

I feel like I'm close
enough to my goal
for Dr. Now to tell me

what the next step
is gonna be for me,

but for all I know,
he might be ticked off
about it.

but for all I know,
he might be ticked off
about it.

Aw, it's nice in here.

Hello, how are you all doing?

-How you doing, Doc?
-Hey, how are you doing,
Dr. Now?

All right, well,
how was your trip down here?

It was smooth, it was nice.

-So everything was okay?
-[Geno] Yeah.

All right,
so you're down to 629.

-So you lost 55 lb, huh?
-Mmm-hmm.

-So you lost 55 lb, huh?
-Mmm-hmm.

[Dr. Now] Okay,
that's a little bit shy
of your goal

but not bad,
so I'm happy with that.

So, the next step is
for you to move to Houston

and if you do that
and you keep losing
more weight during that,

then I'll approve you
for weight loss surgery.

-Cool.
-[Dr. Now] Okay?

Yeah, sounds great.

But don't think because
you work hard for a month

-you can slack off
and stop making progress
-Of course.

-and this is not the one month
victory lap for you.
-Right.

and if you stick with that,

then you should be able
to lose at least 50 to 60 lb
a month.

then you should be able
to lose at least 50 to 60 lb
a month.

So, that's your goal.

So, keep working at it,

because you're still
a long way from
where you need to be.

-Of course.
-If you move down to Houston,
who's going to move with you?

Yeah, so, right now
the plan is to have my mom
move down with me

but Nico wants to do
your program, too,

and if he can,
maybe he can move down here
with me instead.

Okay, so, how are we doing
with your eating habits?

Excellent.

-Okay.
-I gonna just try and keep
staying healthy together.

-Okay.
-I gonna just try and keep
staying healthy together.

That's great, so we get
your weight checked
before you go

and you have a diet already,

so your weight loss
needs to be at least
20 to 25 lb a month.

-I can get it there.
-[Dr. Now] Okay.

I... I do wanna
consider surgery, too.

Well, I'm encouraged
to see both of you
making good progress.

So, stay with it.

In the meantime,
if y'all need anything,
let me know.

[Geno] Okay.

All right, Nico, sit tight,

and we'll come
and get you weighed
before you go.

All right, thank you, sir.

All right, thank you, sir.

I'm happy to see
that Geno and Nico have been
supporting each other

and both are making
positive changes
to improve their health.

this is an encouraging
start for them

and it's gonna be important
to keep that going

and maintain
the momentum they have.

Okay, we're ready
for you, Nico.

And I think Nico
doing the program
with Geno will be good

And I think Nico
doing the program
with Geno will be good

so they can both stay on track

and continue to influence
each other in positive ways.

All right.

Well, Nico,
let me get you on the scale

so I know what
your weight is at today.

-Ah, I have to
take my shoes off.
-Go ahead.

All right.

This a player, pimp.

-[Dr. Now] 431.
-[Geno] That's not bad.

[Dr. Now] Okay, so you know
where your starting point is
for your goal.

So, next time you come in
we're gonna check your weight

then see what
your progress is, okay?

Yes, sir. Thank you.

-[Dr. Now] All right,
we'll see you both soon.
-Yes, sir.

-[Dr. Now] All right,
y'all take care.
-See you later, Dr. Now.

[Geno] Thank you, sir.

-Good seeing you, as always.
-[Dr. Now] All right.

[Geno] I am excited
because I'm ready to move
down to Houston.

That makes me feel good.
I kinda knew he was
gonna be happy at least.

That makes me feel good.
I kinda knew he was
gonna be happy at least.

I know I didn't reach
the exact 60 mark,
but I knew I was close.

I was happy that he also
took interest in my cousin,
that was really nice.

I'm excited that Nico's
gonna be with me
so we can do this together.

I've always been
a little afraid to have
surgery, to get cut open,

but I really wanna consider
getting the surgery.

When it comes to
moving down to Houston,

we all have things
we gotta do,
it's gonna be difficult,

but you know what?
Whatever it takes,
we're gonna figure it out

and we're gonna
make it happen.

[groans]

-[together] Geno!
-Hey!

It's about time you mother...

[Geno] Watch your mouth!

