Original subtitles

Marla: I CAN'T EVEN BATHE MYSELF.

MY KIDS HAVE TO DO THAT FOR ME.

Charity: I FEEL LIKE SOME MONSTER.

Olivia: I'VE BEEN HIDING FROM THE WORLD, JUST WAITING TO DIE.

Pauline: I AM ABSOLUTELY TRAPPED IN THIS BODY,

AND I FEEL LIKE I'M DYING EVERY DAY.

Susan: I'M TERRIFIED RIGHT NOW.

THIS IS MY LAST HOPE TO BECOME NORMAL.

Madison: I NEED MY MOM. I NEED HER TO BE HERE FOR ME.

**

Man: 10 SECONDS NOW. HOLD IT, HOLD IT, HOLD IT.

-[ BREATHES DEEPLY ] -GOOD JOB.

Christina: I HAD TO MAKE A CHOICE TO TAKE CARE OF MYSELF.

Joe: I REFUSE TO LET THEM BURY ME.

Susan: I AM NOW EXPRESSING MYSELF

AND LIVING MY OWN TRUTH.

Olivia: I LOST THE WEIGHT, BUT I GAINED MY FAMILY.

Zsalynn: LIFE IS AMAZING NOW. I'M REALLY PROUD OF MYSELF.

Angel: LOSING THE WEIGHT HAS OPENED UP SO MANY NEW DOORS FOR ME.

Charity: I CAN'T WAIT TO SEE WHAT THE FUTURE HOLDS.

-- Captions by VITAC -- www.vitac.com

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Charity: WHEN I SEE MYSELF IN A MIRROR,

I FEEL LIKE SOME MONSTER.

MY BODY IS LITERALLY FALLING APART.

I CAN'T DO ANYTHING ON MY OWN,

AND I KNOW I'M GONNA DIE.

Dr. Nowzaradan: CHARITY IS CLEARLY IN PRETTY BAD SHAPE.

SHE'S CLOSE TO LOSING THE ABILITY TO EVEN STAND UP.

HELLO!

MY MOM HAS BRAIN CANCER.

I WANT TO LOSE THE WEIGHT SO I CAN GO SEE HER.

I'M GONNA FIGHT TO DO THIS

'CAUSE IT'S THE ONLY OPPORTUNITY I HAVE TO GET MY LIFE BACK.

[ CRIES ] WHY?

I DIDN'T LOSE ENOUGH IN TIME.

THE WEIGHT STOPPED ME FROM SAYING GOODBYE TO MY MOM.

BUT IT'S TOO HARD RIGHT NOW.

FOOD IS WHAT I KNOW WHEN I HURT.

YOU CLEARLY ARE STILL HAVING A LOT OF ISSUES

WITH YOUR ADDICTION.

I WANT TO GET ALL OF THE --

I WANT TO BE ABLE TO FORGIVE EVERYTHING AND JUST MOVE ON.

I'M GOING TO DO EVERYTHING I CAN TO DO THIS.

I'M NOT GONNA FAIL.

I'VE BEEN CARRYING THIS MASS AROUND FOR 10 YEARS.

YOUR WEIGHT IS DOWN ENOUGH FOR US TO DO YOUR SKIN SURGERY.

Dr. Nowzaradan: I'M HOPING THAT HER WEIGHT LOSS

IS GONNA BE MUCH FASTER AFTER THIS SURGERY.

Charity: I DON'T THINK I'LL EVER STOP PUSHING FORWARD.

I CAN DO SO MUCH MORE NOW,

AND I PLAN TO TAKE ADVANTAGE OF IT.

EVERYTHING IS A POSSIBILITY NOW.

**

SINCE MY WEIGHT LOSS AND SKIN-REMOVAL SURGERIES,

LIFE HAS CHANGED SO MUCH.

I DIDN'T THINK I'D EVER BE INDEPENDENT AGAIN,

BUT I CAN DO PRETTY MUCH ANYTHING FOR MYSELF NOW.

SO I HAVE MORE SELF-WORTH AND SELF-PRIDE.

I HAVE A LOT OF SKIN SURGERIES IN FRONT OF ME,

BUT MY GOAL ONCE I'M DONE WITH ALL OF THAT

IS TO BE UNDER 200 POUNDS.

I'M STILL LIVING WITH MY FIANCé TONY AND MY DAUGHTER CHARLY.

Charly: MY MOM AND I ARE DOING A LOT BETTER

NOW THAT SHE DOESN'T REALLY NEED MY HELP AS MUCH AS SHE USED TO.

IT'S A HUGE CHANGE.

AND SO IT'S EASIER FOR US TO TALK AND GET ALONG.

Charity: MY RELATIONSHIP WITH CHARLY'S A LOT BETTER NOW

BECAUSE SHE DOESN'T HAVE TO HELP ME WITH STUFF ANYMORE

AND WE CAN SPEND THAT TIME TALKING AND GETTING CLOSER.

BUT I'M WORRIED ABOUT HER, THOUGH.

BECAUSE SHE'S A FOOD ADDICT LIKE I AM.

AND I STARTED NOTICING WEIGHT GAIN SINCE WE'VE MOVED HERE.

AND I KNOW WHAT IT'S LIKE TO BE TOO HEAVY TO DO ANYTHING,

AND I DON'T WANT HER TO GET THERE.

BUT WHENEVER I SAY ANYTHING ABOUT HER WEIGHT,

HER FEELINGS GET HURT.

I DON'T LIKE SEEING HER CRY,

BUT I DON'T WANT HER TO JEOPARDIZE HER HEALTH, EITHER.

Charly: I FEEL LIKE MY MOM IS TRYING TO TEACH ME BETTER HABITS

THAN WHAT SHE TAUGHT ME BEFORE.

NOW THAT SHE'S NOT SO DEPENDENT ON ME, I GOT A JOB.

I'M IN CONTROL OF MYSELF NOW.

IT'S HER TURN TO TAKE CARE OF HER

AND STOP TRYING TO FOCUS SO MUCH ON ME.

Charity: ALL RIGHT. HAVE FUN.

Charity: AT ALMOST 800 POUNDS,

I WAS A PRISONER IN MY OWN BODY.

BUT LOSING WEIGHT HAS BEEN A LOT HARDER THAN I EVER EXPECTED.

SINCE I'VE LOST SO MUCH WEIGHT,

THE EXTRA SKIN ON MY STOMACH HAS BEEN CAUSING A LOT OF PROBLEMS.

I'VE BEEN GETTING A LOT OF CELLULITIS INFECTIONS.

I'VE HAD TO GO BACK TO THE HOSPITAL

A COUPLE OF TIMES IN THE PAST MONTH TO BE TREATED,

AND IT'S FRUSTRATING

BECAUSE IT'S REALLY HARD TO KEEP MAKING PROGRESS

WITH THESE COMPLICATIONS.

AND MY BODY IS STILL REALLY MISSHAPEN.

DR. NOWZARADAN HAS APPROVED

ANOTHER ROUND OF SKIN-REMOVAL SURGERY,

AND I'M HOPING THAT MAKES A BIG IMPROVEMENT.

