1 00:00:06,100 --> 00:00:08,833 Marla: I CAN'T EVEN BATHE MYSELF. 2 00:00:08,833 --> 00:00:11,400 MY KIDS HAVE TO DO THAT FOR ME. 3 00:00:11,400 --> 00:00:13,833 Charity: I FEEL LIKE SOME MONSTER. 4 00:00:13,833 --> 00:00:18,067 Olivia: I'VE BEEN HIDING FROM THE WORLD, JUST WAITING TO DIE. 5 00:00:18,067 --> 00:00:20,900 Pauline: I AM ABSOLUTELY TRAPPED IN THIS BODY, 6 00:00:20,900 --> 00:00:23,167 AND I FEEL LIKE I'M DYING EVERY DAY. 7 00:00:25,000 --> 00:00:27,033 Susan: I'M TERRIFIED RIGHT NOW. 8 00:00:27,033 --> 00:00:30,267 THIS IS MY LAST HOPE TO BECOME NORMAL. 9 00:00:30,267 --> 00:00:33,567 Madison: I NEED MY MOM. I NEED HER TO BE HERE FOR ME. 10 00:00:33,567 --> 00:00:36,767 ** 11 00:00:43,100 --> 00:00:45,067 Man: 10 SECONDS NOW. HOLD IT, HOLD IT, HOLD IT. 12 00:00:45,067 --> 00:00:47,200 -[ BREATHES DEEPLY ] -GOOD JOB. 13 00:00:47,200 --> 00:00:50,700 Christina: I HAD TO MAKE A CHOICE TO TAKE CARE OF MYSELF. 14 00:00:50,700 --> 00:00:53,800 Joe: I REFUSE TO LET THEM BURY ME. 15 00:00:57,267 --> 00:01:00,100 Susan: I AM NOW EXPRESSING MYSELF 16 00:01:00,100 --> 00:01:02,067 AND LIVING MY OWN TRUTH. 17 00:01:02,067 --> 00:01:04,933 Olivia: I LOST THE WEIGHT, BUT I GAINED MY FAMILY. 18 00:01:04,933 --> 00:01:08,067 Zsalynn: LIFE IS AMAZING NOW. I'M REALLY PROUD OF MYSELF. 19 00:01:11,567 --> 00:01:14,800 Christina: I CAN DO SO MUCH MORE THAN I EVER EXPECTED. 20 00:01:14,800 --> 00:01:17,200 -- Captions by VITAC -- www.vitac.com 21 00:01:17,200 --> 00:01:19,633 CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS 22 00:01:19,633 --> 00:01:21,933 Paula: I'M EMBARRASSED BY MY WEIGHT. 23 00:01:21,933 --> 00:01:23,567 IT HURTS TO MOVE, IT HURTS TO WALK, 24 00:01:23,567 --> 00:01:25,267 IT HURTS TO DO JUST ABOUT EVERYTHING. 25 00:01:25,267 --> 00:01:29,733 MY HUSBAND DIED, AND SO NOW IT'S MY JOB TO PROTECT MY KIDS. 26 00:01:29,733 --> 00:01:32,767 Madison: I NEED MY MOM. I NEED HER TO BE HERE FOR ME. 27 00:01:36,167 --> 00:01:38,833 Paula: I DON'T WANT TO BE IN A BOX SITTING ON MY KIDS' MANTEL. 28 00:01:38,833 --> 00:01:40,933 I HAVE GOT TO DO SOMETHING DIFFERENT. 29 00:01:44,367 --> 00:01:45,767 I HATE FEELING WEIGHT. 30 00:01:45,767 --> 00:01:47,200 EVERYTHING'S SPINNING. 31 00:01:47,200 --> 00:01:49,567 Man: IT'S GONNA TAKE TIME. 32 00:01:52,733 --> 00:01:56,167 THE WEIGHT -- IT'S A SYMPTOM OF AN EMOTIONAL OBSTACLE. 33 00:01:56,167 --> 00:01:57,767 I'VE BEEN OVERWEIGHT SINCE I WAS MOLESTED. 34 00:01:58,733 --> 00:02:00,433 I'VE LIVED WITH THOSE CONSEQUENCES 35 00:02:00,433 --> 00:02:02,867 FOR THE LAST 30 YEARS. 36 00:02:02,867 --> 00:02:04,800 I CAN'T CARRY IT ANYMORE. 