All language subtitles for My 600-lb Life S13E02

[Krystal] Food is a form
of love and expression for me.

[Krystal] Food is a form
of love and expression for me.

I know I need to change.

It's just really hard.

[soft piano music playing]

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

I just wanna be
a normal person.

[groans]

[breathing heavily]

[man] You can't do it,
and then I just...

I'm mad.

[woman 2] If I don't make
a change now,

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

[exclaiming in pain]

It hurts!

[woman 3] I refuse
to stop fighting.

I have to do
this for my children.

Ooh!

My mother was an active
addict all my life.

You know, I'm worried,
Krystal, though,

that you seem to have
a blind spot for addiction.

-[Krystal] Good morning.
-[Mark] Good morning.

Morning.

[Krystal] When I first wake up
and get out of bed

every single part of me hurts.

It can be excruciating
at times.

The ankle pain,
the back pain,

the knee pain, but legs

and feet are the worst.

It's like being
almost 80 years old

and full of aches and pains.

But instead of 80 years,
it's only 36.

[mellow piano music playing]

[Krystal] I live
with my husband
and also a lot of family.

I'm very, very fortunate.

Mark is a very handsome man

and my height has never been
a dealbreaker with him.

But it still affects me,
my actions, my attitude,

everyday day-to-day life.

It's hard for me
to... to shower.

I wanna be able
to be physically fit

to take a shower, get dressed,
but you know what, I can't.

My weight is preventing me

from doing just
normal person things
like getting clean.

To sanitize
and clean myself properly,

I have to be able
to reach everything,
my legs, my feet, my back,

back of my thighs, everywhere.

And, uh, I'm bigger around
than I am tall.

And I have shorted arms,

so it can tire you out,
it can make you breathless.

It can give me
anxiety at times,

I don't wanna slip
in the shower.

It would mean much more
significant damage

because I am extremely
overweight.

[Krystal speaking]

[Mark] Your glasses.

[Krystal] Yes, honey.

-[Mark] Yes.
-Thank you.

[Mark] Krystal and I
have been married
for almost two years.

Best decision of my life.

Krystal is amazing, strong,
hard-working woman.

Even despite the fact
she has deal with
all the pain, all the weight,

with all that, she can
still hold her job,
still work 40 hours

a week or more,
still come home,
clean, cook,

clean the sheets, everything,
so it's hard for her,
but she gets the day done.

She has a smile on her face
at the end of the day,

so I'm... You know,
I'm thankful for her.

[Krystal] So, as an adult,

I made the conscious decision

that I wanted
to have a big family

to... to love
and take care of and...

Turn my fan on, please.

My daughter is 19.

She's already
working, independent.

She's actually moved
out of my house. But, uh, now

I live with my little sister,
and her baby

my nephew,
and he's seven months.

-Hey.
-Hello, my love,

-my amore.
-[Mark] Go to your mama.
[speaking gibberish]

[Krystal]
I'm his other mother.
And then the double whammy,

there's my ex's sister,
we're very close.

She resides with me

and her son,
my other nephew.

Good morning.

Good morning,
Uncle Jonathan.

Jonathan.

[Mark] Jonathan is Krystal's
food buddy.

They like to eat food
and watch movies,

and it's not healthy
for Krystal.

And as much as I love my bro,

he cannot continue...
[laughs] ...on eating
with my wife so freely.

So, what do y'all want to eat?

Y'all want the bacon,
the eggs...

-[Abraham] Bacon and eggs.
-[Krystal]
...sausage, biscuits?

-Everything.
-Everything?

-Everything?
-Everything.

Everything, huh?
Okay, I got you.

[Mark] I think
it's ridiculous.

She doesn't need to be eating
things like that. [laughs]

Oh.

And there should be
maybe some sausage in there.

But, you know,
Krystal's an amazing cook.

She cooks with love,
that's the main thing.
[laughing]

I love that about Krystal.

Ugh, you guys are killing me.

[sighing] I'm trying.

Food is a form of love

and expression for me.

That's just how I was raised.

But it's a double-edged sword
at times,

because I consider
myself a food addict.

But the emotion and feeling
that eating triggers

has been a stress releaser
for me for a long, long time.

[soft guitar music playing]

My mother was an addict
and my father
was a career criminal.

I experienced abandonment.

My mother and my father
were not in my life
at that time.

Here, put this on the table.

So, my grandmother raised me.

She was a very loving,
very strict grandma,

and she had a temper.

Yeah, can you clean
the table off and put
the cheese back in the fridge?

I was always anxious
at home because I...

I just did not
wanna provoke
my grandmother.

Food brought comfort
because when I would eat
what she served,

I felt loved
and accepted by her.

My grandparents had
a very volatile
marriage at times.

But I didn't question
my grandmother

because even though
she had her issues,
I knew she loved me.

♪♪ I'm so happy, happy

[laughs] Come on,
you gotta sing it, too.

[humming]

My grandmother had to work
to help support us.

That lead to...

me being Mother Goose

to my sister
that lived in the home.

So my days were not
filled with carefreeness.

At the end of the day,
food was my moment of peace.

You know, I was like,
"Ugh, finally I can eat

and not worry
about nothing right now."

Right at puberty,
when my hormones changed,

my weight started
just packing on.

In seventh grade,
I started noticing,

like, "Hey, I'm their age,
but my body is bigger."
And when I would go home,

I would sit down
with my grandmother

and express my concerns
and she would be like,

"Oh, honey,
God made you
the way you are."

Mmm, this is so good.

And by the time
I was in high school,
I was 270 pounds.

When I ended up pregnant,
it was a shock
to the whole family.

My daughter's father,

he's 17 years my senior.

The first time I had,
you know, intercourse
is when I got pregnant.

My grandmother,
at that point,
encouraged abortion,

advocated for it,
demanded it...

to the point of exhaustion
on my end.

It took me to a very lonely,
ugly place...

that lead me to eat.

So, I went from being
270 pounds to 350 pounds

the day my daughter was born,
9 pounds 13 ounces.
A little girl wrapped up

and put on my chest.
And it was like love,
like, "This is it.

This is everything
I needed." [chuckles]

She was the missing piece.

At 15, in my own mind,
I was already an adult.

My first job was
at my grandmother's
good friend's daycare

and my daughter
went to that daycare
free of charge.

Then, after high school,

I started my work
in the hospitality field
that I'm currently in now.

I, uh, applied
at a local hotel,
ran the front desk.

-Thank you.
Thank you, Abraham.
-Mmm.

-Mmm-hmm.
-[Krystal] And then I moved
out on my own

and rented an apartment
for the first time.
A friend of mine

asked her brother to come over
and just have
an appearance there

so the neighbors
saw a man around

and not just a single mom
living alone.

And that introduction
led into a 10-year
relationship with him.

In the beginning,
he was nice.
Then we moved

out of Houston
and away from my family.
And then I realized

he had a drug problem.

When his habits were met,
he was at his happiest.

And then when he needed
his addiction met,

I'd get in my car
and I'd leave.

I'd go to the 24-hour diner.

I could be in there
an hour or two or three.

Forever, as long
as I needed to be there.

And usually,
when I would go in there,

my favorite thing to get
was the sampler,

which is like a little
bit of everything,
like appetizers.

And then I would
eat cheese sticks,

Southwest egg rolls,
boneless wings.
It can typically be shared

by three people,
but I would eat it by myself.

You were supposed to go to
Miss Jisty's.

Don't interrupt my breakfast
'cause you know I get
grouchy if I don't eat.

I was able to escape
that relationship finally.

But it hurt me,
it hurt my self-esteem.

[sighs]

I felt like I failed.

I... Failure, in my life,
has never been an option

'cause my grandmother
never allowed it.

Bounce forward, I was 34

and I was going into...
towards 600 pounds
at that point.

I started having
symptoms of headache,

shortness of breath,
chronic fatigue,

and I started losing eyesight
in my right eye.

