All language subtitles for My 600-lb Life S05E21

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

Milla: I CAN'T EVEN
TAKE CARE OF MYSELF.

MY CHILDREN HAVE TO DO
EVERYTHING FOR ME.

Charity:
I FEEL LIKE SOME MONSTER.

Nikki:
I'M IN SO MUCH PAIN.

[ Crying ]
IT'S MISERABLE.

Brittani: MY BODY IS THE MOST
DISGUSTING THING IN THE WORLD.

**

Woman:
I'M TERRIFIED RIGHT NOW.

June: I'M RISKING MY LIFE
FOR A BETTER LIFE.

I LOVE YOU, MOMMY.

-OOH, CHILD!
-PULL. GOOD. THERE YOU GO!

GOOD JOB.

Teretha:
I'M GETTING STRONGER, BUT I KNOW
I HAVE A LONG WAY TO GO.

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

**

Susan: I AM NOW EXPRESSING
MYSELF AND LIVING MY OWN TRUTH.

Milla: I'M SO HAPPY
ABOUT THE PROGRESS I'VE MADE.

June: I AM LIVING LIFE, AND
I'M LOVING EVERY SECOND OF IT.

Joe: IT FEELS LIKE
I'M LITERALLY LIVING A DREAM.

-THANK YOU SO MUCH.
-OH!

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

[ GRUNTS ]

I FEEL LIKE A PRISONER
INSIDE THIS BODY,

AND I WOULDN'T WISH THIS
ON MY WORST ENEMY.

DAMN IT.

[ SIGHS ]

I GOT TO GET THIS WEIGHT
OFF OF ME.

IF I DON'T, I WILL BE CONFINED
UNTIL I DRAW MY LAST BREATH.

I'VE GOT TO FIGHT FOR MY LIFE,
SO WE'RE MOVING TO HOUSTON.

MY MOM IS LEAVING BEHIND
EVERYTHING

TO COME
AND HELP TAKE CARE OF ME.

ON THE ROAD WE GO.

THIS IS GOING TO BE A TEST.

DO I HAVE WHAT IT TAKES
TO GET THIS DONE?

[ PANTING ]

OHH.

Dr. Nowzaradan:
BEING 800 POUNDS,

YOU ARE BY NO MEANS
IN CONDITION

TO CONSIDER ANY KIND
OF WEIGHT-LOSS SURGERY.

I NEED TO YOU TO GET DOWN
TO 650 POUNDS

OVER THE NEXT COUPLE MONTHS.

I'VE BEEN TRYING TO EAT LESS,

BUT I'M NOT SURE
HOW WELL I'M DOING.

[ PANTING ]

I SAW YOU A COUPLE MONTHS AGO
AND GAVE YOU A CHANCE.

YOU STILL GAINED WEIGHT.

AND YOU ARE
ON BORROWED TIME HERE.

TRY AGAIN.

MY FATHER, HE WOULD
IGNORE ME COMPLETELY.

I ASKED MYSELF,

"WHY DOESN'T THIS MAN WANT
TO PAY ATTENTION TO ME?"

SO I ATE TO DEAL
WITH MY FEELINGS.

AND IF I'M TO BECOME
COMPLETELY BETTER,

THEN I HAVE TO DEAL
WITH THIS.

Rachel: YOU HAVE
THE KIND OF OPTIMISM

AND THE STRENGTH THAT YOU NEED,
I THINK, TO GET THROUGH THIS.

YEAH.

Joe: I EITHER GET APPROVED
FOR THE SURGERY,

OR MY JOURNEY IS OVER TODAY.

THIS IS MY LAST CHANCE,

AND EVERYTHING IS RIDING
ON WHAT THE SCALE SAYS.

Woman: 652.

HOW DO YOU FEEL ABOUT SETTING
YOU UP FOR SURGERY NEXT WEEK?

Joe: [ Chuckling ]
I CAN'T BELIEVE IT!

HE FINALLY APPROVED ME
FOR SURGERY.

WE DID IT!

WE WAITED SO LONG
TO HEAR THIS HAPPENED

AND IT'S FINALLY HERE.

Joe: TODAY IS THE MOMENT
I RETAKE MY LIFE

AND SAY, "NO MORE."

Dr. Nowzaradan:
JOE'S SURGERY WENT VERY WELL.

JOE IS GONNA START
TO LOSE WEIGHT REAL QUICK NOW.

THERE ARE SO MANY POSSIBILITIES
FOR MY FUTURE NOW.

FOR THE FIRST TIME
IN A LONG TIME,

I FEEL LIKE I HAVE HOPE.

THE BIGGEST CHANGE
IN MY LIFE RIGHT NOW

IS THAT
I'VE MET SOMEONE ONLINE,

AND WE'VE BEEN TALKING
ALMOST EVERY DAY.

I CAN DEFINITELY SAY
YOU ARE DEFINITELY BEAUTIFUL.

NOW I'M FLYING ON A PLANE
FOR THE FIRST TIME,

AND I GET TO MEET THE WOMAN
I LOVE IN PERSON

OHH! [ CHUCKLES ]

NO MATTER HOW HARD IT IS,
I'M GOING TO MAKE IT TO IOWA

TO SEE SARAH
FOR THE FIRST TIME.

FOR YOU...MA'AM.
THANK YOU.

WOW.
YOU LOOK BEAUTIFUL.

KISSING SARAH
FOR THE FIRST TIME,

IT'S LIKE
A LITTLE SPARK GOING.

OH, MY GOD, IT HURTS.

I FELT LIKE MY LIFE
WAS FINALLY TURNING AROUND.

I JUST HOPE I'M NOT ABOUT
TO LOSE EVERYTHING

BECAUSE I PUSHED MYSELF
TOO HARD.

**

NOW I'M WORKING OUT
AS HARD AS I CAN

TO TRY
AND GET MY SKIN SURGERY.

YOU LOST
ANOTHER 100 POUNDS,

SO I'M APPROVING YOU
FOR SURGERY.

WHAT'S WAITING FOR ME
ON THE OTHER SIDE OF THE SURGERY

IS A BETTER LIFE.

HE'S GONNA DO MUCH BETTER
WITH THIS NEW ABDOMEN HE GOT.

I CAN SEE MYSELF FINALLY
STARTING TO LOOK SEMI-NORMAL.

WHEN I MET YOU,
I MET MY DESTINY.

WILL YOU MARRY ME?

YES.

I THINK I LOOK GOOD RIGHT NOW,
SO I'M KIND OF SURPRISED.

AND I'M JUST NOW PICTURING
MYSELF STANDING THERE,

WAITING FOR SARAH TO COME DOWN
THE AISLE TO ME.

**

BRAINS!

I COULD'VE NEVER
IMAGINED THAT

MY LIFE WOULD BE SO MUCH BETTER
IN JUST TWO YEARS.

[ LAUGHS ]

I'VE GONE FROM BEING TRAPPED
IN MY HOME ALL DAY LONG

TO HAVING THE LIFE
I HAVE NOW,

WHERE I'M ABOUT TO MARRY
THE WOMAN OF MY DREAMS,

AND WHO HAS AN INCREDIBLE
8-YEAR-OLD DAUGHTER

I'M GOING TO BE A FATHER TO.

I WOULDN'T HAVE EVEN DARED
TO DREAM FOR WHAT I HAVE NOW,

SO I'M JUST THANKFUL
BEYOND WORDS,

AND I'M NOT TAKING ANYTHING
FOR GRANTED.

AAH!

[ LAUGHS ]

I KNOW BEING A HUSBAND AND A DAD
IS GOING TO BE HARD WORK,

BUT I'M READY FOR IT.

COME ON!

Sarah: JOE IS ONE OF THE MOST
CARING AND POSITIVE PEOPLE

I HAVE EVER MET,

AND I'M SO BLESSED
TO HAVE HIM IN MY LIFE NOW.

-HA, GOTCHA!
-[ LAUGHS ]

Joe: EVEN JUST A YEAR AGO,

I COULDN'T EVEN TAKE CARE
OF MYSELF.

BUT ALL OF THAT HAS
COMPLETELY CHANGED NOW.

FIRST BIG CHANGE IS THAT
I NO LONGER HAVE TO CALL ANYBODY

TO GET ME OFF THE FLOOR
OR OFF THE GROUND.

NOW I CAN JUST PLOP RIGHT UP.

I DEFINITELY CAN WALK FURTHER
AND DON'T TIRE AS EASILY.

ALL RIGHT,
LET'S GO INSIDE.

OKAY. [ CHUCKLES ]

Joe: BUT THE GREATEST THREAT
TO MY NEW LIFE

IS THAT I COULD
START GAINING AGAIN.

**

I'M GONNA FINISH UP
OVER HERE REAL FAST, OKAY?

SO I'M GONNA DO
EVERYTHING I CAN

TO MAKE SURE
I DON'T GO BACK THERE.

WITH OUR WEDDING DATE
ONLY A FEW MONTHS AWAY,

I'VE BEEN SPENDING MORE TIME
UP HERE IN DUBUQUE, IOWA.

SARAH'S BEEN LIVING
WITH HER MOM,

AND I'VE BEEN STAYING WITH HER

UNTIL WE CAN FIND
A PLACE OF OUR OWN

AND I CAN OFFICIALLY
MOVE UP HERE.

THIS LOOKS REALLY GOOD.

AND WE ARE DONE.

HOT, HOT, HOT, HOT!
WHOO!

BUT RIGHT NOW, I'M JUST GETTING
TO KNOW HAYLEY

AND SARAH AND I
ARE PREPARING FOR THE WEDDING.

I STILL HAVE
ABOUT 150 POUNDS TO GO

BEFORE
I HIT MY TARGET WEIGHT.

AND I STILL NEED AT LEAST
TWO MORE SKIN-REMOVAL SURGERIES,

AND I'M HOPING
TO HAVE THEM THIS YEAR

AND GET TO MY GOAL WEIGHT.

SO EVEN THOUGH
I'M UP HERE IN IOWA,

I'M STILL COMMITTED
TO DR. NOW'S PROGRAM,

AND I'M GONNA BE
TRAVELING DOWN

TO SEE HIM
FOR MY APPOINTMENTS.

BUT ONCE SARAH AND I
GET MARRIED,

WE NEED TO FIND
A PLACE OF OUR OWN

AND I NEED TO START
PROVIDING FOR THEM,

SO I NEED TO HAVE A JOB.

I KNOW THIS NEXT YEAR
ISN'T GONNA BE EASY.

-READY FOR BED, KIDDO?
-YEAH.

BUT NO MATTER HOW HARD
IT'S GONNA BE OR HOW STRESSFUL,

I'M GOING TO MAKE SURE
IT HAPPENS.

NOW THAT SHE'S IN BED,

WE CAN TALK ABOUT THE WEDDING
A LITTLE BIT.

YEAH.

Joe:
I SEE DR. NOW AGAIN IN MONTH,

AND I'M HOPING THAT
WE CAN COME UP WITH A PLAN

FOR WHEN WE CAN GET
MY EXCESS-SKIN REMOVAL

IN A TIMEFRAME
THAT WORKS FOR MY WEDDING.

SO I'M NOT SURE HOW
IT'S ALL GONNA HAPPEN,

BUT WE CAN FIGURE IT OUT
TOGETHER AS A FAMILY.

Pauline: I AM ABSOLUTELY TRAPPED
IN THIS BODY.

I'VE LET MYSELF GET
WAY OUT OF CONTROL.

I JUST WONDER
IF I'LL EVER HAVE A NORMAL LIFE.

I CAN'T EVEN MOVE
WITHOUT HELP,

AND HAVING MY SON
TAKE CARE OF ME

IS ONE
OF THE WORST THINGS EVER.

Dillon: I LOVE MY MOM,
BUT SINCE SHE'S THIS HEAVY,

WHATEVER I'M DOING,
I HAVE TO STOP

AND JUST TAKE CARE OF HER
AND HELP HER.

Pauline: I POSSIBLY
COULD RUIN MY SON'S LIFE.

I GOT TO GET THIS
UNDER CONTROL.

[ Crying ] I THINK THAT
BY ME GETTING RESCUED,

IT'S GONNA RESCUE HIM, TOO.

OH, GOSH.

UNLESS WE GET A HANDLE
ON THE COMPULSIVE EATING,

WE'RE NOT GONNA BENEFIT
FROM SURGERY.

I WANT YOU TO LOSE 50 POUNDS
OVER THE NEXT COUPLE MONTHS.

I AM HAPPY THAT HE'S WILLING
TO GIVE ME A CHANCE,

SO I'M GONNA LOSE THE WEIGHT
I NEED TO GET THIS SURGERY.

IT'S BEEN A HARD MONTH.

I'VE BEEN TRYING
TO EAT BETTER,

BUT THERE STILL IS MOSTLY
JUST FAST FOOD AROUND,

SO THAT MAKES IT TOUGH.

I SEE THE DOCTOR NEXT MONTH,

AND I'M GONNA TRY AND DO
WHAT I CAN

TO LOSE THE WEIGHT I NEED.

BUT IT'S HARD.

[ WHIMPERING ]

OKAY.

I FEEL NAUSEOUS.

PAULINE, YOU GAINED WEIGHT

AND YOU'RE GETTING TO BE
700 POUNDS,

SO I'M ADMITTING YOU
TO THE HOSPITAL RIGHT NOW.

I'M GONNA PUT YOU
ON A MONITORED DIET

BECAUSE SOMETHING DRASTIC
HAS TO BE DONE.

I'VE BEEN IN THE HOSPITAL
FOR A WHILE NOW,

AND THERE ARE TIMES

I FEEL LIKE I'M BEING PUSHED
A LITTLE TOO HARD.

Dr. Nowzaradan:
PAULINE'S LOSING WEIGHT

BECAUSE
OF HER CONTROLLED DIET,

SO I'M GONNA GO AHEAD
AND DO A BYPASS ON HER.