I JUST WANT TO BE ABLE TO LOOK IN THE MIRROR

AND SEE A NORMAL PERSON.

THIS IS SOMETHING I NEED TO DO.

Angel: I JUST HATE MY BODY.

I'M ASHAMED OF IT.

AND I CANNOT DO ANYTHING INDEPENDENTLY NOW.

DONNIE, CAN YOU HELP REAL QUICK?

Donnie: THIS ISN'T WHAT I SIGNED UP FOR.

I FEEL LIKE A SINGLE DAD ALL THE TIME.

UNLESS EVERYTHING CHANGED,

I'M PROBABLY GONNA TAKE THE KID AND MOVE ON.

Angel: I HAVE TO BREAK FREE FROM FOOD

OR IT'S GONNA COST ME EVERYTHING.

I JUST EAT CONSTANTLY.

WE NEED TO GET YOU BACK ON TRACK.

IT'S NOT GONNA COME EASY.

IT'S LIKE A MIRACLE THAT'S GONNA GIVE ME MY LIFE BACK.

Dr. Nowzaradan: WE'LL GET THIS DONE

SO ANGEL CAN START MAKING MORE PROGRESS.

IT'S ALMOST EXACTLY THE SAME, ISN'T IT?

YEP.

WHAT IN THE WORLD?

Dr. Nowzaradan: SHE HAS ALLOWED A FEEDING TUBE TO BE PLACED IN

BY OTHER DOCTORS.

I'D SAY IT'S VERY ABNORMAL

THAT SHE HAD SURGERY WITHOUT ME KNOWING.

RIGHT.

THERE IS SOMETHING NOT RIGHT IN HERE.

THIS IS NOT A GOOD SITUATION.

WE HAVE TO GO BACK IN AND OPERATE

TO REPAIR THE DAMAGE THAT'S BEEN DONE.

**

Angel: I'M DOING AS MUCH AS I CAN AROUND THE HOUSE.

I WANT TO START BEARING SOME OF THE LOAD,

TAKING CARE OF THE FAMILY.

I'VE BEEN WORKING HARD

AND I'M EXCITED TO SEE WHERE THAT NUMBER'S AT.

250.

I CAN'T BELIEVE IT.

[ LAUGHS ]

GOOD JOB, BABY.

Donnie: ANDREW HAS TWO FULL-TIME PARENTS NOW.

Angel: IT'S BEEN A LONG TIME SINCE I COULD LOOK AT MYSELF

AND SEE SOMEONE I THOUGHT WAS BEAUTIFUL.

**

SINCE THE SURGERY, MY WEIGHT LOSS HAS BEEN GREAT.

I'M NO LONGER STUCK SITTING IN BED ALL DAY.

ANDREW, GET UP.

COME ON.

BRUSH YOUR TEETH!

I AM JUST PROUD OF MYSELF

BECAUSE A YEAR AGO,

I NEVER THOUGHT I WOULD MAKE IT THIS FAR.

AND BECAUSE OF THE PROGRESS I'VE MADE WITH MY WEIGHT,

THE DOCTOR DID MY FIRST SKIN SURGERY ON MY ABDOMEN

ABOUT SIX WEEKS AGO.

I'M STILL HEALING,

BUT I'M ABLE TO DO A LOT MORE NOW.

NOW THAT I'VE LOST HALF MY WEIGHT,

I'M ABLE TO BE WITH ANDREW BY MYSELF

AND I CAN ACTUALLY BE A MOM FOR HIM.

IT JUST MAKES ME HAPPY.

NOW THAT DONNIE IS NOT MY CARETAKER,

OUR RELATIONSHIP HAS GOTTEN STRONGER.

AT THE BEGINNING OF MY JOURNEY,

I KNEW DONNIE FELT LIKE IF I WOULDN'T HAVE CHANGED,

HE WAS GONNA TAKE ANDREW AND LEAVE.

AND WHEN HE REALIZED THAT I COULD CHANGE,

HE KNEW WE HAD A CHANCE.

I'M EXTREMELY PROUD OF ANGEL. SHE'S DOING A REALLY GOOD JOB.

THE BIGGEST DIFFERENCE IS HER ATTITUDE.

IT'S LIKE HAVING A DIFFERENT PERSON IN THE HOUSE.

IT'S NIGHT AND DAY FROM A YEAR AGO.

Angel: I JUST MOSTLY STAY IN BED

AND DONNIE TAKES CARE OF ME.

THANK YOU VERY MUCH.

YEAH, THOSE ARE THE ONES. PERFECT.

**

WHY DON'T YOU GO SIT DOWN?

OKAY.

RIGHT NOW, MY KNEE FEELS LIKE

I'VE BEEN RAN OVER BY A FREIGHT TRAIN.

AND I'M REALIZING HOW MUCH DAMAGE CARRYING ALL THAT WEIGHT

HAS DONE TO MY KNEES OVER THE YEARS.

I HAD A TASTE OF INDEPENDENCE AFTER THE SURGERY,

BUT NOW THE KNEE PAIN IS TAKING THAT AWAY FROM ME.

IT'S ACTUALLY GOTTEN WORSE IN THE LAST COUPLE OF WEEKS.

JUST GET COMFORTABLE. I'LL BRING YOU THE FOOD, OKAY?

I HATE THAT DONNIE STILL HAS TO HELP WITH A LOT.

I HAD THIS SURGERY SO I COULD BE

AN EQUAL PARTNER IN THIS MARRIAGE,

AND I'M STILL NOT THERE.

MY OLD LIFE SEEMS LIKE IT'S COMING BACK TO HAUNT ME.

AND I'M REALLY SCARED THAT IF I DON'T GET MY KNEES FIXED

AND BECOME MOBILE,

I'M GONNA GAIN ALL THE WEIGHT BACK.

BUT THE DOCTOR WANTS ME DOWN TO 200 POUNDS

SO I'M HEALTHY ENOUGH FOR THE SURGERY.

LOOK HOW SKINNY YOUR LEGS ARE.

THAT'S AMAZING.

MY LEG IS NOT SKINNY.

LOOK AT THAT.

I STILL GOT MY FAT ON MY LEG.

SINCE I'M NOT WHERE I WANT TO BE YET,

I'M STRUGGLING TO SEE MYSELF THE WAY MY HUSBAND SEES ME.

AND GETTING SKIN SURGERY ON MY ARMS AND BREASTS

WILL HELP ME FEEL MORE ATTRACTIVE.

Donnie: ANGEL'S DOING REALLY WELL AS FAR AS THE WEIGHT LOSS,

BUT BECAUSE OF HER KNEES,

WE KIND OF HIT A ROADBLOCK

AND SHE STILL CAN'T ENJOY LIFE FULLY.

Angel: I WORKED SO HARD TO BECOME THE MOTHER THAT ANDREW DESERVES

AND THE WIFE DONNIE NEEDS

THAT I'M DETERMINED TO GET MY INDEPENDENCE BACK

BECAUSE MY FAMILY'S COUNTING ON ME,

AND I WON'T LET THEM DOWN AGAIN.

