Original subtitles

[Stephanie] Well, you might have to push me up the hill.

[chuckles]

It's the part I don't like.

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

I just wanna be a normal person.

[panting]

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

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

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

[groaning]

It hurts.

[woman] I refuse to stop fighting.

I have to do this for my children.

Oh.

This is a recipe for a totally failure in their life

This is a recipe for a totally failure in their life

and every aspect of the future of everybody.

My biggest fear is going to sleep at night

and not waking up in the morning.

When I lay down, my weight puts pressure on my chest,

and on my lungs.

So it is difficult to breathe.

So I'm very scared to go to bed at night,

especially knowing my kids are right there.

especially knowing my kids are right there.

I don't want them to wake up and me not wake up.

[sighs]

[Stephanie speaking]

Good morning.

I live with just my kids.

But my mom and stepdad come over just about every day

to help me do what I need to do.

-Good morning. -Good morning.

-You ready? -[Stephanie speaking]

Yeah, I got your stuff. Hang on for me.

Stephanie has to have assistance.

-[grunts] -Got it?

-[grunts] -Got it?

-Yeah. -Stand there for a second...

-Yeah. -...if you get dizzy.

Not that long ago, a mass developed between her legs,

and it's hard for her to walk now.

It's hard for her sleep.

Got it?

I worry all the time

that she's not going to wake up

and I'm coming and find her not alive.

There's so much danger

There's so much danger

with the way that her weight is right now.

You got it?

Her weight affects my life

'cause I don't wanna do anything without her.

So I don't.

I've put my life on hold.

You ready?

So she doesn't feel bad if I go do something and she can't

because I want her to know that I'm here for her

because I want her to know that I'm here for her

and I'll sit and wait as long as I can

until she can do things again.

-I got it. -[Diana speaking]

Got it.

And she has to have somebody help her wash.

-[Diana] Keep breathing. -Hang on. It hurts.

[Diana] I know. Just keep breathing.

[Stephanie] Hell.

I know.

But it's gotta be quick 'cause she has a hard time

sitting there too long to do it.

[Diana speaking]

[Stephanie speaking]

Yep. Yep.

[Diana speaking]

Okay.

After I shower, my knees are grinding like rocks.

It hurts a lot.

Okay.

When they ask you to scale one to 10, I'm like a 20.

[Stephanie speaking]

I know you do.

Okay. Let me pull the back.

I can't get dressed most of the time on my own.

Sometimes I need help with my pant legs.

[Diana] All right.

-Help me doing the legs. -I know.

-Help me doing the legs. -I know.

Come on.

Let me pull up the side.

Here. Let me recheck.

Okay.

Okay.

All right.

-Okay. -There you go.

Yeah. Sit down for a second.

I catch my breath.

I let my body feel a little better.

And then I get up.

-[Diana] Feel better? -Yeah.

-Okay. -One, two, three.

[grunts]

And after that, I'm normally in my living room all day long.

And after that, I'm normally in my living room all day long.

Got it?

And I'll sit in the chair.

-[Diana speaking] -[Stephanie speaking]

And I'm usually here alone most of the day.

It's... It's lonely.

Okay.

I'm good.

That's why I love eating with my family.

It makes me feel, you know, a part of something.

Not... Not alone.

How's it going, Sean?

[Sean] It's going good.

Sausages are cooking. Haggis cooking.

My breakfast, most of the time my son cooks for me.

And as they're getting ready for school, we watch cartoons.

This smell is making me more hungry.

Yeah. I don't know how much syrup you want on there.

[Stephanie] But I'm constantly thinking about food.

There you go.

I love just how delicious it tastes,

how happy it makes me feel,

how like it melts away my... my thoughts.

how like it melts away my... my thoughts.

It brings me to life when I eat.

It makes me forget about the bad parts at that moment,

just for that little bit of time.

And I did the same for when I was younger as well.

My mom and dad were very young parents

My mom and dad were very young parents

and they both had to work odd jobs,

so I was left to myself a lot.

But one of the ways I would get to spend time with my dad

is he would take me to work and driving his ice cream truck.

I'd sit in the truck and eat the ice creams

as he was selling them to everybody.

I did feel special.

I didn't feel alone at that time.

But my life took a turn for the worst when my parents split up.

But my life took a turn for the worst when my parents split up.

Stephanie's dad was a truck driver,

so he was on the road a lot.

Him and I had a fallout and he left me with the kids.

Stephanie has three brothers,

and so I met somebody

and I moved in with this guy...

found out he was an alcoholic that liked to abuse.

I had no support whatsoever.

And then so I called my husband, Stephanie's dad, I said I needed help.

And then so I called my husband, Stephanie's dad, I said I needed help.

And he said, "If you can get out of there,

and get back to California, I'll help you.

You know, we can work on our relationship."

I said, "Okay, all right. Thank you.

And everything was gonna be okay.

And we would get back together when we got there."

So I remember we had just got away

and we made it to California.

But the time I made it to California,

and within the next day or two,

we got the call that he was gone.

we got the call that he was gone.

Her dad passed away.

He was in an accident.

Stephanie was devastated.

It was a nightmare.

We were homeless. We lived out of our car.

[Stephanie] And then my mom called CPS.

[Diana] Told the CPS people I wasn't taking care of them.

And the day I found out he passed away,

they took me to foster care

'cause my mom didn't have a proper place for us to live.

And it was... It was really hard.

And it was... It was really hard.

I didn't get to cry.

I get told he died, and then I get taken away from my mom.

It's like I lost two parents the same day.

I didn't get to talk about it.

I just... I just had to be strong for my brothers

and put my emotions away.

So I ate whatever I could to suppress them.

Something to make me happy.

I was in foster care for about four years.

In the beginning I did not know where my kids were.

And then after a while, you know,

I would get to have days without any monitoring.

And I was staying in hotels at that time.

And then I met Martin.

He was my savior.

Stephanie was 16 when I met her mom.

She was pretty lonely.

She was basically by herself a lot of the time.

She was basically by herself a lot of the time.

She bounce around from house to house.

I mean, there was just struggling.

They were just having a horrible time.

When I came into their life, I just tried to fix it all.

I was able to fix some of it.

And it's just been a hard struggle since.

I felt really sad and alone at that time.

Like I didn't have anybody to talk to about it all.

And I didn't know how to express myself to people.

I didn't want that burden on everybody.

So, yeah, it was... it was... it was lonely.

It was... it was sad.

Those are the feelings that food takes away.

Being alone all the time, being sad,

those were the ones that stick out the most.

And still to this day, I get triggered by feeling lonely.

And still to this day, I get triggered by feeling lonely.

That's a lot of my struggle.

I didn't have any friends,

but I was determined to finish my education.

And I was actually the first one in my family to do the graduation walk.

And then after high school I was about 250.

And then I had my son, my first son.

And after him it just went up.

Each pregnancy, the weight would come on,

Each pregnancy, the weight would come on,

you know, as she was pregnant and then it didn't go away.

And his dad was just a person that I met one night,

and we had a one night together.