BUT SHE STILL HAS
TO MAKE DECISION

TO BE HEALTHY ON HER OWN,

BECAUSE THIS IS
PAULINE'S LAST OPPORTUNITY

TO TURN HER LIFE AROUND.

Pauline: THE DOCTOR CAN'T
TELL ME WHAT'S GOOD FOR ME,

SO I'M REALLY
NOT WORRIED ABOUT

HOW MUCH CRABS IS IN THE RICE
'CAUSE I KNOW MY BODY.

THE WAY THAT YOU'RE
SITTING HERE AFTER SURGERY

AND YOU WANT TO GO ROLL WITH
THIS THING INSTEAD OF WALKING?

I CAN'T WALK THAT FAR
WITHOUT GETTING DIZZY.

DO YOU REALIZE THE ONLY WEIGHT
YOU HAVE LOST

HAS BEEN WHEN WE PUT YOU
IN THE HOSPITAL?

THIS IS NOT WORKING
FOR YOU.

THIS IS [BLEEP]

Dr. Nowzaradan: SHE'S PUSHED
HER BODY TO THE LIMIT SO LONG

THAT I'M CONCERNED

SHE MAY NOT BE ABLE
TO LIVE ANOTHER YEAR LIKE THIS.

Pauline: I FEEL LIKE I'M MAKING
THE PROGRESS I WANT,

AND I DO HAVE TO TAKE IT
AT MY OWN PACE.

**

PAULINE WAS SO ADAMANT
ABOUT THE PAINKILLERS LAST TIME.

MY CONCERN RIGHT NOW IS SHE HAS
BEEN ABUSING THAT MEDICATION.

OHH!

I NEED SOME
PAIN MEDICINE, PLEASE.

AND AN EXCESSIVE AMOUNT
OF PAINKILLER

WILL CAUSE AN ULCER TO FORM
IN HER STOMACH,

WHICH EXPLAINS HER LACK
OF APPETITE OVER THE LAST MONTH.

WE HAVE NOT BEEN ABLE TO
STABILIZE PAULINE'S CONDITION,

SO WE HAVE NO OTHER CHOICE
BUT EMERGENCY SURGERY

AND TRY AND REMOVE
HER STOMACH ULCER

AND CLOSE UP ANY LEAK
IN THE ABDOMINAL CAVITY.

THIS IS HER ONLY HOPE
TO SURVIVE.

**

Dr. Nowzaradan: I'M SENDING YOU
TO A PHYSICAL-THERAPY CONSULTANT

TO WORK WITH YOU
AND GET YOU UP AND MOVING AGAIN.

HOW AM I GONNA DO
ANY PHYSICAL THERAPY

IF I DON'T HAVE
ANY MEDICINE FOR MY KNEES?

YOU DO NOT NEED MEDICINE
TO STAND UP.

OKAY.

YOU NEED TO GET UP
AND MOVE.

Pauline: MOVING AROUND
IN THE POOL ISN'T SO BAD,

SO I'M LOOKING FORWARD
TO DOING MORE.

WHEN YOU LEFT THE HOSPITAL,
YOU WERE 333 POUNDS.

YOU GAINED 20 POUNDS.

THIS IS NOT ACCEPTABLE.

I HAD REALLY BAD KNEE PAIN,
AND...

PAULINE, YOU'RE GETTING
THAT MUCH AWAY

FROM ME FIRING YOU
FROM MY CARE.

BUT WHAT HAVE I DONE WRONG?

IF YOU'RE NOT GONNA START
LISTENING HERE,

I'M NOT GONNA TAKE CARE
OF YOU.

Pauline:
I'VE TAKEN WHAT DR. NOWZARADAN
HAS SAID TO HEART,

AND I'VE BEEN TRYING
TO EAT HEALTHIER.

AND I'M TRYING TO GET UP,

AND I'M TRYING
TO STAY MORE ACTIVE

AND DO MORE ON MY OWN.

ALL RIGHT!

SO, WITH THIS PROGRESS, I'M
APPROVING YOU FOR SKIN SURGERY.

-CAN I HUG YOU?
-SURE.

[ LAUGHS ]
THANK YOU SO MUCH, DR. NOW.

-YOU'RE WELCOME.
-I APPRECIATE YOUR HELP.

**

Pauline: THE PAST TWO YEARS
HAVEN'T BEEN EASY.

THERE HAVE BEEN SETBACKS
AND DIFFICULTIES,

AND IT'S TAKEN SO MUCH FOR ME
TO MAKE THE PROGRESS I HAVE.

I'VE HAD TO WORK HARDER
THAN I EVER IMAGINED I WOULD,

BUT I WOULDN'T CHANGE
ANY OF IT

BECAUSE IT GOT ME THIS FAR.

AND TODAY, I'VE LOST
ALMOST 370 POUNDS

AND I'M ABLE
TO TAKE CARE OF MYSELF

AND DO EVERYTHING I NEED
ON MY OWN.

SO I'M PROUD
OF HOW FAR I'VE COME,

BUT THERE ARE DAYS
IT'S NOT EASY.

AND IT'S LIKE
THERE'S TWO PARTS OF ME --

ONE PART THAT WANTS
TO GET HEALTHY

AND DO MORE EVERY DAY,

AND THERE'S THIS
OTHER PART OF ME

THAT JUST WANTS TO GIVE IN
AND EAT EVERYTHING I WANT.

I FEEL LIKE THE FAT GIRL IN ME
IS ALWAYS SABOTAGING ME,

AND I CONSTANTLY HAVE TO REASON
WITH HER AND TELL HER, "NO."

BUT SHE'S ALWAYS
GOING TO BE THERE,

AND IT'S A CONSTANT BATTLE.

I'VE BEEN DOING A LOT OF THINGS
I'M HAPPY ABOUT,

ESPECIALLY VOLUNTEERING
WITH THE PET SHELTER.

SO, MY LIFE IS GETTING BETTER.

DILL, DINNER'S READY.

MM.

BUT EVEN THOUGH I'M WORKING
ON LETTING THINGS IN MY PAST GO,

YEARS OF EMOTIONAL BAGGAGE

ISN'T GOING TO JUST GO AWAY
AND NEVER COME BACK.

SO, I STILL HAVE MY HARD DAYS,
AND DURING THOSE TIMES,

IT'S MORE OF
A LOGICAL CHOICE I'M MAKING.

I JUST KNOW, IF I GIVE IN,

I'M GOING TO PAY FOR IT
DOWN THE ROAD.

AND THESE LAST COUPLE OF WEEKS,
I'VE BEEN REALLY DOWN.

**

BUT WHAT'S SCARING ME
ABOUT THIS MONTH

IS THAT DR. NOW APPROVED ME
FOR EXCESS-SKIN REMOVAL SURGERY

AT MY LAST APPOINTMENT WITH HIM.

AND I KNOW,
IF I GAIN RIGHT NOW,

THEN HE'S NOT GONNA LET ME
GO AHEAD WITH IT.

AND I DON'T WANT TO LOSE THAT

BECAUSE I HAVE
A SIGNIFICANT AMOUNT

OF EXCESS SKIN ON MY BODY,

AND I WANT IT ALL GONE.

THE DAY BEFORE SURGERY,
I'M SUPPOSED TO GO TO HIS CLINIC

FOR TESTS TO GET READY,

AND I'M TRYING
TO STAY ON TRACK.

I FEEL LIKE I WENT THROUGH
A LOT OF STUMBLING BLOCKS

AND A LOT OF TROUBLES.

NOW THAT I AM HALF
OF WHAT I USED TO BE,

I REFUSE TO GIVE UP.

I'VE OVERCOME TOO MUCH
TO NOT KEEP FIGHTING.

AND I KNOW RIGHT NOW MY GOAL
HAS TO BE TO KEEP LOSING WEIGHT,

SO WHEN I SEE DR. NOW NEXT,
THAT I DON'T GIVE HIM ANY REASON

NOT TO MOVE AHEAD
WITH MY SURGERY,

AND FIGHT TO MAKE
ENOUGH PROGRESS

BECAUSE A SETBACK LIKE THAT

IS GOING TO BE
SO DISCOURAGING TO ME.

[ DOGS BARKING ]

**

Pauline: RIGHT NOW,
I'M HEADED TO SEE DR. NOW

FOR MY PRE-OP APPOINTMENT

WHERE HE'S GONNA CHECK ON ME
AND SEE HOW I'M DOING.

I'M ALWAYS NERVOUS
ABOUT STEPPING ON THE SCALE.

THAT'S SOMETHING
THAT NEVER GOES AWAY.

IT'S JUST
A NERVE-WRACKING THING.

BUT I'M WORRIED ABOUT
WHAT MY WEIGHT LOSS IS

BECAUSE MY LEGS HAVE BEEN
REALLY HURTING,

AND I'M STILL STRUGGLING
A LOT...

SO I KNOW
I'M NOT DOING GREAT.

PAULINE POTTER?

WHEN I WAS HERE LAST MONTH,
MY WEIGHT WAS AT 308.

AND I'M SUPPOSED TO BE LOSING
20 POUNDS A MONTH,

SO I NEED TO BE DOWN TO 288

FOR DR. NOW TO BE HAPPY
RIGHT NOW.

BUT I'M JUST HOPING
FOR ANY PROGRESS TODAY.

Crap.

[ BREATHES SHARPLY ]

I CAN'T BELIEVE IT.

THAT'S REALLY NOT GOOD.

I'M REALLY FRUSTRATED
RIGHT NOW,

AND I'M NOT LOOKING FORWARD
TO WHAT DR. NOW IS GOING TO SAY.

[ KNOCK ON DOOR ]

HELLO.

HELLO.

-HOW ARE YOU ALL DOING?
-GOOD. HOW ARE YOU?

ALL RIGHT.

SO, YOU'RE BACK UP
TO 327 TODAY.

I KNOW.

YOU WERE DOING SO WELL.

WHAT HAPPENED?

I HAVE
REALLY BAD KNEE PAIN.

SO, WHAT ARE YOU DOING
FOR YOUR KNEE PAIN?

NOT A LOT.

I KNOW YOU TOLD ME
TO PUSH THROUGH THE PAIN,

BUT IT'S REALLY HARD
TO GET THE RIGHT MIND-SET

TO PUSH THROUGH THE PAIN

WHEN IT HURTS SO MUCH.

YOUR LEGS ARE HURTING

BECAUSE YOUR JOINTS
ARE ABSORBING ALL THE SHOCK

WHEN YOU WALK AROUND,

SO IF YOU GET SOME SHOES
AND BECOME MORE ACTIVE,

THEN YOUR PAIN WILL START
TO DECREASE SIGNIFICANTLY.

MAKE SENSE?

YOU'RE RIGHT.

BUT LET'S TALK
ABOUT YOUR WEIGHT RIGHT NOW.

IT'S BEEN A YEAR AND NINE MONTHS
SINCE YOUR GASTRIC BYPASS.

AT THIS POINT, YOU SHOULD BE
DOWN TO 200 POUNDS,

BUT YOU'RE NOT.

SO, WHY IS THAT?

I THINK THAT
YOU FIXED MY TUMMY,

BUT YOU DIDN'T FIX MY HEAD

AND SO I STILL HAVE
700-POUND THINKING.

I STILL WANT TO EAT
WHEN I'M NOT HUNGRY

OR I STILL WANT TO KEEP EATING
EVEN AFTER I'M FULL.

SO, WHAT DO YOU THINK
IS DRIVING YOU

TO EAT MORE OFTEN
AND OVEREAT?

I THINK IT'S JUST WHATEVER
HAS BEEN IN MY HEAD FOR 53 YEARS

IS STILL IN THERE.

Dr. Nowzaradan:
I'M VERY CONCERNED

ABOUT PAULINE RIGHT NOW.

SHE HAS HAD MOMENTS WHERE SHE
LOST A LOT OF WEIGHT AT ONCE,

AND THEN SHE STARTS
TO GAIN AGAIN.

BUT IT'S BECOME SO FREQUENT
THAT, AT THIS POINT,

I AM WORRIED SHE'S JUST
GOING TO SPIRAL OUT OF CONTROL.

WELL, YOU'RE STARTING
TO GAIN AGAIN.

AND WHAT'S GONNA HAPPEN
IN FOUR OR FIVE YEARS

IS YOU'RE GONNA BE BACK
TO 600 POUNDS.

NO. I'M REALLY GONNA TRY
NOT TO LET THAT HAPPEN.

YOU'RE STILL DEALING
WITH THE SAME ISSUES

THAT LED YOU TO THIS POINT.

HAVE YOU STILL BEEN
GOING TO THERAPY?

NO.

YOU NEED TO GO BACK
TO SEEING THE THERAPIST.

NOTHING'S
GOING TO CHANGE

UNLESS YOU KEEP MAKING PROGRESS
WITH THAT, TOO.

OKAY.

BUT RIGHT NOW,
YOU'RE NO LONGER IN A PLACE

THAT IS SAFE
TO DO YOUR SURGERY,

SO I'M CANCELING IT
FOR TOMORROW.

SO, GET SOME SHOES
AND GET MORE ACTIVE

SO YOU CAN KEEP LOSING
20 POUNDS A MONTH.

AND IF YOU WANT
SKIN-REMOVAL SURGERY,

THEN GET BACK TO AROUND
300 POUNDS.

OKAY.

YOU'RE HERE TO IMPROVE
YOUR HEALTH

-AND HAVE A MEANINGFUL LIFE.
-RIGHT.

AND THAT'S GONNA BE
THE GOAL FOR YOU, OKAY?

OKAY.

SO, YOU NEED TO STICK
WITH THAT.

OKAY.

-ALL RIGHT, I'LL SEE YOU SOON.
-OKAY.

-ALL RIGHT.
-THANKS, DR. NOW.

