All language subtitles for My 600-lb Life S11E04

[Syreeta] If I don't
get this fixed,

I could potentially
be bedbound.

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

I just wanna be
a normal person.

[grunts, pants]

You can't do it,
and then I just get mad.

[woman 2] If I don't make
a change now, I'm scared
it's gonna be too late.

[woman 3] I refuse
to stop fighting.

I have to do this
for my children.

[grunts]

[Dr. Now] This is your life
and you're killing
yourself with food,

[Dr. Now] This is your life
and you're killing
yourself with food,

You know, you're not gonna
live longer like that if you
keep gaining weight.

[Syreeta] I don't sleep well
at night at all.

I'm a night owl.
I'm up constantly all night.

[grunting]

I'm scared to sleep,
if I can be honest about it.

I'm scared
that I'm not gonna wake up,

I'm scared
that I'm not gonna wake up,

because of my weight.

So, yeah.

My weight, it scares me now.

And then, on top of that,
I wake up in a lot of pain.

I live with
the love of my life,

my husband, Lawrence,
and my stepson.

I'm thankful...

for my current
living situation,

because not everybody
got a roof over their head,

but at the same time,
it is challenging.

The floor's unlevelled,
and uneven, and it's weak.

So...

[grunts]

I'm scared that I...
I may fall through the floor.

And then, it's hard going
up and down the stairs,

because
my stairs are so steep.

I have a fear
of falling down the stairs.

...but my son fell
through first and I ended up
falling through again.

...but my son fell
through first and I ended up
falling through again.

Depending on how I'm feeling,

every other day,
I will take a shower,

because I honestly cannot
standup for a long period
of time at all.

Sometimes the pain
in my legs will be

so unbearable
that I will just wash up.

As we call bird bath,
ho bath, you know.

Like, the birds they go
into the water thing,

and roll around in it.

It's depressing,
because I have
a lot of stomach,

and then with having
short arms and trying to reach
behind a big old body,

and it's challenging,
very challenging.

I do have a hard time
washing my feet,

because once I bend over
to try to wash them,

I'm... I'm wobbly
and I'll end up falling.

I'd be out of breath
after I get out the shower.

Or, just in a lot of pain

from doing all that
moving in the shower.

Then, I crawl up the stairs,

'cause it hurts
to go up and down.

And, so, I try not to depend

on my family so much,
because sometimes

they enable me
a little to much.

So, I try
to depend on myself
before I ask for help.

My husband does a lot.

I can get dressed fine,

but I feel like things
are getting harder.

But, even though,
my life was miserable,

I get an excitement when
I know it's time to eat again.

What are we eating?
[breathing heavily] Huh?

What are we eating?
[breathing heavily] Huh?

Hello?

What's for breakfast?
[chuckles]

Ah! Okay. Ah, oh!

[Lawrence speaking]

I've been with girls
that was big,

but she's
the biggest girl
I've been with.

And at first,
it was kind of hard
to get used to.

I'd never seen it
from the lens
of somebody bigger.

You never know
what they really go through.

You never know
what they really go through.

That's fine.

[Lawrence] Eating makes...
sometimes her mood better.

If she's stressed out,
she eats, if she's unhappy,
she will eat.

I mean... I guess
it's a coping mechanism
for her.

I'm hungry. You ready
for breakfast? I am.

What do you need me to get?

I wanna do bacon,
egg and cheese sandwiches,

-with some pizza rolls.
-Okay.

Um, you can go grab that
and I'll get the stuff
set up up here.

-Okay.
-All right, thank you.

-Okay.
-All right, thank you.

You welcome.

It's like, peace and war.
Do I want war,
or do I want peace?

If I give in, I have peace.

If I don't, it'll be
a constant nagging about it.

[Syreeta] Food fulfills me.

It fulfills empty voids
that... that humans
can't fulfill.

It fulfills empty voids
that... that humans
can't fulfill.

Just like a kid
in the candy store.

When you go in the candy store
and your eyes light up

'cause you got
a multitude of stuff,
you got all types of different

variety of stuff,
it's the same thing
when it comes

to looking
at my refrigerator, like,
"Ooh, I'm eating

out every one
of those snacks."

It always puts
my mind elsewhere.
It puts me in a happy place.

Going all the way
back to childhood.

That's when it was my escape.

I had a horrible childhood.
There was nothing sweet
about it.

All the stuff
that I went through,

a child should've
never went through.

At two years old,
so, I was raised
by a lot of people.

Moving around
from home to home.

Moving around
from home to home.

And more often than that,
I was abused in these homes.

And by the time
I was eight years old,

I had been physically,
sexually, and mentally abused.

I was mentally traumatized.

With each new family
that child services
sent me to,

didn't have the knowledge
to know how to deal with that.

I was a defiant kid
at that time.

I was a defiant kid
at that time.

So I was in
and out of girls' homes,

and eventually
juvenile detention.

So, around the time
when I was 11,

I decided to try
and find my birth mom,

and we reunited.

I told her how I had been
in a foster care system,

so she took me in.

Well, at first
we had good times.

We had good times,
dancing, and singing,

you know, played around,
cooking. It wasn't all bad.

you know, played around,
cooking. It wasn't all bad.

But after
the first few months,

we was like oil and water.
Like, we didn't mix.

She had a mouth,
I had a smart mouth.

So, I moved on from her,

and I left feeling sad
that I didn't have
a good parent in my life.

So, after that I just
made my peace with loving
the feeling I got from food.

Because food was something
that loved me back.

And by the end of the year,
I was 250 pounds.

And by the end of the year,
I was 250 pounds.

After that it was back
to being cycled around

from one foster home
to another.

I had to change schools
so many times,
I can't remember the names.

After I got done
with high school,
I was 450 pounds.

I was too old
to be in foster care.

I didn't have a job
or a place to live,

so I just stayed
with friends and relatives.

I wanted to be
a cosmetologist,

but... there wasn't
too many options
because of my size.

So, I got on social security
and I lived with my grandma.

I did hair,
and I baby-sit for friends

to help pay
my bills and stuff.

I had my first apartment
when I was almost
18 years old.

I woke up one day and realized

this is the first time
I had a roof over my head
free of abuse.

And that felt good,
that felt so good.

I ordered in, and ate
all the fries and pizza,
and burgers I wanted.

I found myself
thinking on what to do
with the rest of my life.

And that's when I decided
to become a nurse's aide.

I was able to study
to get my certificate online,
but it was a lot of work,

but it was hard for me
to get out and go anywhere
especially due to my size.

but it was hard for me
to get out and go anywhere
especially due to my size.

So, I started joining
friendship groups
on social media,

and that's how I met Lawrence.

I made a post
on a dating website,

and he commented on it,
and I went to this page

and I was like,
"Oh, yeah. He cute."

Lawrence told me that
he thought big women are sexy,

and one thing lead to another.

We dated long distance
for two years,

and then I moved
up there to be with him.

and then I moved
up there to be with him.

It felt good seeing
my dad get married.

It felt good to see
my stepmom and him

to walk... [exhales]
...walk the aisle together.

That's it.

Ooh, my knees hurt.