I didn't hear from him after that.

As soon as I found out I was pregnant,

I called my mom

and she sent my stepdad to come pick me up.

And that's when I started to live with them for a little while.

And then I applied for housing,

And then I applied for housing,

ended up getting where I am now.

And now I have three kids, each with different dads.

Only constant in my life was food.

Food is just there when I need it

and I haven't get to this day found

to go to person that does that.

-[Shawn] You finished? -Yeah.

-[Shawn] You finished? -Yeah.

There's no other relationship like that.

In my early thirties,

my weight was about 420 pounds

and now I'm 36 and I'm now... I'm roughly 600 pounds.

Due to a car accident I had,

and I was bedridden for a while.

Will you help me carry my purse?

[Diana] Yeah, I'll carry it.

-Got it? -Yeah.

When I even think about going out in public,

When I even think about going out in public,

I start to panic.

'Cause I know...

I know people will stare at me.

[Diana] You ready for the fun part?

Got it?

[Stephanie] Yeah.

I know they're looking at me.

That's why I try not to go anywhere.

I'll go in and get the cart for you.

Is that close enough?

Yeah.

I put the arms up for you.

[Stephanie] You know, the seat all the way back?

Yeah.

Okay.

Yeah. You might have to push me, even if it's wheels.

I know.

I have 'em.

[car door slams]

I don't know, if it's gonna go uphill.

[Diana] Huh. I'll grab the basket.

[Stephanie] Well, you might have to push me up the hill.

[chuckles]

It's the part I don't like.

My life is completely out of control.

-[Diana] I forgot. It's hard on the hill. -Yes.

-This is embarrassing. -[laughs]

This is why I don't come.

-You ready? -[Stephanie] Ready.

The front wheels aren't all the way down.

The front wheels aren't all the way down.

That's why it wasn't going.

[Stephanie] We go to the bakery first.

[Diana] Okay.

[Stephanie] I'm gonna look at the cakes.

I have 'em.

Okay.

When you feel like somebody is looking at you,

you know, you feel it.

It's a constant in my life to get stared at.

And most of the time I'm right.

I look over and somebody's staring at me.

This makes me feel little like they're better than me.

Okay. Anything else if I can reach?

Right there, the fudge.

-This? -Yes.

Okay.

When I feel that I don't wanna be there no more.

I wanna go somewhere to where I know nobody's at

and eat stuff I shouldn't eat.

Ice cream is my favorite.

[Diana] All right. And then pizza over there.

[Stephanie] Oh, yeah. And that's it.

Want your dip?

-That's all you want? -[Stephanie] Yeah.

-You sure? -Yep.

[Diana] Okay.

[Stephanie] Oh, am I gonna fit?

[indistinct chatter]

-[Diana] You okay? -[Stephanie] Yeah.

[Diana] The legs starting to hurt?

[Stephanie] Yeah.

[Diana] Almost done.

Are we gonna make it all the way through?

We're gonna pray.

[Diana] You might to back up then you go around.

[Stephanie] Yep. No. I'm gonna back up.

-[Diana] It's... You're stuck. You can't get through. -My legs.

All right, go around over there

and I'll be right here, okay?

Okay.

[indistinct chatter]

All right. Put these in your basket,

then I don't have to take several.

It scares me daily that her value of life is going away.

Her situation's got to the point

where I think it's becoming deadly.

I'm having a really hard time with it

'cause she's my best friend.

'cause she's my best friend.

Come on.

[Stephanie grunting] My leg is stuck.

-Got it? -I got the bottom stuck.

-Oh, is it? -[Stephanie] Yeah.

-Did you move it? -[Stephanie] Yeah.

Take your time.

Don't fall.

[Stephanie] Oh, it's stuck again.

[car door slams]

[Diana] You all right?

Tired and in pain.

That was a lot for you, huh?

Yeah, it was.

I'm tired. [laughs]

Yeah.

[Diana speaking]

[Diana] There's your pizza.

And my life is completely out of control.

But I know I need to lose the weight

so I can live longer, be healthy.

I'm killing myself at this point.

I see death.

That's how I feel it.

But thinking about dying makes me,

wanna change in my life, makes me, wanna get better.

My kids really need me.

I'm trying to get better for them.

I don't want them to go without me.

I don't want them to go without me.

I don't wanna die. I'm not ready.

But I can't do it on my own.

Here you go, mom.

-Thank you. -Yep.

I need help.

[Diana] All right, Stephanie, you know what you want?

-[Stephanie] Just this-- -All the snacks?

[Stephanie] Yeah, the cupcakes and the chips.

-Okay. -[Stephanie] And soda.

-Okay. I got your root beer for you today. -Okay.

Today I'm going to see Dr. Now,

who's a weight loss surgeon,

who I'm hoping can help me lose some weight.

The only thing is, is he's in Texas.

The only thing is, is he's in Texas.

And even for a regular sized person,

that's going to be about a three day drive.

But for me, it's going to take longer

because I can't stay stuck in the car

for more than two or three hours at a time.

So we're going to have to stop a lot.

All right. I think that's all your stuff.

-[Stephanie] Okay. -[Diana] Your generals.

Yeah, that's fine.

There you go. I got two bags for you.

Hold.

I'm worried about you swelling.

I'm worried about you swelling.

I'm worried about your comfortness

and being away for so long.

It's gonna be hard.

-You look scared. -I am.

Just a little bit.

[Diana] It's all for the best.

Be the big boy.

[Stephanie] I'm afraid to leave you guys, huh?

-[Charlee] Yeah? -Yeah.

And you guys are gonna be okay while I'm gone?

Yeah.

I just don't want you leaving for so long.

I'm scared, but I'm looking forward to it.

I know it'll... it'll be better for me in the end.

You'll have to call me every minute, all the way.

You'll have to call me every minute, all the way.

I don't know about that one, but I will.

I will call you all the time.

My mom's going to watch the kids while we're gone

and my stepdad is doing the driving,

and I'm really grateful for that.

[door creaking]

All right, Stephanie, you ready to go?

Yes, I'm ready to go.

[Martin] Come on, let's do this.

I've just that and my pillows.

My appointment with Dr. Now is in seven days,

so that should give us enough time to get there,

so that should give us enough time to get there,

even if we go twice as slow as a normal person.

But I'm scared 'cause I don't know

if my body can handle going on the road for a full week.

[Martin] You sitting on this?

[Stephanie] No, not... not yet.

Okay.

Here we go.

[grunts]

Oh.

-You're all in? -[Stephanie] Okay. Yeah.

I don't wanna do this, but I know I have to.

I just hope I can do it,

because if I never get to Houston,

I'll never get the help I need.

I'll never get the help I need.

You ready for this long drive?

[Martin] Not really. But we gotta do it.

[Stephanie] Can we stop and get something to eat?

[Martin] Yes.

[Stephanie] What to get? What to get?

[man] Well, what can I do for you?

All right. Can I get the number seven large

with curly fries, the sour dough, grilled chicken club sandwich

and an order of the three egg rolls?