-[Mike groans]
-[Joe] What's up, baby?

-What's up, cuz?
-What's up, baby?

How ya doing, Joe?

-How ya doing?
-Good, good, you ready?

-Yeah.
-What's up, my baby?

-What's up, Unc?
-[kisses]

-What's up, Unc?
-[kisses]

-How ya feeling?
-Alright, Joe.

-Let's do this, man.
-Let's do it, come on.

Me and Nico
have been working hard

to make more progress
over the past month

because we wanna stay on track
so we're making sure
to stick to the diet

and we've gotten
our stamina up to where
we can do a lot more.

So, we joined a gym
and started
a new family tradition,

-Let's go.
-Let's start doing it.

-Let's do this.
-a weekly volleyball game

and we're all loving it.

It's sort of like
the family dinner

but it's healthier
and more fun

but it's healthier
and more fun

and it gives me
the hardest workout
of the week

and totally wears me out,
but I'm loving it
and Nico is too

and it's been giving me
a lot of confidence
across the board.

Hey, Rose.

Okay.

[everyone yelling]

As a matter of fact,
I'm thinking about
doing one thing

that I've wanted to do
for a long time,

which is to ask my friend,
Jess, out on a date

and I've always wanted
to ask her out

but I've never had
the confidence before
to do so.

Again!

But first, our focus
is on Houston.

We're gonna do what we can
to stay on track

and find a spot to live.

-Nice!
-Oh!

[indistinct]

[Geno] We've been
looking for a place,

but it's taking
a little longer
than we thought

because we decided to go in
and try to buy a house
in Houston

that we can flip
after the year is up,

so we're waiting to find
the right place for us

so we're waiting to find
the right place for us

and in the meantime,
I'm planning to move out

of my mom's place
and in with Nico.

[groaning and cheers]

And I'm excited because
I've been dying to get out

from under my mom's roof
but I haven't told her yet

and I don't know
how she's gonna react.

Good game, good game.

You got lucky, enjoy.

-Maybe we can start by
ourselves.
-That's right.

Start by taking this [bleep]
off the wall, at least that.

Start by taking this [bleep]
off the wall, at least that.

Yes, get the stuff
off the wall is good idea.

You got the stuff on the floor
you could go through,
organize.

Yup.

It's pretty messy over here.

-All right, we'll get, uh,
the boxes out of the car.
-[Geno] Okay.

Today, I'm packing my stuff
to move into Nico's.

I need to move
to Houston soon.

We're still looking for
a place we can buy
and move into

but I'm eager to move
back out on my own
away from my mom.

Nico's girlfriend, Rose,
maybe isn't as excited,

Nico's girlfriend, Rose,
maybe isn't as excited,

but she supports whatever
we need to do to get healthy

and living together
is gonna make it easier

to keep each other
accountable.

My only concern is my mom.

I know she's assuming
she's gonna come
to Houston when I go,

but I think Nico and I
need to stay focused
on getting healthy

and I think it's better
if we do this on our own.

So, I'm gonna tell her today
that Nico and I
are moving to Houston

and I don't want her
coming down with us

but I can't put off
talking to her about
this any longer

-Wanna sit down for a moment?
-Hey, booky.

-Wanna sit down for a moment?
-Hey, booky.

-Hey, it's the book.
-The cooky booky.

-What do you want me to cook?
-Do you want meat or fry?

[Geno sighs in exhaustion]
I'm tired.

Honestly, man, you look like,
you look tired.

Yeah, I didn't get
much sleep last night.

I went to bed around 1:10
and woke up at 6:30.

And then, my ankle started
to feel sore.

How is it feeling today?

It's okay.

What happen to you, Nico?

I had a problem with my ankle.

I went to the doctor again,
it turns out it's a cyst

I went to the doctor again,
it turns out it's a cyst

and it's pushing against
my tendons, so it's making
trouble to my toes--

-So they gotta
cut it out, right?
-They gotta cut it out.

-I just got MRI done
on my shoulder.
-Ooh.

-I'm done, I gotta go
for surgery. Yeah.
-Again?

[Rhonda] They said
it's a bad operation,

so I'm not looking
forward to it.

My arm is gonna be down
at least six months...

to a year.