[breathing heavily]

Well, I've had
a lot of relations
and relationships,

but...

this is the only
real relationship
that I've ever had

to the point where I'm...
actually genuinely
in love with that person.

to the point where I'm...
actually genuinely
in love with that person.

I tried to tell my husband
at times, like, you know,

"People see you with me.
I'm a bigger woman."

I always have a fear
of losing him to another woman

who might be a little smaller,
maybe prettier.

But, the biggest fear is
if I don't lose the weight,

But, the biggest fear is
if I don't lose the weight,

he's gonna have
a hard time burying me.

What do you wanna have for...

What else are we gonna have
besides chips?

[car door beeping]

[Syreeta] You know
what I don't understand?

How your car...
Well, your car... it's not
littler than mine's, but...

[breathing heavily]

[breathing heavily]

I get out your car easier
than I get out of my own car.

Oh, my back.

Ow! Snacks.

Meal wise,
I probably eat twice a day.

But as far as snacking wise,
that's everyday, all day,
constantly.

Oh, these are so good.

How about these right here?

Ooh, yes. Maybe barbecue.
I actually like those.

You want some cheese balls?
I like cheese balls.

The cart is almost full.

At times it is very hard
for me to stop eating.

Like, I hit these points where
I will indulge in something,

or my stomach
will start hurting,

and I'm still eating.

-[cashier] Hey, how are ya?
-I'm fine. How are you?

Doing pretty good myself.

-That's good.
-[scanner beeps]

I opened these,
so I'mma give those to you.

I opened these,
so I'mma give those to you.

[scanner beeping]

-[cashier] All righty.
-Thank you.

[cashier] No problem.

[Syreeta grunts]

[grunts]

[Lawrence speaking]

No, I'm mixing mine together.

[Lawrence] Mmm, okay.

[Syreeta] Let me know
when to stop,

-'cause once I get
ahold of this pot...
-[Lawrence] Yes, ma'am.

...I ain't sharing.

I think my weight
is changing for the worse,

due to the fact that now
as day to day goes by,

due to the fact that now
as day to day goes by,

it's more, it's really hard
for me to actually move
around on a day to day basis

because I be
in so much pain
just to walk to the bathroom.

-You're eating too fast.
-I... Yeah, what you want.

You know
I got chipmunk cheeks.

If I don't get this fixed,

I could potentially
be bedbound.

Or either find myself
in somebody's nursing home

Or either find myself
in somebody's nursing home

at a young age.
I'm too young for that,

because I can't move around.

I'd be mad at myself
at times, like...

[hesitates] I mean,
you did this.
You let yourself go.

Oh. I think I really
outdid myself this time,
again.

Damn.

And it's still hot? Oh, okay.

It is... It's hard
to move around.

[hesitates] It's sad.

I'm scared
that there's nothing
I can do,

and that I'm too
far gone to get help.

And I'm scared,
it's just a matter of time,

before I go to bed
and don't wake up.

Well, I thank you, kindly,
sir, thank you, kindly.

Chips! All right.

Chips! All right.

Okay. These gonna be
my chips for this trip.

Bad addiction, bad addiction.

-[zipper zips]
-Ooh, I don't know
what to expect.

Are you nervous? I'm nervous.

Did you grab you some snacks?
I'm not sharing my chips.

Okay then.

Today, everything
is gonna change.

[groaning]

Ooh!

Ooh!

I've finally made a decision
to go down to Houston,

and try to get help
from Dr. Now.

[coughs]

Because, if there's anyone
that's gonna help me

lose this weight,
they say it's him.

So, me and Lawrence
are gonna take his car,

and it's gonna be
a long drive.

Something like 18 hours.

Thanks, son.

I'm glad she's doing
this thing to help her
with her weight.

I'm glad she's doing
this thing to help her
with her weight.

She's doing
what she had to do,
and I appreciate it.

So, she's making
that big step in her life,

she's doing what she gotta do
to lose this weight.

Ooh! All right, son. Love ya.

[Lathanial] I love you too.

[breathing heavily]

Well, it is bright out here.

I'm just worried about
how much it's gonna
hurt my legs,

being cramped,
cooped up, stuffed
in the car for so long.

But I know
it's gonna be worth it,

if I can get Dr. Now
to help me lose some weight,

and get my health
back together.

It makes me nervous
travelling this far from home,

It makes me nervous
travelling this far from home,

because I've never gone
this far before.

I got chips for now,
so I'll just open
those up, but...

[bag rustling]

[Syreeta] And I don't know
what it's gonna be like.

And I don't know
if I'll get along
with Dr. Now.

I've heard a lot about him,
and it sounds like

he's a tough love kind of guy.

So, I just hope
that I can get along with him

enough to get him to help me.

Ooh-ah, ooh-ah, ooh-ah.

[Syreeta sighing]

[Lawrence speaking]

[Syreeta] Oh.

Oh!

[Syreeta sighs and speaks]

-[Syreeta speaking]
-[Lawrence] Yeah.

[Syreeta speaking]

[Lawrence] Uh-huh.

[Syreeta speaking]

[Lawrence speaking]

[Syreeta sighs]

[Syreeta] Oh, Jesus.

Okay, I'm coming.

Okay, I'm coming.

Oh.

Ow, my legs. Oh.

I'm fine. How are you?

-Okay.
-[man] Go through the door
and take a left.

[Syreeta] Okay.

Hello.

Room 419.

Right here.

Oh.

[Syreeta sighs]

Oh, okay.

It's hard. It's hard to me.

[Syreeta] I'm tired and sore,

and I just wanna
stretch out my legs

and get me some sleep.

[Syreeta groans]

I think tomorrow
I'll be better,

but right now I just
can't go no more.

but right now I just
can't go no more.

I'm spent.

Breathe, damn, breathe.

[Syreeta panting]

Whew!

Oh, my back.

Can you unlock the door, babe?
Thank you.

[grunts]

Where is my chips at?
Did you accidentally throw
my chips in the garbage?

[Lawrence speaking]

Huh? Uh-huh.

[Syreeta yawns]

[Lawrence speaking]

[grunts]

Ooh, that hurt.

[Lawrence speaking]

[Syreeta laughs]

You're so sweet.

This weather is
cutting up.

[Lawrence speaking]

[Syreeta speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

[Lawrence speaking]

[Syreeta speaking]

Lawrence is talking about
all this foolishness

about how I might
wanna leave him

after I lose this weight.

That is something
that would never
cross my mind.

What I'm really worried about

is if he found me in a BBW
social media group,

and I lose the weight
and I'm not so big anymore,

how is really gonna
feel about me?

[grunts]

Whew, ooh!

[sighs]

Whew!

Ow! I knew it was gonna
start doing it.

Ohh!

[Lawrence speaking]

[Syreeta] Yeah.

[grunts]

Oh, Jesus.

I'm gonna have to change
my whole mindset

and change my life

the way I know
he's gonna want me to do.

So, I just need support
right now and not have
all this paranoid stuff.

But before I see Dr. Now,

I need to put my feet up
and get me some sleep.

I need to put my feet up
and get me some sleep.

[yawns]

It's swollen.