37 00:02:08,067 --> 00:02:09,767 I WILL NOT LOSE ALL THE PROGRESS 38 00:02:09,767 --> 00:02:11,767 THAT I'VE MADE OVER THE LAST YEAR. 39 00:02:11,767 --> 00:02:14,233 MY HEALTH NEEDS TO BE A PRIORITY. 40 00:02:16,633 --> 00:02:18,233 Dr. Nowzaradan: YOU STOPPED LOSING WEIGHT, 41 00:02:18,233 --> 00:02:19,600 AND YOU'VE GAINED A COUPLE POUNDS. 42 00:02:19,600 --> 00:02:21,833 I HAD A LOT OF STRESS IN THE LAST 10 DAYS. 43 00:02:21,833 --> 00:02:25,133 Dr. Nowzaradan: PAULA IS BACK TO MAKING EXCUSES. 44 00:02:28,467 --> 00:02:30,167 Paula: I DON'T THINK I'LL BE SUCCESSFUL 45 00:02:30,167 --> 00:02:31,767 IF I JUST HEAL MY BODY. 46 00:02:31,767 --> 00:02:33,400 I'VE GOT TO HEAL MY HEAD. 47 00:02:36,733 --> 00:02:38,233 I'M DONE MAKING EXCUSES. 48 00:02:38,233 --> 00:02:41,067 BUT THE TRUE TEST IS THAT SCALE. 49 00:02:41,067 --> 00:02:42,933 YES. 50 00:02:45,733 --> 00:02:47,900 THROUGH THIS JOURNEY, I'VE LEARNED HOW TO NOT ONLY BE 51 00:02:47,900 --> 00:02:51,767 PHYSICALLY HEALTHY BUT HOW TO BE EMOTIONALLY HEALTHY, AS WELL, 52 00:02:51,767 --> 00:02:53,600 AND IT'S AWESOME. 53 00:02:57,733 --> 00:03:00,933 ** 54 00:03:07,433 --> 00:03:09,533 GET UP, SAVANNAH. 55 00:03:09,533 --> 00:03:12,533 IT'S BEEN OVER TWO YEARS SINCE MY SURGERY 56 00:03:12,533 --> 00:03:15,333 AND THINGS ARE VERY DIFFERENT IN MY LIFE NOW. 57 00:03:15,333 --> 00:03:19,067 BEFORE, I WASN'T EVEN ABLE TO TAKE CARE OF MYSELF, 58 00:03:19,067 --> 00:03:23,133 BUT NOW I'M VERY INDEPENDENT, AND I COULDN'T BE HAPPIER. 59 00:03:23,133 --> 00:03:25,067 AND MY LIFE HAS CONTINUED TO CHANGE A LOT, 60 00:03:25,067 --> 00:03:27,700 AND IT'S BEEN HAPPENING VERY QUICKLY. 61 00:03:27,700 --> 00:03:30,633 MY ELDEST IS IN HER SENIOR YEAR AT COLLEGE. 62 00:03:30,633 --> 00:03:32,400 MY SON IS LIVING IN ATLANTA. 63 00:03:32,400 --> 00:03:35,633 AND MY DAUGHTER MADISON, SHE GRADUATED HIGH SCHOOL, 64 00:03:35,633 --> 00:03:38,500 HAD A BABY, GOT MARRIED, AND MOVED OUT. 65 00:03:38,500 --> 00:03:41,400 SO MY HOUSE HAS GOTTEN A LOT EMPTIER. 66 00:03:41,400 --> 00:03:43,100 SAVANNAH! 67 00:03:43,100 --> 00:03:45,933 YOU'RE GETTING UP. 68 00:03:45,933 --> 00:03:48,567 SO NOW IT'S JUST SAVANNAH AND ME. 69 00:03:48,567 --> 00:03:50,200 GET UP, FOR REAL. 70 00:03:50,200 --> 00:03:51,867 BRUSH YOUR TEETH, I'M GONNA MAKE SOMETHING TO EAT, 71 00:03:51,867 --> 00:03:53,133 WE'LL GET READY TO GO. 72 00:03:55,567 --> 00:03:58,067 I USED TO BE ADDICTED TO FOOD. 73 00:03:58,067 --> 00:04:02,867 THERE WERE DAYS THAT I ATE OVER 6,000 CALORIES. 74 00:04:02,867 --> 00:04:05,533 BUT NOW I'VE LEARNED TO MANAGE MY ADDICTION. 