My local hospital diagnosed me
with a severe fungal infection

along with a brain tumor...

that someone gets
if they are living

in a vicinity
and breathing in,

over a long period
of time, black mold.

After they removed the tumor,
I moved to a new apartment
to get away from the mold.

-[Mark] Can I get that?
-Yes, I'm so full.

-Thank you so much.
Breakfast was wonderful.
-[Mark] No problem.

I met Krystal
through my brother.

My brother worked
at a hotel

and, uh, Krystal worked there.

I knew her for, like,
five years, hanging out,

and we got to know each other
and we grew closer and closer.

[Krystal] Intimacy was
a slow transition.

Our relationship
was never based off of sex.

Um, we had a deeper
connection than that.

[Mark] Yes, me and Krystal
have a great sex life.

We have a very wonderful
sex life. We're just, uh...

It would be better we had
more movement and range.
[chuckling]

Whenever we lose this weight,
and that's what's
gonna happen, so...

[Krystal] We have
plenty of love in...

in our relationship
and in our marriage

but weight loss for me
and that intimate
aspect of our marriage

would significantly
make it better...

You know, make it
better, in my opinion.

[Jonathan] So, what's up?

What we got planned for today?

Maybe some grocery shopping.

We gotta buy
our fat people's staples.

[Jonathan] Yeah,
I want some pudding.

Yeah.

Pudding.

[Krystal] All right.

[Krystal breathing heavily]

[Abraham] You in?

[Mark] Krystal has challenges

getting in the car,
out of the car,
she can't drive.

As much as she does
with her weight,

it still limits her,
you know, and it's hard
on her every day.

But, I mean, I'm there
for her whatever she needs.

[Krystal] Thank you, honey.

[Mark] Uh, for going
grocery shopping,

I'd take her to the front
of the store, drop her off.
I help her shop,

stand right next
to her basket,

whatever she needs
me to go get,
I shoot off, go get it...

because I hate
having to hear her,
she's always in pain,

she's always moaning
'cause of her weight,

because it's hard
for her to get up.

Yeah.

Here's your chance
for stuff
for your banana pudding.

Puddin'!

I'm not comfortable.
I'm not secure with my weight
or my body.

-Which one you want, Krystal?
Which one you want?
-Blueberry.

-Blueberry?
-Yes, blueberry.

Mmm.

[Krystal] I want to be
healthier so I can do
more things with my husband.

-I got your blueberry.
I'm already on top of it.
-Yeah.

He deserves a wife
that can match him
in his physical appearance.

He deserves a wife
to be able to match him
in physical activity.

The big one.
Everything's bigger in Texas,
you know this.

Touchdown. Come on, Jonathan.
Bring it in.

I got it.

Food is very fun.

-You never fail me.
You already know what I love.
-I know.

Well, if she was to ask me
right now to get her a...

Whatever she wanted to ask me
right now to get her,
I will give it to her.

-Krystal, we got
the ice cream.
-[gasping]

Because Krystal
is a amazing friend.

She's been there with me
through a lot.

I like to see Krystal happy.
If the food makes her happy,
you know, whatever.

-You want to check
the receipt?
-Yeah, that'd be good.

-You ready?
-I'm ready.

Come on.

[Mark] My wish for Krystal is
she doesn't have
to stay this way.

When I look at Krystal,
I see my wife,
my future, my love.

She pulled me out of a lot
from when I... The way
I used to live was ridiculous.

But she's gotta realize that
she needs help, we have
to change up drastically.

Hi, honey, I'm...
[straining] I'm ready to eat
some lunch right now, dear.

[Mark] Krystal has definitely
gained weight since I met her.

She wasn't that big.
She already can't breathe.

-In her lungs, she has asthma.
-Everything so perfectly.

[Mark] And it's so easy for
her to get sick, so...

My biggest worry for her
is that she gets bigger.

It gets worse over time,
her neuropathy,

all her pain she has
to deal with every day.

She deserves to have freedom
from all the weight.

And I love all the food
we cook and eat but, like,

you know, I love my wife
and I don't want any of that
to happen to her,

-so we're gonna make sure
we do what we need to do.
-Mmm.

I know it's good.

-It's wonderful.
-I wish I had some. Mmm.

Don't worry. Don't worry.

-You just... Nah.
All the... rotisserie.
-When I'm done... When...

When I'm done first,
I'mma give you my leftovers.

-Don't even worry about it.
-All the "ritosserie" chicken.

Uh, there's definitely
a desire to be
healthier physically.

To have a stronger bonded
physical relationship

with my husband.
Yes, there is.

I'mma getcha some milk.

[Krystal] I'd like to be able
to give that to him.

I want my husband
to be fulfilled.

Hopefully, with my change,
you know,

it... on my end, we can,
you know, get closer.

But, you know,
hate to say it like this but,

as much as I
try to make excuses,

it's hard for me to face
the consequences

of my bad relationship
with food.
I have to be realistic.

I have to understand
the fact that

even though it's hard
for me to admit it,
I know I need to change.

Food is just...
It's hard for me to give up.

But how I'm living right now
can't go on much longer.

I see his name
on the building.
We are here.

Oh, God,
I'm not ready for this.

But I have to be ready.
I have to be ready.

I just have to keep
repeating to myself,
"I have to be ready."

For the past few weeks,
I've been trying to lose

as much weight
to try and get under 600.

I wanna show Dr. Now
I'm already committed

to being healthy
and getting better.

I'm making Jonathan
go with us today
because he's my main enabler.

And I want him to hear
all of what Dr. Now says.

You all right?

It was a stressful ride.

Yeah.

I bet.

I'm nervous.

Krystal.

-Hello.
-Hello.

[Krystal] I'm a little nervous
'cause it's
pretty intimidating

to be meeting Dr. Now.

But I hope he's impressed
with the progress

that I've already been
trying to make.

I was 620 pounds
the last time I was weighed.

And I've been working hard
the past few weeks
to get under 600 pounds.

[Jonathan] You got it.

All right. Thank you.

That's exciting.

I can't believe
it's paying off the way
I really wanted it to.

I hope that this is
a good start on getting
to where I need to go.

And I just hope
Dr. Now helps me

and I can get
the weight loss surgery
sooner rather than later.

[knocking at door]

Hello. How you all doing?

-How you doin'?
-Hello. How are you today?

-Good. Well, and you
must be Krystal.
-Yes, sir.

Nice to meet you
and looks like you have
some support with you.

So, who did you bring
with you today?

-This is my husband, Mark.
-How you doin'?

Nice to meet you.
And the other gentleman?

That's my best
friend, Jonathan.

Nice to meet you all.
What brought you
down to Houston?

I wanna hear your opinion
and I respect it,

and I want to, uh,
face the challenges

in my weight
that I'm currently facing.

You're 5' 4'' tall,
and you know what

the normal weight
for your height is?

I would assume
about 140 to 155.

-140 is more like it.
-Okay.

...with a BMI of 101.

Over 100 is among
the highest BMI we see.

So, that means that you put
an incredible amount

of strain on your body
with all that weight on you.

So, what's going on
with your eating habit
that you got to this weight?

My eating habits are terrible.
It's all linked
to past emotional trauma.

Stress eating.

It's a form of...
of a coping mechanism that
I... I'm aware that I do have.

You already seem
to be an expert
in your situation,

-you know what
you're doing wrong so...
-I do.

...what are you willing
to do to change that?

Revise my... my health plan.
I need to, um...

I need to do portion control
and I need to choose
better options.

Well, you have been around
the block and you know
how things work.

A little bit.

I tried many things
to try to lose the weight

but I failed to confront
my emotional trauma

and to confront the reason
and the motive behind
why I stress eat, overeat,

and, uh, over the years,
just kept putting
the weight on.

What you have done
to overcome that
emotional trauma in the past?