[grunts]

[clears throat]

-Okay, dear god.
-[sighs]

-[sighs]
-[clears throat]

Come up some.

Yes, that's...

I don't know. If I can't eat
my feelings away,

I get over it, I'll be mad,

I'll have an attitude,

but I'mma just keep in mind
it's either the grave
or the snacks.

Take your pick.

And I choose to live, so...

I'm gonna do
what I have to do.

We're headed to Dr. Now's
for my first appointment.

We drove the last two hours

We drove the last two hours

and made it here
with just enough time

to check into a hotel

so that after the appointment,

we could just come back
and rest.

I'm nervous about meeting him,

and I'm a little worried
that we won't get along,

because I don't like
being told what to do.

And if I don't
mesh with his manner,

it's really gonna be
hard to handle.

But I really do need
the surgery,

so I'm just gonna have to be
able to get along with him.

so I'm just gonna have to be
able to get along with him.

Well, let's just have
a look on in.

Oh.

Oh, I'm tired.

Syreeta.

Here we go.

Oh, my legs.

Which way I go?

Hmm.

I think you can go ahead
on the scale.

Okay. We're gonna
go to Room 5.

Okay.

[Syreeta] Damn,
I've gained weight.

That's the first time
I've ever been 600 pounds.

That moment was horrible.

I couldn't believe I had
gained the damn weight.

Everything's worse than
I thought.

So whatever Dr. Now
asks me to do,

I'm gonna do it.

Oh, this is real.

This is real.

Hello. How y'all doing?

[Syreeta] Fine. How are you?

I'm doing well. Thank you.

That's good. That's good.

-Well, you must be Syreeta.
-Yes.

-Well, you must be Syreeta.
-Yes.

-You are from Columbus, Ohio.
-[Syreeta] Yes.

So what brought you
down to Houston?

Um, need help with getting
the weight off,

came for surgery.

Trying to get the extra

push, support that I need

to help with losing
the weight.

And so, you're 31 years old

-and you're just
over 600, huh?
-[Syreeta] Yes.

So at your height,

that puts your BMI over 100,

which is very dangerous.

which is very dangerous.

So what you have done

so far to get
your weight down?

I've tried dieting,
intermittent fasting

-and lower carb options.
-Okay.

-When you eat food,
do you feel comfort?
-I do.

But do you feel
guilty afterward?

I... Yes. I do.

So you have a cycle
of going to food for comfort

and eating what you know
you shouldn't

and regretting it,

but still not changing
any of your habits.

So why haven't you made

any changes to that cycle?

It is so hard sometimes
that I can't...

It is so hard sometimes
that I can't...

It's a challenge for me
sometimes.

Well, it is not gonna be easy.

So you have to be willing

to work hard
and change it if you want

and better weight
and better health all around.

Does anybody in the household
encourage you to eat more?

Uh, yes.

I have enablers,

people that don't know
how to tell me no.

So who is your enabler?

Well, my husband is one
of my biggest enablers.

So he doesn't want
to argue with you...

-that you eat or...
-That's exactly...

That's not being an enabler.

-That's--
-That is an enabler.

No, you're bullying him to

feed you and you call
that the enabler.

I do not bully him.

So what does he
have to say about that?

Am I right?

[both laughing]

-Tell him what--
-That's a good...

That's a good one.
That's a good one.

-[Dr. Now] Pretty much...
-That's how I feel.

[Dr. Now] He don't wanna argue
with you, right?

-Absolutely, yeah.
-That's how I feel.

[Dr. Now] Um, so, Syreeta,

how are you with your
activity and exercise?

Um, it...
it could be challenging.

I... I think I could be better
if I...

I... I think I could be better
if I...

I have pain in my knees
really bad sometimes, so.

I just... I sit a lot.

So you have a lot
of unhealthy habits

that aren't good for you.

In particular, you're eating
unhealthy food

from start of the day
to the end of the day.

And you need to start making

better choices
with your eating,

discipline yourself
about eating.

Then once you do that

and you get control on that,

then a weight-loss surgery
maybe an option for you.

-[Syreeta] Okay.
-[Dr. Now] Okay. So until then

you're gonna have to develop

you're gonna have to develop

understanding and knowledge
of how to eat

and how not to eat.

-[Syreeta] Yes, sir. Hmm.
-Okay?

And you're gonna be
supporting her

to follow the diet
and do exercise and all that.

Yes.

All right.

Super. All right.
Do you have any questions?

Mmm-mmm.

Okay. So I'm gonna come back

and give you
some stuff to read.

And we will go with that

so we can start your new diet
and exercise routine,

and, you know, we're gonna see
how we're doing in two months.

Okey-dokey.

Okey-dokey.

All right. I'll be back.

[Syreeta] All righty.

Ooh.

[Syreeta sighs]

I think I can do it.

-Well, it ain't no thing
but that.
-Yeah.

I feel like this chair
is about to break.

Nah, you're okay.

That's just your mind.

[Dr. Now] Syreeta clearly
knows that she has a problem

with her overeating,

and it has reached
a dangerous point.

and it has reached
a dangerous point.

The question is,
whether or not

she's willing to do all
she needs to change that,

or she's looking for
a quick fix

and a magical solution
to fix it for her.

[Dr. Now] All right.

I got a homework for you.

Okay.

Read this every night.

Uh, this color page will
tell you about obesity.

And then what does it
say on top?

"I really don't eat
very much..."

Ooh.

Okay. So you read that
very carefully

Okay. So you read that
very carefully

-so you understand
what's going on, okay?
-Mmm-hmm.

[Dr. Now] Food is Syreeta's
comfort,

and it's not gonna be
easy for her

to give it up.

And it also is not
gonna be easy

to change the environment
she has at home

that facilitate her overeating

and keep her in control
of what she wants.

Her husband doesn't talk much.

So it's clear

the dynamic they have is one

where he either does
what she wants,

or she bullies him
until she gets her way.

or she bullies him
until she gets her way.

I don't think everybody
is enabling her.

I think everybody
is being, sort of,

not wanting to argue with her

and provide her
whatever she wants,

and she's the driving force
for her overeating.

And she's the one
that has to be

the driving force
for a better living

and healthy lifestyle

if she's gonna turn
things around.

[Dr. Now] None of these
is gonna work

if you are not willing
to do your part.

-Okay?
-Yes, sir.

You think you can do it?

[Syreeta] I can do it.

[Dr. Now] All right then,
superb.

First hit your goal
and loose 60 pounds

over the next two months,

and then we will talk about
next steps, okay?

-Okay.
-All right then.

And if you need anything,

don't hesitate
to give me a call.

Yes, sir.

All right. We'll see you soon.

Okay.

-[Dr. Now] All right?
-[Syreeta] Yes, thank you.

It is going to be a tough
cookie but I'mma crack it.

Ooh.

[Lawrence] How does the
vegetarian chorizo taste?

[Lawrence] How does the
vegetarian chorizo taste?

[Syreeta] It's not bad.

All veggies.

It's been a couple of weeks
since we saw Dr. Now.

and me and Lawrence
have been working
mostly on our diet.

Now, today, we're gonna
add some exercise
into the mix.