**

Charity: I'M FEELING ANXIOUS AND I'M FEELING A LITTLE NERVOUS

BECAUSE TODAY THEY'RE REMOVING THE SKIN FROM MY STOMACH.

I WORRY BECAUSE EVERY TIME I HAVE A MAJOR SURGERY,

MY BODY TAKES A LONG TIME TO HEAL.

I'M READY TO GET HEALTHY,

BUT I'M AFRAID THIS PROCEDURE WILL MAKE THINGS WORSE

BEFORE IT GETS BETTER.

BUT I NEED TO GET RID OF THIS SKIN

SO I CAN STOP THE INFECTIONS FROM COMING BACK.

I'M HAVING AN ANXIETY ATTACK.

WHY?

-I DON'T KNOW, CHARLY. -HERE. HOLD MY HAND.

-'CAUSE I'M NERVOUS. -HOLD MY HAND.

YOU HAVE NOTHING TO BE NERVOUS ABOUT.

BREATHE IN THROUGH YOUR NOSE AND OUT THROUGH YOUR MOUTH.

THE LAST TIME I HAD SURGERY,

MY RECOVERY WAS EXCRUCIATING.

MY ENTIRE BODY ACHED.

BUT I STILL HAD TO MOVE ALL THE TIME

SO I WOULDN'T DEVELOP BLOOD CLOTS.

IT WAS PURE HELL.

I DON'T KNOW IF I'M READY TO RELIVE ALL THAT PAIN.

WHY ARE YOU CRYING?

I DON'T KNOW.

I WAS FINE UNTIL WE GOT HERE.

[ SNIFFLES ]

**

HOW ARE YOU THIS MORNING?

ANXIOUS FOR SURGERY AT THE MOMENT,

BUT I WANT TO GET BETTER.

SO WE'RE GONNA GET THAT EXTRA SKIN

THAT IS CAUSE OF INFECTION

AND THEN WE'LL SEE HOW THINGS GO WITH THE HEALING, OKAY?

SO LET'S GET YOU FIXED UP, OKAY? -OKAY.

Dr. Nowzaradan: CHARITY HAS BEEN IN THE HOSPITAL

THREE TIMES FOR SKIN INFECTION AND THE PAST MONTH.

TODAY, SHE'S IN FOR HAVING THE SKIN SURGERY DONE.

THIS IS GONNA BE A POSITIVE THING

BOTH FOR PREVENTING SKIN INFECTION

AND IT'S GONNA MAKE HER MORE MOBILE AND ABLE TO LOSE WEIGHT.

ALL RIGHT. LET'S GO.

GIVE ME A MARKING PEN.

WE'RE GONNA MAKE AN INCISION IN THE LOWER PART OF ABDOMEN

AND WE'RE GONNA SEE IF WE CAN REMOVE ALL THE TISSUE

THAT IS THE SOURCE OF INFECTION.

Charly: I'M A LITTLE NERVOUS.

I HOPE THE SURGERY FOR MY MOM

MAKES HER STOP GETTING CELLULITIS INFECTIONS.

I DON'T LIKE SEEING HER SICK ALL THE TIME.

AND I'M READY FOR HER TO BE HEALTHY AND BACK TO NORMAL.

Dr. Nowzaradan: THIS IS A VERY LARGE SECTION OF SKIN

WE ARE REMOVING FROM HER ABDOMEN.

PUT IT ON THE TABLE VERY SLOWLY.

CHARITY HAS A VERY LARGE GAP IN HER MUSCLE IN HER ABDOMEN

FROM ALL THE WEIGHT GAIN.

WE'RE GONNA PULL ALL THOSE MUSCLES TOGETHER

BEFORE WE SEW HER BACK UP.

OKAY.

WE'RE DONE.

SURGERY WENT VERY WELL.

AND THIS WAS ABOUT 38 POUNDS OF HANGING TISSUE THAT WE TOOK OFF.

CHARITY'S SITUATION RIGHT NOW IS STABLE.

I THINK THAT'S SHE'S DOING WELL.

DURING HER RECOVERY,

WE HAVE TO KEEP AN EYE OUT FOR ANY COMPLICATION --

WOUND HEALING AND WOUND INFECTION --

WHICH IS NOT GONNA BE TERRIBLY UNUSUAL FOR CHARITY.

[ MONITORS BEEPING ]

IT WILL TAKE ABOUT TWO MONTHS FOR HER BODY TO COMPLETELY HEAL.

**

Angel: TODAY I'M GOING TO DR. NOW'S OFFICE

TO SEE IF I'M A CANDIDATE FOR A KNEE SURGERY.

I'VE BEEN IN SO MUCH PAIN LATELY

AND HAVEN'T BEEN ABLE TO GET OUT OF BED MUCH

OR GET ANY EXERCISE.

I'M AFRAID THAT ONE DAY I'LL START GAINING WEIGHT

ALL THE BACK WAY TO 600 POUNDS.

I CAN'T GO BACK TO THE WAY I WAS.

Woman: ANGEL PARRISH.

Angel: EVEN THOUGH I'VE MADE SOME PROGRESS,

I'M STILL SCARED TO SEE WHAT THE NUMBER'S GOING TO BE.

I HOPE I'M NOT TOO HUGE FOR SURGERY

BECAUSE I'VE GOTTEN THIS OUT OF CONTROL.

I'M REALLY HOPING I'VE LOST ENOUGH WEIGHT

THAT THE DOCTOR THINKS I'M HEALTHY ENOUGH FOR KNEE SURGERY.

-WOW. -202.

[ LAUGHTER ]

Woman: GO AHEAD ON. 202.

WOW. YOU ALMOST UNDER 200 POUNDS.

THE SCALE WAS GOOD TO ME TODAY.

THE LAST TIME I WEIGHED 202 POUNDS,

I WAS IN MIDDLE SCHOOL.

GOOD JOB.

THANKS.

GREAT JOB. [ KNOCK ON DOOR ]

-HELLO. -HI.

WELL, HEY. HOW ARE YOU DOING?

ALL RIGHT. HOW ARE YOU ALL DOING?

WE'RE DOING FINE.

SO, YOU'RE DOWN TO 200 POUNDS NOW, HUH?

-MM-HMM. -WHICH IS PRETTY GOOD, HUH?

-YEAH. -SO HOW IS YOUR KNEE DOING?

SO-SO.

SO-SO. WHAT DOES THAT EXACTLY MEAN?

WELL, I'M IN CONSTANT PAIN IN MY KNEES,

AND IT'S HARD TO GET AROUND.

Dr. Nowzaradan: ANGEL IS DOWN TO 200 POUNDS,

BUT BECAUSE SHE WAS CARRYING SO MUCH WEIGHT

FOR SUCH A LONG TIME,

SHE HAS DEVELOPED OSTEOARTHRITIS IN HER KNEES.

IN BOTH KNEES OR ONE KNEE?

BOTH.