Dr. Nowzaradan: PAULINE

IS ON A VERY UNFORTUNATE
TRAJECTORY RIGHT NOW,

BUT I'M HOPING

THE THERAPIST WILL BE ABLE
TO HELP HER DEAL WITH THE ISSUES

THAT ARE DRIVING HER TO EAT
RIGHT NOW.

[ SIGHS ]

Pauline: TODAY WAS PRETTY MUCH
A WORST-CASE SCENARIO FOR ME.

I FEEL LIKE I LET DR. NOW DOWN,
AND I LET MYSELF DOWN.

AND I JUST HAVE TO TAKE
RESPONSIBILITY FOR THAT.

I HAVE NO ONE TO BLAME
BUT MYSELF,

SO I KNOW I HAVE
A LOT OF WORK TO DO.

BUT ALL I CAN DO
IS GO AND TRY AGAIN.

**

Joe:
TODAY, SARAH AND I

ARE GOING TO TRY AND PICK
OUR WEDDING CAKES,

AND I'M EXCITED ABOUT
ALL OUR WEDDING PLANNING.

THE ONLY THING THAT
I HAVE ANY HESITATION ABOUT

IS THE PLANNING
THAT REVOLVES AROUND FOOD.

THERE'S A PART OF ME THAT WANTS
TO SAY, "YOU KNOW WHAT?

WE'RE GONNA BE DIFFERENT,

AND WE'RE NOT GONNA HAVE CAKE
OR CANDY OR UNHEALTHY STUFF."

BUT THE REALITY IS THAT
GOOD TIMES AND FOOD

JUST SEEM TO ALWAYS GO TOGETHER
FOR EVERYONE.

-HI. HOW ARE YOU GUYS TODAY?
-GOOD MORNING.

WE'RE HERE FOR
A WEDDING-CAKE TESTING.

OKAY, COOL.
SO, IF YOU WANT TO TAKE A SEAT,

I'LL BE RIGHT WITH YOU.

-AWESOME. THANK YOU.
-OKAY.

Joe:
WE CELEBRATE THINGS WITH FOOD,

AND THAT MAKES IT HARD TO DEAL
WITH ANY BIG EVENT

BECAUSE THINGS LIKE CAKE
AND CANDY

AREN'T A PART
OF MY DIET ANYMORE.

SO, THESE ARE JUST SOME OF OUR
MOST POPULAR WEDDING FLAVORS.

WE HAVE OUR CLASSIC WHITE CAKE,
OUR CLASSIC CHOCOLATE.

THESE ARE FROSTINGS,
AND THEN FILLINGS.

WE HAVE STRAWBERRY,
RASPBERRY, AND LEMON.

OOH.

SO, I'LL LEAVE YOU GUYS
TO IT,

AND MIX AND MATCH
AND SEE WHAT YOU LIKE BEST.

-AWESOME. THANK YOU.
-OKAY. YEP.

WHAT DO YOU WANT?

I'M GONNA TRY
CHOCOLATE FIRST.

OF COURSE.

I'LL GIVE YOU
A CHOCOLATE.

YEAH.

WELL, I CAN'T HAVE MUCH.
YOU KNOW THAT.

Joe: FOR THE WEDDING,
WE HAVE TO HAVE A DINNER

AND THERE HAS TO BE CAKE.

AND THERE'S APPETIZERS
AND CANDY OR SNACKS

THAT HAVE TO BE OUT
AT THE RECEPTION.

AND SO, I KNOW

THAT THIS IS GOING TO TAKE
A LOT OF SELF-CONTROL.

SO I HAVE TO BE REALLY CAREFUL
RIGHT NOW

BECAUSE I SEE DR. NOW AGAIN
IN A COUPLE OF WEEKS,

AND I DON'T WANT TO MESS UP
MY PROGRESS.

THIS IS A MILESTONE FOR ME
JUST BECAUSE, YOU KNOW, BEFORE,

I WOULDN'T HAVE ANY CONTROL
OVER WHAT I WAS EATING.

CAKE WOULD BE LIKE, "OKAY,

I'M JUST GONNA GO AND GO
AND GO AND GO NOT STOP."

NOW, I HAVE ENOUGH
CONTROL TO BE LIKE,

"OKAY, WELL, WE'RE JUST GONNA
HAVE JUST A LITTLE BIT,

AND THE REST OF IT
CAN GO SOMEWHERE ELSE."

SO, WHAT
DID YOU GUYS THINK?

IT WAS VERY GOOD.

WE WILL BE BACK IN THE NEXT WEEK
OR SO TO ORDER.

ALL RIGHT. WELL,
IT WAS NICE MEETING YOU GUYS.

THANK YOU.
[ CHUCKLES ]

**

I DON'T WANT OUR BIG DAY
TO BE TAINTED

WITH THE FACT THAT I STARTED
TO GAIN AGAIN THROUGH ALL THIS,

SO I'M GOING TO FOCUS
ON DOING WHAT I NEED.

**

I'M BACK IN HOUSTON FOR MY
NEXT APPOINTMENT WITH DR. NOW,

AND I'M NOT SURE
WHAT TO EXPECT TODAY.

I'M STILL EATING HEALTHY,

BUT THERE'S BEEN
A LOT OF PLANNING

REVOLVING AROUND FOOD.

AND A LOT OF THE TIME,

I DON'T KNOW HOW MANY CALORIES
ARE IN SOMETHING

THAT'S BEING PUT
IN FRONT OF ME.

SO I'M JUST A LITTLE CONCERNED
ABOUT ALL THAT.

I STILL HAVE A LOT OF EXCESS
SKIN AROUND MY LEGS AND ARMS,

AND I DO WORRY ABOUT
WHAT SARAH'S GOING TO THINK

AS I LOSE MORE WEIGHT
AND IT GETS WORSE.

JOE WEXLER?

SO IT'S IMPORTANT TO ME
TO GET DOWN TO WHERE I NEED,

BUT THE LAST TIME I WAS HERE,
I WAS 374,

AND I NEED TO BE AT 324
TO STAY ON TRACK.

IF I'M NOT, THEN I'M GONNA BE

NOWHERE CLOSE
TO MY NEXT SURGERY.

365.

OKAY.

YOU CAN GO AHEAD
AND GO TO THE ROOM.

-THANK YOU.
-MM-HMM.

IT'S NOT THE BEST NUMBER,
BUT IT'S STILL A LOSS.

BUT I'M NOT SURE WHAT THAT MEANS
ABOUT MY SKIN-REMOVAL SURGERY.

[ KNOCK ON DOOR ]

HEY, JOE.
HI. HOW'S IT GOING?

I'M DOING OKAY.
HOW ABOUT YOURSELF?

GOOD, GOOD.

SO, YOU LOST
OVER 400 POUNDS, HUH?

YES, SIR.

WHICH IS GREAT, BUT WHY
IS YOUR WEIGHT LOSS SLOWING?

WELL, I MEAN, THERE'S BEEN
A LITTLE BIT OF STRESS

AND JUST GETTING READY
FOR A WEDDING, SO...

COME ON, JOE.

YOU KNOW WHAT'S GOING ON
IN YOUR LIFE

CAN NEVER BECOME AN EXCUSE
TO BE UNHEALTHY.

-RIGHT.
-OKAY?

YOU NEED TO UNDERSTAND
NOT TO LET

THIS STRESS PROJECT
ON YOUR EATING HABIT,

AND YOU NEED TO KEEP AN EYE
ON YOUR CALORIE INTAKE.

SURE.

TO LOSE ONLY FOUR TO FIVE POUNDS
A MONTH AT YOUR WEIGHT

MEANS THAT YOU'RE STILL TAKING
IN AROUND 3,500 CALORIES,

AND YOU'RE
NOT REALIZING IT.

OKAY.

Dr. Nowzaradan:
AFTER JOE'S LAST SKIN SURGERY,

HE STARTED TO LOSE SOME MOMENTUM
WITH HIS WEIGHT LOSS.

AND RIGHT NOW, I'M CONCERNED

THAT HE'S GETTING
MORE AND MORE DISTRACTED.

A LOT IS CHANGING
VERY QUICKLY FOR HIM,

AND AS TIME GOES ON,
THE EXCITEMENT WILL WEAR OFF

WHILE HIS RESPONSIBILITIES
CONTINUE TO GROW.

SO IF HE DOESN'T LEARN
HOW TO HANDLE THAT STRESS NOW,

HE'S NOT GOING TO HAVE A CHANCE
LATER ON IN HIS LIFE.

ALL RIGHT.

LET ME LOOK
AT THE EXCESS SKIN.

RIGHT.

SO, LIKE, RIGHT HERE.

YOU CAN SEE, LIKE...

THERE STILL TOO MUCH FAT
AROUND THAT AREA,

SO WHAT WE NEED TO DO

IS WE NEED TO CONCENTRATE
ON GETTING YOUR WEIGHT DOWN...

MM-HMM.

...AND GET YOU
TO UNDER 300

BEFORE WE CONSIDER DOING
ANY SKIN SURGERY.

SO YOU NEED TO KEEP LOSING
MORE WEIGHT.

SURE.
THANK YOU.

OKAY, JOE.
NICE TO SEE YOU AGAIN.

NICE TO SEE YOU, TOO.
ALL RIGHT.

JOE STILL HAS
A GOOD WAYS TO GO

TO GET TO
HIS FINAL GOAL WEIGHT,

SO HE NEEDS TO GET BACK
ON TRACK NOW

IF HE WANTS TO HAVE A CHANCE
TO GET THERE ANY TIME SOON.

**

Joe: TODAY'S APPOINTMENT
DIDN'T GO EXACTLY LIKE I HOPED,

SO THAT'S A LITTLE BIT
OF A DOWNER RIGHT NOW.

I HAVE TO GET UNDER 300 NOW

TO GET APPROVED
FOR SKIN-REMOVAL SURGERY,

AND THAT'S 65 POUNDS AWAY.

SO THAT'S WHAT I HAVE
TO LOSE QUICKLY

IF I WANT TO BE ABLE
TO GET THE SURGERY.

WITH THE WEDDING AND ALL,
I'M NOT LETTING ANYTHING HAPPEN

TO MAKE ME WAIT
A YEAR OR SO

TO KEEP MAKING
THE PROGRESS I NEED.

SO IF I HAVE TO WORK HARDER,
THEN I WILL.

**

**

WE'RE ON OUR WAY
TO A SHOE STORE

TO SEE IF THERE ARE
ANY WALKING SHOES

THAT WILL FIT THESE WIDE,
SWOLLEN FEET OF MINE.

I THINK I'M MOSTLY
JUST NERVOUS THAT

THERE'S NOT GONNA BE
ANYTHING THAT FITS ME,

WHICH IS WHY I HAVEN'T
WORN SHOES FOR SO LONG ALREADY.

Pauline: FOR YEARS, I HAVEN'T
EVEN TRIED TO WEAR SHOES.

BEING AS BIG AS I WAS
AND WITH THE LYMPHEDEMA,

THERE WAS JUST NO WAY
I COULD GET ANY SIZE SHOE ON ME.

AND IF I COULD, I'M SURE IT
WOULD'VE BEEN SO UNCOMFORTABLE

TO EVEN TRY TO WEAR.

BUT DR. NOW THINKS THEY'LL HELP
WITH MY LEG AND JOINT PAIN,

AS WELL AS MAKE IT EASIER
FOR ME TO BE MORE ACTIVE.

SO I'M WILLING TO GO SEE
IF IT'S POSSIBLE

FOR ANYTHING
TO FIT MY FOOT NOW.

OF COURSE IT'S PACKED.

**

WHAT CAN WE HELP
WITH TODAY?

[ SIGHS ]

I HAVEN'T WORN SHOES
FOR QUITE A WHILE,

AND I HAVE LYMPHEDEMA
SO IT HANGS --

MY LEGS HANG OVER
MY ANKLES AND STUFF,

WHICH IS WHY I STOPPED
WEARING SHOES.

I DON'T KNOW IF I'M GONNA BE
ABLE TO FIT IN A WOMAN'S SHOE.

OKAY. LET ME SEE
WHAT WE GOT BACK THERE,

AND I'LL BE RIGHT BACK.

[ CLEARS THROAT ]

I DON'T REALLY LET ANYONE
SEE MY FEET --

NO MATTER WHAT --
BECAUSE OF THE LYMPHEDEMA,

AND I JUST CAN'T TAKE
THE COMPRESSION SOCKS OFF.

ALL RIGHT, HERE WE GO.

PUTTING ON CLOSED-TOE SHOES
USUALLY, YOU KNOW,

CAN BE DIFFERENT
IF YOU'RE NOT USED TO IT.

SO, HERE.
I'LL HELP YOU OUT HERE.

OH, YEAH.
THIS IS NOT GONNA...

I DON'T THINK
THAT ONE'S GONNA FIT.

IT'S ALREADY TOO TIGHT.

IS IT TOO TIGHT?

OKAY.

LET'S TRY THIS AGAIN.

LET'S SEE.

HERE WE GO.

YOU JUST TELL ME WHEN.
OKAY.

I'LL JUST PUT A COMFORTABLE
AMOUNT OF PRESSURE THERE.

THAT'S PROBABLY OKAY.

YOU WANT TO STAND UP
AND SEE HOW THEY FEEL?

SURE.
I THINK I CAN DO IT.

[ GRUNTS ]

OH, LORD.

I DIDN'T THINK ANYTHING
WOULD ACTUALLY FIT,

BUT IT'S BEEN A LONG TIME
SINCE I'VE HAD SHOES ON,

AND IT FEELS REALLY DIFFERENT
THAN I REMEMBER.

HOW'S THE CUSHION FEEL?
CAN YOU TELL IT?

THE CUSHION FEELS
PRETTY GOOD.

THE SHOES LOOK NICE,
BUT MY FEET LOOK BAD.

[ CHUCKLES ]

I THINK
THEY LOOK JUST FINE.