That was good.
Can you go grab my blanket
and the volleyball?

Ouch, ouch, ouch.

[Syreeta] My goal is
to make the workouts fun.

[Syreeta] My goal is
to make the workouts fun.

So, I like playing games
with Lawrence

or just having a good time
going for a walk.

One thing at a time.

When I was active, active,

I was on
a volleyball team. So...

I'm recreating stuff
I used to do

when I was in my teens.

I have anxiety

of people, like kids
looking at me

and you know,
I'm scared as hell
but at the end of the day,

I'm doing this
for myself, so...

I'm doing this
for myself, so...

you know,
F them. [chuckles]

You ready?

[both chuckle]

Thank you.

[grunts]

[sighs]

[laughs]

Ow, ow, ow, ow.

[Lawrence speaking]

[Syreeta]
I'm about to challenge myself.
I'm about to walk up the hill.

[Lawrence] Try the baby hill
with a walking stick.

[Syreeta] All right.

[Syreeta] All right.

[Lawrence] Come on, baby.
You can do this.

-You can do it.
You can do it.
-Whoo!

Okay, look at you.

Go, sweetie. Go, baby.

Come on, baby.

Come on.

Go, baby. Go, baby.

[yells]

[panting]

You okay, baby?

-Yeah.
-You okay?

-Yeah.
-You okay?

[Syreeta speaking]

-You made it.
-All right.

[screams] I did it!

Okay.

-[exhales]
-Ready? Are you gonna
try to slide down?

[grunts]

-Yep!
-Okay, I'm coming.

Oh, Lord. Here comes

Oh, Lord. Here comes

[Lawrence] Come on, baby.

[screaming]

[both laugh]

[continues screaming]

Wait a minute.

Wait, I'm dizzy as hell!

[laughing]

Oh...

Man, I gotta get up.

-I gotta... yeah.
-You got it?

[grunts]

-Proud of you.
-Thank you.

-[Tyler] Feelin' it?
-Yeah.

[Tyler] All right.

So we're gonna go
all the way down over there,

but we're gonna use this
distance, right?

So I want you just to swim.

[Syreeta] A couple
of weeks ago,

[Syreeta] A couple
of weeks ago,

I started coming to the pool
on my own

to do more exercising.

[Tyler] That was really good.

When I first saw Syreeta,

huge potential,

a lot of weight to lose,
but it's very possible.

Point your toe out.

Just pick one.

Lift up, touch down.

Lift up, touch down.

We're doing squats now,
right here.

-[Syreeta chuckles] Oh.
-Just squat down.

You already started it.

-There you go.
-Up.

[Tyler] Yeah.

I can do this now,
but I'll be feeling it
when I get out.

All right.
Get down in that water,

you're gonna punch.

Right here.

Yep.

[Syreeta] I have some days

where I struggle
more than others,

but I'm always dedicated

to getting back on track
if I ever slip up.

[Tyler] All right.
We're gonna get fancy now.

You're about to jump around.

-Are you ready?
-[Syreeta] Yeah.

-You gotta get all that
energy out, right?
-[Syreeta] Uh-huh.

You're gonna do
a little squat, jump.

Little squat and jump.

[Syreeta] We did find
some places

to live down there in Houston.

So I'm ready to put
on a big push

to get this
weight-loss surgery.

By losing this weight

and getting back to Dr. Now

so I could show him
on the scale

that I've done what
he asked me to do.

-We're gonna get faster now.
-[Syreeta] All right.

You ready? I'mma burn you out

and then you're gonna
have a good day, all right?

Little fast punches,
fast punches.

Tah, tah, tah, tah, tah!

There you go.
Punch it, punch it.

Punch it, punch it, punch it.

[Tyler grunting]

Punch down, punch down.

Take it down, take it down.

Take it down, take it down.
There you go.

-Punch it, punch it, punch it.
-[Syreeta] Whoo!

Feel the burn, feel the burn.

[laughs] Is it
making you float?

What was that?

[Tyler laughing]

I told you. [laughs]

[Tyler] Syreeta did
really good.

She has huge potential
to keep going further

and can honestly loose
a lot of weight.

and can honestly loose
a lot of weight.

I really appreciate it.

-Thank you.
-You were awesome.

-You too.
-Okay.

It went good.

He worked the hell out of me.

I'm tired.

My legs is tired.

My hips is tired.

But it went good overall.

It was fun to me.

[Syreeta] We're back
in Houston again
to see Dr. Now.

The past few months
have been pretty hard,

but I know I've made progress.

And I hope it's enough

to get approved
for weight-loss surgery.

[Syreeta] Oh.

[Syreeta] Oh.

Syreeta.

Right.

At my last appointment,
I was 603,

and Dr. Now gave me a goal

of losing 60 pounds

over the next two months.

So if I did that, I will be
down to 543 today.

Let me empty out anything
that might make you heavy.

Hold this.

[nurse] Just step
on the scale.

[Syreeta] Told you.

-You're gonna go to Room 5.
-Okay. All right.

-You're gonna go to Room 5.
-Okay. All right.

[Syreeta] That's a step
in the right direction.

I know it's not
as much as he said,

but that's a win for me
to be back in the fives.

So I feel good about it.

I know I'm doing
the right thing

and I think Dr. Now will be
happy with that, too.

Even though my numbers
fell short,

he has to admit

I'm still doing a good thing.

Hello, how y'all doing?

[Syreeta] Fine,
and how are you?

[Dr. Now] I am good,
thank you.

All right.
So, it's been two months.

I expected that you're gonna
lose at least 60 pounds.

But in return, you have
only lost 12 pounds,

which is six pounds a month,
which is not very much.

So what happened to the diet
instruction we gave you?

Did you read those papers?

Did you read those papers?

-I did, I did.
-How many times you read it?

-Actually I read it, like,
couple times because I was--
-Couple times?

The deal was
you read it every night.

I was doing good. I'm eating
more healthier than I was.

Um...

I did good,
it's just the consistency

that I think
that I struggle with.

Well, you know,

the normal weight
for your height is 140 pounds?

-Is it?
-[Dr. Now] Yes.

140 pounds.
You're not double of that.

140 pounds.
You're not double of that.

You're almost four
and a half times that.

So, how you gonna lose
that weight to get down
to under 200?

If you think losing six pounds
a month is good progress,

if you're gonna do that,
it's gonna take you six
to seven years

to lose that weight.

And that is assuming
you stick with it.

That's true.

What do you think
will be the solution
for your problem?

[sighs]

You know, instead of being
140, you're not 240,
you're not 340,

you're not 440,
you're not 540,

you're not 440,
you're not 540,

you're 591.

So how long your body
is gonna tolerate all
that extra weight

that you're putting on there?

-[Syreeta] No.
-And this is your life

and, you know, you're not
gonna live longer like that

if you keep all
that weight on you.

But right now, you're killing
yourself with food,

and you don't seem
to get that.

And I'm not sure your family
is getting that, too.

So what is your husband
doing to help you out
with that?

-Hmm?
-Ask him.

-Hmm?
-Ask him.

I don't know.
He's ignoring me.

He's not even
looking at me.