[sighing] I have sought, um,
counseling, uh, on my own.

I've also started
to open up more to my husband

about past traumas,
past abuse,

emotional, physical,
all of that and, um,

when you... When you talk
about it it's easier to...

It's easier
to heal from it, so...

Okay. And so,
you're working on it there.

-Yes.
-What is the highest weight
you have been?

I was 629 pounds, I believe.

You're working on the...

-I have, I think.
-...eating habit
and everything?

Yes. I have been...
I've been...

-Eating carbs.
-...doing my best to follow
a low carb diet,

not necessarily
a calorie-deficient diet.

[Dr. Now]
So, tell me, do you have
any enablers in the house?

-Yes, I do.
-Who?

Everyone. My whole family
loves food. My husband, no.

He doesn't live to eat,
he eats to live.
That's his motto.

-So, who cooks
in the household?
-I do.

I cook everything. I cook
everything from breakfast,
lunch, and dinner.

No one at my house cooks
other than myself.

Then, start planning meals
that are high-protein...

-Yeah.
-So, no carbs.

-Gotcha.
-[Mark] No carbs.

Krystal will not be cooking
big country dinners anymore.

All right.
And that makes sense.

So, the first step
in this whole process is

you show me
everything except for
everything you're telling me.

I need to see
that you're willing

to follow-up all the talk
with some action.

So, what I want you
to lose is 60 pounds
over the next two months.

And if you follow the diet,
you're gonna be able to lose
40 to 50 pounds easily

-in a month, okay?
-Okay.

If you do that,
then I will consider you
for weight loss surgery.

But after that, you need
to keep working

on the emotional issues
that's driving you to eat.

That's not gonna change
with surgery,

and it is something
you still need to work on

and go to therapy to address

if you want to be successful
for the long term.

-You understand that?
-Yes, sir.

All right. So, uh,
I'm gonna bring you
some stuff to, uh, read

and we will go over it

-to make sure
you understand it, okay?
-Okay.

All right. I'll bring there
some stuff for you and then
we go from there, okay?

-Yes, sir.
-Yeah.

-All right, I'll be back.
-[Mark] Thank you, Dr. Now.

-[Jonathan sighing] Oh, man.
-[Krystal sighing]

-Yes. It's my fault.
-It's partly my fault.

-It's partly my fault.
-No. It's my fault.
I take blame.

I am the only one
who can decide
what I eat and don't eat.

Krystal seems to be
self-aware of a lot
of her issues

and what's driving her
to eat over the years.

But that's not necessarily
a good thing,

because if she
clearly understood

what all the issues
behind her overeating are,

and known what to do,
and still hasn't done it,

that's very concerning.

So, this is going
to come down to whether

she's telling me the truth
about how motivated she is,

and whether or not
she's actually ready
to change now,

because for most of her life,
that's clearly
not been the case.

All right.

So, I got, um, my book.

-Yes, sir.
-I want you
to go to Chapter 12.

And that will give you
all the exercises that
you can do every day.

-So, you start
with that, okay?
-Okay.

-And then, I'm gonna give you
this to read every day.
-Thank you.

And these, uh, first six pages
explain what metabolism is.

It seems like
Krystal's relationship
with her husband

may be a significant
catalyst for her
to start losing weight.

But ultimately,
the only factor
that is gonna matter is

her determination
to make the changes
she needs to do this.

I've got my homework
and I've got my work
cut out for me,

but I thank you so much,
Dr. Now, for the opportunity.

-I really do.
-Okay. Any other questions?

No, sir. I don't have
any questions at this time.

I'm prepared,
and thank you so much
for giving me this...

-this information.
-Okay. All right.

If you have any, uh, questions
or do you need anything,
give me a call.

-Yes, sir.
-So, I will see you
in one month.

-Okay?
-I look forward to it.

-Yes, sir.
-Okay.

[Mark] Yeah. Next month,
we'll be back
50 pounds lighter, right?

-Yeah.
-Let me tell you something.

I didn't even know
how to feel about him
looking dead at me and saying,

"Well, you know,
you're killing yourself."

-Like, it was...
it was really hard.
-Mmm-hmm. Yeah.

[Krystal] This time,
I'm gonna change for good.

With Dr. Now's help
and my husband's support.

I think this time around
it's gonna stick

and I'm gonna be able
to do it.

And I just have to,
and I hope
Jonathan supports me.

I'd rather have him
by my side doing this,

but if not,
I'll do what I have to do

because this is
a chance I needed.

And I'm going to take it
and change my life
no matter what.

I'm not gonna miss
this chance.

-Honey.
-[Mark] Yeah?

Do you wanna come and do
some of these exercises
with me today?

[Mark] Yes.

-Oh, awesome.
-I'm excited. Let's get this.

-Here, let's pick out a few.
-What we gonna get?

-Okay.
-Are you gonna do no weights?
Gonna do some stretches?

-Start with neck rotations?
-Yeah, yeah.
We'll do that one.

-Okay.
-Gonna do shoulders?

It says,
"Slowly turn
your head side to side.

Twenty times,
three times a day."
Okay. Let's do this.

-Twenty times,
three times a day.
-Yeah.

-So, one.
-Ready? One.

-Two.
-Two.

[Krystal] It's been
a few days since
my appointment with Dr. Now.

And me and my husband
have made a lot of changes.

Seven, seven.

[Krystal] There is
no junk food
in the house anymore.

Mark is in charge of the food,
and we're only gonna eat
healthy stuff.

-Twenty, twenty.
-Twenty, twenty.

-Yeah, 'cause it says 20,
repeat 20.
-All right.

[Krystal] And he's also
gonna help me
with my workouts everyday.

-One, two, three...
-One, two, three...

[Krystal] That's
the hardest thing for me to do
because I don't like exercise.

Seven, seven. Eight, eight.

Dr. Now gave me
a goal to reach,
and I've got to reach it.

So, being disciplined
and doing my workouts
three times a day

is key to reaching that goal,
and that's what I plan to do.

-One, two!
-One, one.

-Three...
-Two, two.
Three, three. Four...

[Krystal] It was more
of a burning workout
than I expected.

It's actually something
that I realized that
I can actually do.

-I broke out a sweat, honey.
-[Mark] You need
a water, babe?

-Yeah.
-I'll get some water.

Since I did it, right there,
that's motivation for me

to just go ahead
and do the workouts.

I'm with my husband,
so I don't look silly,
you know?

And I,
I don't need to be insecure
or feel out of place doing it.

And it's something that
I can physically do.

I'm gonna go ahead
and uh, get my, my meal ready.

-Get your meal ready.
-Yes.

Did you need your,
uh, your instructions?

Yeah, bring
my book out, please.

[amusing instrumental
music playing]

[Krystal] I had a talk
with my family,
and they all understand

that the big meals
are gone for now.

We're all going
to eat healthy,

and they're
on board with that.

Dr. Now said,
"Attitude is everything."

And I have to embrace that.

So we have a half a cup here,

of boneless chicken.

[Krystal] The other
big change right now is that

Jonathan is not going
to come around,
for the time being.

We all had a long talk,
and as much as I love him,

he's too much
of a crutch for me
when I'm weak.

And I know, when he's around,
and I have a craving

and I want candy
or anything like that,

he's gonna hook me up
with whatever I want to eat.

So, we have to learn
to be friends
in a healthy way.

And that's
not happening overnight.

So, for right now,
we need to spend
some time apart.

I don't want that to last,
because he is my best friend.

Because sometimes,
people who care
about each other

need to spend some time apart.

So, as much as I'll miss him,

I'm excited
about the steps I'm taking
to get my life together.

And get healthy
so I'll have a longer life.

Food is not life.
Food is not everything.

It is just
a small part of your life.

That's a big realization
for somebody who struggles
with food.

[grunts]

She's eating her salad.

-I am.
-[Mark] She's being
a healthy mama.

[Krystal] I'm trying to be!