MY LEGS LOOK TERRIBLE.

IT'S A LITTLE SCARY

BECAUSE I CAN'T FEEL
WHERE MY FEET ARE AS MUCH,

AND IT MAKES ME FEEL
LIKE I'M GOING TO TRIP.

SO THIS IS GOING TO TAKE
A LOT OF GETTING USED TO

AND JUST SOME TIME
WALKING WITH THEM.

BUT IT'S EXCITING
BECAUSE THIS MEANS

I'M GOING TO BE ABLE
TO DO MORE

AND START WALKING AROUND
WITHOUT AS MUCH PAIN.

-THANK YOU SO MUCH.
-YES, MA'AM.

-HAPPY TO HELP.
-APPRECIATE YOUR HELP.

VERY HAPPY TO HELP.

**

GOOD LUCK
WITH EVERYTHING.

THANKS.
YOU HAVE A GREAT DAY.

SO, I PLAN TO START WEARING THEM
A LITTLE BIT EVERY DAY

UNTIL I GET USED TO THEM,

AND THEN I'LL START
TO GET MORE ACTIVE

AND START WALKING AROUND

WITHOUT AS MUCH PAIN.

**

[ TRAIN WHISTLE BLOWS ]

**

Joe: TODAY, I'M GETTING BACK
TO THE GYM AND WORKING OUT.

WITH PREPARING FOR THE WEDDING
AND TO MAKE A MOVE,

IT'S BEEN HARD TO KEEP UP
WITH WORKING OUT.

BUT IF I WANT TO KEEP
MAKING MORE PROGRESS,

THEN I KNOW
I HAVE TO WORK HARD AT IT.

SO NO MATTER
WHAT I HAVE GOING ON

OVER THE NEXT COUPLE
OF MONTHS,

I'M STAYING ON TRACK.

I DESPERATELY NEED TO GET
MY SKIN-REMOVAL SURGERY.

AS MY WEDDING GETS CLOSER,
IT'S ON MY MIND MORE.

BUT MY WEDDING IS IN TWO MONTHS,
SO THERE'S NO TIME

FOR ME TO HAVE IT AND RECOVER
BEFORE THEN.

SO I CALLED DR. NOW
AND TOLD HIM

I'M NOT GONNA MAKE IT
TO MY NEXT APPOINTMENT,

BUT I WON'T MISS THE NEXT ONE
FOR ANYTHING.

**

I'M GONNA SHOW UP AND WOW HIM
WITH MY WEIGHT LOSS,

AND THEN HE'LL APPROVE ME
FOR MY EXCESS-SKIN SURGERY.

HE TOLD ME HE HOPES SO

AND EXPECTS ME TO STICK
TO MY MONTHLY GOALS

UNTIL I COME BACK,

SO THAT'S EXACTLY
WHAT I'M GONNA DO.

IT'S AMAZING TO ME --

THE DRASTIC 180 THAT I'VE MADE
FROM WHERE I WAS

WHEN I STARTED THE
WEIGHT-LOSS JOURNEY TILL NOW.

DR. NOW SAVED ME,
AND I OWE HIM EVERYTHING.

HE'S DONE SO MUCH FOR ME,
SO I'M NOT GONNA LET HIM DOWN.

IT WILL BE FOUR MONTHS
WHEN I SEE DR. NOW AGAIN,

SO THAT PUTS MY WEIGHT-LOSS GOAL
AT 100 POUNDS.

AND I KNOW THAT I CAN DO IT
IF I WORK HARD.

AND I'M SO MOTIVATED RIGHT NOW
THAT NOTHING'S GONNA STOP ME.

IT'S NOT JUST MY LIFE
RIDING ON IT ALL NOW.

IT'S SARAH AND HAYLEY'S, TOO.

SO NO MATTER WHAT I HAVE
GOING ON IN MY LIFE,

THEY'RE MY PRIORITY,

SO THAT MAKES MY HEALTH
A PRIORITY.

SO I'M MAKING SURE I HIT MY
GOALS, NO MATTER WHAT IT TAKES.

**

Pauline: I'VE BEEN TRYING
TO GET MORE ACTIVE

OVER THE LAST COUPLE OF WEEKS.

AND FOR THE FIRST WEEK
AFTER GETTING MY SHOES,

I TRIED WEARING THEM
AT LEAST AN HOUR EVERY DAY.

BUT I JUST COULDN'T
GET USED TO THEM

BECAUSE I'M AFRAID
OF TRIPPING AND FALLING.

SO IT WAS PRETTY SCARY TO STAND
UP AND HAVE THE SHOES ON,

BUT I'VE ACTUALLY
STILL BEEN ABLE

TO START WALKING AROUND
THE BLOCK WITH DILLON

TO GET EXERCISE,

EVEN WITHOUT MY SHOES.

IT'S A BEAUTIFUL DAY
OUTSIDE.

HOW 'BOUT IF WE GO FOR
A W-A-L-K WITH THE DOGS?

Dillon: OKAY.

I DON'T HAVE A WALKER.
I ONLY HAVE MY WHEELCHAIR.

BUT I CAN USE THE HANDLES
ON MY WHEELCHAIR

TO GO SHORT DISTANCES,

SO I HAVE NOTHING
TO LEAN ON

TO ALLEVIATE THE PAIN OF
MY WEIGHT ON MY LEGS AND JOINTS.

THE PAIN IS JUST SO BAD,
AND THEY SWELL EASILY.

LIKE, IF I TRY TO LIVE
ANY KIND OF A NORMAL LIFE,

THEY START SWELLING,
AND WATER POOLS IN THEM.

BUT DILLON HAD
A REALLY GOOD IDEA.

HE WENT AND FOUND
A SHOPPING CART,

SO I HOLD ONTO IT
SO I CAN LEAN ON IT

WHEN THE PAIN
GETS TO BE TOO MUCH.

WE GO OUTSIDE, AND THERE'S
THE CIRCLE SIDEWALK,

AND I'M TRYING TO WALK IT
A FEW TIMES A WEEK

AND SEE HOW MANY TIMES
I CAN MAKE IT AROUND.

SO FAR,
MY RECORD IS THREE LAPS,

AND MY GOAL IS TO BE ABLE
TO DO ONE LAP WITHOUT THE CART.

I KNOW I HAVE TO PUSH THROUGH
THE PAIN NO MATTER WHAT

IF I WANT TO START
MAKING PROGRESS.

DR. NOW THINKS WHEN MY
WEIGHT LOSS STARTS TO SLOW DOWN,

IT HAS MORE TO DO
WITH MY EMOTIONAL ISSUES.

BUT I KNOW WHAT I NEED TO WORK
THROUGH, AND I HAVE BEEN.

BUT THAT'S SOMETHING I REALLY
WANT TO DO AT MY OWN PACE,

SO I'VE BEEN HESITANT
TO GO BACK TO THERAPY.

I DON'T WANT
TO UPSET DR. NOW,

BUT I DON'T THINK HE UNDERSTANDS
HOW HARD IT IS

TO TALK ABOUT ALL THE PAIN
AND EMOTION

THAT HAS BEEN
BURIED FOR YEARS

AND TO DO IT CONSTANTLY.

SO I JUST NEED SOME TIME
BEFORE I'M READY TO DO THAT.

I KNOW THAT MAY MEAN I'M RISKING
GAINING EVEN MORE WEIGHT,

BUT IT'S JUST BEEN
A LOT HARDER

TO DEAL WITH ALL THAT STUFF
THAT'S IN ME,

SO I'M GOING TO DO IT
ON MY TIMETABLE

OR NOT AT ALL.

AND UNTIL THEN,
THERE'S NOTHING ANYONE CAN SAY

TO GET ME TO DO IT.

**

**

Joe: I'VE BEEN WORKING
REALLY HARD TO LOSE MORE WEIGHT,

AND I FEEL LIKE I HAVE BEEN.

AND WHEN I LOOK IN THE MIRROR,

IT DOES ALL LOOK LIKE
IT'S HANGING LOWER.

SO IT SHOWS ME THE NEED
TO HAVE SKIN REMOVAL.

YEAH, I DEFINITELY THINK
THE LEGS ARE THE PRIORITY NEXT

BECAUSE THEY FEEL
LIKE WET SANDBAGS.

THEY'RE REALLY HEAVY
AND JUST KIND OF, LIKE, GROSS.

SO I HOPE DR. NOW
WILL TAKE THAT OFF THERE,

AND THEN I HEAL UP,
AND THEN WE'LL SEE.

I WOULD WANT ALL THIS OFF
NO MATTER WHAT,

BUT GETTING MARRIED
AND BEING MORE INTIMATE NOW

MAKES IT EVEN MORE
A CONCERN OF MINE.

I KNOW SARAH LOVES ME
NO MATTER WHAT,

BUT I STILL WANT MY BODY
TO LOOK GOOD FOR HER.

AND RIGHT NOW,
I DON'T FEEL LIKE IT DOES.

AND I DON'T WANT THAT
HOLDING ME BACK

OR MAKING ME HESITANT
TO BE WITH HER AT ANY TIME.

SO I'M GONNA KEEP
LOSING THE WEIGHT

AND GET DOWN TO THE 300s

BY THE TIME I SEE DR. NOW
AFTER MY WEDDING.

AND UNTIL THEN, I HAVE TO KEEP
WORKING OUT AND EATING RIGHT

THROUGH ALL THE STRESS

AND THE PREPARATIONS
FOR THE WEDDING

AND NOT GIVE IN TO ANY OF IT.

BUT WHAT'S BEEN THE MOST
STRESSFUL THING FOR ME RIGHT NOW

IS GETTING MY MOM
TO THE WEDDING.

SHE'S BEEN SAYING SHE DOESN'T
THINK SHE CAN MAKE IT,

AND THE THOUGHT OF THAT
MAKES ME REALLY SAD.

BESIDES SARAH AND HAYLEY,

SHE'S THE MOST IMPORTANT PERSON
IN MY LIFE,

AND I CAN'T IMAGINE
MY BIG DAY WITHOUT HER.

HI, MOM.
HOW'S IT GOING?

DOING FINE, THANKS.

SO, ARE YOU GONNA BE ABLE
TO COME TO THE WEDDING,

OR WHAT'S THE STORY
THERE?

IF YOU'RE ABLE TO COME,
I WOULD LOVE TO HAVE YOU HERE,

UM, YOU KNOW,

BECAUSE WITHOUT YOUR HELP,

I WOULDN'T BE HERE NOW
WHERE I AM.

RIGHT.

ALL RIGHT. LOVE YOU.

[ CELLPHONE BEEPS ]

SHE'S NOT ABLE TO COME

BECAUSE SHE SAYS SHE HAS
NO HELP TO GET HERE,

SO I FEEL BAD BECAUSE
I'M NOT THERE TO HELP HER.

BUT SHE'S SUCH
AN IMPORTANT PART OF MY LIFE,

AND I NEED HER TO BE THERE
TO SUPPORT ME FOR THAT DAY.

IT'S TIME FOR ME TO MOVE ON
TO THE NEXT CHAPTER OF MY LIFE.

I JUST HOPE SHE'S ABLE
TO BE THERE FOR IT.

**

Pauline:
AS HESITANT AS I AM,

I DECIDED TO GO BACK
TO A THERAPIST AGAIN.

IT'S NOT THAT
I DON'T THINK IT HELPS,

BECAUSE I KNOW
I NEED TO WORK THROUGH

A LOT OF MY EMOTIONAL ISSUES

AND I STRUGGLE WITH DEPRESSION
AND FEELING DOWN RIGHT NOW.

I WANT TO HAVE
A MORE POSITIVE OUTLOOK.

I JUST WANT TO DO THIS PART
AT MY OWN PACE,

BUT DR. NOW WANTS ME
TO GO RIGHT NOW, SO I AM.

-HI, PAULINE.
-HI.

-COME ON BACK.
-OKAY.

ALL RIGHT, PAULINE.
WELL, LET'S GET STARTED.

SO, WHY DON'T YOU TELL ME
A LITTLE BIT

ABOUT HOW THINGS ARE GOING
FOR YOU RIGHT NOW?

WELL, I GOT
THE GASTRIC BYPASS.

-AND I'VE LOST OVER 300 POUNDS.
-OKAY.

BUT I STILL HAVE
ABOUT 150 TO GO,

AND I SEEM TO BE KIND OF
AT A STANDSTILL

FOR THE LAST SEVERAL MONTHS --
LIKE, MAYBE FIVE MONTHS.

IN FACT,
I'VE ACTUALLY GAINED.

SO, HOW DO YOU FEEL
ABOUT WHERE YOU ARE RIGHT NOW?

HOW DO YOU...

I FEEL I'M DISAPPOINTING
EVERYBODY, INCLUDING MYSELF.

ARE YOU DISAPPOINTED,
OR IS THERE SOMETHING ELSE?

-LIKE, MAYBE...
-I DON'T KNOW.

LIKE, I FEEL LIKE
I DON'T HAVE A GOOD EXCUSE

WHY I EVEN WAS AN OVEREATER
TO START WITH.

I NEVER HAD ABUSE.
I WAS NEVER MOLESTED AS A KID.

DID YOU GET A LOT
OF VALIDATION GROWING UP?

YOU KNOW WHAT I MEAN
BY VALIDATION?

-I DON'T KNOW.
-"HEY, YOU DID A GREAT JOB,"

OR "YOU'RE REALLY SMART,"
OR...

I DON'T THINK MY MOM KNEW
HOW TO DO THAT, YOU KNOW.

WE HAD SEVEN KIDS.

AND WHERE DID YOU FALL
IN THE MIX?

I WAS THE VERY OLDEST.

SO IT SOUNDS LIKE
YOU WERE BUSY

TAKING CARE OF OTHER PEOPLE'S
NEEDS AS THE OLDEST,

HELPING OUT YOUR MOM
AND, YOU KNOW...