But I was gonna go with Geno,
so I can help him.

But I was gonna go with Geno,
so I can help him.

But, I'm sorry, kid.

Me going down
to Texas with you,

not happening.

I have to stay here
and get surgery.

The only thing
I can do is visit.

[Geno talking]

I wasn't going either way,
Why not?

'Cause you're not.

You're gonna stay
up here and you're gonna
take care of yourself.

I have to, I've no choice.

-Well, now you do, yeah.
-But you're not gonna that,

sit there and say
you're not goin' either way.

You weren't going either way,

-I'm tellin' you that.
-I make the decisions,
not you.

-For me.
-Yeah, mo--

-See I'm 31 now, so I will
make my own decisions.
-That's right.

-See I'm 31 now, so I will
make my own decisions.
-That's right.

Well, then you should've been
out of my house
a long time ago.

That's right,
I should have been.

Okay, sure.

-I was gonna go by myself.
-Great.

Wonderful.

End of story.

What I hope is
you both do well,

you know, and I will
come down and visit, but...

things happen
and I'm, I'm super glad
you're going down there.

-With or without me.
-Thank you, Aunty.

-I'll be okay.
-Great juice.
It's gonna be good.

I'll be okay.

I'll be okay.

[Geno] Well, that's actually
kind of a strange relief.

I was thinking that
my mom would be upset
not going with me,

but with her
not being able to go,

it kinda makes it easier
all the way around.

-I'll see you later, bye.
-Bye.

But I'm glad I didn't
hurt her feelings
or anything like that.

And this will be the best
for both of us.

Since I've been here
there's been a lot
of less stress in my life.

-I know, I was, like,
that makes you happy.
-Well, I'm happy about that.

And it's only gonna get better

because now only have
you gotten out
of the immediate issue,

being where you lived...

-Before.
-...before, but now
we're gonna be

-2000 miles away.
-Yes, we're just--

Nico found a place
in Houston that we can
move into next month.

Rose is moving with us too
and we're gonna make
the move soon.

It's gonna be hard
not to see Jess as often.

It's gonna be hard
not to see Jess as often.

We've been dating
a couple of months now
and it's been going very well.

She said she'd come visit me
as much as she can,
but I'm gonna miss her a lot.

Here you go.

[Nico] Uh, we, we didn't need
any distractions

-and this is exactly what
that is, it's a distraction.
-Thanks.

-You're welcome.
-[Nico] Well,
here's the thing

about Geno's new girlfriend,

he got real close
with this girl

these past couple of weeks.

and I have to talk to him,
and I'm, like,

I'm not letting something that
was going so well get ruined
by someone that

I'm not letting something that
was going so well get ruined
by someone that

put zero effort in to what
I have worked so hard
for these past few months.

You know, Geno, a beautiful...

life

is laid out in front of us.

Rose and I are just...

short of breath excited,

but over the past few weeks,

but over the past few weeks,

like, you haven't been
around as much.

You're worried.

I mean you live
right here in my house

you, like,
we've barely been talkin',

I don't even know
what you've been eatin'.

Now obviously you've,
you know, it's looks like
you're hidin' it,

you're tellin' everyone that
you're with the, uh,
a girl a lot

and it's out of nowhere,
this uh,

lady friend of yours.

But let me,
but let me just clarify.

Um, yeah,

I've, I was having
a little bit of fun.

I've known her
for a little bit of time

and then,

and then,

I decided to, like,

open up to her finally
after, like, six years
of knowin' her.

Because, you know,
I felt, like,

if I didn't tell her now
then.

you know, I might just

squander the moment and...

you know, I had no idea
that she felt the same way
for me either,

but...

everything is rapidly
approaching,

you know,

we're gonna be backin' off
each other for sure.

-So, and uh--
-Well, it's kind
of a necessity

-So, and uh--
-Well, it's kind
of a necessity

at this time because

I'm giving all of me to you,
you need to give
all of you to me

for this to work.

It's gotta be, like, a choice.

You have to pick,

if you are comin' with me
and Rose on this journey
'cause if not...

cut off the sale
of this house and not buy it,
and stay right here

and you could go move
down there with her

if she's that important.