IF IT GETS MUCH WORSE,

SHE CAN LOSE ALL MOBILITY

WHICH CAN DERAIL ALL THE PROGRESS SHE HAS MADE.

YOU HAVE DONE VERY WELL,

BUT YOUR LACK OF MOBILITY IS GOING TO HOLD YOU BACK,

SO THE NEXT STEP IS GONNA BE YOUR KNEE OPERATION.

SO WE'LL GO AHEAD AND GET THAT DONE.

ONCE THAT IS COMPLETE,

YOU'LL BE ABLE TO BE MUCH MORE ACTIVE

AND YOU CAN EXPECT TO HAVE A LOT LESS PAIN, OKAY?

THANK YOU. APPRECIATE IT.

-SEE YOU LATER. -THANK YOU.

OKAY.

[ LAUGHS ]

I'M REALLY EXCITED THAT DR. NOW'S GOING TO

SET ME UP WITH MY KNEE SURGERY.

IT WILL BE GREAT TO NOT BE IN PAIN ALL THE TIME.

THIS IS THE NEXT STEP.

I'LL BE ABLE TO DO SO MUCH MORE WITH THE FAMILY,

AND I CAN'T WAIT.

**

Charity: IT'S BEEN ABOUT A MONTH SINCE MY SKIN SURGERY

AND I'M STILL STUCK IN THE HOSPITAL.

I'M STILL AT HIGH RISK FOR THE INFECTION TO COME BACK,

SO THE DOCTOR WANTS TO MONITOR MY HEALING CLOSELY.

HE WANTS ME TO BUILD MY STRENGTH BACK UP,

SO GETTING THE RIGHT NUTRITION IS REALLY IMPORTANT RIGHT NOW.

I'M MORE THAN READY TO GO HOME.

I'M TIRED OF HOSPITALS.

BUT I'M STILL IN A LOT OF PAIN.

AT 12:30, CAN WE DO MY...

PAIN MEDICINE?

MM-HMM.

[ TELEPHONE RINGS ]

HELLO?

IT HURTS TO BEND, IT HURTS TO SIT, IT HURTS TO LAY.

THEY WROTE ME A PRESCRIPTION.

SO HOW DO YOU KNOW WHAT YOU'RE GONNA GET AT THE STORE?

WHERE ARE YOU GOING?

CHARLY'S NOT DOING WELL BY HERSELF.

IT'S HARD FOR HER WHEN I'M NOT AT HOME.

I MEAN, YOU CAN GET YOUR POPSICLES,

BUT DON'T SPEND VERY MUCH.

I LOVE YOU, TOO. BYE.

I'M WORRIED THAT CHARLY'S NOT MAKING GOOD FOOD CHOICES

WHEN I'M NOT AROUND.

BUT I CAN'T DO ANYTHING ABOUT IT

IF I'M TRAPPED IN THE HOSPITAL.

**

WILL YOU GRAB ME OUT ONE OF THOSE BAGS OF CHICKEN?

JUST ONE OF THESE?

YOU WANT TWO?

Charly: ...WHEN I'M WORRIED THAT MY MOM IS STILL IN THE HOSPITAL.

THAT MAKES ME DEPRESSED AND WANT TO EAT MORE.

I JUST FEEL LIKE MY MOM WAS HEALTHIER AT 800 POUNDS

THAN SHE IS NOW 500 POUNDS LESS.

AND IT'S SCARY.

AND FOOD IS THE ONLY THING THAT MAKES ME FEEL BETTER.

I JUST NEED MY MOM TO GET HOME

SO WE CAN GET BACK TO A NORMAL LIFE.

**

Angel: TODAY I'M HAVING SURGERY ON MY RIGHT KNEE.

BEING OVERWEIGHT SO LONG,

I CAN'T REMEMBER THE LAST TIME

I WAS ABLE TO MOVE FREELY

AND WALK WITHOUT PAIN.

BUT ONCE I GET THIS KNEE FIXED,

I CAN BE THE MOM AND WIFE I WAS MEANT TO BE.

Dr. George: ANGEL NEEDS TO MAINTAIN AN ACTIVE LIFESTYLE,

AND HER KNEES ARE JUST NOT LETTING HER DO THAT.

BECAUSE OF HAVING ALL THAT EXCESSIVE WEIGHT

FOR SUCH A LONG PERIOD OF TIME, SHE HAS ARTHRITIS.

SO TODAY WE'RE GOING TO PERFORM A TOTAL JOINT REPLACEMENT.

BY GIVING HER A KNEE REPLACEMENT,

SHE WILL BE ABLE TO PUT WEIGHT ON IT THE VERY NEXT DAY.

[ DRILLING WHIRRING ]

THAT'S ALL CRACKED AND WORN HERE.

THE KNEE HAS ARTICULAR CARTILAGE ON THE END OF THE BONE,

AND WITH THE EXCESSIVE WEIGHT THAT ANGEL HAD,

OVER TIME, YOU'RE LEFT WITH BONE-ON-BONE CONTACT.

OKAY. LOOKS GOOD.

MUCH BETTER FLECTION. LOOK AT THIS.

LOOKS GOOD.

ANGEL'S SURGERY WENT JUST AS PLANNED.

BY GIVING HER A NEW KNEE,

SHE WILL REGAIN THOSE ACTIVITIES OF DAILY LIVING

THAT ARE IMPORTANT FOR HER TO MAINTAIN HER HEALTH.

TOMORROW, SHE'S GONNA HAVE SOME POST-OPERATIVE PAIN

FROM THE INCISION AND FROM THE SURGERY,

BUT I THINK SHE'S GONNA BE VERY HAPPY.

SHE SHOULD BE ABLE TO GO BACK

AND DO PRETTY MUCH EVERYTHING WITH THAT KNEE.

**

HI, CHARITY.

TIME FOR YOUR WEIGH-IN.

Charity: IT'S BEEN OVER TWO MONTHS SINCE I HAD MY SKIN-REMOVAL SURGERY.

I HAVEN'T BEEN WEIGHED IN A COUPLE OF MONTHS.

I'M EXCITED TO SEE WHAT THE SCALE SAYS.

360!

I CAN'T BELIEVE I'VE LOST THAT MUCH, ACTUALLY.

[ LAUGHS ]

I'M REALLY HAPPY.

LIKE, I COULD JUMP UP AND DOWN IF I WASN'T SO SORE.

[ LAUGHS ]

HELLO. HOW DO YOU FEEL TODAY?

YOU READY TO GO HOME? -YES.

ALL RIGHT. YOU HAVE COME A VERY LONG WAY,

AND YOU HAVE LOST, WHAT?

787 TO 360.

THAT'S ABOUT 415 POUNDS.

Dr. Nowzaradan: CHARITY IS DOING WELL.

BY REMOVING THE SKIN,

WE HAVE SUCCESSFULLY CLEARED HER INFECTION FOR NOW.

I'LL SEE YOU IN A COUPLE WEEKS, OKAY?

-THANK YOU. -ALL RIGHT.