He's looking at the floor.

So, what are you doing
to help her?

All right. Who buys
all the chips
and all the stuff?

Me.

So, you bring it
over there,

you expect her...
not gonna eat it or what?

You bringing it for yourself
or you're bringing it for her?

You bringing it for yourself
or you're bringing it for her?

A little bit of both.

So, what are you
willing to do to help her?

Stop giving her more chips.

Or bring more stuff
that's better.

What is today different
from two months ago?

That's what
I'm concerned about.

If you want her to live,
you need to do everything
you can

to help her to make
the changes she needs

to avoid temptation.

But Syreeta, no matter
what everybody else does,

there is no excuse
to eat chips and candy.

there is no excuse
to eat chips and candy.

You're responsible to change
your life, and no one else.

Can you imagine if today
you were 140 pounds,

what would be your life like?

I wouldn't be sitting
in your office right now.

[Dr. Now] No,
you be out living your life

and maybe starting a family.

You wouldn't be facing
an early death.

So, the question is,
what are we gonna do

from this point
to get to that point?

Because whatever we gave you
last time didn't work.

So what are we gonna do today
that's gonna make it work?

So what are we gonna do today
that's gonna make it work?

[Syreeta] I just gotta have
the willpower to say "No".

[Dr. Now] So, let's
give you another two months
to lose 60 pounds again.

See how we do.

Okay.

Any questions, anything I can
tell you or anything I can
help you with?

I don't have anything
right now.

All right. Have a safe trip
back home.

Will do. Thank you.

All right. See y'all later.

Nose is running. [sniffing]

Nose is running. [sniffing]

Unfortunately, not much
changed with Syreeta

and her situation at home
over the last two months.

She made some small
changes to her diet

and convinced herself
that was good progress.

So that is the problem
she has to overcome.

And another issue is that

she is still using her family
to get what she wants,

justifying that it is
because of them

that she is being tempted.

So she is clearly not taking
responsibility for herself.

So she is clearly not taking
responsibility for herself.

And nothing is gonna change
unless she does that.

Hopefully, we were able to get
her to wake up today

to see that she has to do more

if she's gonna have any chance
to get healthy and save
her life.

Until she decides
she get motivated

and do what she needs,
we're not moving ahead
with her.

[Syreeta] I'm happy
with what I lost,

even if my progress
wasn't acknowledged
by Dr. Now

like it should have been.

like it should have been.

Everything he was saying,
he wasn't lying about
anything he was saying,

like, I agree... [sniffs]
...with what he was saying,

but I go through a lot
mental-wise,

and eating is how
I handle my emotions.

I guess I gotta find that
willpower to fight through it.

Only the ones from that
bag in the car,

if possible.

[Lawrence] Okay.

[Syreeta] Me and Lawrence
are packing up to move
to Houston.

I've been in Ohio
for too long already.

I just noted I'd do better
with my weight loss

if I can go down there
and get situated.

So we finally found it,
we found an apartment

and the landlord said that
they will hold it for us.

So what we did was Lawrence
cashed in his 401k

so we could have
enough money to move.

so we could have
enough money to move.

We're having a check
overnighted to us,

but it was supposed to arrive
yesterday and it didn't.

So I definitely think
it's gonna arrive today

because it's had more
then enough time to get
here by now.

I can't wait to get
all this behind us.

It's stressful and it just
hasn't been a healthy
environment for me.

And I can't wait
to start fresh

and have a new life
where we start from scratch

and do it right this time.

[Syreeta] The check
is here in Columbus.

Either it's lost, or somebody
took it from the facility.

'Cause at first,
it said on its way,

and then, it says delayed.
What are y'all doing?

Like, that don't sound
freakish to you?

[man over phone]

[Syreeta] Yes.

[Syreeta] Okay.

[Syreeta] So that's basically
like a whole another month.

[man talking indistinctly
over phone]

[Syreeta] It's real
right now, like,

if it can't hit the account
tomorrow, then it's pointless.

If you try to set up
direct deposit,

you're not gonna receive
anything until next month.

you're not gonna receive
anything until next month.

[Syreeta] It's just too much,
today's just too much.

It's really hard
at times like this

not to feel like the world
has really got it out for me.

Then, not only that,
then people just, like,

"Well, I told y'all so and...

this and this and this
and they're wanna gonna
do this

and they're wanna gonna
do that."

But, just today,

we seen a lot of that.

A lot of...

Y'all saying one thing,
but y'all did another thing.

And it's just like... [sighs]

And honestly, I don't know
what we're gonna do.

And honestly, I don't know
what we're gonna do.

[Syreeta] We do not have
any money.

UPS [bleep] us.
That's not our fault.

[Syreeta] One thing,
this travelling back
and forth to Houston though,

is definitely taking a toll
on my body, something serious.

Like, my knees
have been swelling,

my hips have just been...
Oh, my goodness.

Might ask Dr. Now to give
me a breast reduction.

[Lawrence] I think that comes
with the package sometimes.

I don't want no more titties.

[Syreeta chuckling]

Oh, my God.

[Lawrence grunts]

[Syreeta] Come carry me out.

[chuckles]

Hold that.

[grunting]

Don't walk off
and just leave me.

[Syreeta] We made it
back to Houston.

It's a hard
and stressful time,

but I've been working
to stay on track with my diet
and exercise.

but I've been working
to stay on track with my diet
and exercise.

I really hope
I get approved today,

but I'm nervous about
finding out my progress.

Feel like I ain't got time
for y'all today.

I was gonna sit
in the big chair,
you can sit in the big chair.

Oh, you so nice.

I'm skinny today.

Syreeta?

[Syreeta grunts]

Come on.

Oh, that's definitely
not the same one.

-[Syreeta] Hello.
-[nurse] Hello, how are you?

[Syreeta] I'm fine, yeah.

[Syreeta] At my last
appointment two months ago,

I was at 591 and Dr. Now
wanted me to lose 60 pounds.

So that means I need to see
a number that's at 531

or less, today.

[nurse] Your weight is 544.

Oh, hell no.

The scale don't lie,
people do.

We will be going to room five.

Room five, all right.

[Syreeta] It's not as low
as it was supposed to be.

But I think
I have a better chance

of Dr. Now being happy
with this progress this time.

Hello, how y'all doing?

[Syreeta] Fine. How are you?

[Syreeta] Fine. How are you?

[Dr. Now] I am good.

Well, it looks like you've
lost little bit more weight
this time.

Yes.

[Dr. Now] It isn't
as much as it should be,

but it is good improvement,
so I'm happy about that.

Before you get started,

can I have a thing
for souvenir?

I like the little
jewelries on you.

What are you talking about?

[Lawrence] She trying
to take your stuff.

Yeah, I'm trying to take
that home with me.

-Take this with you?
-Yeah.

I got something better for you
to take home with you.

Oh, love.

I'm gonna approve you
for weight loss surgery

if you lose another 25 pounds
and move down to Houston.

if you lose another 25 pounds
and move down to Houston.

You think you can do all this?

Yes, Dr. Now. Yes, I can.
Yes, I can.

All right, I'm proud
of you for improving,

but you still have
some work to do

because you have
a long way to go.