Or...

we do what we planned,

we do what we planned,

and we continue our journey
and you tell her to just wait
in the wings till you

figure out what you gotta do
and you come back after our
program and our success.

And that we can
move on from there.

[Geno] Today I'm gonna meet
Jess for lunch.

Jess is a friend of mine that
I've known for a long time.

We've been dating
a couple of months now.

Nico thinks I should put
all my energy in to focusing
on my health.

I can see his point with that,

but it's tough 'cause I really
wanted this to work out.

-Hey.
-[Jess] Hey, babes.

What's goin' on, beautiful?

What's goin' on, beautiful?

How you doing?

-Hot.
-Me too.

-[Jess] Ladies first.
-Yeah.

Oh, that's a nice salad bar.

I've never been
to this one, it's nice.

[Jess] Ooh, and they mix
the salad dressing too,

that's like the worst
part to do.

-I get it everywhere,
it comes out of my bowl.
-Perfect.

[female server] Anything else?

-No, I think that's it, right?
Yeah.
-I'm good.

It's $13.56, please.

All right, [indistinct]

All right, [indistinct]

Yeah, well they said,
they'll call... they'll
call us.

Okay, where are we sitting?

I gotta be honest,
I just hate it when
there's people at my back.

So then...

This is perfect.
I can see everything
in front of me.

And there's only a window
on the back of me.

Mmm, that's good chicken.

[Jess] You wanna try
this kale?

-Uh, nah.
-'Cause we know
how much you love kale.

I wanted to,

like, talk to you about
everything that's goin' on.

I feel that, uh,

we've connected a lot lately.

Obviously.

And uh, we're gonna be

away from each other for, uh,

I'm guessing at least a year,

-you know, are you gonna be
okay with that?
-Yeah.

It is gonna suck.

Yeah, I think it's gonna suck,
but in the end

I think it's gonna be
wonderful for everyone.

I think it's gonna be
wonderful for everyone.

-It'll be good.
-Well yeah, well, everyone
doesn't really matter,

what matters most
is you going down there,
getting healthier,

you know, adding more
years to your life

and it's not like I'm going
anywhere, I mean we've...

been together,

like, friends for six years,
like, I, I tru... I trust...

in the love that we have
for each other,

like, I don't think this
is gonna break us,

-I think it's gonna make
us stronger, it's just...
-Mmm-hmm.

-I hope this year
flies by fast.
-Yeah.

-I hope this year
flies by fast.
-Yeah.

You know, I really do.

It's gonna be okay.

I, I think we're gonna be
more than okay.

There's nobody else
for you, baby.

-It's been like that
for a while.
-All right.

All right, well,

I gotta get going, babes.

I gotta go, uh,

run some errands,

take care of the car, and uh,

pretty much finish up packin'.

[Jess] It sucks
and it's devastating.

It hurts that I'm not gonna be
able to see him,

It hurts that I'm not gonna be
able to see him,

I mean, I knew he was gonna go
eventually for the surgery,

but I kinda put it in denial
that I'm not gonna
have him there all the time.

We'll just have
to take it day by day
and just see what happens.

Jess, I'm gonna miss you.

-Love you.
-Love you too.

-I'll call you when I get
down there, okay?
-Yes.

You better, better be safe.

Yeah, you as well.

She's like a, a really
good best friend to me.

You know, I don't got
too many of those, so...

I couldn't just

cut her off from
my life completely,
I couldn't do that.

cut her off from
my life completely,
I couldn't do that.

You're good, baby,
straighten her out.

Keep comin', keep comin'.

Well, today is the day
we're finishing packing up.

And we're heading out.
The house we're
buying is ready,

so we're finally
making the move.

So we're gonna take
this puppy, this,

this couch, and the boxes.

A little bit.

♪ There goes your bed ♪

♪ There goes my bed
There goes your bed ♪

♪ There goes my bed ♪

♪ There goes my bed ♪

Our next appointment
with Dr. Now is next week.

And we hope to get there
the day before,

so we can focus
on moving in and getting
a little rest first

and then go see Dr. Now.

This is crazy.

You know,

you know that you're movin'
and then all of a sudden
you see your bed gone and...

you're, like, "Wow,
I'm really not gonna be
sleepin' here tonight."