YOU TAKE CARE.

BUT ONCE SHE GETS HOME,

SHE NEEDS TO FOCUS ON LOSING MORE WEIGHT.

-WHERE'S OUR PHONE AND CHARGER? -GOT IT.

YOU ARE READY TO GO HOME, AREN'T YOU?

Tony: HELL YEAH!

UNTIL SHE REACHES HER GOAL WEIGHT,

SHE'LL HAVE EXTRA SKIN

AND WILL ALWAYS BE AT RISK FOR INFECTION TO COME BACK.

Charity: I'M SO HAPPY THAT ALL OF MY HARD WORK HAS PAID OFF.

I KNOW I STILL HAVE A LOT OF SURGERIES AHEAD OF ME,

BUT EVERY STEP MAKES A BIG DIFFERENCE.

A YEAR AGO, IT WAS SO DIFFICULT FOR ME TO MOVE AT ALL.

IS THIS THE LOWEST?

I CAN GO A LITTLE BIT.

-THANK YOU. -THANK YOU.

Charly: SHE'S DROPPED LIKE HALF OF HER BODY WEIGHT.

[ SIGHS ]

I'M VERY HAPPY OF HOW FAR MY MOM'S COME.

GUESS HOW MUCH I WEIGH.

-HOW MUCH? -360.

ARE YOU HIGHER THAN HER OR LOWER?

I DON'T KNOW. I HAVEN'T WEIGHED MYSELF.

Charity: WHILE I'M HAPPY TO BE LOSING WEIGHT,

I'M REALLY WORRIED ABOUT CHARLY.

HER WEIGHT KEEPS GOING UP,

AND I NEVER WANT HER TO GO THROUGH WHAT I'VE BEEN THROUGH.

AND I HAVE TO FIND A WAY TO GET THROUGH TO HER

BEFORE IT'S TOO LATE.

**

Angel: I'M FEELING SO MUCH BETTER

NOW THAT I'VE RECOVERED FROM MY KNEE SURGERY.

ON OUR LAST MOVE, DONNIE BASICALLY MOVED EVERYTHING,

BUT NOW IT FEELS AMAZING TO BE ABLE TO DO

EVEN THE SIMPLEST THINGS ON MY OWN.

ALL RIGHT.

ANGEL'S KNEE SURGERY HAS TRANSFORMED HER TREMENDOUSLY.

SHE'S A BETTER WIFE AND MOTHER

SIMPLY BECAUSE SHE'S ABLE TO PARTICIPATE.

Angel: NOW THAT MY KNEE IS BETTER AND I'M FEELING STRONGER,

DR. NOW HAS APPROVED ME TO GET SKIN SURGERY ON MY ARMS.

HAVING THE EXTRA SKIN REMINDS ME OF WHEN I WAS VERY, VERY LARGE.

I DON'T FEEL LIKE WHO I'M SUPPOSED TO BE.

BUT I AM A HUMAN BEING.

AND I USED TO FEEL BEAUTIFUL.

AND NOW HAVING ALL THIS EXTRA SKIN

JUST REMINDS ME OF BEING HEAVY.

I'VE WORKED SO HARD TO LOSE THE WEIGHT,

AND I DON'T WANT TO FEEL ASHAMED WHEN I GO OUT INTO THE WORLD.

I WANT TO LOOK GOOD FOR DONNIE,

BUT I DON'T FEEL PRETTY LIKE I SHOULD.

DR. NOW HAS APPROVED ME

TO GET SKIN SURGERY ON MY ARMS AND A BREAST LIFT.

I'M READY TO FEEL CONFIDENT IN MY OWN SKIN.

**

Charity: IT STARTED LAST NIGHT AROUND 7:00.

I STARTED JUST GETTING REALLY COLD.

AND I THOUGHT, "WHAT IS GOING ON HERE?"

'CAUSE I'M NOT USUALLY COLD UNLESS I'M SICK.

[ Voice breaking ] I'VE JUST BEEN SO MISERABLE

FOR THE LAST FIVE MONTHS, I SWEAR.

IT'S BEEN RIDICULOUS.

EVEN THOUGH I'VE LOST ALL THAT WEIGHT,

I'M STILL SICK ALL THE TIME.

[ CRIES ]

IT MAKES ME JUST WANT TO GIVE UP.

HI, CHARITY.

HI.

HOW YOU FEELING?

MY LEG IS HURTING SO BAD, I CAN'T EVEN HARDLY TOUCH IT.

WELL, THIS REDNESS IS ON THE KNEE,

AND THAT'S A PROBLEM.

UNFORTUNATELY, CHARITY HAS DEVELOPED CELLULITIS AGAIN.

THE INFECTION IS ALL OVER HER ABDOMEN

AND SPREAD TO HER LOWER LEG.

IT LOOK LIKE YOU GOT INFECTION IN THE WOUND.

IN ADDITION TO THAT, THE WOUND V.A.C.

DOESN'T SEEM TO BE WORKING LIKE IT SHOULD

AND FLUID IS BUILDING UP THERE

AND LED TO AN INFECTION IN THE WOUND, AS WELL.

WE'RE GONNA GET YOU TO SURGERY,

REPLACE THE WOUND V.A.C., AND GET YOU FIXED UP.

CHARITY'S CONDITION IS RAPIDLY DETERIORATING.

AND IF THE INFECTIONS SPREAD ANY FURTHER,

SHE COULD DIE FROM SEPTIC SHOCK.

WE NEED TO GET HER INTO THE O.R.

AND ADDRESS THESE ISSUES IMMEDIATELY.

Man: BIG, DEEP BREATHS, OKAY?

**

OH, MY GOD.

OKAY.

Dr. Nowzaradan: CHARITY'S CONDITION IS VERY SERIOUS RIGHT NOW.

HER WOUND FROM SKIN-REMOVAL SURGERY HAS BECOME INFECTED,

AND IF IT SPREADS ANY FURTHER,

IT CAN CAUSE HER ORGANS TO FAIL.

ALL RIGHT. LET'S GET HER OPENED UP.

OUR BEST HOPE IS TO REPLACE THAT WOUND V.A.C.

AND TO REMOVE ANY INFECTION FROM THAT INCISION

AND ALLOW CHARITY A CHANCE TO HEAL.

THREE MORE.

ALL RIGHT.

CHARITY IS IN BETTER SHAPE NOW. EVERYTHING IS CLEANED UP.

WE PACKED THE WOUND, AND SHE SHOULD BE OKAY.

UNTIL CHARITY REACHES HER GOAL WEIGHT

AND WE ARE ABLE TO REMOVE ALL THE EXCESS SKIN FROM HER BODY,

SHE'LL CONTINUE TO BE AT RISK

FOR THOSE INFECTION TO COME BACK.

BUT THE MOST IMPORTANT THING FOR HER TO DO IN LONG-TERM

IS TO KEEP LOSING WEIGHT.

SHE'S MAKING PROGRESS,

BUT SHE STILL HAS A LONG, HARD ROAD AHEAD OF HER.