So now is not time
to slack off.

-Okay?
-[Syreeta] Mm-hmm.

[Dr. Now] All right.
Let me know when
you have moved to Houston.

Don't take too long.
And if you're still losing,

we will move ahead
with you, okay?

[Syreeta] Yes.

[Dr. Now]
So keep it up.

-Okay.
-[Dr. Now] Okay?

-Mm-hmm.
-And I hope

I'm going to see you soon.

You will.

You will.

All right, if you need
anything, give me a call.

Y'all have a safe trip
back home.

Will do.

[Dr. Now] All right,
see you then.

[Lawrence speaking]

I was, but I'm...

I just gotta learn
not to give up so damn easily.

Oh [bleep].

Shoot [bleep].

Shoot [bleep].

Ouch!

Stop popping!

[Syreeta] I wasn't sure
if I can do it,

and I pretty much just
stopped believing in myself.

So to be here now
with an approval for surgery,

it feels amazing,
it feels so real.

I know I need to keep
going and making progress

so I don't mess this up.

But the bottom line is,
we're gonna figure it out

and we're gonna start
this new life together.

It's gonna be so much better.

It's gonna be so much better.

I know what I need to do.

I just need to do it.

[Syreeta vocalizes]

Lawrence, are we
keeping the washer?

We can't put it on the truck.

Oh, no, can't put it
on the truck.

[Syreeta] It's been a few
months since I saw Dr. Now

and got my surgery approval

Maybe like four.

It took us a few months
to find a place.

Because there isn't
an inventory

of a lot of place
out there
that we can afford.

I couldn't just go
to any place, either.

I couldn't just go
to any place, either.

Because it depends
whether or not
I can use the bathroom.

But we finally
found a place

and we're starting the process
of packing again.

But I ain't gonna lie, though.

From all the packing,
my body hurts.

More so, my knees.
They gonna fall off.

-Hey!
-[all laughing]

I'm sorry.

Hi, y'all.

you've got your
naked butt on...

you've got your
naked butt on...

Um, I don't wanna much
'cause I don't wanna cry, so.

Oh, God.

So, I'm not gonna do that.

I'm gonna walk away.

-Aww.
-'Cause I don't
wanna do that.

[Syreeta] I'm gonna drive
the car and Lawrence is
gonna drive the U-Haul.

And we hope I can
handle all the driving

because I've never driven
that far before.

-[crying]
-[indistinct]

I love you.

[Syreeta] But hopefully
the progress I made helps.

[Syreeta] But hopefully
the progress I made helps.

-The first born...
-That's my second baby
but he gave me a hug,

You guys are gonna
do well.

This is a great opportunity
for you guys

to do something different.

[Syreeta] It's harder
to say goodbye
than I thought it would be

now that the moment is here.

All right, God bless you guys.

Be safe. Save travels.

May God be
with you guys. Amen.

[all] Amen.

Yeah, I'm ready to go.
I ain't gonna lie though,
I'm gonna miss my in-laws.

But I know
it's the right thing to do

because I know it's gonna
help me save my life.

because I know it's gonna
help me save my life.

[Syreeta] It's the day
of my appointment
with Dr. Now

and we're racing to get there.

We made it to Houston
and we have a little bit
of time,

so we're gonna start moving
into our new house

before it's time
to go to Dr. Now's.

I don't wanna be late
for my appointment,

so we have to hurry
and get what we can done.

It's this right here.

[Syreeta] You ready?

Ooh, okay!

Ooh!

So bathroom there.

So bathroom there.

[Syreeta] This place
isn't so bad,

especially considering
where we just came from.

The water's on.

I'm looking forward
to making a home here.

I hope that now that
we're down here,

everything gets
a little bit easier.

And I really hope
this thing was worth it.

Damn!

Dang!

[Syreeta] All right, I can't
believe I'm here already.

[Syreeta] All right, I can't
believe I'm here already.

I've been looking forward
to this day for so many
months,

but instead of feeling
excited and enthusiastic,

I'm just feeling
nervous and scared

because I don't wanna
mess up my surgery approval.

But I'm afraid that I may
have done just that.

Hotter than hell.

Hey, y'all. Hello, hello.

Hey, y'all. Hello, hello.

Syreeta?

[whispering] Oh, my God.

[Syreeta] Back when
i was approved for surgery,

Dr. Now said I needed to lose
another 25 pounds for surgery.

So I would've been down
from 544 to 519.

But that was supposed to be
a month long time span.

Since then,
it's been four months

Since then,
it's been four months

and I don't think I've lost
anything close to a 100 pound.

Go into room five.

[Syreeta]
That's really disappointing,

[Syreeta]
That's really disappointing,

and I feel like
I can't catch a break.

With the move
and all that stuff,

it's really stressing me out

and it's made it hard
to stick to the diet.

I thought I was cutting back
right and eating less,

but I guess
I was kidding myself.

I'm not sure,

I just hope Dr. now
gives me some credit

for everything
that I have done.

And we can focus on that
and move forward.

Hello, how y'all doing?

[Lawrence] Fine.

All right. Syreeta,
what's going on with you?

[Syreeta] Dr. Now,
go ahead, lay it on me.

Go ahead, cuss me out,
'cause I know you want to.

[Dr. Now] And why
should I cuss you out?

Because I didn't meet
my goal again this time.

You're right about that.
This is four months later.

You could have lost
another 200 pound,
but you gained.

-So why is that?
-[Syreeta] Well...

You know I had
a lot going on back at home.

I was still eating,
you know, as far as

I was still eating,
you know, as far as

on the healthy-wise.

But it was just
so much stuff going on

at that time so I wasn't

being mobile...

enough as
I should have been, and--

Just hold on. Your activity
has very little to do
with your weight.

Well, that's what you said.

Okay, and let's...
let's back up a little bit.

-Oh yeah.
-[Dr. Now] Okay.
You think your weight

isn't mostly about
your eating habit?

I feel like
I've been doing good

-with my eating habit--
-That's not the question.

Just stick with the question.
Don't... don't go off.

Just stick with the question.
Don't... don't go off.

-Mm, okay.
-So, you think your weight

has to do with
your eating habit. Correct?

-Correct.
-If you are
five pounds overweight

and you want
to burn extra calories,

working hard
would help with that.

But if you are
five to 600 pounds,

the only thing it does
will improve your stamina.

It's not a significant factor
of your weight loss.

So the only thing
that make difference
is if you eat less.

-Do you get that?
-Uh-huh.

-Right. Mm-hmm.
-Let me give an example, okay?

-Right. Mm-hmm.
-Let me give an example, okay?

You assume
you're going to the bank,

you're depositing $100 in...

Put in $100 bill each month.

-Mm-hmm.
-But now, this time,
you're going to bank,

you're gonna deposit $100

in nickel and dime,
and $1 bill.

You still deposit
the same amount,

but it's broken
into small portions.

But you still have
the same total.

Would that make
any difference? No.

You're telling me
that you're eating
just smaller meals now

and you're eating less
at one time.

So you doin' great.

So you doin' great.

But, you're still eating
the same total in a day.