Never been this far away
from home for that long,

so being far away for real

so being far away for real

permanent amount of time
is very crazy thoughts.

Yes, baby.

Let's go, man.

Places to be,

weight to lose.

[Jess] Howdy, you've
reached Jessica.

Hey, Jess,

was tryin' to get
ahold of you all day,

I was hoping you can
come by and, uh,

see me of here, but...

When you get a chance, um,

give me a call back,
all right.

And, uh, maybe I'll catch you
on the ride down,

And, uh, maybe I'll catch you
on the ride down,

on the ride down
on the phone, all right.

All right, I'll, uh,
I'll talk to you soon.

How you feeling?

Good.

I'm feeling good,
I'm ready to make this drive.

You're here about to jog,
I think.

[Geno] I know this will be
a long and hard trip.

Hopefully, it'll be worth it
when we see Dr. Now

and get approval
for weight-loss surgeries.

I can't wait for that.

I can't wait for that.

We made it to Houston
in four days.

Which is what we planned for.

Because our appointment
with Dr. Now is tomorrow.

[Mike] There goes
the neighborhood.

Oh, it's beautiful.

You made it all the way
across the world.

-To our new home.
-2000 miles to new home.

-To our new home.
-2000 miles to new home.

So happy.

-I did it.
-So proud of you, baby.

This is a big journey
for us, baby.

-[man] How you doing, fellas?
-[Geno] Hey, how's it going,
boys?

Good, how are you?

You've gone and called
the right movers with
this one right here.

-All right, we got you.
-Okay.

Nice to meet you, guys,
how you doing?

[Geno] I'm happy that
we can focus on getting
moved in and settled.

I like that.

I like that.

I'm gonna be your guide here.

Right away off the rip,
this big head board
goes upstairs,

-to the bedroom. [laughs]
-Of course.

Of course it does, you know.

That suitcase upstairs, bro.

First room on the right.

Awesome, thank you.

[Geno] It's been exhausting
and been a pretty
big deal for us

to uproot our lives
and move down here like this.

And tomorrow we go see Dr. Now

and find out if we're gonna
get what we want
out of the deal.

And get approved
for our surgeries.

And I really hope that we do.

All right, baby,
let's get out of here.

Let's do this.

Ready?

Let's see the Doc then.

Well, it's time to see
Dr. Now and see
if we've hit our goals.

Well, it's time to see
Dr. Now and see
if we've hit our goals.

I'm a little nervous
'cause it's been a long time
since we've been here.

-Time to face the fiddler.
-You know it, baby.

[Geno] It only took
five months.

I really hope that we have
the progress we need to get
approved for the surgery.

Geno and Nico.

-Hello.
-Hello.

-Hello.
-We're here for the long haul.

I know.

[nurse] Let me see were
we're at and then we'll...

-You first.
-Yup.

-Okay, you can step up
on the scale.
-One sec.

I was at 629 the last time
I was here.

And Dr. Now said,
I need to lose at least
lose 50lb a month,

but I don't think
he meant for that
to be for four months.

because that would mean
I would need to have
lost another 200lb

to get down to 429.

to get down to 429.

And I think I did good,
but not that good.

-Okay.
-Okay, you can step down.

I was gonna, I thought
I was gonna be unhappy.

-Could have been worse.
-Could have been worse.

[Nico talking]

[Geno talking]

-[Nico talking]
-[Geno talking]

[Nico talking]

[Geno talking]

[nurse] Okay, step up
on the scale, please.

[nurse] Okay, step up
on the scale, please.

[Geno] Nico is supposed
to lose about 25lb a month.

So that would mean he has
to lose a 100lb.

But like for me,
I don't think Dr. Now
meant for either of us

to have lost that much
each month for this long.

So hopefully,
Nico has enough weight loss.

Really now.

-We're going
to room five, okay?
-Okay.

[Geno] That's not a lot,
so I'm worried about what
Dr. Now is gonna tell him.

[Geno] That's not a lot,
so I'm worried about what
Dr. Now is gonna tell him.

Honestly, I'm worried about
both of us right now.

Because I don't know
what to expect

and what Dr. Now
is gonna think.

I just hope we both get
to move ahead with our
weight-loss surgery soon.