**

TODAY I'M GONNA HAVE THE SKIN TAKEN OFF MY ARMS

AND I'M GONNA HAVE A BREAST LIFT.

I ALWAYS GET NERVOUS AND CRY BEFORE EACH SURGERY.

-GOOD MORNING. -GOOD MORNING.

YOU READY FOR THE SURGERY?

YES.

WE'RE GONNA DO SOME DRAWING ON HER.

I KNOW I'VE COME A LONG WAY,

BUT IT'S HARD TO FEEL HAPPY ABOUT MY BODY

WHEN I LOOK THIS WAY.

THE EXTRA SKIN IS A HUGE REMINDER

OF THE WAY I USED TO BE.

I'M AT A BREAKING POINT.

I SEE MYSELF AS A OVERSIZED WHALE.

HAVING THE SKIN GONE AND GETTING A BREAST LIFT

WILL HELP BOOST MY CONFIDENCE.

I'VE BEEN SO UNHAPPY WITH MY BODY FOR SO LONG.

I'M JUST READY TO FEEL LIKE A WOMAN WHEN I LOOK IN THE MIRROR.

Dr. Nowzaradan: TODAY WE ARE PERFORMING SKIN-REMOVAL SURGERY ON ANGEL.

WE WILL ATTEMPT TO REMOVE EXCESS SKIN FROM HER ARM AND ARMPITS.

WE'LL ALSO PERFORM A BREAST LIFT.

ALL RIGHT. CAN YOU GIVE ME A LITTLE BIT -- HEAD UP?

ANGEL HAS DONE A VERY GOOD JOB OF LOSING WEIGHT

WHICH WILL HELP SURGERY TO BE MORE SUCCESSFUL IN THE LONG RUN.

WE'RE TAKING THE SKIN OFF OF THE ARMPIT AND THE UPPER ARM.

BUT THIS KIND OF PROCEDURE CAN BE HARD ON A PATIENT

BECAUSE RECOVERY WILL LIMIT USE OF THEIR ARMS.

SO WE'RE GONNA CLOSE THE SKIN AND WE'LL BE ALL DONE.

ALL RIGHT, WE'LL CLEAN HER UP

AND GET HER TO THE RECOVERY ROOM.

EVERYTHING IN SURGERY WENT VERY WELL.

WE SUCCESSFULLY REMOVED THE SKIN FROM HER ARMS

AND GAVE HER A BREAST LIFT.

WE'LL KEEP AN EYE ON HER RECOVERY FOR A FEW DAYS

TO MAKE SURE SHE'S HEALING PROPERLY.

ONCE SHE'S FULLY RECOVERED,

I THINK ANGEL IS GOING TO BE VERY HAPPY

WITH THE SHAPE OF HER NEW BODY.

**

Woman: CHARITY PIERCE.

Charity: IT'S BEEN ABOUT A MONTH SINCE MY WOUND V.A.C. WAS REPLACED

AND I'M STILL NOT FEELING VERY GOOD.

AND I REALLY WANT MORE SKIN SURGERY,

BUT THE DOCTOR WANTS ME UNDER 250 POUNDS

BEFORE THAT CAN HAPPEN.

Charly: 342.

I LOST SOME OF IT BACK.

THERE YOU GO.

I'M GLAD THE NUMBER'S STILL GOING DOWN

AFTER ALL THE COMPLICATIONS I'VE BEEN THROUGH,

BUT THAT'S NOT ENOUGH.

HELLO.

HELLO.

HOW ARE YOU ALL DOING?

JUST DEPRESSED.

WHAT'S GOING ON?

ALL THESE CELLULITIS INFECTIONS.

WELL, UNTIL YOU GET TO YOUR GOAL WEIGHT,

YOU'RE GONNA HAVE THESE INFECTIONS.

BUT YOU'VE COME A LONG WAY.

YOU'RE JUST NOT QUITE THERE YET.

SO YOU DO YOUR BEST AND OVERCOME ONE PROBLEM AT A TIME.

ALL RIGHT. LET'S TAKE A LOOK AT YOUR INCISION.

THIS IS ALL HEALING VERY WELL.

Dr. Nowzaradan: CHARITY'S WOUNDS ARE LOOKING GOOD,

BUT UNTIL SHE'S DOWN TO HER GOAL WEIGHT,

SHE WILL CONTINUE TO BATTLE WITH HER SKIN INFECTION.

YOU'RE DOING GOOD.

BUT YOU NEED TO KEEP LOSING MORE WEIGHT.

AND, CHARLY, DON'T BRING ANY JUNK FOOD IN FRONT OF HER.

-YES. -YEAH, I KNOW.

TELL HER NOT TO EAT NO JUNK FOOD, EITHER.

I DON'T EVER WANT HER TO GO THROUGH WHAT I'VE BEEN THROUGH.

I KNOW I'M THE ONE THAT TAUGHT HER THE BAD HABITS,

BUT I DON'T KNOW HOW TO GET HER TO EAT THE BETTER STUFF

INSTEAD OF JUNK FOOD.

WHAT WAS YOUR WEIGHT WHEN YOU GOT HERE?

I WAS 365, AND THEN I WENT DOWN TO 347.

347.

AND THEN I WENT UP TO 385.

I WAS DOING FINE, BUT THEN YOU STARTED

GOING INTO THE HOSPITAL ALL THE TIME AND I WAS BY MYSELF,

AND SO I'D JUST EATING SOMETHING LIKE A PIZZA OR PEACH ROLLS.

SOMETHING BAD, BUT IT'S FAST AND IT'S JUST FOR ME.

SO WE CAN HAVE TIME NOW TO GET YOUR WEIGHT UNDER CONTROL.

YOU DON'T WANT TO MAKE THE SAME MISTAKE

THAT YOUR MOTHER IS LIVING WITH TODAY.

-DON'T CRY. -OKAY?

-WE'RE JUST TRYING TO HELP. -I KNOW.

-YEAH. -IT'S HARD.

I KNOW.

YOU BOTH HAVE TO DO SOME WORK.

YOU NEED TO INCREASE YOUR ACTIVITY,

CUT ALL THE CARBS OUT OF YOUR DIET.

STICK WITH THE PROTEIN.

STAY POSITIVE, STAY FOCUSED.

DON'T FALL APART.

OKAY. THANK YOU.

ALL RIGHT.

I'LL SEE YOU IN A COUPLE OF WEEKS.

Charity: I KNOW I SHOULD BE DOING BETTER WITH MY WEIGHT LOSS,

BUT WE NEED TO BE ON THE SAME TEAM.

I KNOW WE CAN BOTH LOSE A LOT OF WEIGHT IF WE JUST WORK TOGETHER.

OUR LIVES DEPEND ON IT.

**

OKAY, THERE'S A LITTLE STEP RIGHT HERE,

SO DON'T TRIP OVER IT.

Charity: IT'S BEEN A CHALLENGING TIME FOR CHARLY AND ME.

I WANT HER TO LOSE WEIGHT WITH ME

SO WE CAN BE HEALTHY TOGETHER.