75 00:04:05,533 --> 00:04:10,233 SIX WEEKS AGO, I WEIGHED 268 POUNDS. 76 00:04:10,233 --> 00:04:14,633 AND I'VE LOST AN ADDITIONAL 28 POUNDS SINCE THEN. 77 00:04:14,633 --> 00:04:17,967 SO I'VE BEEN MAKING REALLY GOOD PROGRESS. 78 00:04:17,967 --> 00:04:19,967 BUT IT USED TO BE REALLY HARD. 79 00:04:19,967 --> 00:04:22,933 I HAD TO WORK THROUGH SOME DARK PARTS OF MY PAST. 80 00:04:22,933 --> 00:04:23,900 HI. 81 00:04:23,900 --> 00:04:24,900 HI. 82 00:04:26,400 --> 00:04:27,700 I LOVE YOU, TOO. 83 00:04:27,700 --> 00:04:29,933 FORGIVING MY MOM FOR ALL THE ABUSE THAT SHE ALLOWED 84 00:04:29,933 --> 00:04:33,433 MEANT THAT I COULD MOVE ON WITH MY LIFE 85 00:04:33,433 --> 00:04:36,067 AND FOCUS ON WHAT MATTERS MOST. 86 00:04:36,067 --> 00:04:39,533 AND NOW THE NEXT STEP IN MY HEALING PROCESS 87 00:04:39,533 --> 00:04:41,433 IS TO HELP OTHERS. 88 00:04:41,433 --> 00:04:43,667 I WANT TO SHARE MY STORY WITH PEOPLE WHO ARE STRUGGLING 89 00:04:43,667 --> 00:04:46,800 WITH OBESITY AND HELP THEM TO TURN THEIR LIVES AROUND 90 00:04:46,800 --> 00:04:48,600 SO THAT THEY CAN LOSE WEIGHT. 91 00:04:48,600 --> 00:04:50,767 SO I'M TRYING TO SPEAK AT DIFFERENT EVENTS, 92 00:04:50,767 --> 00:04:52,700 AND I HAVE SOME ENGAGEMENTS COMING UP. 93 00:04:52,700 --> 00:04:55,400 AND NOW I'M ALSO WORKING ON A COOKBOOK 94 00:04:55,400 --> 00:04:57,100 FOR WEIGHT-LOSS PATIENTS. 95 00:04:57,100 --> 00:05:00,233 I'M NOT A PROFESSIONAL TRAINER OR NUTRITIONIST, 96 00:05:00,233 --> 00:05:04,067 SO THE ONLY THING I CAN DO IS TELL PEOPLE WHAT WORKED FOR ME, 97 00:05:04,067 --> 00:05:06,400 AND THAT'S REALLY WHAT MY MESSAGE IS ALL ABOUT. 98 00:05:06,400 --> 00:05:07,567 SAVANNAH. 99 00:05:07,567 --> 00:05:09,300 -YEAH. -FOOD'S READY. 100 00:05:09,300 --> 00:05:12,067 BUT WITH ALL THAT GOING, THE MOST IMPORTANT PEOPLE 101 00:05:12,067 --> 00:05:14,267 THAT I WANT TO HELP ARE MY CHILDREN. 102 00:05:14,267 --> 00:05:17,600 IT REALLY UPSETS ME THAT WHILE I'VE LOST WEIGHT, 103 00:05:17,600 --> 00:05:21,433 MY CHILDREN HAVE GAINED WEIGHT, ESPECIALLY WITH SAVANNAH, 104 00:05:21,433 --> 00:05:23,267 BECAUSE SHE LIVES WITH ME. 105 00:05:26,333 --> 00:05:30,100 MY HUSBAND AND I ENABLED EACH OTHER IN OUR OVEREATING, 106 00:05:30,100 --> 00:05:32,800 AND EVENTUALLY, IT LED TO HIS DEATH. 107 00:05:32,800 --> 00:05:36,667 LIVING THROUGH THAT HELPED ME TO CHANGE MY LIFE AROUND, 108 00:05:36,667 --> 00:05:41,833 AND I NEED TO MAKE THAT CHANGE FOR MY CHILDREN, AS WELL. 109 00:05:41,833 --> 00:05:44,767 BUT AT THE SAME TIME, IT'S HARD, 110 00:05:44,767 --> 00:05:47,600 BECAUSE I'M STILL WORKING ON MYSELF, TO REACH MY FINAL GOALS. 