SO, I WONDER IF SOMEHOW
YOUR WEIGHT WAS A WAY OF SAYING,

"OH, I GET TO DO
WHAT I WANT."

AND SOMETIMES
WHAT THAT SHOWS UP AS

IS NOT REALLY KNOWING
HOW TO TAKE CARE OF YOURSELF.

BUT, INSTEAD, YOU WERE FEEDING
YOUR NEEDS THROUGH FOOD.

LIKE, FOOD IS LOVE.

I FEEL THAT WAY
SOMETIMES NOW.

LIKE, EVEN AFTER SURGERY,
MY FIRST EXCITEMENT IS,

"WHAT ARE THE SNACKS
GONNA BE?"

EVEN IF IT'S SOMETHING
I CAN'T HAVE.

SO, WHAT HAPPENS --

LET'S SAY YOU DO LOSE THE WEIGHT
AND YOU MEET YOUR GOAL.

DO YOU HAVE ANY FEARS OF
WHAT THINGS WILL BE LIKE THEN?

I'M NOT THAT 700-POUND PERSON
STUCK IN BED ANYMORE.

MM-HMM.

BUT I ALMOST HAVE
SOME OF THOSE SAME FEELINGS,

LIKE, I ALMOST FEEL STILL,

LIKE, LEFT OUT
OR NOT GOOD ENOUGH.

[ Voice breaking ]
IT'S ALMOST LIKE

MY FEARS ARE HOLDING ME BACK
FROM REALLY EVEN TRYING,

BECAUSE BEFORE WE EVER GOT HERE
I WAS WORRIED ABOUT

IF THERE WAS STAIRS.
THE STAIRS.

YEAH, OR IF THERE'S A CHAIR.
YOU CAN'T DO IT.

YEAH.
YOU CAN'T DO IT.

I'M CONSTANTLY WORRIED

BECAUSE I'M NOT AS GOOD
AS EVERYONE ELSE.

I MESSED UP AGAIN.

YOU'RE ALWAYS AFRAID
THAT YOU'RE NOT GOOD ENOUGH.

I WANT YOU TO FOCUS
ON GIVING YOURSELF APPROVAL,

GIVING YOURSELF ACCEPTANCE.

YOU KNOW, YOU DON'T HAVE TO BE
SO HARD ON YOURSELF.

I ALWAYS SAY THE FAT GIRL
IN ME --

-"THE FAT GIRL" COULDN'T DO IT.
-SHE CAN'T DO IT.

I'M NOT SURE THAT
I'M REALLY COMFORTABLE

WITH YOU CALLING HER
"THE FAT GIRL."

YOU'RE INSULTING YOURSELF.

SO, WE NEED TO CREATE
MORE LOVE ON THE INSIDE,

MORE SELF-LOVE.

SO I WOULD LIKE FOR YOU
TO TRY TO MAKE A COMMITMENT

WHERE MAYBE EVERY DAY
YOU WRITE DOWN

FIVE POSITIVE THINGS
ABOUT YOURSELF,

THINGS THAT HELP YOU
JUST TO FEEL GOOD.

RIGHT.
SO IT NEEDS TO BE,

"I WANT TO DO THIS FOR ME
'CAUSE I DESERVE THIS.

I DESERVE TO FEEL GOOD."

THAT'S WHAT I GOT TO
KEEP TELLING MYSELF.

-OKAY?
-OKAY.

-ALL RIGHT.
-WELL, THANK YOU VERY MUCH.

THANK YOU.

Pauline:
I KNOW I HAVE A LOT OF FEAR --

A FEAR OF FAILURE,
A FEAR OF LETTING PEOPLE DOWN,

A FEAR OF REJECTION.

BUT I DIDN'T REALIZE

IT'S ALL COMING
FROM THIS FEELING ABOUT MYSELF.

I SEE MYSELF AS A FAILURE,
AND WHEN I LOOK AT MY DAY,

I DON'T SEE WHAT I COULD DO
OR WHAT'S POSSIBLE.

I ONLY SEE WHAT I CAN'T DO.

I KNOW I NEED TO TRY

AND FIND WAYS TO SEE
THE THINGS I'M CAPABLE OF

AND WHAT I CAN DO
WHEN I PUT MY MIND TO IT,

AND TO SEE MYSELF
IN A POSITIVE WAY.

BUT I DON'T KNOW HOW
TO CHANGE THAT RIGHT NOW.

**

**

Joe: RIGHT NOW,
WE'RE GOING TO THE REHEARSAL

TO PREPARE FOR TOMORROW.

AND THEN, WE HAVE
THE REHEARSAL DINNER TONIGHT.

WE'RE BOTH REALLY EXCITED
RIGHT NOW

BECAUSE IT MEANS
OUR BIG DAY IS TOMORROW,

AND WE JUST CAN'T WAIT.

THIS IS GOING TO BE
A REALLY HAPPY TIME,

AND WE GET TO SHARE IT WITH
SO MANY PEOPLE IN OUR LIVES,

INCLUDING MY MOM.

SHE CAME STRAIGHT TO THE CHURCH
FROM TENNESSEE,

AND I'M SO EXCITED
FOR HER TO SEE ME.

I'M GLAD YOU COULD MAKE IT.

OH, THANK YOU.

I DIDN'T THINK
I WAS GOING TO.

YEAH? WELL...

I CAN'T BELIEVE YOU.

I'VE CHANGED THE HAIR, TOO.

-IT AIN'T GRAY NO MORE.
-YEP.

WANT TO GO IN AND LET'S
GET THIS THING GOING?

WE GOT TO
GET YOU HITCHED.

YEAH.
[ CHUCKLES ]

ARE YOU CARRYING HER,
OR DO YOU WANT ME TO?

-COME ON.
-COME HERE, LITTLE GIRL.

[ GRUNTS ]

Joe: I JUST CAN'T BELIEVE
THAT THIS ALL HAPPENING,

THAT I WOULD FIND SOMEONE
LIKE SARAH IN THIS WORLD.

IT'S JUST A DREAM COME TRUE

THAT I GET TO SPEND
THE REST OF MY LIFE WITH HER.

SO THERE REALLY ARE NO WORDS
FOR HOW HAPPY I AM.

I WAS LIVING A NIGHTMARE
JUST A COUPLE OF YEARS AGO,

TRAPPED IN MY HOUSE
AND MY BODY

WITH SOMEONE HAVING TO TAKE CARE
OF ME ALL DAY.

AND NOW I'M ABOUT
TO HAVE A FAMILY,

AND I'M GONNA BE
THE ONE PROVIDING FOR THEM.

SO I'LL HAVE YOU GUYS
WALK UP,

AND YOU CAN STAND
RIGHT THERE.

AT THIS POINT,
I'LL HAVE YOU FACE EACH OTHER.

I'VE HAD TO WORK SO HARD
TO GET HERE,

AND I'M PROUD OF WHAT
I'VE ACCOMPLISHED IN THAT TIME.

EVEN THOUGH I HAVE A WAYS TO GO,
I'M HAPPY RIGHT NOW.

AND I'M EXCITED

ABOUT ALL THE WAYS
IT'S GONNA GET EVEN BETTER.

Sarah: JOE IS SUCH A KIND
AND CARING MAN,

AND I AM SO LUCKY
TO HAVE FOUND HIM.

AND I'M EXCITED FOR THE WEDDING,
BUT I HAVE SOME BUTTERFLIES

ABOUT TALKING
IN FRONT OF SO MANY PEOPLE.

IT'S DEFINITELY
KIND OF STRESSFUL,

AND THERE'S JUST A LOT
OF TENSION

WITH MY MOM
PREPARING FOR THE WEDDING.

BUT I'M REALLY HAPPY,

AND I'M REALLY LOOKING FORWARD
TO STARTING MY LIFE WITH JOE.

[ LAUGHTER ]

WHEN ARE YOU GOING TO HAVE KERAH
AND STEVIE WALK?

-RIGHT BEFORE.
-LONG AS THEY'RE SEATED.

AND THEN I INTRODUCE YOU

AS MR. AND MRS.
JOE AND SARAH WEXLER,

HUSBAND AND WIFE.

AND THEN, AT THAT POINT,
YOU CAN KISS.

-YEAH! YES.
-[ LAUGHS ]

PRACTICE, COME ON.
IT'S A DRILL.

Joe: PART OF ME CAN'T BELIEVE
THAT THIS DAY IS ALMOST HERE,

AND I'M JUST SO HAPPY
RIGHT NOW.

**

**

-I NEED TO TALK TO YOU.
-YES.

[ SARAH CRYING ]

[ CRYING CONTINUES ]

[ SIGHS ]

[ SNIFFLES ]

Joe: THE TENSION OF LIVING
WITH SARAH'S MOM

IS STARTING TO TAKE ITS TOLL.

IT'S NOT A SOLUTION
THAT'S GONNA WORK ANYMORE.

WATCH YOUR ARM.

SO I HAVE TO FIND A JOB
VERY SOON,

BECAUSE I HAVE TO START
TAKING CARE OF MY FAMILY.

AND TOMORROW, THEY COMPLETELY
BECOME MY RESPONSIBILITY.

Sarah: I HAVE A FEELING THAT
I'M JUST GONNA GET CORNERED.

LIKE EVERYBODY'S GONNA BE LIKE,
"WHAT THE HELL?"

AND IF SHE'S THERE,

IT'S GONNA MAKE IT
EVEN WORSE FOR ME RIGHT NOW.

IT'S HER FAULT THAT
WE'RE RUNNING BEHIND,

AND I'M --
I FEEL SO GUILTY.

I'M NOT LETTING THE STRESS
OF ANY OF THIS GET TO ME.

WE'RE JUST GONNA FOCUS
ON OUR WEDDING DAY RIGHT NOW,

AND THEN I'LL FIGURE OUT
OUR LIVING SITUATION

AND GETTING WORK
SO I CAN DO WHAT WE NEED.

BUT I CAN HANDLE IT,

AND I'LL STILL STAY FOCUSED

ON LOSING WEIGHT
AND GETTING MY SKIN SURGERY,

NO MATTER
HOW MUCH IS ON MY PLATE.

BUT THERE'S STILL SO MUCH
TO BE THANKFUL FOR.

WE GET TO SPEND
THE REST OF OUR LIVES TOGETHER,

AND WE GET TO CELEBRATE THAT

WITH OUR FRIENDS AND FAMILY,
NO MATTER WHAT.

AND I'M SO THANKFUL
MY MOM IS HERE

AND SHE'S WITH ME
ON THIS BIG DAY.

SO, YOU LIKE IT,
LIVING UP HERE?

EH, IT REMINDS ME
OF JOHNSON CITY.

EXCEPT WE GOT
A MISSISSIPPI RIVER HERE.

HOW DID
YOUR INTERVIEW GO?

GOOD, GOOD, YOU KNOW?

WITH THE CITY?

YEAH. THEY SAID
THEY'D LET ME KNOW IN A WEEK.

MM. THAT WOULD BE GOOD.

IS SARAH NERVOUS?

EH, SO-SO.

TOMORROW IS THE BIG DAY.

CLOSE THE CHAPTER
OF ONE THING

AND OPEN IT TO THE BEGINNING
OF A NEW ONE.

I'M PROUD OF YOU, SON.

IT'S A BIG STEP.

YEAH?

I KNOW YOU'LL BE A GOOD DADDY
AND A GOOD HUSBAND.

MM-HMM.

I LOVE YOU, TOO.

THANK YOU.

[ GRUNTS ]
[ SMOOCHES ]

I'M READY TO FULFILL
MY RESPONSIBILITIES

TO BE THE HUSBAND AND FATHER
I NEED TO BE,

BECAUSE THAT'S THE MOST
IMPORTANT THING RIGHT NOW.

-BYE, EVERYBODY!
-iADIóS!

AND NO MATTER WHAT,

I'M GONNA DO WHAT I NEED
FOR MY FAMILY.

**

Pauline:
RIGHT NOW, I'M HEADED BACK

FOR MY NEXT APPOINTMENT
WITH DR. NOW.

I'VE BEEN TRYING
TO WORK ON THINGS,

BUT IT HASN'T BEEN EASY.

IT WAS SUCH A SETBACK
TO LOSE THAT APPROVAL.

AND I KNOW, IF I COULD WORK
TO GET TO THAT POINT AGAIN,

IT'LL BE
A HUGE ENCOURAGEMENT TO ME.

BUT WHEN I FEEL LIKE I WORK HARD
AND IT'S STILL NOT ENOUGH,

IT'S HARD NOT
TO JUST FEEL LIKE A FAILURE.

I DON'T WANT TO KEEP LIVING
IN THIS PLACE

WHERE I KEEP FAILING,

BECAUSE, AT SOME POINT,

I THINK THAT'S ALL
I'M GOING TO SEE.

SO I'M JUST REALLY HOPING
THAT I MADE SOME PROGRESS TODAY.

**

Pauline:
I'M AT DR. NOW'S OFFICE AGAIN,

AND I'M ABOUT TO FIND OUT
WHAT MY WEIGHT IS

TO SEE
IF I'VE MADE ANY PROGRESS.

I HAD GAINED LAST TIME
AND WAS UP TO 327,

SO I NEED TO BE AT LEAST 287
TO GET BACK ON TRACK TODAY.

AND I'M NOT SURE
IF I'M CLOSE OR NOT.

YAY.

**

IT'S NOT AS MUCH OF A LOSS
AS DR. NOW WANTED,

BUT I'M JUST HAPPY
IT'S NOT A GAIN RIGHT NOW.

6 POUNDS IS STILL A LOSS,
AND I'M PROUD OF THEM.

AND I REALLY HOPE
DR. NOW IS PLEASED.

[ KNOCK ON DOOR ]

-HELLO.
-HELLO.

-HOW ARE YOU ALL DOING?
-GOOD.

-HOW ARE YOU?
-ALL RIGHT.