BUT SHE DOESN'T LIKE ME TELLING HER WHAT TO DO.

HI. COME ON BACK.

OKAY.

WE'RE GOING TO SEE A THERAPIST.

WE NEED TO DO THIS TOGETHER.

I JUST DON'T KNOW HOW TO MAKE THIS WORK.

Therapist: JUST TO GET STARTED, TELL ME ABOUT YOUR STORY.

MAYBE I'LL START WITH YOU, CHARITY.

I HAD A LOT OF CHANGES HAPPEN IN THE PAST YEAR.

I USED TO WEIGHT 787.

THAT'S A BIG CHANGE.

THAT'S A CHANGE. [ LAUGHS ]

SO, CHARLY, TELL ME A LITTLE BIT ABOUT

WHAT THIS PROCESS HAS BEEN LIKE FOR YOU

TO BE ALONGSIDE YOUR MOM.

I'VE TAKEN CARE OF MY MOM SINCE I WAS ABOUT 9 YEARS.

SO WHAT WAS THAT LIKE FOR YOU?

IT WAS HARD GROWING UP, I GUESS.

-MM-HMM. -'CAUSE WE DIDN'T REALLY

EVER BOND.

IT WAS LIKE ME TAKING CARE OF HER

AND THEN ME BEING IN MY ROOM.

SO NOW, IF YOU'RE LESS OF A CARETAKER,

HOW DO YOU FEEL NOW?

I HAVE A LOT OF ANGER, AND I'M NOT REALLY SURE WHY.

I JUST HAVE A LOT OF IT,

AND MOST OF THE TIME I CAN, LIKE, KEEP IT IN.

HOW DO YOU KEEP IT IN?

IS FOOD A WAY THAT YOU HELP KEEP IT DOWN?

I EAT ALL THE TIME.

WHETHER I'M BORED, I'M HAPPY, I'M SAD, I'M DEPRESSED,

I EAT ALL THE TIME.

I JUST FEEL LIKE EVER SINCE YOU WERE LITTLE,

I'M THE ONE WHO GOT YOU IN THE HABIT OF OVEREATING

AND EATING THE WRONG FOODS.

YES, BUT THERE COMES A POINT IN TIME

WHERE IT'S NOT YOUR BATTLE ANYMORE.

IT'S MY BATTLE.

Therapist: CHARITY HAS WORKED REALLY HARD TO GET TO WHERE SHE IS,

AND NATURALLY, SHE'S STARTING TO RECONCILE

WITH SOME OF THE FEELINGS FROM HER PAST.

THEY'RE STILL NEGOTIATING, LIKE,

"HOW DO WE DO THIS MOTHER-DAUGHTER THING?"

AND I THINK IT'S CHALLENGING FOR BOTH OF THEM.

SO, HOW CAN YOUR MOM SUPPORT YOU?

I MEAN, SHE'S GONNA CARE ABOUT YOU HAVING HEALTHY HABITS

REGARDLESS, WHETHER YOU WANT HER TO OR NOT.

-YEAH. -'CAUSE SHE IS CONCERNED.

I CAN SEE SOME TEARS EVEN IN HER EYES THINKING ABOUT IT.

YEAH.

WHAT DO YOU NEED FROM HER AS YOUR MOTHER?

NOW THAT SHE'S ABLE TO TAKE CARE OF HERSELF,

IT'S MORE LIKE SHE CAN DO SOMETHING WITH ME.

I JUST NEED YOU TO SUPPORT ME AND HAVE QUALITY TIME WITH ME.

CHARITY, WHAT DOES THAT SOUND LIKE FOR YOU?

-I CAN DO THIS. -YOU CAN DO THIS.

YOU CAN DO THIS. THAT'S VERY POSITIVE.

SO, MAYBE YOU COULD JUST BRAINSTORM A LIST.

YOU KNOW, "HERE'S SOME THINGS I NEVER GOT TO DO AS A KID

THAT I'D LOVE TO DO."

ONE SMALL STEP AT A TIME.

ALL RIGHT, WELL, THANK YOU, GUYS.

GOOD LUCK TO YOU ALL.

-THANK YOU. -MM-HMM.

Charity: I WANT TO HELP CHARLY BECOME INDEPENDENT FROM ME.

I WANT HER TO BE ABLE TO LIVE HER OWN LIFE.

I KNOW THAT WORKING TOGETHER

WE CAN BOTH MAKE A LOT OF PROGRESS.

I'M LOOKING FORWARD TO

CREATING SOME GOOD MEMORIES FOR THE BOTH OF US.

**

OKAY. READY?

ME AND CHARLY ARE SHOPPING FOR FOOD TODAY.

OOH. LOOK AT THEIR BANANAS.

WE HAVE TO CHANGE HOW WE'RE LIVING,

AND I THINK WE'RE FINALLY ON THE SAME PAGE.

Charly: HOW MUCH PROTEIN'S IN THAT?

THAT'S A YES.

CHARLY HAS FINALLY DECIDED TO JOIN ME

IN LEARNING TO EAT HEALTHY.

-THERE YOU GO. -THANK YOU.

I'VE BEEN A BAD EXAMPLE FOR SO LONG.

I NEVER WOULD EAT ONE SNACK CAKE.

I'D EAT THREE OR FOUR.

I WOULD NEVER EAT ONE DOUGHNUT. I WOULD EAT FOUR OR FIVE.

I THINK IT'S JUST 'CAUSE IT'S THE ONE THING I COULD CONTROL,

LIKE, "OKAY, LOOK. I CAN DO THIS

AND THERE'S NOTHING YOU CAN SAY ABOUT IT."

BUT NOW I'M TRYING TO BE A GOOD ROLE MODEL.

I KNOW THAT SHOPPING WITH CHARLY

AND BUYING JUST HEALTHY FOODS WOULD HELP

BECAUSE IF YOU DON'T BUY THE BAD FOOD,

THEN IT'S NOT IN YOUR HOUSE AND YOU CAN'T EAT IT.

IT WE CAN STICK TO THIS DIET,

I JUST KNOW THAT CHARLY WILL LOSE THE WEIGHT SHE NEEDS TO,

AND I'LL BE ABLE TO MAKE PROGRESS QUICKER

SO I CAN GET MY SKIN SURGERY.

THIS CHICKEN'S GOOD.

THANK YOU.

DO YOU FEEL LIKE YOU COULD EAT LIKE THIS EVERY DAY?

YEAH.

I THINK THAT IT'S GREAT THAT YOU WANT TO EAT HEALTHY WITH ME.

AND I WANT TO BE AN INSPIRATION TO YOU.

**

Angel: AFTER HAVE THE SKIN REMOVED FROM MY ARMS AND MY BREAST LIFT,

I'M FEELING BETTER

AND I'M GAINING MY STRENGTH BACK.

SO IT'S TIME FOR ME TO START LOOKING FOR A JOB.

EVEN THOUGH I'M EXCITED, IT'S A LITTLE OVERWHELMING.

HOW'S IT GOING?