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

-Hello, Dr. Now.
-How're you all doing?

-Hello, Dr. Now.
-How're you all doing?

[Geno] Good, how are you?

I'm doing good.

Well, it took you all
a little while to get
back down here.

Have you all finally made
the move to Houston?

Yes, sir.

You've moved to Houston,
that's great.

-Who's this young lady
with you?
-This is,

this is my lovely girl, Rose.

-Hi.
-She's my girlfriend.

[Dr. Now talking]

Yup, she has,
we're all here together.

-Um, to support each other.
-All right, good to meet you.

So, Geno,
so last time I saw you,

I told you if you
move to Houston

and continue losing
the goal I gave you,

and continue losing
the goal I gave you,

that I would approve you
for weight-loss surgery.

-Mmm-hmm.
-But, here's the situation,

it is now four months later

and you have been losing
18 to 19lb a month
instead of 50.

And Nico, you have been
losing 4 to 5lb a month
instead of 25.

So what happened
with the situation
with your eatin' habits?

You made so many
good choices the first month

then what happened with that?

Just my, just my fault,
I just...

I lost focus.

So what's the point
of moving down here

So what's the point
of moving down here

-if you're not gonna
do what you need?
-That's fair.

I just had a real tough time,
I was struggling.

And as usual,
I got right to the,

right to eating as my,
as my go to, to make
myself feel better.

All right, well I'm glad
you have had at least
a decent weight loss,

so here's what I am gonna do.

I will schedule you
for weight-loss surgery
in one month

and if I give you a goal
of 30lb in one month

if you lose,
you think you can do that?

-I promise you, I'll lose
30lb in this next month.
-Okay.

If you do that,
that'll be almost double
of what you lost this month.

If you do that,
that'll be almost double
of what you lost this month.

But if you're not able
to lose that 30 lbs
in one month,

then we won't move ahead
with your weight loss surgery.

-Okay. Understood.
-Okay?

All right.

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

And you did a lot worse
with your weight loss.

-So, what happened to you?
-I know.

Honestly, I'm disgusted
with it.

I lost my focus a little.

I know coming down here,

I'm ready to work
and prove
that I can lose weight.

Well, all right.

So I'll give you
the same goal.

So I'll give you
the same goal.

If you lose
30 pound next month,

we'll consider weight loss
surgery for you.

-Okay.
-Any questions?

-Nothing that I can think of.
-Nope.

All right.
If ya'll need anything,
let me know, okay?

-Awesome.
Thank you very much, Doctor.
-Okay. Thank you, Doctor.

All right. See ya'll later.

-All right. See you soon.
-See you soon.

All right, so,
that's the goal.

Now it's go time.

Now it's go time.

Geno and Nico did so well
in the first month.

It is unfortunate that they
started to slide.

And ended up wasting
a lot of time

to make the progress
they needed
over the last four months.

It seems that they have been
justifying stress eating.

But hopefully, seeing
their lack of progress today

was a wakeup call to get them
back on track.

[Geno] I still am very happy
that he's approved me for
weight loss surgery for sure.

But it's kind
of bittersweet because,

I wanted Nico
to get scheduled also.

And I did lose
a little weight,

And I did lose
a little weight,

but it wasn't a good amount
that I should have lost.

I think I got distracted
over the last four months.

And that's on me.

And with Nico,
I don't know.

I want us
to support each other.

But we each gotta walk
our own path too.

[Nico] I lost my focus.

But I'm very disappointed.

I completely agree with him.

Moved all the way down here
to work and I'm not gonna
give up now.

I feel very excited
about surgery today.

I can't wait to get in there,
get it done.

The journey leading
up to this point

has been a lot of hard work
and strict dedication.

has been a lot of hard work
and strict dedication.

And it's led all to this, so.

This is definitely
a huge day for me,

'cause it's a huge
changing point,
turning point in my life.

[knocking at door]

-Hi, Geno.
-[Geno] Hey, doc.

So, how are you today?

Good. How are you?

Well, it looks like
you lost your weight

and you're ready
for this surgery.

and you're ready
for this surgery.

I'm ready.

[Dr. Now] You're ready?

All right. Super.

All right.
We get started in few minutes.