111 00:05:47,600 --> 00:05:51,333 IN ORDER TO INSPIRE OTHERS TO GET ON THE RIGHT TRACK, 112 00:05:51,333 --> 00:05:54,667 I HAVE TO LIVE AND LOOK HEALTHY, AND WITH ALL THE WEIGHT LOSS, 113 00:05:54,667 --> 00:05:58,267 I'VE DEVELOPED A LOT OF EXCESS SKIN. 114 00:05:58,267 --> 00:06:00,500 I'VE ALREADY HAD MY SKIN REMOVED FROM MY STOMACH, 115 00:06:00,500 --> 00:06:02,767 AND NOW I'M WORKING TOWARDS GETTING THE SKIN REMOVED 116 00:06:02,767 --> 00:06:04,367 FROM MY ARMS AND MY LEGS. 117 00:06:04,367 --> 00:06:07,400 SO WE JUST GOT WIGGLIES AND JIGGLIES. 118 00:06:07,400 --> 00:06:09,167 GETTING RID OF THE SKIN, FOR ME, ON MY LEGS 119 00:06:09,167 --> 00:06:10,367 WILL HELP ME WITH EVERYTHING -- 120 00:06:10,367 --> 00:06:12,533 GETTING UP, GETTING DOWN, WALKING, EXERCISING -- 121 00:06:12,533 --> 00:06:15,267 EVERYTHING. 122 00:06:15,267 --> 00:06:17,833 BUT TO GET APPROVED FOR THE SURGERY, 123 00:06:17,833 --> 00:06:19,967 DR. NOW WANTS ME TO BE UNDER 200 POUNDS. 124 00:06:21,600 --> 00:06:24,533 I FEEL LIKE THESE ARE THE FINAL STEPS FOR ME, 125 00:06:24,533 --> 00:06:28,967 SO I'M DOING EVERYTHING I CAN TO GET APPROVED. 126 00:06:28,967 --> 00:06:31,367 ALL RIGHT, LET'S WARM UP WITH SOME CROSSES. 127 00:06:31,367 --> 00:06:35,067 KEEP THOSE ELBOWS DOWN. 128 00:06:35,067 --> 00:06:36,167 ALL THE WAY UP. 129 00:06:36,167 --> 00:06:37,800 SO USE THOSE LEGS TO KIND OF EXPLODE IT UP. 130 00:06:37,800 --> 00:06:41,333 THREE YEARS AGO, I COULD NOT DO WHAT I'M DOING TODAY. 131 00:06:43,500 --> 00:06:45,567 DUDE, I'M GONNA PASS OUT. 132 00:06:45,567 --> 00:06:49,833 BUT NOW I'M MORE DETERMINED THAN EVER TO LOSE WEIGHT. 133 00:06:49,833 --> 00:06:53,533 I'VE GOT 40 MORE POUNDS TO LOSE IN THE NEXT TWO MONTHS, 134 00:06:53,533 --> 00:06:57,300 AND I'M GONNA WORK MY BUTT OFF TO REACH THAT GOAL. 135 00:06:57,300 --> 00:06:58,833 ALL RIGHT. KEEP GOING. 136 00:06:58,833 --> 00:07:01,133 WE'RE DOING AWESOME. LET'S GO. 137 00:07:05,267 --> 00:07:06,733 Christina: I'M TRAPPED INSIDE THIS BODY 138 00:07:06,733 --> 00:07:07,967 THAT I DON'T WANT TO BE IN. 139 00:07:07,967 --> 00:07:10,733 Tammie: SHE TELLS ME THAT SHE'S A BURDEN TO ME. 140 00:07:10,733 --> 00:07:13,300 SHE'S NOT A BURDEN. SHE'S MY PRIDE AND JOY. 141 00:07:13,300 --> 00:07:16,200 MY FEAR IS THAT SHE MIGHT GO TO SLEEP AND NEVER WAKE UP. 142 00:07:20,367 --> 00:07:22,633 Christina: MY WEIGHT IS OUT OF CONTROL. 143 00:07:22,633 --> 00:07:26,133 Dr. Nowzaradan: SHE IS NOT TOO FAR FROM IMMINENT DEATH. 