SO, YOU'RE DOWN
TO 321 TODAY.

YEAH.

I'M GLAD THAT
YOU'RE NOT GAINING WEIGHT,

BUT THAT'S NOT
VERY MUCH LOSS AT ALL.

SO, WHAT
HAVE YOU BEEN DOING?

I'M -- SERIOUSLY,
I AM ON THE RIGHT TRACK.

I'VE BEEN USING MY LEG PUMPS,
BEEN EATING GOOD,

BEEN DRINKING
LOTS OF WATER.

BUT YOU STILL HAVEN'T GOT
ANY SHOES.

I'VE TRIED, BUT I'M STILL
FIGHTING WITH LYMPHEDEMA,

AND IT'S TAKING A LITTLE WHILE
TO GET USED TO THEM.

SO, I'M WORKING ON IT.

HAVE YOU BEEN SEEING
THE THERAPIST?

YEAH, YEAH.

I HOPE THAT MEANS THAT
THE SHIP IS TURNING AROUND

AND THAT YOU'RE ABOUT TO GET
A LOT MORE MOMENTUM

AND START LOSING
AT LEAST 20 POUNDS A MONTH.

PAULINE HAS REPEATEDLY LOST
AND THEN GAINED AGAIN,

SO UNTIL SHE SHOWS ME
MORE CONSISTENT WEIGHT LOSS

OVER MULTIPLE APPOINTMENTS,

I AM NOT CONVINCED THIS CHANGE
IS HERE TO STAY.

AND SHE STILL NEEDS
TO KEEP SEEING HER THERAPIST

TO MAKE SURE
SHE'S ADDRESSING THE CORE ISSUES

TO KEEP MAKING PROGRESS.

I'M DOING SO GOOD,
AND I LOST SOME WEIGHT,

SO I'M ON MY WAY THERE.

DO YOU THINK I'M READY
FOR SKIN-REMOVAL SURGERY AGAIN?

NO, NOT UNTIL YOU GET BACK DOWN
TO AROUND 300 AGAIN.

OKAY.

SO, KEEP AT IT,
AND YOU SHOULD BE ABLE

TO LOSE 20 POUNDS
EACH MONTH.

OKAY, GREAT.

OKAY, SEE YOU SOON.

AND DON'T GIVE UP
ON THE SHOES, OKAY?

OKAY.
[ DOOR OPENS ]

[ SPEAKING INDISTINCTLY ]

Pauline:
I THINK TODAY'S VISIT WENT OKAY.

DR. NOW
WASN'T UPSET WITH ME,

BUT HE WANTS ME
TO TRY HARDER.

I GET ALL OF HIS CONCERN FOR ME
RIGHT NOW,

BUT IT'S JUST HARD TO DEAL
WITH EVERYTHING EMOTIONALLY

THAT I'M SUPPOSED TO.

BUT ALL I NEED TO DO
IS LOSE ANOTHER 20 POUNDS

TO GET APPROVED AGAIN.

SO IF I WORK HARD,

I KNOW I COULD DO THAT
BY MY NEXT APPOINTMENT.

**

[ INDISTINCT CONVERSATIONS ]

-YOU LOOK SO PRETTY!
-I LOVE YOU.

**

Joe: SO, THE DAY I DREAMED OF
HAS FINALLY COME.

[ GRUNTS ]

AND I'M EXCITED,
BUT I'M INCREDIBLY NERVOUS, TOO.

AND I CAN'T BELIEVE
IT'S REALLY HAPPENING.

IT WAS JUST A YEAR AND HALF AGO

I FINALLY GOT APPROVED
FOR MY GASTRIC BYPASS SURGERY.

[ SIGHS ]

SURGERY'S NEXT WEEK.

-NEXT WEEK?
-YEP.

WHOA!

WE DID IT!

WE'VE WAITED SO LONG
TO HEAR THIS HAPPENED,

AND IT'S FINALLY HERE.
[ SNIFFLES ]

Joe: AND NOW MY LIFE IS
A COMPLETE 180

FROM WHAT IT WAS THEN.

AND MY MOM WAS THERE FOR ME
THE WHOLE TIME THROUGH IT.

**

[ SMOOCHES ]

Joe:
IT MEANS THE WORLD TO ME

THAT SHE'S HERE WITH ME
RIGHT NOW.

-HOLD STILL.
-YEAH?

SOMETHING'S -- HERE.
YOU NEED TO TUCK THIS PART IN.

[ SNIFFLES ]

Joe: THERE'S NO WAY I COULD
HAVE DONE THIS WITHOUT HER.

**

I'M PROUD OF YOU, SON.

THANK YOU.

WELL, I COULDN'T HAVE
GOTTEN THIS FAR WITHOUT YOU.

I LOVE YOU.

[ SNIFFLES ]

[ CRYING ]

**

ALL RIGHT, LET'S DO IT.

AS NERVOUS AS I AM,
I'M JUST HAPPY

AND I'M READY
FOR THIS HUGE STEP IN MY LIFE.

I HAD COMPLETELY GIVEN UP
ON ANY CHANCE

OF EVER BEING ABLE
TO FIND SOMEONE.

THAT'S JUST SOMETHING
YOU GIVE UP ON

WHEN YOU'RE OVER 700 POUNDS.

**

BUT LOSING ALL THE WEIGHT
AND MEETING SARAH

CHANGED ALL THAT.

**

Officiant:
PLEASE BE SEATED.

DEAR FRIENDS,
WE'VE COME TOGETHER

TO WITNESS THE MARRIAGE
OF JOE AND SARAH,

TO SURROUND THEM
WITH OUR PRAYERS,

AND TO SHARE IN THEIR JOY.

JOE AND SARAH HAVE WRITTEN
THEIR OWN VOWS FOR THIS SERVICE.

[ SIGHS ]
THE MOMENT I MET YOU,

I KNEW YOU'D BE SOMEONE
I COULD RELATE TO.

I PROMISE
TO LOVE YOU FOREVER

AND BE YOUR BEST FRIEND
AND YOUR CLOSEST COMPANION

ALL OF THE DAYS
OF OUR LIVES.

**

YOU HAVE TAUGHT ME
WHAT IT TRULY MEANS

TO LOVE SOMETHING
MORE THAN MYSELF.

YOU'RE THE ANSWER TO EVERY
PRAYER THAT I'VE EVER PRAYED.

I LOVE YOU
WITH ALL MY HEART.

**

SARAH, I GIVE YOU THIS RING
AS A SYMBOL OF MY VOW.

WITH ALL THAT I AM AND ALL
THAT I HAVE, I HONOR YOU.

I KNOW INTRODUCE TO YOU

MR. AND MRS.
JOE AND SARAH WEXLER,

HUSBAND AND WIFE.

[ CHEERS AND APPLAUSE ]

Joe: IT FEELS LIKE
I'M LITERALLY LIVING A DREAM.

IT'S JUST AMAZING TO ME.
[ CHEERS AND APPLAUSE ]

IT'S LIKE I WAS
TELEPORTED OUT OF MY LIFE

AND INTO SOMEONE ELSE'S,

BECAUSE
I JUST CAN'T BELIEVE

THIS IS ALL HAPPENING
TO ME.

Man: LADIES AND GENTLEMEN,

THE TWO HAPPIEST PEOPLE
ON THE PLANET...

[ BOTH LAUGHING ]

I CAUGHT YA!
...SARAH AND JOE WEXLER!

[ CHEERS AND WHISTLING ]

Joe:
THIS AMAZING LIFE IS MINE NOW,

SO I'M WILLING TO DO
WHATEVER IT TAKES

TO BE THE MAN I NEED TO BE.

AND THAT INCLUDES
MAKING SURE I GET A JOB

AND THAT I GET TO
A HEALTHY PLACE WITH MY BODY

AND THAT I DON'T QUIT
UNTIL I GET TO MY TARGET WEIGHT

AND HAVE ALL MY FINAL
SKIN-REMOVAL SURGERIES,

BECAUSE SO MUCH
IS RIDING ON IT.

THERE'S NO FOOD OR TEMPTATION
GREAT ENOUGH

TO MAKE ME WANT TO RISK
LOSING THIS LIFE I HAVE NOW.

**

Pauline:
I'VE BEEN THINKING ABOUT WAYS

I COULD START TO FEEL
MORE POSITIVE ABOUT MYSELF

AND HOW TO GET OUT OF THIS FUNK
I'VE BEEN IN.

SO I STARTED TO MAKE A LIST
OF ALL THE THINGS

I WANT TO IMPROVE ABOUT MYSELF
TO FEEL BETTER,

AND MY TEETH HAVE BEEN
A BIG ISSUE FOR ME.

I SPENT YEARS NOT TAKING CARE
OF MYSELF VERY WELL,

AND THAT'S DAMAGED MY BODY.

AND MY TEETH ARE NO EXCEPTION.

WHEN YOU'RE 600 POUNDS,

YOU CAN'T EXACTLY GET UP
AND GO BRUSH YOUR TEETH,

SO I WANTED TO GET THEM FIXED
FOR A WHILE.

I NEVER SMILE BECAUSE
I'M EMBARRASSED ABOUT MY TEETH,

SO I'M DOING SOMETHING
ABOUT IT.

PAULINE?
GOOD MORNING.

-YOU READY?
-YEAH.

AND WHAT
I THINK I'VE REALIZED IS

THAT I DON'T SEE MYSELF
AS SOMEONE WORTH INVESTING IN

AS LONG AS I HAVE
THIS WEIGHT ON ME.

IT'S LIKE
I PUT MY LIFE ON HOLD

AND I'M TREATING MYSELF
AS IF I DON'T DESERVE IT...

OR I'M NOT WORTH IT

UNTIL I LOSE ALL OF THIS WEIGHT
OFF OF ME.

HELLO.
HI.

HOW ARE YOU?
I'M DR. ALANI.

HI.
NICE TO MEET YOU.

YOU ARE PAULINE?
YES, I AM.

WELCOME TO THE OFFICE.
THANK YOU.

-HOW ARE YOU?
-GOOD.

FEELING GOOD TODAY?
A LITTLE NERVOUS...

OKAY.
...BUT I DON'T KNOW WHY.

I'VE NEVER BEEN NERVOUS,

BUT I JUST WORK MYSELF UP
A LITTLE BIT.

YOU'RE AT THE DENTAL OFFICE.
[ LAUGHS ]

SO, LET ME SHOW YOU
WHAT WE'RE GOING TO DO, OKAY?

[ CHUCKLES ]
OKAY, TURN TOWARD ME.

BITE DOWN.

YOU SEE THAT YOU'VE GOT
A LOT OF DECAY HERE?

SO WE NEED TO TAKE OUT
THE DECAY, BUILD THE TOOTH UP,

AND, ALSO, PUT A CROWN.

SO BASICALLY,
WE'LL JUST CROWN

EVERYTHING THAT YOU HAVE
EXISTING UP HERE.

AND THEN, I THINK
YOU'RE GONNA LOOK REALLY GOOD.

YOU'LL BE EXCITED.

WHAT WE WANT YOU TO DO --
JUST RELAX.

YOU KNOW MY SHOTS
DON'T HURT, RIGHT?

-YEP.
-OKAY.

I'M GONNA GO REALLY SLOW.

JUST A LITTLE PINCH.

-YOU OKAY?
-MM-HMM.

OKAY.

[ AIR RUSHING ]

Pauline: I'M GOING TO
START DOING THINGS NOW

THAT MAKE ME FEEL BETTER
ABOUT MYSELF.

THERE'S NO REASON I SHOULD BE
WAITING ON THE SIDELINES

LIKE I AM

AND MAKING EXCUSES

BECAUSE I'M AFRAID
OF FAILING.

SO I'M TAKING THIS STEP
TO BE HAPPIER WITH MYSELF.

AND HOPEFULLY, THIS IS
JUST THE FIRST STEP OF MANY

THAT I TAKE ON MY JOURNEY
TO FIND THE POSITIVE.

OPEN BIG.

SO PRECISE.

NOW JUST STAY CLOSED.

DON'T MOVE.
DON'T MOVE.

-HER BITE LOOKS REALLY GOOD.
-IT DOES.

ALL RIGHT, DONE!

OKAY. SO, HANG ON.

WE'RE GONNA SIT YOU
ALL THE WAY UP.

[ CHUCKLES ]

OH, MY GOD.

[ GASPS ]

[ Voice breaking ]
THANK YOU SO MUCH.

[ CHUCKLES ]
[ SNIFFLES ]

-YOU DID A GREAT JOB.
-NO PROBLEM. OH!

IT'S GONNA BRING TEARS.
WHERE'S KLEENEXES?

-[ Laughing ] I KNOW. I KNOW.
-I'LL START CRYING.

IT'S JUST SO REWARDING
TO SEE THE RESULTS.

IT REALLY IS.

I FEEL LIKE I'M JUST BEAMING,
LIKE I CAN'T STOP SMILING.

-HIGH FIVE, GIRLFRIEND.
-[ LAUGHS ]

OKAY.
THANK YOU.

Pauline: I'D LOST MY SMILE,

AND I FIGURED
IF I COULD GET THAT BACK

AND I START TO FEEL
LIKE SMILING,

THAT'S GOING TO START TO HAVE
AN EVEN BIGGER EFFECT

ON ME AND MY LIFE

AND HOW I SEE MYSELF
AND THE WORLD.

I HAVE TEETH AGAIN.

WOW, THEY LOOK REALLY GOOD.
[ CHUCKLES ]

AND I'M HOPING THAT,
THE MORE I SMILE,

THE MORE THAT'S GOING TO BECOME
CONTAGIOUS

AND IT'S GONNA START TO
EVEN AFFECT MY WHOLE DEMEANOR.

**

Joe: SARAH AND I HAVE
BEEN MARRIED FOR A MONTH NOW,

AND I'M LOVING
EVERY MINUTE OF IT.