He'll take these phones.
He likes phones.

[amusing instrumental
music playing]

[phone ringing]

Thank you for calling,
this is Krystal.
How may I assist you today?

Yes, sir.
So, check-in starts at 2pm.

Yes, sir. Thank you.

[Krystal] I've had a lot
more energy recently,

and I feel like I'm losing
a lot of weight.

Dropping off a package?

-That's awesome.
Do I need to sign anything?
-Sure.

-Thank you.
-You're welcome.

Gonna put this...

[pleasant music playing]

Hotel work can be a challenge,
here, we offer
the guests convenience.

Uh, that means snacks.

[Krystal] If you eat
those chips
that are four feet away,

Dr. Now is gonna know.

Eventually, it's gonna
catch up to me, so uh,
along with that,

the biggest challenge has been
keeping up with everything
on the days I've worked.

Mainly, with my exercise.
And that's because
I have to go in early,

and I just don't
have time to do them.

And then,
when I get home,
I'm way too tired.

My husband suggested to me
that I try to find moments

to do little bits
of the workout.

One.

Two.

Three.

Four.

Five.

Six.

Seven.

This is what Dr. Now
says I have to do,
this is what I'm gonna do.

One.

Two.

Three.

And, hi!
I'm doing my workouts,
doing my workouts. Hi!

[Krystal] So,
I'm doing that for the moment
and when it gets slow,

I try to do
even more of the workout.

So, that's helped a ton.

He's hoping that if I build up
my stamina enough,

we can join a 24-hour gym.

And I'll eventually
have the energy to be able
to go with him at night.

-[Krystal] Hi, honey!
-[Mark] Hi, babe.

[yawns] That's a long day.

[Krystal] I gotta go home,
and we got a good,
healthy meal planned!

[Mark] Yes!

[upbeat music playing]

My diet has been
actually going really well.

I thought that
I would struggle

with restriction of food,

and the portion size.

But, miraculously,
I really don't.

And even though
my kids and my family
eat what they want around me,

I thought I would have
a lot more temptation.

I thought I would have
to uh, fight myself more.

But, uh, I really--

I really had a goal in mind.

And I really just
kept that goal
and I wanted Dr. Now to see

that I was taking,
taking the journey serious
and taking his advice.

[pensive music playing]

[Krystal] Yeah.

Yeah, you're good.

You ready?

-Uh... Let's go in here.
-Come on, honey.

Hello.

-So you lost some weight, huh?
-[chuckles softly]
I feel like it.

Krystal?

-Doing the thing.
-Hello again.

Hello! How are you?

-Doing good today.
-Great.

[Krystal]
At my last appointment,
I was 592.

And I was supposed
to lose 60 pounds by today.

And if I did that,
I'll be down to 532.

Okay, I'mma zero it out,
and then we'll get
on the scale.

-Hold my bag.
-Got your bag.

Okay. I'm ready.

[sighs softly] Let's do this.

[chuckles softly]

[Krystal] For me,
the goal was a big ask.

Because I've never
lost that much, that fast.

So, I made a lot of changes
that were big steps for me.

So I'm just really hoping
that it was enough.

[gripping instrumental
music playing]

[Krystal] I'm at Dr. Now's,
ready to find out if I made it
to my goal or not.

I was supposed
to lose 60 pounds by today.

And if I did that,
I'll be down to 532.

Hmm.

That's a loss. That's good.

Hmm.

I've been starving.

[all laughing]

-Sticking to the diet, yeah.
-Yes!

You made it.

-Okay.
-Awesome, babe.

-We go into room five.
-Okay.

-Room five.
-Room five.

[pensive music playing]

[Krystal] While that's not
quite to my goal,

but I'm still
really happy about that.

It's a big drop,
and I'm proud of myself.

And I hope
Dr. Now is proud of me, too.

Because I really
want him to be proud of me.

I think he may want to see
a little bit more loss for me,
before my surgery.

But I'm hoping
it's enough to convince him

that I've made
the changes that I need,
and I'm serious.

[knocking at door]

Hello, how y'all doing?

-Hi, Dr. Now.
-Hey.

-All right, eh, Krystal.
I see you lost some weight.
-Yes.

-Well, what changes
you have made so far?
-Everything. [chuckles softly]

-Well?
-A lot. I've made
a lot of changes.

-Yes, I did. I read your book,
front to back, multiple times.
-[Dr. Now] Okay.

-Okay.
-Yes, I did.

Well, I am pleased
to see that you lost
a good amount of weight.

So, this is very encouraging.

[Dr. Now] But, it's still
a little short of 60 pounds
you were supposed to lose.

You should have been able
to lose over 100 pounds,
if you stuck to do diet.

So I want to see
a little bit more
progress from you,

and if you show me that,
then I'm going to approve you
for weight loss surgery.

-You are?
-Yes.

Oh, my goodness!

-But first, you need to lose
30 more pounds, okay?
-Yes, sir.

Okay? That should be very easy
because I'm gonna give you
two months to do that.

And show me that
you're gonna stick with it,
and keep making progress.

Yes, sir.
My husband wants me
to exercise more.

So, we're looking at
joining a 24-hour gym
so I can workout

outside of my work hours.

Okay, good.

-So, everything
looking good for you.
-Yes.

So uh, keep it up.
And lose at least
30 pounds in two months.

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

-Yes, sir. Thank you.
-You're welcome.

[Krystal] All right.

[solemn instrumental
music playing]

-[Mark] That's good.
-[Krystal] Mm-hmm.

Are you ready?
We're one step closer.

-Yeah, I'm ready.
-So now, I do tests.

Maybe another month
of dieting.

Well, we're gonna have to diet
all the way, all the through.

Up until the surgery,
and all the way after surgery.

It's a lifestyle change.
It's not a diet.

-Yeah
-So.

-It's a better way
of looking at it.
-Yes.

She's learning
and seeing her strengths.

Especially when it comes
to losing the weight,
and now, she can see she can.

It's definitely
given her the courage.

I am proud of Krystal
for making a lot
of hard changes she needed

to get on the right path
with her health.

I know a lot of that
couldn't have been
easy for her.

Especially changing dynamics
with relationships.

So, she's done well
and I am optimistic
with her progress.

If she got a little closer
to the goal I have given her,

I would have approved her
for weight loss surgery today.

Because the reality is,
she should have lost
a lot more if she had made

all the changes
she should have.

But Krystal at least
showed me she has taken

some important steps
in the right direction

with what she has
started to change, and so,

she's moving in
the right direction.

And if she sticks with it,
and shows me she's gonna
keep working at things,

by losing another 30 pounds,
then, we will move ahead
with her weight loss surgery.

[Krystal] Dr. Now
gave me another goal.

He wants me to lose
an additional 30 pounds.

I achieved 24 pounds
in under 30 days.

I think I can definitely hit
30 pounds in 30 days.

[Krystal] Thank you, honey.

So, I'm gonna keep
what I'm doing on the diet,
exactly the way I'm doing it.

I'm gonna use
the tools that I have.

I'm going to up
my exercise routine,

I'm gonna try to find windows
of time to work out in between

my kids' schedule,
my work schedules,
and things like that.

I've got to get out
of my comfort zones.

[upbeat music playing]

[soft music playing]

[Mark] How much farther
do we go?

[Krystal] You're gonna go
left on Strawberry.

[Mark] Right.

[Krystal] I'm gonna see
if I like it here.

And it's really hard for me
to workout at home,

because I'm,
I'm in that mom role.

And I can't ever, like,
turn my attention
away from the kids

long enough to workout.
I want to be able to focus
on me for a change.

Yeah.

[Krystal] Working out
has always been something
I hated with a passion.

[Krystal] Okay.

But with the exercises
I've been doing,

I'm starting
not to hate it as much.

-Here we are.
-Come on, honey.