[man] Got it.

And can I get two of your overload cakes?

[man] All right. Let's go.

-[Martin] Thank you. -[Stephanie] That's it.

[Martin] No, that'll be all.

[man] All right. $45.87. Thank you.

[Martin] Thank you.

-[woman] Here you go. -[Martin] Is that all of it?

-[woman] Here you go. -[Martin] Is that all of it?

-[woman] Yep. -[Martin] All right. Thank you.

Delicious.

We're going to stop a lot to get food, to comfort food,

just to get through the trip.

It's the only way I can try to make it bearable.

It's the only way I can try to make it bearable.

[Martin] You're gonna guide me to Boise?

It stopped.

Doing nothing for me.

Yeah, If it doesn't work, you gotta reboot it.

Yeah, If it doesn't work, you gotta reboot it.

Just kind of what we're doing with you right now.

-Really? Did you just-- -Yeah, I just went there.

Yeah, I'm here to Houston as a reboot.

[Stephanie] I don't even know what to say.

[Martin] You're welcome.

[Stephanie] My ears are starting to pop.

[Martin] Ice.

I'm just not ready for the ice.

[Stephanie] Oh, I'm officially scared.

[Martin] There it comes, this mountain.

[Stephanie] Oh, it's actually snowing.

-[Martin] Yeah. -[Stephanie] Oh Lord!

This is like panic attack mode, man.

[Martin] My sweet-o time, I'm in a hurry right now.

I mean, I don't like this truck.

[Stephanie] Oh, can we not?

[Stephanie] Oh, can we not?

-[Martin] Yeah, I'm gonna pass it. -[Stephanie] Oh.

[Martin] All right. Here we go.

[Stephanie] He was coming towards us.

We've been driving for three hours and I'm really sore.

It feels like we've been driving forever.

I can't believe we still have so much to go.

I knew this was gonna be bad,

but I didn't know it was going to be this bad.

-Good morning. -Good morning.

I went to try to get your breakfast.

This is all I can find.

Oh, that's okay.

How was your night tonight?

Not too bad.

Some pain in my hip and, um, too much pain.

I might not eat that much today.

[Martin] I know. Do what you can.

You need anything else?

[Stephanie] No.

-[Martin] All right. -I just wanna get going.

-[Martin] All right. -I just wanna get going.

[Martin] All right, while you do that, I'm gonna grab this,

take it out to the car, bring the car around.

All right.

Waking up today and facing another day on the road was a miserable feeling.

I just wanted to stay in bed.

But then I remembered I'm in the middle of nowhere,

somewhere in Utah, so I can't stay here.

[sighs]

[Stephanie] Phew!

Oh.

Oh, my hip. Oh, my hip.

Oh, that was worse than I thought.

We still have 16 hours to go to get to Houston.

And I don't even wanna think about how many days it's going to take us.

And I don't even wanna think about how many days it's going to take us.

Because each day is getting worse with the pain.

-You okay? -Yeah.

[Stephanie] The pain is pretty bad.

It's like a 10 on the scale right now.

I get throbbing through my spine on my back and then the hips.

[Martin] You ready?

-[Stephanie] Ready. -[Martin] All right.

-[Stephanie] Ready. -[Martin] All right.

[Stephanie] I'm bad. But I'm ready.

[woman] Continue on US-84 East for 126 miles.

[Martin] So I noticed you didn't eat anything this morning,

so just let me know when you get hungry and we'll stop.

I will. I woke up nauseous.

I don't know if it's everything catching up to me

or all the bumps and windy roads.

Trip so far is pretty long.

Pretty hard on me right now.

Pretty hard on me right now.

Been swelling a lot,

especially the lower ball that I have down there in my leg.

I just wanna get there.

Welcome to New Mexico.

We got nine hours till we're there in Texas.

[Stephanie] I can't sit for a long time

'cause then my hips start hurting a lot.

I try to lift my hips up a little bit and twist.

I don't have much room

'cause my stomach's on... on the dash part.

You hungry?

[Stephanie] Yeah. I should probably stop.

Is that a gas station?

[Martin] It looks like it. Yeah.

[Stephanie] Yes.

[Martin] Okay.

[Stephanie] Oh, snapples.

[Martin] Come on.

-You got it? -Yeah.

All right.

We gotta make it up there.

[Stephanie] Yeah.

[grunts]

-[Martin] So you know what you want? -[Stephanie] Yeah.

The carne asada burrito bowl.

And then two grilled chicken tacos.

[Martin] Oh, wow!

Burrito bowl!

Let the munching begin.

We only went about five hours yesterday.

This has just been a lot harder than I thought it would be.

This drive is hell.

I'm swelling. I can't get comfortable.

These little chairs hurt my legs, though, my hip.

[Martin] You wanna move back to the car?

I need to be out of it for a minute.

[Stephanie] I just... I can't do it anymore.

You got the door?

You got the door?

Every time we pick a hotel,

I worry about where the rooms are located,

if they have one,

and how far exactly from the door

that I would have to go to get to that room.

So far, I've been able to do 35 steps.

To pass that, it's been too far.

Oh, God.

[Martin] We're almost there.

-[Stephanie] Are we? -[Martin] Thirty one, 32.

[Stephanie] Okay. Oh, it hurts.

Oh, Jesus.

[door knob rattling]

[Martin] Where's the lights?

[panting]

Oh, God.

-Are you okay? -Yeah.

-[Martin] Done? -Yeah.

I'm done.

Be honest, it is probably the hardest thing I've done in a while

'cause then I know I still have to come back home

'cause then I know I still have to come back home

through that long drive all over again.

My appointment with Dr. Now is the day after tomorrow.

I don't know. I just hope he can help me fix myself.

I am ready.

I'm nervous. Man, I have butterflies.

We finally made it to Houston. It's been such a long journey.

I might be devastated if the appointment doesn't go well...

and if Dr. Now doesn't help me.

I came all this way 'cause this is my last hope.

You ready?

Stephanie?

[Stephanie] I've done and tried everything else.

So if I don't get weight loss surgery here with Dr. Now,

then I'm as good as gone.

So this is my last and only hope.

We finally made it to Dr. Now's office

to get his help to lose weight.

My first appointment with him.

Right now, I have to see the truth.

I'm not looking forward to it.

My highest weight was a little bit over that.

So I'm happy that I've lost a little bit.

We're going to room five, okay?

We're going to room five, okay?

[Stephanie] But I'm still embarrassed.

I really hope Dr. Now can help me

because I know I can't do it on my own.

You okay?

Yeah. My foot hurts.

The moment of truth.

The moment of truth.

[knock at the door]

-Hello. -[Stephanie] Hello.

-[Martin] Hello. -How y'all doing?

-[Stephanie] Good. -[Martin] Good.

-Good. -[door closes]

All right. You must be Stephanie.

Yes.

All right. And this young person is who?

My stepdad.

-[Dr. Nowzaradan] Your stepdad? -Yes.

All right. Where are you all coming from?