-Okay?
-All right, doc. Thank you.

All right.

[Dr. Now] Today,
we're attempting to do
weight loss surgery on Geno.

He's met the goal I gave him

to lose 30 pounds by today.

He's down to 531,

He's down to 531,

so he lost 28 pounds.

Which is close enough
to show me

he's working harder
and applying himself
like he needs.

[speaking indistinctly]

So he's ready for
this step

and to have this tool
to help him continue
to lose weight.

But Geno
is still over 500 pounds.

So this surgery is high risk.

And any number of issues

can lead to medical emergency
with him.

can lead to medical emergency
with him.

When his body gets
pushed over the limit

and start to shut down.

[Dr. Now speaking]

Okay. Room light down.

So if there
are any issues at all,

then we may have
to stop the surgery early.

then we may have
to stop the surgery early.

Mary, just get up those,
uh, get up the stools
and bring the robot.

But hopefully, we'll be
able to complete a gastric
sleeve on Geno today.

What that will do for him

is to reduce
his stomach by 90 percent.

Leaving a small, narrow tube
that blocks him out
through a sleeve.

Leaving a small, narrow tube
that blocks him out
through a sleeve.

So, the patient's food intake
is physically limited.

[machine beeping]

So this surgery
will be an important tool

to stay on track
and get healthy
for long term.

All right.
Undock the robot.

So excited for him.

[sighs]

You'll be a supermodel
before you know it.

I can't wait to join him.

I look forward to it.
I really do.

[Dr. Now] All right.
We can remove the stomach.

Keep pulling. Keep pulling.
Keep pulling.

Perfect.

That's a mile long...

That's a mile long...

stomach.

Put that on the table
over there.

Yes.

Okay. We can suture him up.

Room light on.

[indistinct conversation]

[machine beeping]

All right.

All right.

Geno's surgery went very well.

He has,
I think abnormal bowels,

so that gave us some issues.

But it wasn't anything
we couldn't handle.

So now Geno
would go to recovery

and for the next month
he'll be on liquid diet.

And at that time,

he should be able to lose
another 40 pounds.

Then after that,
if he stays on track,

he should be able to lose
at least 25 to 30 pounds
each month

until he gets closer
to his target weight.

We're finding out
where Nico is at,

We're finding out
where Nico is at,

as his appointment
in a few days
is gonna be important.

'Cause if he's not doing
what he needs,

it will end up derailing
both of them
in the long term.

[indistinct conversation]

Nico.

[Nico] Now that Geno's
had a surgery,

the pressure
is on for me to get mine.

Last time I saw Doctor Now,

he told me to lose
30 pounds in a month.

And he would consider
weight loss surgery.

If I did that,
I'd be down to 384 today.

[in sing-song voice] Yes!

That's what I'm talking about.

-Okay.
We're going to room five.
-Thank you.

[Nico] That's even more
than the goal.

So, hopefully, that means
the doctor will be willing
to operate on me.

[knocking at door]

Hi, Nico.

[Nico] How you doing, sir?

How are you today?

Good. Good. Very good.

[Dr. Now] All right.

So, I see you lost 38 pounds,
huh?

Yeah. Worked hard this week.

What changes have you made
with your eating habit?

What changes have you made
with your eating habit?

We cut our eating down

really, really low to 1,200
or less calories a day.

And we increased our activity

in this nice Texas hot sun.

And walked around
and sweated good.

Went to the pool,
did some swimming.

And really found a good
system this week.

All right. That's wonderful.

So, since you lost
that weight,

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

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

-Okay?
-That's awesome.

-Okay.
-Amazing. That is amazing.

So, I'll set you for a month
from now.

When you go to hospital,

you should lose
another 20 pounds.

If you don't lose it,
then we're gonna
send you home.

-Okay. I'll lose it.
-Okay?

All right. So, you start
working on that.

Will do.

All right, Nico.

If you need anything,
give me a call.

-Yes, sir. Thank you.
-All right.

[Nico] This is great news.

This is what I came here for.

So it feels good
to have achieved my goal.

And I am gonna get my surgery
just like Geno.

But I know I gotta stay
focused and stay on track.

Because to fall off now
and have my surgery cancelled

would be devastating.