[Krystal] And I've been
trying to build up my stamina

to the point where
I can handle a gym workout.

Hi, welcome
to Delta Athletics!

-Hi! How are you today?
-Good, how about yourself?

-Doing good.
-Great.

-So, we're out in the area,
scouting new gyms.
-Yeah, of course.

We came to see,
you know, what it's about.

Anything, you're
more than welcome
to grab,

and also do exercise indoor
and outdoor as well.

So there is gonna be
a lot of sweating.

[Mark] Y'all have,
y'all have cardio like

-to walk? Treadmills?
-Yes, we do have, uh,

elliptical machines,
treadmills, and
the stair masters.

-Oh, okay.
-Okay. Thank you.

-You're welcome.
-Thank you.

-Well...
-I think I'm ready for this.

That's just this part,
I think there's...

Must be that,
but we're going with
the cardio... Here we go.

-And the treadmills.
-This is your...

This is us.

-What?
-This is where we start, huh?

-Yeah, so let's...
-This is definitely
where you want to start.

Let's do this.

Yeah, you just stay on
the sides so whenever
it's going you don't...

Mark! This ain't
my first time.
Let's do this.

-Okay.
-Come on.

-Low would be the best
-All right.

I guess that...
Yeah, go ahead. Walk.
Come on, you got this.

Ah, okay.

[screaming]

Man.

Okay.

Okay, that's not so bad.

Yeah, you're putting a stop
to this thing.

I know, right?

Whenever, but let's just see
how far we can get.

I'm gonna do it with you.

[Krystal] My husband has been
really wanting to do
real workouts with me.

I know us being able
to do things together
makes him happy.

-And it makes me happy.
-You good, babe?

[Krystal] So that's been
a big motivation for me,
to push myself and work hard.

And it's fun to
see it pay off like this.

Where I'm getting
my stamina up,

and getting to where I can
and want to do things.

I never thought I could.

So I'm excited
and I'm gonna
keep working hard

to make even more progress.

Are we doing
anything else, honey?

Yes, we gotta do
the upper body,

we're gonna do
some bicep curls.

-Okay. Yes.
-Oh, you need help down?

Help me down. Okay.

Let's see.

Right here.

So you...

What do you have?

I got tens,
you wanna do the tens?

No, are you crazy?

All right, you ready?
Straight-legged,
shoulders apart.

Okay.

Bam. Oh, you wanna do
both of them?

-One.
-One.

-Two.
-Two.

-Three.
-Three.

-Four.
-Four.

Don't slouch so much,
make sure you...

Five.

-Control it. Yeah.
-Six.

[Krystal] I'm really glad
I got to go to the gym
with my husband.

It was a bonding experience,
he's a goofball.

He made me feel comfortable,
it was like I had a friend
to go with.

I definitely look forward
to going to the gym

with my husband more
in the future.

-Eight.
-Eight.

She did better than I thought,
I've been wanting her to like,

start getting,
taking it serious.

I didn't think she was
expecting to work out as much,
I'm glad she did.

She busted a sweat, so...
[chuckles]

That was a good workout,
your first workout.

Yes. Sweaty.

It was great.

That was probably
the best workout of my life.

So this is kicking my butt,
but in a good way.

I'm loving that
I'm pushing myself

and what I'm able to do
because of that.

Next time,
I'm gonna order us some '80s
matching workout outfits.

Hey, I'm down.

[Krystal] Are we ready to see
our favorite doctor?

Are you ready, Mark?

Yeah.

Okay. And I'm pretty sure
he's gonna check my weight.

So, hopefully
he's happy with...

-Yeah.
-...my progress at this point.

This week,

unfortunately, I've been
a little under the weather.

I couldn't workout as much as
I wanted to this week,

because it was
just exhausting.

But, I'm confident.

-Krystal? Hey, how are you?
-Hello.

-Hi Ms. Rosie.
-Hi.

[Krystal]
At my last appointment
two months ago, I was at 548.

The number I'm expecting
to see on the scale
has gotta be lower than 518.

And I'm confident
that it will.

Okay, you can step up
on the scale.

I'm ready.

You all right?

We're going to room five.

Thank you.

I thought I lost more,
but I still beat my goal
by six pounds.

So I'm happy with that.

And I think Dr. Now
will be too.

So I'm feeling good
about my chances for
weight loss surgery approval.

And when I leave here today,
I'm gonna be looking ahead
to my surgery.

Hello, how are y'all doing?

Hello, how are you today?

I'm doing okay,
so how's everything
going with you?

It's okay today.

You got the... A little bit
under the weather, huh?

A little bit, yes.

All right, so when did
you start having that?

Um, I didn't
start feeling well

about

Saturday.

-Okay.
-This past Saturday.

So that's about a whole week,

but you know you're still
supposed to let us know of
any issues with your health.

Because you're still
at a point that
any small issue

could be a last straw
for your body
and it starts to give out.

I know that, I'm sorry.
I'm used to it.

I have a history
with, uh, bronchitis.

Mm-hmm.

And I have fibromyalgia so,

usually when that flares up
my immune system goes down and

I usually...
My bronchitis will flare up.

And I battle that
year-round at times.

Okay, we ran some tests on you
and give you some medicine

-to take for that.
-Yes.

All right, you lost
a good amount of weight again,

you lost 36 pounds.

-Yes.
-So, that's good.

Well, you're doing great,
and since you lost that,

I'm gonna approve you
for weight loss surgery.

Oh, that's really good news,
thank you.

-Okay?
-Thank you.

So I'm gonna set you up
for surgery next month.

Next month?

Are you serious?

-Yes.
-Next month?

Oh, wow.

-So, yeah.
-Wow.

Oh, my goodness.

-But, um, don't go back
to your eating habit.
-No.

-You think that we have
approved...
-No.

Now you're gonna ahead,

we check your weight...

No it's... No.

I will be losing, don't worry.

Okay, all right.

That sounds good.

-Yes, sir.
-Uh, any questions?

No sir.

We check you out
and give you some medicine
before you go.

-If you're not feeling better
give me a call.
-Okay.

-And then we'll go from there.
-Okay.

-All right.
-Have a good day.

-You too. Okay.
-Thank you so much.

-I'm trying. It's...
-Yeah.

It is a big effort.

It is hard, but it's...
It's worth it to keep going.

Yeah.

We did it once,
so we can do it again.

Yeah.

[Dr. Now] I'm very proud of
Krystal. She's sticking with
the changes she made,

and shown me
she's ready
for weight loss surgery.

She still has some
room for improvement
with her eating habits,

because she would have lost
a lot more if she cut
her eating all the way back

to 1,200 calories a day.

And when she takes that step,
we will focus on
what she needs

to make sure she doesn't
go back to her old ways.

But so far,
I'm very optimistic

from what I have seen
from Krystal.

[Krystal] I'm excited
and I can't wait
for my surgery.

I have no doubt
I'm gonna be able
to stay on track.

Can you pull the car up?

Want me to pull the car up?

-Yeah.
-I got ya.

[Krystal] So by this time
next month, I'll be recovering
from surgery.

Because that's the
only outcome
I'm gonna let happen.

-Give me a kiss.
-I love you.

Love you too.

I'm here at the hospital today
to have my
gastric bypass procedure.

This is a turning point
in my life, of course it is,
it's a major event.

It's a pivotal moment.

I'm taking the surgery and
the risk because I would
much rather take

this small risk of surgery,
compared to
500 pound plus life

with a 100% chance of gaining

before I do die.

So I mean, why would
I want to wait another year,
two, or three,

and then be over 700 pounds?

Nice, big, deep breaths, babe.

All the way in,
all the way out.

[Dr. Now] Today, we are
attempting to perform
a gastric sleeve on Krystal.

She continued losing weight
this past month and
she's down to 498.

So she lost another 14 pounds.

Her weight loss is slowing
but that's normal
at this point.

And it is still
enough to show me

she's still working hard
at the changes she made.