-Washington. -All right.

That's a long way to Houston, huh?

[Stephanie] Yeah, very long.

[Stephanie] Yeah, very long.

So how long it take you to get down here?

-[Stephanie] About five days? -[Martin] Five days.

-Mm-hmm. -Hmm.

And so what brought you down to Houston?

Hopefully, for help getting my weight down

and getting healthy again.

What do you mean, "healthy again"?

You were healthy before?

I wasn't this big.

I was able to move around and walk more and...

All right.

On a typical day, what do you eat?

Just whatever... whatever I can get, I guess.

I mean, for dinner, I'd have a big plate of spaghetti.

From time you wake up, what time you wake up?

I wake up usually at eight every morning with my kids.

Okay, So what do you eat at that time?

Um, I eat with my kids usually.

I'll have just a bunch of eggs and sausage, sometimes pancakes.

-Okay. -So what do you drink in the morning?

Chocolate milk, juice, sometimes soda.

Chocolate milk and juice?

Chocolate milk and juice?

Yeah. [chuckles]

-Those are high calorie drinks. -Yeah.

Okay, then after that what do you eat?

Um, when my kids are at school,

I'll... I'll snack and I'll... I'll eat, like, sandwiches.

[Dr. Nowzaradan] Snack mean what?

Or I'll snack on cupcakes and chips.

Who buy you those cupcakes and chips?

I, uh, send either my stepdad or my son to the store.

Sometimes my mom.

I write a list and they go and buy me what I...

I write a list and they go and buy me what I...

-what I usually want. -Okay.

So who else is in the household?

It's me and my three kids.

So three kids, how old are the kids?

My... My oldest is 16.

And then it's my daughter, she's just turned nine.

And then my youngest is five.

Any of them have a weight problem?

My oldest.

He's 16 and he weighs about 400 pounds right now.

-[Dr. Nowzaradan] Four hundred pound? -Mm-hmm.

Okay, so your son or your stepdad will go get what you order?

-Yeah. -Okay.

-Yeah. -Okay.

So they're your enabler.

So how are we gonna break that cycle

of being everybody supporting your eating habit?

I'm gonna have... I'm gonna have to change it.

I'm gonna have to...

They're gonna have to tell me, "no."

[chuckles]

If you keep this up, you know, you're gonna hit 700 pound

and after that you're gonna be bedridden

and then your health is gonna go down really quick.

So how motivated you are to change?

Extremely.

Extremely.

It's why I'm here. I wanna change.

What do you do all day? You... Do you work?

No, I'm usually just at home watching TV,

which, you know, I want...

I wanna be able to go to work.

So right now, how are you supporting yourself?

I have my mom and my stepdad to support...

to support me right now.

How long they've been doing that?

You know, how long...

Few... few years now.

[sighs]

All right.

So you got the parents that are supporting

your eating habit and everything else.

So I don't see a whole lot motivation to change.

I don't want my kids like me.

So that's gonna motivate me to change myself.

You might haven't done anything about it at this point.

I've tried. I don't think I under... quite understand,

you know, size wise, portion wise.

It's just something I just eat until I'm full.

It's just something I just eat until I'm full.

So right now I'm skeptical if you're gonna change anything.

Okay.

And it's not that you just woke up and realized that

your weight was your problem.

You've known all along,

but you haven't done anything about it.

Nobody around you seems like is supportive of you to change.

Everybody is supporting you, to make you happy,

to eat what you want, and that's going to be a problem.

So this is gonna be a really difficult task for you

and depend on how motivate you are

and depend on how motivate you are

and how hard are you gonna try.

I'm gonna give you some information.

Okay.

And we're gonna see if you can get

some changes made on your eating habit.

-And then if you do that, I'm gonna work with you. -Okay.

But if you're not able to lose weight,

then not much we can do for you and we go from there.

-Okay? -Okay.

-How was your activity? -I don't move around much.

Um, I have a growth that's growing right here.

I'm not really sure exactly what it... what it is.

I'm not really sure exactly what it... what it is.

And so it's... it's hard for me to walk.

So how long you had that growth?

About four... four or five months now.

-[Dr. Nowzaradan] Four, five months. -Yeah.

And that's kind of how my weight started going up higher.

And before that, I was in a car accident

that kept me in bed for a while.

And I didn't get to move around much

and it's just gone up from there.

All right. Let me go get some stuff for you

and bring it and explain to you, okay?

and bring it and explain to you, okay?

-Okay. -All right. I'll be back.

[Stephanie] Okay.

[door closes]

I saw Stephanie. She came from Washington.

It took her six days to get down here.

And she came here with her stepdad

and she eats uncontrollably and she doesn't know why she's heavy,

why she's obese, and she eats

very high calorie food and drink chocolate milk and juice.

And then she snack on cupcakes all day.

And then she snack on cupcakes all day.

All right. I got some stuff for you.

And this is what I want you to read everyday.

She doesn't do a whole lot and she's not very active.

But on top of that, she got worse enabling step-down

and family that supports her eating habit

and supporting her doing nothing and taking care of three kids.

And this is a recipe for being a totally failure in their life

and every aspect of the child care

and every aspect of the child care

and future of everybody.

The next item, you probably know that.

It says, everyday you don't eat very much.

-Read that very carefully. -Okay.

And here's a two-factor that control your weight.

And this is gonna be very important for her and her family

to make the changes that she need

and change her life now before it's too late.

Also, what I want you to concentrate on,

several pages of exercise.

several pages of exercise.

I want you to do those exercise one hour in the morning.

[Stephanie] Okay.

[Dr. Nowzaradan] And one hour in the evening.

And those are the exercises that'd be fit at your size that you can do.

-Okay. -So you get all the tools that you need.

If you have any issues, give me a call.

-Okay. -Okay?

And also, you may wanna work on getting your son

educated about eating habit and... and try to work with him.

-Okay. -All right.

Well, next time you come by,

I want you to bring your son with you.

-Okay. -[Dr. Nowzaradan] Okay?

-Okay. -[Dr. Nowzaradan] Okay?

-Okay. -All right.

So you think you can make those changes?

[Stephanie] Yes.

And hopefully you will have everybody in the family cooperate.

-[Stephanie] Yes. Yes. -[Martin] Yes.

All right? Any questions?

-Nope. -Nope, not at the moment.

-All right. I'll see you later. -Thank you.

-[Martin] Okay, thank you. -Okay.

[door closes]

-Da-da-da-da. No. -No.

-You got this? -[Martin] Yeah.

-You got this? -[Martin] Yeah.

We all have the chance.

-Yes. -You ready to go?

It went pretty good.

He gave me some tips and some pointers

of how to change things.

Eat better, exercises.

I had no idea I couldn't drink chocolate milk.

I didn't realize it was bad for me.

I thought milk was good for you,

just adding a little bit of chocolate might not hurt.

[chuckles]

Nobody likes change.

So changing anything is the struggle for anybody.

And we've been in such a big routine for several years.

And we've been in such a big routine for several years.