AND ONE OF FAVORITE THINGS THAT
WE'VE STARTED DOING TOGETHER

IS TAKING WALKS A FEW TIMES
A WEEK TO STAY ACTIVE.

REMEMBER THE LAST TIME
WE WERE UP HERE?

OUR WEDDING DAY?

YEP.

AND WE LOVE WALKING
IN THE PARK

WHERE I MET SARAH IN PERSON
FOR THE FIRST TIME

AND WHERE WE HAD
OUR FIRST DATE.

BACK THEN, I STILL WASN'T ABLE
TO GET AROUND MUCH

AND I'D HURT MY KNEE
COMING BACK UP THE STAIRS.

'CAUSE EVEN THOUGH
I'D LOST A LOT,

I HAD SO MUCH WEIGHT
ON MY BODY STILL,

I ALMOST COULDN'T HANDLE
ALL THE WALKING.

SO IT'S FUN TO BE HERE

AND REMINISCE ABOUT OUR LIFE NOW
COMPARED TO THEN.

-YAY!
-[ GRUNTS ]

GOOD JOB, JOE!

[ LAUGHS ]

[ LAUGHS ]

**

ENGAGE.
ALL RIGHT.

Joe:
IT'S FUN WORKING OUT WITH SARAH

JUST BECAUSE HAVING
MY SOUL MATE WITH ME,

IT MAKES ME FEEL GOOD

KNOWING THAT
SHE'S THERE TO SUPPORT ME,

ENCOURAGE ME TO PUSH

THAT LITTLE BIT FURTHER
AND LITTLE BIT HARDER,

AND KNOWING THAT,
NO MATTER WHAT,

I HAVE HER THERE
TO PICK ME UP IF I FAIL,

BUT, ALSO, SEE ME SUCCEED.

AFTER THE WEDDING,
I OFFICIALLY MOVED UP TO IOWA.

AND WE WERE PLANNING
ON FINDING A PLACE OF OUR OWN,

BUT IT'S TAKING A LITTLE LONGER
FOR ME TO FIND A JOB.

AND WE'VE BEEN DISCUSSING
A REALISTIC TIMELINE

WITH EVERYTHING BEFORE US.

THERE'S A LOT OF THINGS
ON THE HORIZON,

SO WE TALKED ABOUT
IMMEDIATE PLANS

AND EVERYTHING
THAT I HAVE TO JUGGLE.

GETTING SKIN SURGERY
IS A REALLY BIG DEAL TO ME.

IT'S SOMETHING
I REALLY WANT TO DO,

BUT I CAN'T HAVE IT
IF WE'RE MOVING

AND I'M STARTING A NEW JOB.

SO WE DECIDED THAT
I'D HAVE TO HIT MY GOAL

OF GETTING
UNDER 300 POUNDS

AND APPROVED FOR SKIN REMOVAL

AT MY NEXT APPOINTMENT
IN A COUPLE OF WEEKS.

IF I DO,
I'LL HAVE MY SKIN SURGERY.

AND THEN, WE'LL FOCUS
ON ME GETTING A JOB

AND US MOVING OUT
ONCE I RECOVER.

BUT IF I DON'T HIT MY GOAL
THIS TIME,

THEN WE DECIDED THAT
I'D WAIT AT LEAST A YEAR

TO GET
THE SKIN-REMOVAL SURGERY.

SO I HAVE TO HIT MY GOAL,
AND I'M DETERMINED TO DO IT,

BECAUSE IF I DON'T DO IT
THIS TIME,

THEN I DON'T KNOW
WHEN I'M GONNA BE ABLE TO.

**

Joe: SARAH AND I
FLEW INTO HOUSTON TOGETHER

FOR A WEEKEND AWAY

AND SO I CAN HAVE
MY NEXT DOCTOR'S APPOINTMENT.

HER MOM'S WATCHING HAYLEY,

SO WE'RE GONNA TAKE ADVANTAGE
OF SOME TIME TOGETHER.

BUT, FIRST,
I HAVE MY APPOINTMENT,

AND "NERVOUS" WOULDN'T EVEN
BEGIN TO DESCRIBE

HOW I FEEL RIGHT NOW.

SO MUCH IS RIDING
ON THIS WEIGH-IN

AND WHETHER OR NOT
I HIT MY GOAL

TO QUALIFY
FOR MY NEXT SKIN REMOVAL.

IT'S BEEN FOUR MONTHS

SINCE I'VE BEEN HERE
TO SEE DR. NOW,

AND I WAS AT 365
THE LAST TIME I WAS HERE.

SO IF I STAYED ON TRACK,
THAT WOULD PUT ME AT 265 TODAY.

BUT I'LL BE HONEST.

ALL I CARE ABOUT IS GETTING
UNDER 300 POUNDS TODAY

TO HIT MY GOAL
FOR SKIN REMOVAL.

-304.
-YAY!

PROGRESS.

**

I'M JUST A FEW POUNDS AWAY,

BUT I HAVE NO IDEA

IF I'M CLOSE ENOUGH
TO GET APPROVED.

[ KNOCK ON DOOR ]

Dr. Nowzaradan: HELLO.

HI, DR. NOW.
HI.

-HOW ARE YOU ALL DOING?
-DOING ALL RIGHT.

-HOW ARE YOU?
-I AM DOING OKAY.

CONGRATULATIONS
TO YOU BOTH.

THANK YOU VERY MUCH.

JOE, YOU'RE LOOKING GOOD.

THANK YOU, SIR.

SO, YOU'RE DOWN
TO 304 TODAY.

YES, SIR.

WHEN I SAW FIRST TIME,
YOU'RE SEATED THERE,

WOULD NOT RECOGNIZE YOU.

[ CHUCKLES ] NO.

I FEEL DIFFERENT, TOO.

WELL, ANY EXTRA SKIN
BECOMING AN ISSUE FOR YOU?

YEAH,
DEFINITELY THE LEGS.

IT'S, LIKE,
RUBBING AND STUFF,

AND VERY UNCOMFORTABLE
AND HURTING AND WHATNOT, SO...

SO, LET'S TAKE A LOOK
AT YOUR LEG

AND SEE WHAT'S GOING ON
WITH THAT.

SURE.

YOU'VE GOT A LOT OF EXTRA SKIN
ON BOTH LEGS,

BUT MORE
ON THE RIGHT, HUH?

YEAH.

I THINK WE CAN TAKE
THE EXTRA SKIN OFF IN BOTH LEGS

AND MAKE THEM A LITTLE BIT
MORE TIGHT AND SMALLER

SO YOU DON'T HAVE
ALL THAT EXTRA SKIN IN YOUR WAY.

AWESOME.

SO I'M APPROVING YOU
FOR SKIN SURGERY FOR BOTH LEGS.

AWESOME.
THANK YOU.

ALL RIGHT, JOE.
YOU'RE DOING GREAT.

SO I'M GONNA SET YOU UP
FOR SURGERY NEXT MONTH.

OKAY.

AND I'LL SEE YOU
IN THE HOSPITAL.

OKAY, SOUNDS GOOD.
OKAY?

THANK YOU SO MUCH.
NICE TO SEE YOU.

NICE TO SEE YOU AGAIN.
THANK YOU.

ALL RIGHT.
I'LL SEE YOU ALL LATER.

ALL RIGHT.
THANK YOU.

Dr. Nowzaradan:
JOE IS NOT COMPLETELY ON TRACK

WITH HIS MONTHLY GOALS,

BUT HE'S STILL MAKING
GOOD PROGRESS,

IN SPITE OF ALL THE EVENTS
AND RESPONSIBILITY

IN HIS LIFE NOW.

HE'S NOT LETTING
THE STRESS GET TO HIM,

AND HE'S MAINTAINING A POSITIVE
OUTLOOK WITH EVERYTHING.

SO I THINK
HE'S GOING TO DO WELL.

Joe: I'M BEYOND EXCITED
RIGHT NOW.

DURING THE WEDDING
AND ALL THE EVENTS AROUND IT,

WITH ALL THAT FOOD,

IT WASN'T EASY,
BUT I WAS DETERMINED.

AND NOW I CAN'T WAIT
TO HAVE MY SURGERY.

I KNOW RECOVERY ISN'T EASY,

BUT I'M GONNA HAVE
THE BEST WOMAN IN THE WORLD

TAKING CARE OF ME,

SO I'M READY FOR THIS.

**

Pauline:
I'M CONTINUING ON MY JOURNEY

TO BE MORE POSITIVE.

WHEN I WAS AT MY HEAVIEST,
I ALWAYS THOUGHT,

"IF I COULD LOSE
ALL THIS WEIGHT,

ONE THING I WOULD GO WOULD BE
TO HELP OTHER PEOPLE OUT,

OR TO JUST DO SOMETHING
TO LIFT THEIR SPIRITS."

SO THAT'S THE NEXT ITEM
ON MY LIST.

DILLON AND I HAVE MADE
THESE LITTLE BAGS

WITH SOME FOOD
AND ESSENTIAL ITEMS IN IT,

AND WE'RE GOING TO GO OUT
AND JUST FIND PEOPLE IN NEED

TO GIVE THEM TO.

I KNOW WHAT IT'S LIKE TO BE
IN NEED AND TO BE IGNORED.

IT'S FUNNY HOW INVISIBLE
YOU CAN STILL FEEL AT TIMES,

EVEN WHEN YOU'RE 600 POUNDS.

PEOPLE EITHER STARE AND POINT
OR IGNORE YOU,

AND BEING HOMELESS IS PROBABLY
NOT A LOT DIFFERENT.

GOD BLESS YOU.

THANK YOU, MA'AM.
I APPRECIATE IT.

YOU'RE WELCOME.

I KNOW HOW EASY IT IS
TO END UP SOMEWHERE IN LIFE

THAT YOU NEVER THOUGHT
YOU WOULD,

AND YOU START TO LOSE HOPE
AND GIVE UP,

AND YOU JUST ACCEPT
YOUR SITUATION.

WOULD YOU GUYS LIKE
A TREAT BAG?

GOD BLESS YOU.

THANK YOU AGAIN, ALL RIGHT?
THANK YOU.

YOU'RE WELCOME.

-HERE YOU GO.
-OH, THANK YOU SO MUCH.

GOD BLESS YOU.
THANK YOU.

THERE ARE SO MANY PEOPLE
IN THIS WORLD

THAT WOULD GIVE ALMOST ANYTHING
FOR A SECOND CHANCE AT LIFE,

SO ME DOING THIS TODAY
REMINDS ME OF THAT.

IN A WEIRD WAY,
DOING THIS IS HELPING ME

JUST AS MUCH
AS IT HOPEFULLY HELPS THEM.

I'M TRYING TO BRIGHTEN THEIR DAY
AND REMIND THEM

THERE ARE PEOPLE OUT THERE
THAT SEE THEM AND CARE

AND NOT TO GIVE UP HOPE.

GOD BLESS YOU.

I'M SO BLESSED TO HAVE
WHAT I HAVE,

AND I CAN'T LET MYSELF
DO ANYTHING

TO TAKE THAT FOR GRANTED.

AND WHEN I GIVE IN
AND EAT WHAT I SHOULDN'T,

THAT'S EXACTLY
WHAT I'M DOING.

**

Joe: TODAY IS THE DAY

OF MY SECOND
EXCESS-SKIN REMOVAL SURGERY.

TO KEEP LOSING THE WEIGHT

AND HAVE THIS PAINFUL MASS
ON YOU, JUST PULLING YOU DOWN

IS MISERABLE TO LIVE WITH.

SO, NO MATTER HOW HARD
THE SURGERIES ARE,

I'D TAKE THEM OVER A LIFETIME
OF EXCESS SKIN ON MY BODY

IN A HEARTBEAT.

SO I'M REALLY HAPPY TO BE
GETTING THIS OPERATION TODAY.

I JUST HOPE IT ALL GOES
WITHOUT COMPLICATION.

Dr. Nowzaradan:
TODAY, THIS EXCESS-SKIN REMOVAL

IS GOING TO HELP JOE
TO BECOME MUCH MORE MOBILE

AND MAKE
A SIGNIFICANT DIFFERENCE

FOR HIS OVERALL
QUALITY OF LIFE.

BUT THIS OPERATION
IS GOING TO BE A LONG ONE.

OKAY, STARTING
THE FIRST INCISION.

SKIN REMOVAL IN THE LEGS

REQUIRES MORE ATTENTION
TO SYMMETRY,

BECAUSE BOTH LEGS
HAVE TO MATCH.

WE'RE PROBABLY GONNA HAVE TO
TIE CLOSE TO 400 BLOOD VESSELS

BEFORE WE GET THROUGH,

AND THE BIG CHALLENGE WILL BE,
IF ANY OF THEM GET LOOSE,

HE'S GONNA HAVE A BLEED.

AND THAT'S GONNA BE
A SERIOUS PROBLEM,

SO WE NEED TO WATCH FOR THAT.

**

Sarah: I HAVE BEEN
A NERVOUS WRECK ALL DAY.

THE WORST PART, I THINK,

IS NOT KNOWING
EXACTLY WHAT'S GOING ON

AND NOT BEING ABLE
TO SEE HIM.

AND I'M A LITTLE WORRIED IF
THERE'S GONNA BE COMPLICATIONS.

JOE MEANS EVERYTHING TO ME,

SO I'M TRYING
TO BE OPTIMISTIC

THAT EVERYTHING IS GONNA GO
AS PLANNED.

Dr. Nowzaradan:
AFTER THIS OPERATION,

IT WILL TAKE JOE ABOUT
A MONTH AND A HALF TO TWO MONTHS

TO FULLY RECOVER

BECAUSE ANY REMOVAL ON THE LEGS
IS A VERY DIFFICULT RECOVERY.

BUT ONCE HE RECOVERS,

HE WILL BE VERY HAPPY
WITH THE CHANGES IN HIS BODY.

AND WE'RE DONE.