I DON'T KNOW.

I HAVEN'T WORKED IN SO LONG.

I DON'T KNOW IF ANYONE WOULD EVEN GIVE ME TIME.

NOW THAT YOU ARE CAPABLE OF MOVING AROUND AND STUFF,

YOU KNOW, MAYBE YOU CAN GET A JOB IN AN OFFICE.

I DON'T HAVE ANY OF THAT EXPERIENCE.

I HAVEN'T HAD A JOB IN OVER NINE YEARS BECAUSE OF MY WEIGHT.

I WON'T BE ALIVE MUCH LONGER LIKE THIS.

I CANNOT LET THE FOOD WIN NO MORE.

I'VE GOT TO TAKE CHARGE OF MY LIFE.

AND NOW I'M NOT REALLY EVEN SURE WHAT I SHOULD TRY TO DO.

HELLO?

PUTTING MYSELF OUT THERE IS REALLY HARD

BECAUSE I HAVEN'T DONE IT IN SO LONG.

I WANT TO PROVE TO MYSELF THAT I CAN DO THIS,

BUT I'M SCARED.

**

Angel: I GOT A JOB WORKING AS THE OFFICE MANAGER

AT A TRAILER PARK.

[ TELEPHONES RINGING ]

COMMUNAL VILLA.

I MANAGE THE PAPERWORK AND TAKE PEOPLE'S RENT.

IT'S BEEN NINE YEARS

SINCE I'VE BEEN HEALTHY ENOUGH TO HAVE A JOB.

IT MAKES ME FEEL LIKE I FINALLY HAVE SOMETHING TO CONTRIBUTE.

I LIVE IN 42A.

I GOT AN EVICTION NOTICE. -YES, MA'AM.

NOW THAT MY BODY IS ABLE,

I'M FINDING MORE AND MORE PURPOSE FOR MY LIFE EACH DAY,

AND THAT FEELS AMAZING.

**

Woman: MS. PIERCE.

Charity: EVER SINCE DR. NOW'S CONVERSATION,

CHARLY AND I HAVE BEEN WORKING HARD

TO STICK TO THE PROGRAM TOGETHER,

ENCOURAGING EACH OTHER TO BE MORE HEALTHY.

338.

OH, WOW.

GOOD JOB!

YOU WANT TO STEP ON THE SCALE?

Charly: I WAS 390 BEFORE.

Charity: WOW. YOU DID LOSE WEIGHT.

YEAH!

-GOOD JOB. -THANKS, MOM.

SO, YOU HAVE LOST SO FAR 440 POUNDS.

YES.

-I'M PROUD OF YOU. -THANK YOU.

HOPEFULLY CHARITY WILL BE DOWN TO 250 POUNDS

WITHIN THE NEXT FEW MONTHS

AND WE CAN MOVE FORWARD WITH HER NEXT SKIN SURGERY.

HOW IS YOUR WEIGHT DOING?

I FINALLY FOUND MY MOTIVATION, AND I LOST 14 POUNDS.

SO THAT'S KIND OF NICE. -WELL, GOOD.

SO YOU FOLLOWED THE HEALTHY DIET,

AS WELL? -YEAH.

Dr. Nowzaradan: IT SEEMED THAT CHARLY AND CHARITY --

THEY'RE WORKING MORE AS A TEAM NOW.

Charity: I'M SO GRATEFUL FOR THE CHANCE DR. NOW TOOK ON ME.

I REALLY OWE MY LIFE TO HIM.

I KNOW I'M NOT EVEN CLOSE TO BEING FINISHED,

BUT I'M MORE MOTIVATED THAN EVER TO FINISH WHAT I'VE STARTED.

JUST GO SLOW IF YOU GOT TO GO SLOW.

CHARLY AND I HAVE BEEN DOING REALLY WELL LATELY.

WE'RE WALKING EVERY DAY.

IT JUST FEELS REALLY GOOD TO PUSH OURSELVES.

NOW THAT I'M MORE INDEPENDENT,

WE'RE DOING THINGS TOGETHER THAT WE COULD NEVER DO BEFORE.

I FEEL LIKE I'M GETTING TO KNOW CHARLY IN A WHOLE NEW WAY.

WOW, YOU LOOK 20 YEARS YOUNGER ALREADY.

THANK YOU.

I LOVE SPENDING TIME WITH CHARLY THIS WAY.

MOST OF HER TIME HAS BEEN SPENT TAKING CARE OF ME,

AND NOW IT'S OUR TIME TO HAVE FUN.

[ BOTH LAUGH ]

Charly: IT'S NICE TO JUST BE MOTHER AND DAUGHTER

AND BE ABLE FOR US TO DO SOMETHING TOGETHER.

I THINK YOU LOOK VERY NICE.

THANK YOU. I THINK I LOOK LIKE A DIVA.

[ LAUGHTER ]

Charity: I CAN'T WAIT TO SEE WHAT THE FUTURE HOLDS FOR US.

[ LAUGHS ]

**

Woman: ANGEL PARRISH.

Angel: TODAY I CAME TO SEE DR. NOW.

I'VE BEEN STICKING TO MY DIET AND GETTING OUT MORE,

BUT GETTING WEIGHED ALWAYS MAKES ME NERVOUS.

-GOOD JOB. -THANKS.

-GOOD JOB. -THAT'S NICE.

HOW DO YOU FEEL LOSING 400 POUNDS?

I FEEL A LOT LIGHTER. [ LAUGHS ]

Dr. Nowzaradan: ANGEL HAS COME A LONG WAY.

SHE STUCK TO THE PROGRAM

AND HAS ALMOST REACHED HER GOAL WEIGHT.

NOW SHE CAN LIVE A NORMAL LIFE.

YOU'VE DONE VERY GOOD. I'LL SEE YOU LATER.

ALL RIGHT.

IT'S BEEN A LONG ROAD.

I'VE HAD MY UPS AND DOWNS,

BUT I'M SO HAPPY I NEVER GAVE UP.

I'M READY TO FINALLY GET BACK TO LIVING LIFE.

NOW THAT I HAVE CONFIDENCE IN MYSELF,

DONNIE AND I ARE CONNECTED IN A WHOLE NEW WAY.

[ LAUGHS ]

DONNIE HAS SEEN ME AT MY WORST,

BUT HE STUCK WITH ME THROUGH THIS WHOLE JOURNEY.

ARE YOU GONNA GET ME A RING NEXT WEEK?

DO YOU WANT ONE?

I'LL THINK ABOUT IT.

THIS IS A WHOLE NEW BEGINNING FOR US.

THE PAST TWO YEARS HAVE BEEN REALLY HARD,

BUT IT'S ALL BEEN WORTH IT.

AND NOW SHE'S EXTREMELY HAPPY BECAUSE OF THE WEIGHT LOSS

AND SHE'S NOT DEPENDENT ON US ANYMORE.

Angel: LOSING THE WEIGHT HAS OPENED UP SO MANY NEW DOORS FOR ME

AND I'M EXCITED FOR THE LIFE AHEAD.