It's just... We just have to change it all.

I think we all changed our eating habits

that should be able to follow a little easier.

I know I need to do this for my life and for my kids.

You know, I don't wanna die soon.

And if I keep doing this, I will.

And then my kids won't have a mom.

I can't let them without me.

This is do or die. It's life or death.

And I don't choose death.

And I don't choose death.

-[Martin] You okay? -Yeah.

-[car door slams] -[Stephanie sighs]

[door creaking]

[Martin] Good morning.

-[Stephanie] Good morning. -And you start already?

Yeah.

Are these the right portions that you were supposed to have?

I think so.

[Martin] I think so is not gonna cut us, Stephanie.

We gotta make sure from now on.

We don't have measurey thing here.

[Martin] Well, we have to get you one.

The weigh... the weigh thing, whatever that thing.

Yeah. Scale.

-[Stephanie] Yes. -Okay.

Coming back from Houston was pretty horrible.

And when I got home, I had to stay in bed for,

like, two to three days

just so the swelling would go down,

to be able to move.

I'll carry it. I'm good at that.

I'll carry it. I'm good at that.

[Martin] You'll get good at it. I'll show you.

[Stephanie] I started my diet.

I started a little bit of exercise.

I feel a little bit more... more energized, a little more motivated.

I'm starting to get there, starting to move around more.

-[Martin] How is it? -It's good.

The food's different.

It's not as sugary and sweet.

I'm not used to that.

So it's like a shock on my body.

It's just hard to give up what I like and what tastes good.

It's just hard to give up what I like and what tastes good.

I saw you put garlic salt, but I don't taste it.

'Cause it changes the flavor. You don't taste the garlic.

Can you actually put just garlic in it?

You could, but we don't have any.

We have to get you some. I prefer the minced garlic.

Yeah.

I eat a lot... lot less, I've noticed now.

Sometimes I want more and I'm like,

"Uh, Just give it to me."

But then I got people who tell me, "no."

Martin tells me, "no" all the time now, so I have to get used to it.

Martin tells me, "no" all the time now, so I have to get used to it.

So garlic and a scale.

Exercise!

Right now I exercise at least twice a day.

I know I should probably be three times a day like the book says.

Remember, the doctor wants to see you, too.

-Oh, I know. -Will you wait in here, Martin?

Yeah, I'll wait here. I'm gonna...

-I'll clean up the kitchen. -[coughs]

My goal is to be able to go around the whole block in a month,

and I'm going to work towards being able to do that.

and I'm going to work towards being able to do that.

Like it takes everything in me every day just to get up and do anything.

All right, Mom. We go dead end and back.

[Stephanie] Just getting the help from my son,

knowing that he's here for me,

knowing he's gonna help me,

knowing he'll do this with me...

and it just makes me proud...

and it just makes me proud...

and it makes me motivated,

and I wanna actually do this for him, for my kids, and fight for it.

So I feel like I'm changing a lot of how I do things

and I'm doing it for my family.

I want a better life for them.

It's... It's hard, but I'm trying.

[Shawn] You're her support.

[Shawn and Stephanie chuckling]

All right, guys, I am gonna go try to cook dinner.

[Blain] It sounds amazing.

-Okay? -[Blain] Mm-hmm.

When I call you, you go to the table, right?

-Yep. -Mm-hmm.

The past month, I've been staying on track...

and I feel like I've made more progress with everything.

and I feel like I've made more progress with everything.

I've been doing the diet.

And I started making my own meals more often.

My mom has really bad fibromyalgia,

but it's forcing me to do more on my own.

So I can't go back to Dr. Now, right now.

I don't have anyone to watch my kids

and I won't be able to do so until my mom gets better

so that either she or my stepdad can help me again.

[Stephanie] All right, guys. Come in here.

The only downside is that

my kids have to eat the same thing I do

because I don't have the energy or the time

or the money to make two meals every time.

So, they're having to suffer from my mistakes.

I feel bad about that.

It feels good, you know, to actually sit at a table with them.

Like it's been a long time since I got to do that myself.

Kind of proud of myself for that.

Just a little bite.

No, I don't like it. Can I have a cornmeal?

You sure?

You know it's healthy, right?

-Mm-hmm. -I do like...

And I do like it.

The food was good what my mom cooked.

The food was good what my mom cooked.

[Stephanie] You're done?

Do you guys want to go take a walk in just a second?

[Charlee] Yeah.

[Stephanie] I've been keeping up with my exercise routine,

and I'm getting better at doing more.

[Charlee] I do like to go out with my mom

and she also can ride bikes when she lose weight.

Go, momma.

-Really? -Go, mom. Go, mom.

-All the way? -Go.

-Well, I have to? -Go, come on.

Go.

[panting]

Oh, my God.

-I did. -Now we have to walk back.

Well, thanks for the support.

Felt good that I can actually do it this time.

Like last time, you know,

it was a struggle just to get to the stop sign.

You'll carry me?

-No? -Now you're tired?

-Piggyback ride? -Are you tired?

-Piggyback ride? -Are you tired?

[laughs]

[Stephanie] I'm hoping I get, you know,

to the point where I can walk past the stop sign and keep going.

Not just across the street, but a little bit further.

Sooner I get this done this, you know,

sooner I can get the weight loss surgery,

the sooner I can get healthier.

Lose the weight.

That's the main thing right now is, you know,

getting healthy for my kids.

All right, guys, when we get to Nana's,

Mommy's got to make a call to the doctor.

Doctor Now.

So, I need you guys... after you guys play

and say hi to Nana, we got to be quiet, okay?

And go inside.

All right, cool.

All right, cool.

It's been another month and my mom is still sick.

She's been feeling a little bit better, but she's not a 100 percent.

Not like she needs to be for watching my kids

and not for traveling with me back to Houston either.

So, it means I've been on my own a lot.

All right, guys, we're at Nana's.

-[Blain] Really? -[Stephanie] Yeah.

All right, you guys.

Go to Nana.

So, until she gets better,

Houston and Doctor Now aren't an option.

Doctor Nell's office reached out a few days ago

to set up a video call with him

because he wants to check in with me.

So that's happening today.

But I decided to go to my mom's house to do it,

to show him that I'm able to get out of my house now

'cause I've been working hard on building up my stamina.

So, I'm hoping Doctor Now sees how well I'm doing.

So, I'm hoping Doctor Now sees how well I'm doing.

And that he understands I'm doing my best

and still working hard and that I'm gonna come back and see him soon.

Right now, it's just that my hands are tied.

I'm just glad the kids get to get out.

I think it's cool when Mikey talked about the balls on the trampoline.

-[Stephanie] Yeah. -[Diana] So they can play on it.

[Stephanie] Charlee, Bubba, come here.

I need you guys to go sit inside while I make a call on the video.

I need you guys to go sit inside while I make a call on the video.

[Diana] Charlee, bring momma her...

Can you bring me the laptop?

[Charlee] Yeah.

You guys got to be super quiet, okay?

[Blain] Mm-hmm.