JOE'S SURGERY
WENT VERY WELL TODAY.

Man:
HEY, JOE, WE'RE ALL DONE.

SO, THIS IS THE SKIN
WE TOOK OFF OF HIM.

IT'S A LITTLE BIT
OVER SEVEN POUNDS.

AFTER THIS OPERATION,
JOE SHOULD BE UNDER 300 NOW.

HE STILL NEEDS TO LOSE
AROUND 100 POUNDS

TO GET TO HIS TARGET WEIGHT,

AND HE WILL NEED A COUPLE
MORE SKIN REMOVALS STILL.

BUT HIS RECOVERY
IS NOT GOING TO BE EASY.

BUT I HAVE NO DOUBT THAT
JOE IS GOING TO GET THROUGH IT.

**

Pauline:
DILLON AND ME ARE IN GALVESTON

BECAUSE WE ARE GOING ON
A DOLPHIN SIGHT-SEEING TOUR.

**

I'VE NEVER BEEN ON THE WATER,

AND I'VE NEVER SEEN DOLPHINS
UP CLOSE.

AND IT'S SOMETHING
I'VE ALWAYS WANTED TO DO,

SO I'M DOING IT.

AND THIS IS ANOTHER THING
I WAS WAITING TO TRY AND DO

AFTER I GOT TO
MY TARGET WEIGHT,

BUT I'M DOING IT NOW.

IT'S NEXT ON MY JOURNEY TO DO
THE THINGS I'VE DENIED MYSELF

AND TO BECOME MORE POSITIVE
THROUGH THAT.

SINCE I'VE DECIDED
TO START DOING THESE THINGS,

I'M NOT LIVING IN FEAR.

I DO FEEL I'M NOT AS DOWN
WHEN I START EACH DAY.

SORRY.

IT'S NOT THAT
I'M NOT STRUGGLING RIGHT NOW

OR THAT I'M NO LONGER LIVING
IN ANY SHAME OR FEAR.

BUT I DO FEEL
AN IMPROVEMENT,

AND THAT HAS HAD AN EFFECT
IN EVERY ASPECT OF MY LIFE.

SO I'M REALLY PROUD OF MYSELF.

AND IT'S SLOW,
BUT I'M GETTING THERE.

**

I'VE LIVED IN SHAME FOR SO LONG,
AND I DIDN'T REALIZE IT.

IT WAS JUST FEAR TO ME,

AND I DIDN'T THINK
I DESERVED

TO HAVE THE LIFE
THAT I WANTED.

AND I'M WORKING ON CHANGING
HOW I SEE MYSELF.

I'M GLAD I CAN SEE THAT
STARTING TO CHANGE IN ME,

AND THAT IS GIVING ME HOPE.

Dillon:
IT MAKES ME PRETTY HAPPY

THAT SHE'S TAKING THESE STEPS
AND PROGRESSING FURTHER

AND DOING STUFF THAT
SHE HASN'T BEEN ABLE TO DO.

AND I DIDN'T THINK
SHE WAS EVEN GONNA BE ABLE

TO MAKE THIS STEP TODAY,
BUT IT'S PRETTY EXCITING.

[ Voice breaking ]
A DAY LIKE TODAY MAKES ME, UM...

REALLY GRATEFUL THAT
I MADE THIS MOVE, YOU KNOW?

I'M REALLY HAPPY.
[ SNIFFLES ]

IT WAS A BIG STEP
TO UPROOT MY KID

AND MOVE FROM ANOTHER STATE

AND LEAVE
ALL MY FRIENDS AND FAMILY,

AND IT'S BEEN HARD.

BUT I THINK
I WOULD DO IT AGAIN.

I FEEL LIKE NOW THAT
I'M ON THE GOOD SIDE OF IT

AND ALL THE BAD IS BEHIND ME,

AND I FEEL LIKE THERE'S NOTHING
BUT GOOD TO COME.

**

TODAY, I'M HEADING BACK
TO SEE DR. NOW

TO SEE IF
I'M MAKING PROGRESS AGAIN.

I HAVE NO IDEA
WHAT THE SCALE'S GONNA SAY.

I'M HOPING I'M BACK ON TRACK
LIKE I THINK I AM.

I'VE HAD TO MISS A COUPLE
OF APPOINTMENTS WITH DR. NOW,

BUT I WAS AT 321
THE LAST TIME I WAS HERE.

SO I SHOULD BE DOWN TO 221
IF I STAYED ON TRACK,

AND I'M JUST HOPING
I'M DOING BETTER THIS TIME.

I THINK SO.

HELL, YEAH.

YOUR SCALE'S WRONG,
OR I LOST A LOT OF WEIGHT.

[ CHUCKLES ]

IT'S NOT NEAR DR. NOW'S GOAL,
BUT I'M LOSING MORE WEIGHT.

AND THIS IS THE FIRST TIME
SINCE I WAS A CHILD

THAT I'VE BEEN
IN THE 200s,

SO I HOPE HE'S HAPPY
WITH THAT.

AND HOPEFULLY,
I'M IN A GOOD PLACE AGAIN

TO GET APPROVED
FOR MY EXCESS-SKIN REMOVAL.

TWO YEARS AFTER
A WEIGHT-LOSS SURGERY,

YOU REALLY HAVE TO WORK HARD
FOR EVERY POUND YOU LOSE.

SO FOR 29 POUNDS
TO JUST FALL OFF THAT EASY,

I'M JUST FLABBERGASTED.

[ KNOCK ON DOOR ]

HELLO.
HELLO.

HOW ARE YOU ALL DOING?
GOOD.

HOW ARE YOU?
I'M DOING OKAY.

SO, I SEE YOU LOST
SOME WEIGHT TODAY.

I LOST A LITTLE BIT.
YES, I DID. [ CHUCKLES ]

SO, HOW DO YOU FEEL?

IT FEELS GOOD.

I FEEL LIKE
I'M A LOT BETTER

AND I'M A LOT MORE POSITIVE
ABOUT THINGS.

SO, THAT TELLS ME THAT,
IF YOU WANT TO,

YOU CAN LOSE WEIGHT
AND STICK WITH YOUR DIET, HUH?

-YEAH.
-THAT'S GOOD.

SO, LET ME SEE YOUR EXCESS SKIN
ON YOUR STOMACH.

ALL RIGHT.
SO, IT'S LOOKING VERY LOOSE.

OKAY, ALL RIGHT.

SO, YOU'RE DOING GOOD,
AND YOU'RE MAKING PROGRESS.

SO, I THINK
YOU'RE READY ONCE MORE

FOR EXCESS-SKIN REMOVAL.

SO I'M APPROVING YOU
FOR THAT.

-OKAY.
-OKAY?

I'M SCHEDULING YOU
FOR THE NEXT MONTH,

AND WE'LL DO
THE OPERATION THEN.

SO, IT'S THE SAME DEAL
AS LAST TIME.

IF YOU GAIN,
I'LL CANCEL IT.

SO, DON'T LET THAT HAPPEN,
ALL RIGHT?

-KEEP IT UP.
-ALL RIGHT.

-YOU'RE DOING GREAT.
-THANK YOU.

I'M PROUD OF YOU.

Dr. Nowzaradan: I'M HAPPY TO SEE
PAULINE IS LOSING MORE WEIGHT

AND FEELS MORE POSITIVE
ABOUT THINGS,

BUT SHE HAS HAD TIMES
THAT SHE WILL START TO LOSE,

AND SHE GAINS AGAIN.

SO NOW THAT SHE IS HEADING
IN A GOOD DIRECTION AGAIN,

SHE NEEDS TO MAKE SURE
SHE MAINTAINS IT

BECAUSE THIS COMING YEAR
IS GOING TO BE PIVOTAL FOR HER.

IF SHE STARTS FALLING BACK
INTO OLD HABITS

TWO YEARS AFTER SURGERY,

HER BYPASS
WILL START TO FAIL.

AND THIS NEXT YEAR

WILL BE EITHER THE YEAR
THAT SHE MAKES IT TO HER GOAL

OR WILL BE THE YEAR

THAT SHE WILL GAIN
ALL HER WEIGHT BACK.

SO I'M HOPING THIS POSITIVE
CHANGE IS HERE TO STAY FOR HER.

Pauline:
I'M REALLY HAPPY RIGHT NOW.

I'M FAR FROM WHERE I NEED TO BE,
BUT FOR THE FIRST TIME,

I BELIEVE THAT
I NOT ONLY CAN GET THERE,

BUT THAT I DESERVE TO BE
WHERE I WANT.

AND EVEN IF I'M NOT, I SHOULDN'T
LIVE LIFE IN THE FEAR I HAVE.

MY LIFE IS CHANGING
FOR THE BETTER DAY BY DAY,

AND "THE FAT GIRL"
IN ME IS DEAD

BECAUSE
SHE'S LOST HER VOICE.

THE PERSON I WANT TO BE
IS WHO HAS A VOICE IN MY LIFE,

AND I'M ONLY LISTENING
TO HER NOW.

AND I CAN HEAR HER
LOUD AND CLEAR.

**

Joe: IT'S BEEN AROUND SIX WEEKS
SINCE MY SURGERY,

AND I'M STARTING TO FEEL
LIKE MY OLD SELF AGAIN.

IT HASN'T BEEN
AN EASY RECOVERY,

BUT I HAD SARAH BY MY SIDE
THE WHOLE TIME,

TAKING CARE OF ME,

SO I WAS IN GOOD HANDS.

AND I CAN'T BELIEVE HOW MUCH
EASIER IT IS TO GET AROUND

WITHOUT ALL THE EXCESS SKIN
ON MY LEGS,

SO I'M LOVING HOW I FEEL
RIGHT NOW.

AND WITH THE EXCESS SKIN REMOVED
AND MY CONTINUED WEIGHT LOSS,

I'M DOWN TO 287.

AND I'M JUST ENJOYING
GETTING BACK

TO BEING A HUSBAND
AND A FATHER.

I'M JUST SO THANKFUL
FOR ALL THE JOY IN MY LIFE.

AAH!

[ LAUGHTER ]

OH, AND BY THE WAY --
YOU'RE IT.

-WHOO-HOO-HOO!
-[ LAUGHS ]

I FEEL COMPLETE NOW.

WHEN BEFORE, I WAS WILLING
TO JUST LET MYSELF DIE

BECAUSE I HAD NOTHING
TO LIVE FOR AND I HAD NO LIFE,

AND NOW I HAVE EVERYTHING
TO LIVE FOR.

BUT THERE'S NO TIME
FOR ME TO SLOW DOWN

BECAUSE I STILL HAVE
A TARGET WEIGHT TO GET TO

IN THE NEXT
SIX TO EIGHT MONTHS.

**

AND RIGHT NOW,
I HAVE WORK TO DO.

I WAS ABLE TO START A JOB
AS AN I.T. SPECIALIST,

AND SARAH AND I ARE STARTING
TO LOOK FOR PLACES OF OUR OWN.

BUT WE HAVEN'T FOUND
THE PLACE YET.

WE WANT IT BIG ENOUGH
TO GROW OUR FAMILY

AS WE GET TO THE PLACE
TO MAYBE HAVE ANOTHER CHILD.

JOE, I ASSUME?

HI. HOW'S IT GOING?

GOOD TO SEE YOU GUYS.

HI.

Joe: DEFINITELY ENJOYING THE
PROCESS OF LOOKING FOR A HOUSE.

WANT TO CHECK OUT
THE BACKYARD?

-SURE.
-SURE.

IT'S A LITTLE STRESSFUL TO THINK
ABOUT THE FINANCES,

BUT I'M GONNA WORK ON THAT

AND MAKE SURE MY FAMILY HAS
WHAT THEY NEED.

THE JOB I HAVE NOW
ISN'T THE HIGHEST-PAYING JOB,

BUT THERE'S A LOT OF POTENTIAL
TO GROW IN MY ROLE.

AND I KNOW THERE'S A LOT TO DO
IN THE NEAR FUTURE,

AND THAT
ALL OF IT'S NOT GONNA BE EASY.

BUT I GET TO DO IT
WITH SARAH AND HAYLEY,

AND WITH THEM,
I CAN FACE ANYTHING.

I CAN DEFINITELY SEE
HAVING DINNER AS A FAMILY HERE.

MM-HMM.

SO, WHAT DO YOU GUYS SAY

WE CHECK OUT THIS PLACE
THAT'S NOT TOO FAR FROM HERE?

-SURE.
-SURE, YEAH.

I'M NOT TAKING ANY PART
OF MY NEW LIFE FOR GRANTED

EVEN FOR A SECOND.

TO FIND SOMEONE TO LOVE
LIKE I LOVE SARAH

IS AN AMAZING THING.

I GOT MY PERFECT SOUL MATE
ALREADY

AND PERFECT
LITTLE 8-YEAR-OLD KIDDO.

NOW WE JUST NEED A PLACE
TO CALL OUR OWN.

AND WE'LL SETTLE DOWN,

AND WHO KNOWS
WHAT THE FUTURE HOLDS FOR US?

I JUST WANT A PLACE FOR US

WHERE I WANT TO BE ABLE
TO GROW SARAH A GARDEN.

SHE WANTS FLOWERS --

LILAC BUSHES AND ROSES
AND STUFF.

THAT'S SOMETHING
I WANT TO DO FOR HER.

Sarah: I COULDN'T BE HAPPIER
ABOUT LIFE WITH JOE.

AND I'M SO PROUD OF HIM

NOT BECAUSE
OF ALL OF HIS PROGRESS,

BUT BECAUSE OF THE MAN HE IS.

AND I KNOW WE'RE GONNA HAVE
A GREAT LIFE TOGETHER.

Joe:
I'M MORE MOTIVATED THAN EVER,

AND I'M NOT LETTING ANYTHING
GET IN THE WAY

OF ME BEING THE BEST HUSBAND
AND FATHER I CAN BE.