So we are moving ahead
with her today.

And giving her this tool
to help her stay on track.

Okay, starting
the first incision.

Go up.

Hold it there.

Okay, got it.

Bring the robot.

Okay.

All right, I'm gonna
transition to robot.

[Dr. Now speaking]

So this operation
is going to be

what Krystal needs to help her
continue losing weight.

So this is an important step
for Krystal

that will give her a chance
at losing all
the weight she needs,

and keeping it off.

All right.

I was a little scared
at first,
but I can't wait to see her,

comfort her,
tell her I love her.

'Cause I know
that's gotta be hard,
for her it's hard.

Whatever has to be done like,
I'm ready to support her 100%.

Okay.

Put that on the table
over there.

Don't throw it away.

Okay, we can suture her up.

Almost done.

Okay, all finished.

Krystal's surgery
went very well,

we were able to remove
about 85% of her stomach.

And with this operation,
she's gonna be able
to continue to lose weight.

So this will
help her stay on track

by taking away
her personal drive to eat

for the time being.

And give her time
to deal with the issues
she needs

to keep losing weight
in the long term.

Krystal is gonna be
on a liquid diet for a month,

and she should
be able to lose,

um, 30 pounds
in the first month.

And then after,
20 to 25 pounds each month

as she gets closer
to her target weight.

But a big step
toward her doing,
that is making sure

she pick back up with therapy
to continue to work
on her emotional issues.

Because if she doesn't deal
with the issues
behind her compulsion to eat,

when her physical drive
and cravings eventually
start to come back,

it's all gonna be
too much for her,

and she will start to
fall back into old habits.

And it's only gonna be
a matter of time before
she starts to get off track.

And end up failing
and gaining
all her weight back.

So it's important
she does what she needs

to make sure
that doesn't happen.

[automated voice speaking]
Take the next right
onto Francis Street,

then turn right
onto Fannin Street.

[Krystal] Today I am headed
to the therapist
Dr. Now wants me to see,

and Mark is coming with me.

I'm a little nervous,

because I know
I'm gonna have to talk
about some hard stuff.

But I know this is something
I have to do.

[Mark] Come on.

[whispering]
Okay.

Okay, that's a steep one.

Straight ahead, babe.

I am Dr. Paradise. Come on in.

-Oh, thank you.
-Hello.

Hi, there.

Welcome.

-How are you doing?
-I'm glad you made it.

All right.

Thanks for being here.

-Yeah.
-Thank you for having us.

Tell me,
you grew up in Houston?

Yes, my grandmother
and my grandfather raised me.

You made a little face
as you started that story.

It's, uh,
a complicated childhood.

Uh, my mother
was an active addict
all my life.

My grandmother
had an abusive side.

A lot of her anger,
uh, fell towards me.

Uh, even if it was
my sibling's fault,

I didn't want them
to be subjected
to, uh, physical abuse.

What kind of stuff.

Hair pulling, um...

Slapping you in the face.

I suspect
that growing up with that

changed your life permanently.

Um... Well it gave me
the impression that
that was typical.

So if somebody close to you
is upset,

you're physically at risk?

[sighs]
It's kind of been like that
my whole life.

Yeah,
that's what I'm guessing.

How did, uh,
school end up for you?

[stuttering]
What was high school like?

I got pregnant
in the 8th grade.

Okay, how'd that happen?

I trusted an older man.

-Uh...
-Tell me about...
Who was this person?

He was a little league coach
for the area.

-How old was he
when you were...
-33.

And you were 14?

So we know now
it's not just wrong,
it's illegal.

-[Mark laughs]
-Um...

At that point, yeah.

But you were vulnerable.

How long did it take
to get pregnant?

The very first time.

-Really?
-Yeah.

Okay, had you continued
in the relationship
with the man?

No, he actually turned out
to be married.

Yeah,
that doesn't surprise me.

-Yeah.
-So let's fast-forward
a little bit.

What's your daughter's name?

Korigan.

What happened in your life
after Korigan was born?

A lot happened. I moved out.

I had a good job
at a clothing store.

Was it a positive move out?
Or you moved out
'cause your grandma's...

-My grandmother wanted
more control over my daughter.
-Okay.

She would override me
as her parent.

And I could not see myself

letting my grandmother
raise her in an abusive way
as she raised me.

-Okay, you and Korigan
move out.
-We move out.

You've got a decent job,
you're taking care of her.

A guy enters the picture?

Uh, yeah.
In the beginning,
he was a normal, nice guy.

He really was.

Do you guys
start a relationship,
a romantic relationship?

We did. Uh...

We got into our own place
together, finally.

And that's when
everything changed.

How did he change?

He started to do drugs.

And, uh, my daughter said,

"Mama, I'm not staying
here with him."

She packed her a bag.

And she left.

She went to stay
with her best friend.

So how did Kori know enough
to get out of that situation,

but you, somehow,
didn't make it out?

I felt like
if anybody deserved it,

it would've been me, not her.

How has your life gone
since then?

Uh, how long have you guys
been together?

We have been together
three years,

married a year and a half.

Okay, Mark,
how are you different
than these other guys?

[laughs nervously]
I'm not gonna
beat her to death.

Okay, that's a pretty low bar.

I love her and, uh, yeah.

I mean,
she changed my life a lot.

Like, marrying her,
like, I was an addict
at one time,

so she gave me
somewhere to be,
something to do, and, like...

-Okay. Okay.
-Taking care of her has, like,
changed my life, so...

You know I'm worried Krystal,
though,

that you're a little bit blind
to addiction.
That you've had so many...

Even Mark.

And I'm so proud of you
that you're
in a different place,

-and it sounds like
you're doing great.
-Yeah.

You seem to have a blind-spot
for addiction.

So, boy, Mark,
staying clean and sober
is really important.

Yeah, a lot of this
I've heard her say before.

-But not like this is
a thorough story.
-Yeah.

-Like, this is brand new.
-Right. Yeah.

So how are you doing
with Kori right now?

Uh, she didn't get the mother
that she deserved.

She, uh,
she got a basket case.

I wasn't attentive.

I... I just wasn't a good mom.

What could you say to Kori

to bring her back
into the fold,

and to get her
to start trusting you again?

God, I don't...

I mean, I don't know where
to start with her.

Because she's so...

She's become such a recluse.

She's very guarded.

A recluse from you
or a recluse from the world?

The world, at this point.

She, uh...

She doesn't tolerate, um...

You know, Krystal,

I wonder if that's a reaction
to you doing the opposite.
Right?

-Yeah.
-So, when you're confronting
a situation,

you just tolerate it,
and persist and stick around.

So what can we do
to make this right with Kori?

What does that sound like?

Um, I mean, just...

"Kori, I'm sorry.

I didn't know how
to protect myself,

or you from bad people."

-Yeah.
-"I may still even be
learning it right now."

Hmm.

-"So I'm sorry I didn't do
a better job..."
-Yeah.

"...of protecting you."

I'm sorry that I feel like
I failed her.

How did you fail her?

By not giving her
a happy childhood,

something she deserved
to have.

A better example of a mother.

You know, Krystal,
you didn't have any
of those things yourself.

So you're apologizing
for not giving her
what you didn't have.

And what kind of mother
can you be to her now

if we get
the very best version of you?

One of the things
I bet she wants most from you
is to be well.

So, Krystal,
let's frame this
as some homework, okay?

I think you need a phone call
or a conversation with Kori,

-where you express the things
that you're sorry for.
-Mm-hmm.

And then I think you also need
to tell her

-about what you're doing
for yourself...
-Mm-hmm.

...to make sure
that she has a healthy mom.

I think the single best thing
you can do for your daughter
is to be healthy.

-Starting now, today.
-Yeah. Yeah.

Um, thank you both
for being here.

I'm really glad to meet you,

and I'm optimistic
for your future.

Thank you.