-Love you. -[Blain] Love ya.

They're not gonna be quiet, are they?

-[Diana] No, they're not. -They're not gonna be quiet.

[Diana] No.

Thank you much, darling.

Okay. Go back inside. Keep an eye on your brother for me.

[Martin] Um, and I'll go and keep them quiet.

-Good luck with that. -Yeah.

-Good luck with that. -Yeah.

Not happening.

Mom, you want to scoot on over?

-Come on, Dixie. -Ouch.

You know, you want to be get close.

[grunting]

My glass. Okay.

There we go.

-[videocall line ringing] -[Diana] You can do this.

[Nowzaradan] Hello.

Hello.

How are you doing today?

How are you doing today?

-I'm doing good. - All right.

Then, Stephanie, it's been a long time,

and we tried to call you several times

and never got the answers.

So, what's going on with you?

A... A lot. I had... My phone broke.

So, I didn't have a phone for a while.

But I've been doing everything I can to lose the weight,

to get out and do more things.

You feel like you lost any weight?

Ah, yes.

I actually went to the doctor about two weeks ago

and he weighed me and I was down a quite a bit of weight.

and he weighed me and I was down a quite a bit of weight.

So, what was your weight?

When I went to see him, it was 530.

Okay. So what changes you made with your diet?

Um, I've been following your book pretty good.

I've been lowering the calorie count, more water.

I've been trying to move around more and do exercises.

Well, my diet will put you on your loss

if you crack with that 50 pounds in five months, that's a 10 pound a month.

if you crack with that 50 pounds in five months, that's a 10 pound a month.

If you follow the book, you should lose a whole lot more than that.

- So, what's going on? -I'm... I'm trying.

I'm trying. I did...

I did end up getting sick for a few weeks there with COVID.

So that put me back a little bit.

Well, but that's only about a couple of weeks,

it's not five month.

So even if you get sick with COVID, you lose more weight.

So, what's going on with your eating habit?

So, what's going on with your eating habit?

[Stephanie] Um, it's changed.

I mean, not as much as it probably should,

but I've cut back a lot.

I've changed a lot. I don't eat as much as I used to.

I mean, I could probably exercise more,

but I do have the issue with the ball between my legs

to make it hard to walk.

But I do... I do try other exercises.

[Nowzaradan] All right. But how are we doing

with the committing to our program and come and see us?

- What's going on with that? -[Stephanie] Um, I'm...

- What's going on with that? -[Stephanie] Um, I'm...

I'm ready to come see you, I think.

-I'm not sure of the exact day. - Well, then...

then sure got you live so far.

I don't want you to drive

because that's gonna take a long time.

Is there any way you can fly?

Ah, I think that's that was the next step.

I think that's what we're gonna do.

[Nowzaradan] Okay. Well, here's the situation.

If you tell me that you have lost weight

and then make an appointment,

we'll see in Houston and think about making

some changes to come to Houston

some changes to come to Houston

to either our program and consider weight loss surgery.

So that's gonna be the issue that you need to work on it.

But moving out here doesn't automatically approve you for weight loss surgery.

You still gonna have to demonstrate

that you are able to change your way of eating and lose weight and...

and be proactive with that.

And that's gonna be something that you're gonna have to demonstrate.

- Okay? -Okay.

[Nowzaradan] So, tuck down your eating habit

[Nowzaradan] So, tuck down your eating habit

and come down as soon as you can

and bring your son so we can have a plan for the whole family

and see if we can make it very healthy.

-Okay. -[Nowzaradan] Okay?

-Yep. -[Nowzaradan] All right. Well, nice to see you.

-You too. -[Nowzaradan] And if you need anything, give me a call.

I look forward to see you in Houston. Okay?

Okay.

All right. Bye now.

[Stephanie] Bye.

[Stephanie] Bye.

-We'll get it down. -I know.

Yeah.

We'll get through it.

[Diana] You'll do it.

Take backseats?

Yep.

Oh, snap.

I'm heading to Houston today.

My son got sick, so he can't come.

But my mom is taking care of everyone.

She finally feels well enough to watch the younger kids on her own.

-Ready? -Set.

-Ooh. -Up.

[Stephanie] So, my stepdad stepped up to help me get there.

You got it?

[Stephanie] I have an appointment with Doctor Now later on today.

[Stephanie] I have an appointment with Doctor Now later on today.

So, we had to get on the plane

'cause we didn't have enough time to drive.

I don't think I can handle six days on the road anyway.

I'm really nervous about how this is gonna go.

We're gonna get there and go straight to his office.

Start to get more nervous about it.

I haven't been on an airplane in a while,

especially not at the size I'm at.

I mean, I had... I had trouble back

then sitting in the airplane,

but I did have to buy two seats.

but I did have to buy two seats.

And you do have... you have to do that now.

It'd be, you know, awesome to be able to go back

to not having to purchase two seats again.

Oh, man, this is brutal.

I do have a hard time with people staring at me or judging me.

And it's... it's difficult.

To me it feels very degrading to get stared at or, you know,

somebody make a rude comment about me.

We can do this. I got this.

But like, how am I gonna actually do this?

I just hope I can fit in the seat.

Okay. These ones.

They knocked them up.

They knocked them up.

[woman] Not that first one.

[grunting]

[Stephanie] I have a seatbelt just under.

And I am wiped out.

It's pinching me on the sides,

but at least I can just try to fall asleep.

This is going to be a four and a half hour flight.

So, I know I can do it.

It's just...

if it gets too painful, what am I gonna do?

Tired, sore...

hot.

We just did very long flight...

from my home to see Doctor Now.

I'm always worried about how he's gonna react.

I get, you know, very depressed if it negative news,

I get, you know, very depressed if it negative news,

and I just don't want that to happen.

I've never been in this situation.

So yeah, definitely nervous.

I could do it. I got this.

[Martin] There it is, that.

Yeah. Here we are. See how this is gonna go.

All this traveling is harder on me than I thought.

All this traveling is harder on me than I thought.

I'm not sure I can keep doing it.

But I'm glad to finally be back to see Doctor Now.

And I really hope all my hard work will pay off

and I'll be able to get weight loss surgery.

If I don't get approved,

it's going to mean all the months of hard work

and sticking to it and going through all this has been for nothing.

So, I really just need to get the weight loss surgery.

Okay.

I want to get out of the wheelchair.

All right.

We don't need it now that we're not at the airport.

I know I've lost, but I just don't know how much.

I just hope it's enough.

[Martin] Oh, I hate it...

Stephanie.

[Stephanie] Last time I was at 611

and Doctor Now gave me a goal of losing 50 pounds in two months.

I know it's been longer than that,

I know it's been longer than that,

but I'm hoping if I hit my original goal,

he'll be happy enough to move forward with me.

[woman] just step up on the scale.

[Stephanie] So, to hit that number, I have to be 561.

-Five, four. -Yes.

[Stephanie] What?

[Stephanie] What?

How did that happen?

Why would my weight be that high?

It doesn't make sense with how hard I worked.