If you're
changing some product
in your eating habit,

but you're getting
the same amount of calorie,

that not gonna matter.

That... okay. That... okay.

Now that you said that...
Now that's a different...

That's... That... Okay.

-Now I see what you're saying.
-Do you understand
what I'm talking about?

-[Syreeta] Mm-hmm.
-Okay, so, no matter
what you do,

you gotta see some changes
on the scale.

And if you're not,
then you still need

to reduce
the total calorie intake.

The whole idea is not

The whole idea is not

that you're gonna eat
less in volume

but less in calorie.

-That's right.
-So that $100 deposit
that you're making,

you need to cut that down.

You need to change
your eating habit.

So that's where
your focus needs to be.

-You understand that?
-[Syreeta] Yes.

You should be able
to lose five pound a week.

-[exhales] Okay.
-[Dr. Now] So, over
the next two months

I want you to lose
at least 40 pounds,

to show me
that you're back on track

-and doing
what you need. Okay?
-Yes.

Five pounds a week.

-For you
shouldn't be any problem.
-Mm-hmm.

-For you
shouldn't be any problem.
-Mm-hmm.

If you just eat
the appropriate amount

and the calorie, you're gonna
be able to do that.

-Okay.
-Mm-hmm.

I'm gonna set you up
to see a, um, therapist

to figure out
what issue you have

with your eating habit,

what anxiety
and thing driving you to eat

and why you don't want
to give it up.

So, if we set that up,

-you think you can go
an do that?
-Yes.

All right.
I'll see y'all later.

And if you need anything,
give me a call.

-I will.
-All right,
we'll see you then.

[Syreeta] All right.

[whispering] There's about
to be some living out here.

He about to really be
on my behind.

[Dr. Now] Unfortunately,
it looks like

Syreeta's moderation and
hard work was short lived.

That is concerning,
but what is
even more concerning

is that she seems
to be convincing herself

that she's
not eating too much.

And her overeating is not
what led her to weight gain.

And I think
the reason for that is

she ultimately
doesn't want to give up

she ultimately
doesn't want to give up

the comfort
she gets from food.

So I'm hoping that therapy

might start to help
to do that,

because she needs
to face reality.

[Syreeta] Well,

that's just
really disappointing
and frustrating.

I know I need to do better.

But I feel like
I'm not getting any credit

for all the work
that I have done.

I'm not giving up.

I haven't done all this
to come down here
and give up.

So I'm gonna keep doing
what I need to do
and get back on track.

And make sure
I get the surgery,
no matter what.

[Lawrence] How do you feel
about going to see

Dr. Paradise today?

You nervous?

[Syreeta] Um... I'm nervous.

But, I mean, let's...

Well, let's see what's...
what's to come off it.

[yawning]

No... oh, oh, oh, oh.

Getting up.

Getting up.

Right.

You thought that was bananas?

-[Lawrence] No.
-Oh.

[breathing heavily]

Hi, folks. I'm Dr. Paradise.
Come on in.

Hi, Syreeta, Syreeta.

[clears throat] Hi!

You can I have a seat
right over there.
And you're?

-Lawrence.
-Hi, Lawrence.

Good to meet you.
Have a seat right over there.

Welcome. I'm glad
you guys are here.

So Lawrence
is gonna be with us

and I'm glad to have you
together, 'cause I wanna hear
from him too.

But, Syreeta,
why don't you start
and tell me

But, Syreeta,
why don't you start
and tell me

a little bit about yourself.

I'm 31.

I grew up in Peoria, Illinois.

Oh, wow, Illinois.
I grew up in Illinois too.

-I would...
Grew up outside of Chicago.
-[Syreeta] Oh, great.

Yeah.

-Um, grew up
in foster care, um...
-What was that like?

It was horrible.

Um, the typical stories
of foster care.

The typical...

horrific things
you normally hear
about foster care.

That's the...
That's the typical...

That's what happened.

I feel bad
'cause we're jumping
right into it,

but sounds like
you were abused.

-Yeah.
-Uh, what kind of abuse?

Sexual...
physical... mental...

-[Dr. Paradise] All of it.
-[Syreeta] Yeah.

Wow. Okay.

I mean, you...
You were literally,

physically defending yourself

from the earliest stage,
right?

-Yeah.
-Let's talk about your mom.

What'd you think your mom's...

attitude towards you was?

Like, I... I don't know.

Like, I... I felt like
she hated me.

My mom treated me like I was
a bitch off the streets.

[chuckles] Like... [sniffles]

Was there any follow up

Was there any follow up

about the abuse and stuff
in foster home?

Were there ever charges filed
or anybody got in trouble, no?

You know, Syreeta,
your entire life

nobody has ever
stuck up for you.

You've been defending
yourself so long,

I feel like you come
into the room like this.
[chuckles]

Am I right?

Did she have her...
have her dukes up?

Yeah.

[Lawrence] I think
it's because...

if somebody gave you
a piece of gum,

in the back
of your mind you think,

"What I gotta do because
I got this piece of gum?"

"What I gotta do because
I got this piece of gum?"

And it... it goes...

it goes in on and on and on,
it goes like that.

Your husband's very smart.

I read you more than what
you think I read you.

Did... Did you hear
what he said?

Mm-hmm.

It's as if you're suspicious
of people who are trying
to help you.

Even somebody
like Dr. Now, right?

And somebody could even
make the argument

that the gaining
a little bit weight
right before the surgery,

'cause you don't even trust
the surgery, right?

'cause you don't even trust
the surgery, right?

[sniffles]

You're maybe worried
that that's not gonna help.

Yeah, it's...
I'm scared, I'm terrified.
[sniffles]

Scared of the surgery?

-I'm scared of it all.
-Yeah.

[Dr. Paradise] It's normal
to be worried
about a surgery, right?

So...

All of the homework
I wanna focus on, one...

Letting down
your guard a little bit.

Being a little less defensive.

And I think one
of the ways to do that

is to keep track
of what you've been eating
really accurately

is to keep track
of what you've been eating
really accurately

so that when Dr. Now asks you,
you can tell him, right?

Second homework,
if we were doing

a trauma journal,
what might make it
in that journal?

What would you be writing?

I wanna write
a letter to my mom.

Because I wanna be able to...

to let them feelings go
and leave it there
on that paper.

Letting go of the weight
that's holding you down.

You can do this.

You believe that?

-I... I think so.
-Okay.

-I... I think so.
-Okay.

Great to meet both of you.
Take care.

Nice meeting you.

Good to meet you too.

-Take care.
Good to meet you, man.
-You too.

[Syreeta] I think
the counselling session
with Dr. Paradise

went pretty good.

'Cause it...
It made me talk
about some stuff

that I didn't really
wanna talk about.

About me having trust issues
and just...

Understanding that not
everybody is not out
to hinder me.

Understanding that not
everybody is not out
to hinder me.

But there is actually
good people out here
actually to help me.

[Lawrence speaking]

[Syreeta chuckles] Mm-hmm.

[Lawrence speaking]

You enjoy my cooking today?

Yeah.

It's refreshing
cooking healthier meals
versus all the little...