-Thank you very much.
-Okay, take care.

-Thank you so much.
-Take care, guys.
Good to meet you.

[Krystal] My appointment
with Dr. Paradise

was very enlightening today.

I learned some new things

that I didn't even think
were a factor

in the cycle of abuse
that I went through.

It brought me, like,
a sense of understanding.

And I feel like
I'm going to be able
to take some big steps

to get to a better place.

Thank you, honey.

I don't wanna slow down.

Yep.

[Krystal] So I'm determined
to do what I need to make sure
that doesn't happen.

-Hey.
-Mom!

My baby came to visit me!

Oh, my good girl!

You know you can't
get passed Bonnie and Charlie
without showing 'em some love.

I know.

[speaking indistinctly]

Kori!
[laughs]

Sorry, I don't drive
in no shoes.

Let's go in.

[Krystal]
Do I look different, or...

[Korigan speaking]

[Krystal speaking]

[Korigan] No, just...
[laughs]

[Krystal] It's been two months
since my surgery.

Dr. Now said my weight loss
is still a little bit slow.

So we're both wondering
if my emotions are pushing me

to eat a little bit more
than I should.

Dr. Now says it's normal

for emotional issues
to be front and center
with patients

after their
physical drive to eat
has been taken away.

So that's why now is the time
for me to focus on them

and deal with them.

And before I start to overeat
and stretch my stomach.

He says I can eventually
undo the surgery
if I let that happen.

And that terrifies me.

So I'm 100% focused
on dealing with
what I need to.

And today that means,
I'm gonna have to
talk to my daughter, Korigan.

Because I do feel that
I let her down in some ways

that she might be aware of.

And in other ways
that she might not.

I hope it goes well.

And if it helps me
along my journey,
then it's a win-win.

-Hi, what do you like
to drink?
-Water.

-Uh, sweet tea, please.
-Yes, okay.

[Krystal] So how has
school been?

Um, tired. Really tired.

Like, I just wanna tell you,

like, I'm extremely
proud of you for that.

Thank you.

Um, I don't know what to say.
I'm sorry.

I've never imagined you, like,
saying that.

-But I'm your mother, Kori.
I mean, I'm gonna tell you.
-But, it's just...

Having a goal
and sticking to it
is very important.

And I want...
Well, thank you, dear.

We're ready.

Carne asada
and breading on the side.

And then...

Thank you, dear.

-I thought you wanted
sweet tea?
-I did, but...

-You know what this is?
This is God's intervention.
-Yeah.

Saying you don't need
to drink your calories.

I'm a Southern lady, okay?
Leave me be,
and my sweet tea.

I'm gonna take them off.

[Krystal] You and I...

[sighs]

You know,
we're mother and daughter

and we've all
that we've ever had,

because I had you at,
you know, 15.

You saw first-hand
what I had to experience.

And we experienced
that trauma together.

Do you realize
you've never had
a relationship?

Like, you've never had
a boyfriend.

-No.
-Do you know why?

And you're a 19-year-old girl.

-And you've learned
not to trust a man.
-Mm-hmm.

That hurts me
that I may not have
a happy daughter.

Look, I don't...
I mean, you're right.

I don't really have
the endurance.

It's just kind of like,
"Okay, you give me problems?
Okay, goodbye."

Like, um, I don't...
I'm very detached.

-I admit. I admit.
-Detached?

That is one way that I coped.

I detached myself emotionally,

and was held together by food.

My choices are what caused me
to be this size.

Like, I was sick, mentally.

Like, I...
I didn't understand.

And then, here you are,
you know?
You're five, you're seven.

And here I am thinking,
"Oh, she's distracted."

And you're not watching mom
fix her bloody nose.

You're not watching Mom
cover up the evidence

of abuse.

That's not true.
You saw everything.

You said,
"Mama, this is really hard.

Please, if you love me,
you'll let me go stay
with my best friend."

I remember.

And, oh, my God.
That shattered me.

But to watch my little girl

hold her best friend's
parents' hands,

and then I had to see
my baby drive away,

that was extremely difficult.

Yeah, that, that was
extremely difficult.

Anyways, quiet.

So Mama really wants

to like tell you
that I am sorry

for your childhood traumas.

Today isn't just a fix-all.

It's going to be a forever,

for the rest of my life.

But I have to work on me.

And not even just the food.

It's, it's more than
just that.

I've been
to a therapy session, so...

I've been exploring
the option of therapy

and I think it's a route
that I need to take.

[Korigan] There are, um,
you know, things

that I've never really
told you,

and I'm also in therapy.

I, I've noticed that I have
some tendencies

that, you know, really need
to be worked on as well.

I just remember,
I, I go to class

and then, um,
I'd just start crying.

I have a better
understanding that
that was separation anxiety

and panic attacks.

Like, you know
what I'm saying?

Mild panic attacks.

And, I mean,
at the time, again,

like, neither one of us
were educated

on stuff like that.

I hate to say it,
but I failed you.

Uh, I hate those choices.

I hate them. I regret them.

And, uh, I'm sorry I chose
bad relationships

over, over you.

I, I want our relationship

to get better because

you're only 19.

You're a baby. You're, you're
still my baby.

And I need to know
what's going on more
in your life.

Thank you for acknowledging
and saying, "I'm sorry."

That means a lot.

You know, I'm glad
it's happening.

It's a really good change.

It's genuine work,
genuine understanding

from both sides of us.

So I'm really excited

for everything
that's gonna come.

[Krystal]
Well, Mommy loves you.

[Korigan]
Wait, don't do this.

Give me... No, no,
don't kiss me.

[both laugh]

I don't... You're swallowing
me with your arms.

[laughs]

[laughs boisterously]

[Krystal] I'm heading back
to the clinic

to check my weight

and I think
I've been doing well.

But I've been wrestling
with a lot of issues

since I've started therapy.

And Dr. Now says

my issues are not gonna

resolve themselves overnight.

So my goal is to just
keep moving

in the right direction

and taking the steps I need.

There's no better test of that

than the scale.

And I really hope
I get the right number

because, if I find out
I'm not doing it right,

then I'll be a little confused

about what I did wrong.

And I can't afford to lose
my confidence now,

when I think
I'm doing so well.

Krystal?

[Krystal] I need to keep
my momentum heading
in the right direction.

Hi, how are you?

Hello.

If you can stand
up on the scale.

[Krystal] I was
at 459 last month

and the doc says I need

to be losing 20 pounds a month

to stay on track.

So that means
I need to be down

to 439 pounds today.

And I really hope

all the work I've been doing

is working for me.

That's good.

Well, that's pretty close.

I wish it was two pounds
closer, though.

We're ready to go to room 5.

[Krystal] Well, let's see
what Dr. Now says.

I feel like he's been
pretty nice to me overall.

And I'm just hoping

he sees the hard work

that I've been putting in

to stay on track.

[knock on door]

Hello. How are you all doing?

[Krystal] Hi, Dr. Now.

-You doing all right?
-Yes, sir.

Good.

So you're down to 441, huh?

Yes, sir.

You're doing okay
with your surgery
and getting along?

Surgery has been
mild recovery. Thank you.

I followed your
discharge diet.

-Okay.
-It's been pretty successful.

I made sure to keep
the copies and read
over it, when...

And make sure I, I was
doing everything correctly.

-Okay, you're taking
your vitamins?
-Yes.

And you're going
to a stage two diet, right?

I haven't gone
to the stage two diet yet

without your permission.

Okay, you can go ahead...

-Go to stage two diet...
-Okay.

...and advance with that.

And, if you do that,

you should be able to lose

easily 20 to 30 pounds
each month.

Okay, I'm prepared
for that. Yes, sir.

[Dr. Now] So once
you get down to

lower than 300,

or below 200, then

you'll have a lot
of extra skin that will
need to come off.

Yes, sir.