I hate this.

Hello. How y'all doing?

-[Stephanie] Hi. Good. -[Martin] Good.

Well, Stephanie, it's been five months

Well, Stephanie, it's been five months

since I saw you last and made several phone calls.

You never answered them.

So, what is going on with you?

I just dealing with my kid's schools

and I had gotten sick for a few weeks with COVID and then...

-Okay. -That's your five months?

No, I was dealing with my kids in school

and my oldest son having some medical issues of his own.

Well...

So, what was your intention

when you last came in five months ago to lose weight?

when you last came in five months ago to lose weight?

I still want to. It's why I'm here.

I want to continue doing that.

I can lose 10 pounds in one week.

Okay.

So, this is the situation that related to the food.

There's no other factor that control her weight

beside whatever you eat.

And the question is, is she manipulating you

to bring in more food and all that?

No.

So you are just bringing her more than she need?

So you are just bringing her more than she need?

Um, actually, I haven't been doing that

since the last time I spoke to you.

We've actually been trying to cut back

on a lot of things.

It's been hard, but I'm working on it.

Um, there are issues that you need to understand.

There's nothing justify you to overeat.

And if you've got any issues that we have difficulty in mobility,

that should be remind you to cut back on your eating.

Okay. So, are you serious about making the changes?

Okay. So, are you serious about making the changes?

Yes.

Well, if you continue with the same thing,

that's gonna be very difficult for you to lose weight.

Even if you lose 10 pound a month,

-it's gonna take two years to get there. -Right.

[Nowzaradan] So what changes you're willing to make now?

I'm just gonna reevaluate everything,

read the book better and weigh...

weigh the food, do more portion control.

So how long will it take you to understand that you're overeating?

So how long will it take you to understand that you're overeating?

Oh, I understand. I'm overeating.

I just need to stop is the thing.

[Nowzaradan] So, it should be easy

for you to lose 50 pounds in two months.

Okay.

[Nowzaradan] If you do that, then we're gonna work with you.

If you're not able to do that,

then there's no point there for you

to making the trip coming down here.

-Right. -[Nowzaradan] Okay.

'Cause that's not gonna be a productive for you.

Then if you lose that,

then we're gonna have to thinking of moving down to Houston

if you're considering weight loss surgery.

if you're considering weight loss surgery.

Okay.

And the question is, do you think you can do that?

That's what I'm working on right now.

Okay.

And so, this time your son is sick.

But if you come back and you think he can come with you.

I'll bring him.

Okay.

So, it is gonna be something that we can try to work

with both of you to make you healthy and do that.

-Okay. -[Nowzaradan] Okay?

-Okay. -So, stick with your diet

and lose 50 pounds in two months.

And if you need anything, give me a call.

And if you need anything, give me a call.

-Okay. -[Nowzaradan] Okay?

-Yes. -All right.

I wish you good luck and have a safe trip back home.

-All right. Thank you. -Thank you.

[Nowzaradan] All right.

Man's intense.

[Nowzaradan] It is clear to me

that Stephanie doesn't have much desire

to take responsibility for her life and her situation.

She liked to say that she's ready to change

and do what she needs, but that's just part of the game she plays.

and do what she needs, but that's just part of the game she plays.

It's her way to convince everyone

that she has tried everything.

And then when nothing in her life changes,

she wants everyone to think that she is a victim of unfair situation.

So, it's not her fault.

That's how she manipulates her family and she does it well.

The only thing that is gonna convince me

she's serious is the number of the scale going down.

But I'm skeptical that's gonna happen

because at this point,

because at this point,

Stephanie seems to have a strong hold on the family.

I've done a lot to get here.

I mean, I've had to change a lot of schedules.

I had to leave my kids with my mom.

And it's we went through a lot to get here

to just to get through the planes.

And now I don't even know if it's worth it.

But if I don't get the surgery soon,

But if I don't get the surgery soon,

I'm not sure what I'm gonna do.

So, the next time has to be better.

Still makes me nervous.

I don't like going out places.

[Diana] True. I know, right?

That's the painful, painful part.

Getting in there.

[Stephanie] Yeah.

It's gonna suck.

Last time I saw Doctor Now I was a little bit upset.

But after I got home and had a few days to think about it,

I decided that I'm going to work harder than ever.

I decided that I'm going to work harder than ever.

So, I joined a gym and it's hard to do the workouts,

but after I've done them, I feel better.

You want me to open that back door for you?

[Diana] Yeah.

Is it fat friendly?

[bleep]

What is my... Well, come on.

[Diana] So, let's get...

[grunting]

Ooh.

Shi... yes.

[Diana laughs]

[Diana] Did it get stuck in your hair?

[grunting]

He can pull this one, too.

All right.

I don't trust this bench.

I don't trust this bench.

[Diana] Is that one okay?

-Huh? -[Diana] The... in...

I've never used one of these.

[Diana] Okay. Feel the burn.

-Hmm? -[Diana] Feel the burn.

Do I do this out to the side?

[Diana] That one can also pass around like this,

[Diana] That one can also pass around like this,

around you to your backside.

Couldn't.

[Dian] That doesn't work?

-No. -[Diana] Ah.

I've never pushed myself this hard before.

It's hot. It's sweaty.

But I know it... it'll benefit me in the end.

It moves muscles that I'm not used to moving.

I'd love to come to the gym more.

That's one of my goals, is to be able to actually

be comfortable coming to the gym.

[Diana] Are you feeling it? How's it going?

-It's burning. -[Diana] It's burning?

-It's burning. -[Diana] It's burning?

I'm sweating.

[Diana] That means it's working.

And I'm done.

-[Diana] Huh? -I'm done.

-[Diana] Y'all done? -Yeah. You ready to go?

[Diana] Yeah. That's a good workout for today.

Oh, my ball's stuck. My ball's stuck.

You did good. You did a lot.

[Stephanie] It's true what they say.

You feel better after you do it.

And I know how important it is.

I really want that surgery.

So that's what's motivating me.

Not just for me, but for my whole family.

Not just for me, but for my whole family.

I really feel like I'm turning over a new leaf this time.

That's going to be the thing that makes the difference.

-This other one over? -[Diana] Yeah.

-No, I don't need that one today. -Nope.

-You ready? -Nope.

-Ready's over me. -[Martin] Yeah.

[Stephanie] We're back in Houston for my next weigh in.

The travel was a little bit easier this time,

but it was still pretty painful.

I just hope that all the hard work I've been doing

is finally enough to pay off.

Stephanie.

[Stephanie] At my last appointment,

I was 602 pounds.

Doctor now gave me a goal of losing 50 pounds in two months.

So, if I did that today, I would be down to 552 pounds.

[woman] You want to step up on the scale?

Hmm.

Could have done better.

[Martin] I don't understand. You've changed everything.

[woman] Okay, we're going to room five.

Okay.

That's really disappointing.

I don't even know what to say.

I mean, sure, I lost weight, so that's good.

But, you know, Doctor Now is not gonna see it that way.