It's refreshing
cooking healthier meals
versus all the little...

fattening stuff
that I'm used to.

Fried chicken and pork chops.

All that stuff.

I enjoy it but I've missed...

the other stuff.

Recently Dr. Paradise
prescribed me to do

food journaling therapy.

It's been pretty cool.

I'm more aware of...

my intake and I'm more aware

of what's going
into my body, so...

of what's going
into my body, so...

It's easier for me
to keep track

and I can actually pinpoint,

oh, this is what I ate.

And how much of it I ate.

Ow. [bleep]

Therapy
has impacted my diet

in a few little ways.
Like it's
holding me accountable.

It's making me more aware.

I'm more aware of my intake.

And then I can be aware
of like how each meal

made me feel
and like if I'm energized
or if I'm sluggish.

made me feel
and like if I'm energized
or if I'm sluggish.

Thank you.

Today I had shrimp
and veggies for dinner,

so I literally had to count
each shrimp that I had, so...

It started,
it was supposed to be eight,

but my husband put 14
on my plate, so...

ended up having
14 shrimp, and...

One thing about me,
I'm not shy of vegetables.

I love vegetables, so...

I would've preferred
more veggies than shrimp.

[sighs, groans]

Today I wrote
a letter to my mom.

I writing this letter to her

because I feel like

it plays a big part

in my stress and
why I eat a lot

and why I eat so much.

So, it plays
a big role in that.

And I feel like
it's gonna help me
let it go.

Well, it says,
"Dear mama,
it's been exactly a year

and almost one month

since she left
this wicked ass world.

I know, since she left,
it definitely hasn't been easy
for me at all.

Somedays, those grudges
that I have for many years

creep back up and most days
I wish you knew how much
I really loved you

beyond that madness.

I never felt
the same from you,

I always felt like
you hated me.

Like, it felt like,

most times
I wasn't your child.

I always carried that grudge

I always carried that grudge

that you loved
the other children
more than you liked me.

You put me back
out on the streets.

Why?

But with my other siblings
you didn't do that.

Didn't even bother
to ask me what
I was going through or why.

You just put me back
on the streets, like I was
just some animal."

[Lawrence] How did
your letter go?

Uh, it went.

-Hmm.
-It was all right.

Hmm.

That's good.

[Syreeta] I think Dr. Paradise
had me write this letter

because, like, me having
to defend myself as a child

growing up, I started out
at a young age, and...

The one person who,
feel like, hurted me the most,

that let me down,

needs to hear,
and basically, you know,

she's deceased now,
so I have to get to a part
where I need to let it go.

I'm proud of you.

All right.

I feel like my whole future

and everything depends
on my progress today.

Syreeta?

[Syreeta] So I've been
busting my butt

up until now to do
the best that I can.

Last time I was here,

I weighed 552.

And Dr. Now told me
I had to lose 40 pounds

over the last two month.

[nurse] Okay.
Step up on the scale.

[Syreeta] So I need
to be down to 512 today.

And I really hope I did that.

[nurse] You can step down.

And we're going to room five.

[Syreeta] Well, I'm relieved
that I lost weight
and didn't gain any.

But I'm worried

that's is not enough to meet
what Dr. Now said.

[knock on door]

Hello. How you doing?

Fine. How are you?

Good.

All right. So, I'm glad to see
you're losing again.

Not as much as
I'd like you to lose.

But at least you're moving
in the right direction

and not gaining.

So how we doing
with your eating habit
and diet and all that?

My eating habits,
they're better.

And I'm working
really, really, really,
really hard, and...

I'm really trying
to show not just...

you, but, you know, myself

that this is what
I really, really want.

This is not only that I want,
it's a need.

This is not only that I want,
it's a need.

It's my health, and my life
is dependent on it.

So, this...
this is what I want

and I'm showing you
that this is what I need.

Great. I'm glad
you realize that,

and I'm glad to see
that you're making progress.

If you continue
making this progress,

I will tell you
what I'm willing to do.

I'm gonna give you two months,

and if in two months
you keep losing weight

like you have been,

then we gonna do
weight loss surgery, okay?

All righty.

That sounds good to me.

[Dr. Now] You need to show me

[Dr. Now] You need to show me

that this is not gonna be
a temporary change

like last time.

And you're gonna stick with it
and not start to slip.

So as long as
you continue losing

14 pound a month or more,

in two months,
we can do the surgery.

-Okay.
-Okay?

-Yes.
-Do you feel

the therapy is helping you?

Therapy is helping

and basically what
I learnt from therapy

is that not everybody
is against me and so,

I just have
to let that wall down,

just understand that people
are here to help me

and they're just
telling me right.

And they're not
telling me wrong.

And they're not
telling me wrong.

Okay. Super.

You have to stop snacking
between the meal,

and you have to cut
your portions down.

I've been doing
'cause I don't snack
in between the meals.

I actually,
I don't snack at all.

And if I...
Well, I'm not gonna say

I don't snack at all,
because if I do it's fruit.

So right now at your weight,

you should give up all fruit.

-And then...
-Oh, okay.

So that is gonna be
a hard work

that you need
to stick with it, okay?

-Yes.
-All right.

So keep up with the therapy

So keep up with the therapy

and keep up with
your healthy eating habit

and we will see how you doing
next two month.

If you stay
on track hopefully,

within a year we get you
to your goal weight.

Yes, sir.

All right.
If you need anything,

-give me a call.
-Okay.

I will see you later.

-All righty. Thank you.
-Okay. And you're welcome.

[Dr. Now] I'm very glad
to see Syreeta

is back going
in the right direction again.

is back going
in the right direction again.

That's very positive,

but I need to see
a little more from her

to show me
that she gonna stick with it

and stay on track this time.

If she does that
over the next two months,

and she shows me

she's making some decent
and consistent progress,

then we will move ahead

and I will do
weight loss surgery on her.

Try this one,
we're gonna go out the sides,

just straight up the sides.

-Ooh.
-[Jorge] And here.

A little heavier, yeah.

And we're gonna go one,

up 45 degrees to the front,

and then one straight up
the middle.

[Syreeta] The past month
I've been working hard

and I'm more than halfway
to the goal Dr. Now gave me.

And I have another month
to lose the rest.

And I have another month
to lose the rest.

But I plan
to keep working hard

to blow past that goal.

And get that surgery

because nothing
is gonna stand in my way

of moving ahead this time.

Go as high as you can,
slow, slow and controlled.

[Syreeta] I've been journaling
about my food

and I've been eating less
and I've joined a gym.

And the life
that we are creating down here

is all new and is all healthy.

[Jorge] And we're good.

[Jorge] And we're good.

[Syreeta panting] Okay.

[Syreeta] And I'm working
with Dr. Paradise.

Oh!

Mm-hmm. [chuckles]

Get your butt in the sun.

You wanna sit on my lap?

-No.
-You sure?

Mm-hmm.

[Syreeta] If I can lose
the weight,

I would like to have children
of our own.

I would like to have children
of our own.

That's a big motivator for me.

At this point,

I've only got
about 200 pounds left to go.

So I'm excited
'cause I can't believe

that's even something
I can look forward to.

Good bye, old me.