144 00:07:26,133 --> 00:07:29,067 Christina: I WANT TO CHANGE. I DON'T WANT TO DIE. 145 00:07:31,200 --> 00:07:33,900 ZACH AND I CAN FINALLY SLEEP IN THE SAME BED. 146 00:07:33,900 --> 00:07:36,300 WE HAVEN'T BEEN ABLE TO DO THAT IN YEARS. 147 00:07:40,700 --> 00:07:43,600 IT BECAME CLEAR THAT ME BECOMING INDEPENDENT 148 00:07:43,600 --> 00:07:46,067 WAS NOT GOING TO WORK FOR HIM. 149 00:07:46,067 --> 00:07:49,667 SO ZACH AND I ARE GETTING A DIVORCE. 150 00:07:53,633 --> 00:07:56,433 I'VE WORKED HARD TO GET TO THIS GOAL. 151 00:07:56,433 --> 00:07:58,933 AND LIFE IS SO MUCH BETTER NOW. 152 00:07:58,933 --> 00:08:01,800 IT HAS BEEN SUCH A DRASTIC CHANGE. 153 00:08:01,800 --> 00:08:04,600 EVERY NEW EXPERIENCE JUST MAKES ME WANT A LITTLE BIT MORE. 154 00:08:04,600 --> 00:08:06,333 OW, OW, OW. 155 00:08:06,333 --> 00:08:09,533 Woman WE WAS TRYING TO GET HER TO BED. 156 00:08:09,533 --> 00:08:12,700 Dr. Nowzaradan: CHRISTINA HAS BEEN PUSHING HERSELF A LITTLE BIT TOO HARD. 157 00:08:12,700 --> 00:08:15,067 WE NEED TO MONITOR HER HEALTH. 158 00:08:19,467 --> 00:08:20,967 Christina: I'M NOT WHERE I WANT TO BE AT, 159 00:08:20,967 --> 00:08:23,400 BUT I'M GETTING THERE, AND I WILL GET THERE. 160 00:08:23,400 --> 00:08:24,733 -WOULD YOU LIKE A RIDE TONIGHT? -SURE. 161 00:08:24,733 --> 00:08:27,100 I NEVER THOUGHT I WOULD MAKE IT THIS FAR. 162 00:08:27,100 --> 00:08:30,633 AND I'M NOT GONNA WASTE MY SECOND CHANCE AT LIFE. 163 00:08:35,167 --> 00:08:38,233 ** 164 00:08:47,533 --> 00:08:50,867 IT'S BEEN TWO YEARS SINCE I HAD WEIGHT-LOSS SURGERY, 165 00:08:50,867 --> 00:08:54,233 AND I WOULD'VE NEVER IMAGINED LIFE COULD BE SO GREAT. 166 00:08:54,233 --> 00:08:56,833 I'VE GAINED A WHOLE NEW INDEPENDENCE. 167 00:08:56,833 --> 00:09:00,067 AND I FINALLY MOVED OUT FROM MY FAMILY'S HOUSE. 168 00:09:00,067 --> 00:09:03,067 THEY HAD TO DO EVERYTHING FOR ME. 169 00:09:03,067 --> 00:09:04,100 THERE. 170 00:09:04,100 --> 00:09:05,733 I HAVE TO HAVE HELP GETTING DRESSED 171 00:09:05,733 --> 00:09:08,433 OR GETTING UP OUT OF BED AND BEING PUT IN BED. 172 00:09:10,467 --> 00:09:12,900 AND IT'S BEEN A YEAR SINCE I FINALIZED THE DIVORCE 173 00:09:12,900 --> 00:09:14,433 WITH MY EX-HUSBAND. 174 00:09:14,433 --> 00:09:17,600 OUR RELATIONSHIP CENTERED ON HIM ENABLING ME. 175 00:09:17,600 --> 00:09:20,400 ALL RIGHT, HOW MANY NIBBLERS DOES EVERYBODY WANT? 176 00:09:22,167 --> 00:09:25,633 BUT NOW I CAN FOCUS MORE ON GETTING HEALTHY. 177 00:09:25,633 --> 00:09:28,767 I LOST A LOT OF WEIGHT IN THE LAST YEAR, 178 00:09:28,767 --> 00:09:32,600 MOSTLY BECAUSE I'M REALLY CAREFUL ABOUT WHAT I EAT. 179 00:09:32,600 --> 00:09:36,233 BUT WHEN I LOOK IN THE MIRROR, I SEE THE EXCESS SKIN, 180 00:09:36,233 --> 00:09:41,300 FLABBY ARMS, AND I SEE MYSELF STILL AS A BIG PERSON. 