-[Nico] Coming for the walk?
-[Geno] Yeah, baby.

[Nico] Let's get it done.

Up until this point the
journey has been pretty wild.

It's been up and down.

It's been up and down.

-Yes!
-Love you.

[Nico] I love you, baby.

And you.

There's been some stress,
there's been some laughs,
there's been some tears.

But it all led to this point
and I wouldn't

do it any other way.

[indistinct conversation]

[nurse] This is all your
hard work my dear.

Just focus on taking some big,
nice deep breaths in and out
for me,

okay?

[Dr. Now] Right now
we're performing a gastric
sleeve on Nico.

He made it to his goal
last month.

And this past month he lost
another 18 pounds.

So he's down to 358.

So he's more than ready
to take this step today.

So he's more than ready
to take this step today.

[Dr. Now]

[male nurse] Room lights off,
please.

[Dr. Now] This surgery
is high risk.

Any number of issues

can lead to a medical
emergency within.

But, hopefully, we'll be able
to reduce his stomach

by 90 percent.

I was a little bit
nervous for him, but I mean,

who's not nervous when
their surgery is involved.

That's all I keep thinking
about is him in there.

So until I get an update,
I'm just like,
"What's going on?"

So until I get an update,
I'm just like,
"What's going on?"

[Dr. Now] We're almost done
with his operation.

So far everything
is going fine

and we have been able
to complete the sleeve
on Nico.

All right.
We can remove the stomach.

Keep pulling, keep pulling,
keep pulling.

Okay.

Put that on the table
over there.

Okay. We can suture him up.

Room light on.

We successfully completed
a gastric sleeve on Nico.

So now he and Geno
have an important tool

that will help them
stay on track.

Over the next month,
Nico will get a liquid diet
like Geno.

And he should lost at least
30 pounds in that time.

And then after that,

And then after that,

he should lose
15 to 20 pounds each month

until he gets close
to his target weight.

They both still have
a ways to go

to get
to their target weights.

But from what I've seen
from both of them,

I'm confident they'll be able
to make it to that point here

over the next year.

Oh, my God. It smells
like leather out here.

Dude, you think you got a car
that's like not
one inch off the ground?

[sighs]

What?

[laughs]

[Nico] It's been about a month
since my surgery

and two months since Geno's.

And we're both starting
to feel entirely
healed up now.

[Nico] Time to leather up.

Today, I thought it would
be fun to do something
really Texas.

But first we need some
down south wear.

I wanna look real down
home Texas.

[Geno] Not to interrupt
you or anything, but I really
wanna put this on right now.

[chuckles]

[both laugh]

That is...

every bit of awesome.

[Geno] Nico and I have both
taken a liking to Texas.

In fact, in some ways
it feels like this is where
we've always belonged.

-How's that?
-Love it.

[Nico] So we're going down
on the ranch.

Are you guys ready
for the real Texas experience?

-Yeah!
-Can't wait.

Now go ahead and pet him.
Say hello.

-What's up, big boy?
-Big man.

-Wow.
-I never pet a horse
in my life, I think.

-Wow.
-I never pet a horse
in my life, I think.

[Nico] We've been talking
about what to do long term.

Yeah, sure. I'll do that.

The hard part is going
to be maintaining a good
balance of healthy living.

And both of us feel like
it might be better

to do that down here
than back home.

And we're looking
at possibilities for staying
down here.

Come on this way.

-Today's ya'll lucky day.
-Is it hard?

-So we're gonna look
completely stupid.
-Okay, so, look.

Close it up.

[Geno] Overall, I'm feeling
super grateful for Doctor Now.

And for this second chance
I'm getting to live my life
the right way.

It just makes me wanna
try all kinds
of different things.

And it's a good feeling
because,

when me and Nico are together,
we can try anything.

-Yeah.
-[all] Oh!

-Half the cow.
-Half the cow. Okay.

Meet Diablo and Pumpkin.

-Diablo and Pumpkin!
-Pumpkin!

Well, I guess you won't
be seeing me competing

at the rodeo anytime soon.

But this was a lot of fun.

My horizons
are officially broadened.

My horizons
are officially broadened.

-[clucking]
-[all laughing]