[Dr. Now] And make sure
you keep that clean

and take some
medicine powder
and all that stuff.

-Okay.
-Okay?

So, increase your activity

and stick with your diet.

I'm proud of your progress.

-Thank you.
-And, um, should be able
to get your goal weight

in less than a year.

How does that sound?

I plan on listening to you

every step of the way.

So far, I have made it

through the hardest parts

thanks to you, Dr. Now.

Oh, you're welcome.

So your goal weight is 150.

-That... [laughs]
-Yeah.

I've...

I haven't heard 150
in a very long time.

It's a little hard
to see me there now.

By the time you get your
skin surgery,

you're gonna
make it there, okay?

-So, stay focused
with your weight loss.
-Yes, sir.

[Dr. Now] And we'll
go from there.

So, how's your walking

and doing all that?

My walking is even better.

I have more stamina.

Uh, I've noticed

in the short time,

just the little improvements

throughout my body already.

Well, that's great.

So keep it up and we'll see

-how everything will
go with you, okay?
-Yes, sir.

Keep up the good work.

Do your exercises.
Take your vitamin.

And stay with your diet.

And you only eat
about three time a day

and no snack
in between the meal.

-Nah.
-Now, you can eat
a small amount.

So, whatever you eat
in small amount

and in 15 minutes, that's it.

-Okay.
-Don't go back to finish it.

That's the biggest mistake
people make.

They think, "I can't eat it
right now. I get full.

So I'll wait another
30 minutes,

maybe I can eat
a little bit more.

Then wait another
half an hour, I can eat more."

So, if you do that,

you're gonna eat
the same thing

you were eating before.

-I know.
-So, and whatever you eat

in 15 minutes, that's it.

-That's it.
-So you wait till next meal.

-Okay.
-But make sure you drink
sugar-free or

zero-calorie liquid
between the meals.

And do your exercise.

Not a problem.

I will stick to my,

my pre-surgery liquids,

as far as no...

no caffeine,
no carbonated drinks,

no sugary drinks.

Water, my sugar packs,

my Crystal Lite.

And I will definitely,
definitely

only eat small amounts,
three times a day.

No going back for seconds.

Okay. Well, good.

And, uh, stage two,

-it'll be much easier
to do that. Okay?
-Okay.

Krystal, I'm proud
of your progress.

-Yes, sir.
-And keep it up.

And, if you need anything,
let me know.

-Okay?
-Yes, sir. Not a problem.

I won't hesitate.

Okay. All right.

I'll see you later.

Yes, sir. Thank you so much.

You're welcome.

[Mark]
That's pretty awesome, yeah?

[Krystal sighs] Well...

I'm proud
of Krystal's progress,

and she has made
great progress
from the beginning.

And she's still focused,

and I think she has
all intention

to get to her goal weight.

And I have no doubt

that we're gonna be able

to get her to her goal weight

within 12 to 18 months.

And I think, every time
we see her,

she's going to be 20
to 30 pounds lighter.

[Krystal] Well, I'm happy
to hear that Dr. Now

thinks that I am on track
with my weight loss.

I needed to hear that,
I think.

But I don't want to slow down

or do anything less.

-You wanna take my bag?
-I got it.

[Krystal] So I'm going
to stay focused

and keep doing what I need.

Okay, babe.

[Krystal] And I feel like
I'm getting closer

to where I can
feel confident...

that these are changes
that I'm making
for a lifetime,

and that nothing is going
to knock me off track.

[Krystal] We are here
at Bushi Ban

here in my neighborhood.

It is a martial arts gym.

-Hi.
-Hello, hello.

-Hi, Krystal.
-Hi.

-So you're the superstar, huh?
-Ah!

-So come on in...
-Yes.

...and, uh, we'll start

a little bit of training.

I could have never imagined

doing this
at the highest weight
when I started.

-Just go jab and cross.
-One...

-Yes!
-Two.

-Good.
-One.

Keep the wrist straight.

Good. Squeeze the knuckles.

-Go one...
-One.

-Awesome.
-Two.

Oh, you got some
power there, lady!

[Krystal] I've always
wanted to be physically
more active.

But, unfortunately,
at my highest weight...

[sighs] The word
that I hate to use,

is I... I couldn't.

Now let's do the other side.
For five, ready?

-One.
-One.

-Excellent. Two.
-Two.

-Awesome. Three.
-Three.

-Fantastic. Four.
-Four.

-Amazing. Five. Super.
-Okay.

Today I have gained
tremendous independence.

We are gonna do
what we call a "back fist"
and a "knee high."

-You can do it.
-Let's do it.

Let's do it, okay?

Three... Fantastic.

Four... Good.

-Okay, last one,
best one... five.
-Five.

-Give me five, lady.
-Woo!

You're awesome.

I was very surprised
with her spirit,

how strong her spirit is.

Her attitude is...
Positive attitude.

-She's not a quitter.
-One, two, three.

[Zulfi] Last one, best one!

One, two, three.

-Awesome.
-My...

Give me double
high five, please!

-Yes!
-You got it.

-All right.
-Good.

You're committed.

I can see you're committed.

Very. I've been...

This journey has been

the most thing I've
ever committed to.

Well, I'm so proud of you.

Thank you so much.

Pleasure's mine.

All right. Let's go.

Good job, Krystal.

[Krystal] Tonight, me and Mark

are going on a date.

A year ago, you couldn't
have dragged me
out in public...

[sighs]

...to do something fun,

for us to enjoy each other.

And when I started
this journey

I was scared of how
it might turn out.

I'm thankful for today,

but I don't want to say

that I've got past
the hard part

because I know it wouldn't
be easy moving forward.

And I may face some challenges

that are a lot tougher
than others.

-Hi, there. How's it going?
-Hi.

-How are you today?
-Pretty good.

-Thank you so much.
-You're welcome.

[Mark] Wings wrapped.
Salad bowls.

I'm excited for tonight.

We don't actually get
to go out much.

So I'm glad that
we get to get out
and do stuff together.

I'm proud of Krystal.

Uh, she's really
sticking with her diet

and I'm right here
to support her

one hundred percent.

Burger bowl with jalapenos,

no shoe sauce
and queso on the side.

And naked wings.

Enjoy. I'll be right out
with some napkins.

[Krystal] I'm confident
because it's not just

like I figured out a way
to get the weight off.

Dr. Now taught me
how to live healthy.

That's so good.

And with those skills
now a part of my skill set,

I know that I'll be able

to maintain these habits
for a lifetime.

Love ya.

[Krystal] Today we're
going to the beach

and I feel like I'm just about

as excited as the kids are.

This is something
we've never been able
to do before

because of how out of control
my weight had gotten.

And the fact that
we're able to do it today,

is really wonderful.

Look at the kids.

They done ran off without us.

I'm sorry I didn't get
to do more of this

when my kids were younger.

And I feel really sad
that, those times,

I can never have back.

To do it differently.

-Ugh!
-Ah!

[Mark] It's beach time.

[Krystal] But the fact
that I can do it
differently now,

that's a whole lot better
than how it used to be,

where I thought I would
never have a chance
to do anything about it.

-Oh!
-Look at that.

She's a champ.

[Mark] Look at that.

Oh, baby.

[Krystal] Just hold me.

[Mark] For her to go out
in the water really
impressed me.

I wasn't expecting her
to go that far.

You're good, babe.

[Krystal] Hug me.

[Mark] She's doing
a whole lot better.

I'm very proud of her.

[Krystal] Today was
a stepping stone for me

to see if I could do it

and face my food addiction,

and to overcome it.

I'm very proud of myself.

When I look around
and I see that my family is...

is content and happy,

it makes it worth it.

When I was 600 pounds,

my life was a nightmare.

And now I feel like

this life is a gift.

Doors are opening for me

that I never thought
would open.

For the first time in my life,

I have options.

I'd say, the way my life
has transformed,

has been pretty
darn magical.

Kiss me.