181 00:09:41,300 --> 00:09:46,567 IT'S HARD TO LET IT ALL SINK IN HOW MUCH HAS CHANGED. 182 00:09:46,567 --> 00:09:49,533 I'M CURRENTLY LIVING WITH MY BOYFRIEND, SHANE. 183 00:09:49,533 --> 00:09:51,800 HE MOVED IN ABOUT A MONTH AGO. 184 00:09:51,800 --> 00:09:53,367 -HEY. -HEY. 185 00:09:53,367 --> 00:09:56,267 -YOU WANT TO JUMP IN? -YEAH. 186 00:09:56,267 --> 00:09:59,067 SHANE AND I HAVE BEEN FRIENDS FOR EIGHT YEARS. 187 00:09:59,067 --> 00:10:04,300 HE KNEW ME AT MY BIGGEST AND WAS ALSO REALLY SUPPORTIVE OF ME. 188 00:10:04,300 --> 00:10:06,933 THAT'S CHEATING. 189 00:10:06,933 --> 00:10:10,100 AFTER DATING FOR A WHILE, THINGS GOT SERIOUS, 190 00:10:10,100 --> 00:10:12,467 AND I ASKED HIM TO MOVE IN WITH ME. 191 00:10:12,467 --> 00:10:14,733 Shane: WE'VE GOTTEN TO KNOW EACH OTHER ON A REALLY DEEP LEVEL. 192 00:10:14,733 --> 00:10:17,033 WE JUST OPEN UP TO EACH OTHER, 193 00:10:17,033 --> 00:10:18,833 AND WE'LL FINISH EACH OTHER'S SENTENCES SOMETIMES. 194 00:10:18,833 --> 00:10:20,200 LIKE, I'LL BE THINKING OF SOMETHING, 195 00:10:20,200 --> 00:10:22,100 LIKE A SONG OR SOMETHING, AND SHE'LL START SINGING IT. 196 00:10:22,100 --> 00:10:23,367 I MEAN, IT'S JUST CRAZY. 197 00:10:23,367 --> 00:10:25,800 YOU LOOK UP SOME PLACES, AND I'LL GO GET READY. 198 00:10:25,800 --> 00:10:27,400 Christina: SHANE'S REALLY GOOD FOR ME. 199 00:10:27,400 --> 00:10:30,200 HE HELPS ME GET OUT OF THE HOUSE 200 00:10:30,200 --> 00:10:34,400 EVEN THOUGH I FEEL INSECURE ABOUT HOW I LOOK. 201 00:10:36,433 --> 00:10:39,133 I STILL FEEL LIKE I NEED TO HIDE MY ARMS AND MY LEGS 202 00:10:39,133 --> 00:10:40,933 WHEN I GO OUT. 203 00:10:40,933 --> 00:10:43,300 IT'S WEIRD, BECAUSE BEFORE, WHEN I WAS 700 POUNDS, 204 00:10:43,300 --> 00:10:45,133 I COULDN'T EVEN GET OUT OF THE HOUSE, 205 00:10:45,133 --> 00:10:49,033 AND NOW THAT I CAN, I STILL DON'T FEEL NORMAL. 206 00:10:49,033 --> 00:10:53,533 BUT DR. NOW HAS APPROVED ME FOR SKIN SURGERY ON MY ARMS, 207 00:10:53,533 --> 00:10:56,367 SO I'M REALLY HOPING THAT HELPS ME FINALLY BE HAPPY 208 00:10:56,367 --> 00:10:58,433 WITH HOW I LOOK. 209 00:10:58,433 --> 00:11:01,667 ALL RIGHT, LET'S GO. 210 00:11:01,667 --> 00:11:04,067 IT'S REALLY HARD FOR ME TO BE PRESENT 211 00:11:04,067 --> 00:11:05,400 WHEN I'M OUT IN PUBLIC 212 00:11:05,400 --> 00:11:08,600 BECAUSE I'M SO DISTRACTED WITH THE WAY MY BODY LOOKS. 