I just don't understand because of how hard I've been working.

It doesn't make sense.

It feels like something must be wrong

because this doesn't add up.

I didn't lose what I wanted to.

[Martin] I don't know, why not? You tried it.

[Martin] I don't know, why not? You tried it.

I guess it's not good enough.

You got to figure out what I'm doing wrong.

-Hello. -[Stephanie] Hello.

-How y'all doing? -[Stephanie] Okay.

How was that trip down here?

It was long, exhausting. Painful.

So, it was easier than last time.

Ah, kind of. It was shorter.

So, you fly?

[Stephanie] Yes, we flew.

[Stephanie] Yes, we flew.

[Nowzaradan] How long a flight is that?

How long did we fly? I think it was 4 hours.

[Martin] Four hours.

A little over four hours, total.

Okay. All right.

So, what's going on with you and your eating habit?

Um, I'm trying.

I've been trying new things, new healthier options.

I think I'm still slipping up a little bit,

but I've been trying.

[Nowzaradan] I mean, you haven't lost much weight this time, huh?

-No. -I'm... I'm disappointed in myself for that.

[Nowzaradan] So, what's going on with that?

[Nowzaradan] So, what's going on with that?

[Stephanie] I'm not sure.

I mean, I'm trying to do, you know the best I can.

[Nowzaradan] And we haven't done anything

to move down to Houston either.

No, I'm working on that.

I have to make phone calls and stuff.

At this point on right there on this trip you're making down here,

I feel like you really, you know,

aren't serious about changing your life.

So, you know, you need to get your line of thinking to the point that,

hey, I'm gonna do this,

hey, I'm gonna do this,

and it's my responsibility to do that

and not to expect that you come here and make you lose weight.

All right.

And you know, it really after all this time,

I think this is your really last chance to make the changes

and show your commitment to your health and your future.

What I want to do is make arrangements for you

to see a local clinic when you go there

and check your weight and see what your progress is doing.

I'm gonna set you another goal of losing 50 pounds in the next two months,

I'm gonna set you another goal of losing 50 pounds in the next two months,

and if you make progress in the future,

then we can consider it moving to Houston.

But at this point, seems like a far away from weight loss surgery.

-Okay? -[Stephanie] Yeah.

[Nowzaradan] So, in the meantime,

if you need any help or anything else, give me a call.

-[Stephanie] Okay. -[Nowzaradan] Okay?

-All right. -[Stephanie] Bye.

[Nowzaradan] It is unfortunate that it looks like a dysfunctional cycle,

[Nowzaradan] It is unfortunate that it looks like a dysfunctional cycle,

which Stephanie has continued.

We are getting to a point

where it doesn't make much sense to keep going like this.

If Stephanie is just going to keep playing games.

So, she needs to start turning things around this next time

or we're not gonna continue with her.

-You... -No.

I won't.

Drag it.

[Stephanie] After my last appointment with Doctor Now,

[Stephanie] After my last appointment with Doctor Now,

I got really discouraged.

It just doesn't make sense

because I've been doing everything to a tee.

It's hard to do all the work and someone tells you

it's not enough.

It's just discouraging.

So, it really feels like I've been treated unfairly.

I'm trying to stay motivated and do everything I'm supposed to.

Even though it's hard.

Sweet.

I'm coming.

So, at this point, I don't even know what I'm going to do.

[Diana giggles]

[laughs]

[Stephanie] I'm supposed to go to the local clinic

to get my weight checked.

I don't want to do that, but I'm scared.

If I don't do that,

then Doctor Now is not going to work with me anymore.

And I really don't know what to do about it.

You guys enjoy your sandwiches?

Mm-hmm.

Mm-hmm.

[Nowzaradan] For the last few months,

I haven't heard from Stephanie.

She seemed to block me, so I am unable to call her.

She missed the appointment

that we set up at a local clinic,

so she likely didn't lose any more weight.

So, at this point, there is nothing more we can do for her.

So, at this point, there is nothing more we can do for her.

I think the reality is that Stephanie never intended to do what she needed.

Her plan was to put forth minimal effort

and then tried to make excuses and manipulate me

to get what she wants like she does with her family.

And now she's realizing it's not gonna work,

so she's quitting.

It is unfortunate because we have given her the tools

and opportunity to turn her life around,

but in the end, she is just looking for someone to come in

and solve her problem and do the work for her

by giving her weight loss surgery.

And that's not gonna happen.

But if she decides at some point

to put forth the effort she needs

and lose the weight to show me she's serious,

we consider some options for her then.

But at this point, I don't think that is very likely

unless something happens to wake her up.

unless something happens to wake her up.

So, I hope I'm wrong.

But from what I have seen from her...

I think the words are that things are not gonna end up for her.

-Lunch time. -Yeah.

[Stephanie] This past year hasn't been how I wanted it to be.

I feel like it's been a raw deal from the start.

I feel like Doctor Now never saw the good in me

and he never wanted to acknowledge the progress I made in my behavior.

And today's walk day.

[Stephanie] Just because it didn't show up on the scale

[Stephanie] Just because it didn't show up on the scale

doesn't mean that I wasn't changing things for the better.

We're still trying to lose weight.

And I want my family to be healthy along with me.

Don't starve.

I'm sorry.

[Martin] I am extremely proud of her right now.

-Okay. -Okay.

I can't help. I can't help.

I'll be right back, kids. I'm gonna go for a walk with Grandpa.

Okay.

Don't... Try not to kill each other.

Don't... Try not to kill each other.

They're gonna kill each other, aren't they?

Most likely.

I don't know.

We've been fighting this for years,

and no matter what she tried

or what we did or pretend to try, nothing worked.

And we do the best we can.

She does a lot more than what she used to do.

She's lost weight.

Don't be taking shortcuts. Blacktop.

-No, no. -Blacktop.

Shortcuts. That's my way to go.

Shortcuts. That's my way to go.

[Martin] Before she just used to sit there

and whatever her arms can reach.

Now she actually gets up and helps me out.

She goes to the kitchen and helps.

Or at least keeps me company while I try.

This must be helping, Martin.

I am. That's why we're walking.

-No, that's not. -Come on.

[Martin] And I'm gonna do everything I can to help her get to her goal.

Um, I think she'll get there, hopefully.

I have to be able to make it back.

I know. Just probably more.

-Okay. -You ready?

Oh.

That's further than the last time.

That's further than the last time.

I see trees.

I don't like trees.

So, I decided I'm not going to be doing the program.

In the end, it wasn't for me

because nothing I did was good enough.

I will find a way to lose weight some other way.

I'm just not sure what's gonna be the best way yet.

But the heat could be your friend right now.

-It is not. -Yeah, it is.

-It's making me sweat. -That's why he's your friend.

[Stephanie] But I am going to figure something out.

I can do it.

I can do it.

I'm not giving up on myself

just because Doctor Now is giving up on me.

You're coming?

I'm coming. [panting]

Your kids and their tripping hazards.

[Heavy panting]

Oh. I survived.

I went to the sign over there.