213 00:11:08,600 --> 00:11:12,267 I'M HOPING THAT ONCE THE SURGERY'S OUT OF THE WAY 214 00:11:12,267 --> 00:11:15,367 AND I FEEL BETTER ABOUT MY BODY, 215 00:11:15,367 --> 00:11:17,433 IT'LL HELP ME BE MORE COMFORTABLE 216 00:11:17,433 --> 00:11:18,800 WITH OUR RELATIONSHIP. 217 00:11:18,800 --> 00:11:21,367 ALL RIGHT, MA'AM, YOU'RE GONNA HAVE OUR PAN-SEARED CHICKEN. 218 00:11:21,367 --> 00:11:25,500 SHANE IS GREAT, BUT IT'S JUST SO HARD TO BELIEVE 219 00:11:25,500 --> 00:11:30,100 THAT HE WANTS TO BE WITH ME EVEN WITH THE UGLY BODY I STILL HAVE. 220 00:11:30,100 --> 00:11:31,400 I HAVE THE DESSERT MENU. 221 00:11:31,400 --> 00:11:33,367 DO Y'ALL WANT TO TAKE A LOOK AT IT? 222 00:11:33,367 --> 00:11:35,867 -OH, NO, THANK YOU. -YEAH, I THINK WE'RE GOOD. 223 00:11:35,867 --> 00:11:36,933 YOU SURE? OKAY. 224 00:11:36,933 --> 00:11:38,333 I JUST WANTED TO GET TO A PLACE 225 00:11:38,333 --> 00:11:40,600 WHERE I FEEL COMFORTABLE IN MY NEW BODY 226 00:11:40,600 --> 00:11:43,133 INSTEAD OF FEELING LIKE I'M STILL 700 POUNDS, 227 00:11:43,133 --> 00:11:45,867 AND GETTING RID OF THIS FLABBY SKIN 228 00:11:45,867 --> 00:11:47,933 IS THE FINAL STEP I NEED TO TAKE. 229 00:11:47,933 --> 00:11:49,933 -DID YOU HAVE FUN? -YES, I DID. 230 00:11:49,933 --> 00:11:52,700 I'M READY FOR MY SKIN SURGERY. 231 00:11:54,733 --> 00:11:57,833 ** 232 00:12:02,633 --> 00:12:05,733 Paula: I'M FINALLY HEADED IN FOR MY APPOINTMENT WITH DR. NOW, 233 00:12:05,733 --> 00:12:09,067 AND I REALLY HOPE HE APPROVES ME FOR SKIN SURGERY. 234 00:12:09,067 --> 00:12:11,567 I'VE BEEN WORKING REALLY HARD TO GET MY WEIGHT DOWN, 235 00:12:11,567 --> 00:12:14,100 BUT IT'S BEEN A CHALLENGE. 236 00:12:14,100 --> 00:12:17,067 I DON'T KNOW WHAT HE'S GOING TO SAY. 237 00:12:17,067 --> 00:12:19,900 MY FIRST SPEAKING ENGAGEMENT IS COMING UP SOON. 238 00:12:19,900 --> 00:12:23,833 SO I'M REALLY HOPING THAT I'M UNDER 200 POUNDS 239 00:12:23,833 --> 00:12:26,067 AND I GET APPROVED TODAY. 240 00:12:26,067 --> 00:12:29,100 OTHERWISE, I WON'T HAVE TIME TO RECOVER. 241 00:12:34,967 --> 00:12:38,733 ** 242 00:12:38,733 --> 00:12:40,800 Paula: I NEED TO BE UNDER 200 POUNDS TODAY 243 00:12:40,800 --> 00:12:42,967 TO BE APPROVED FOR SKIN SURGERY. 244 00:12:44,700 --> 00:12:47,267 Nurse: IT'S 202. 245 00:12:49,967 --> 00:12:53,567 I DIDN'T QUITE HIT MY GOAL, BUT HOPEFULLY IT'S CLOSE ENOUGH 246 00:12:53,567 --> 00:12:57,267 THAT DR. NOW WILL ALLOW ME TO GET SKIN SURGERY. 247 00:12:57,267 --> 00:12:59,333 [ KNOCK ON DOOR ] 248 00:12:59,333 --> 00:13:00,500 HI. -HELLO. 249 00:13:00,500 --> 00:13:02,567 -HOW ARE YOU? -I'M DOING OKAY. 250 00:13:02,567 --> 00:13:04,100 HOW ABOUT YOURSELF? 251 00:13:04,100 --> 00:13:05,200 I'M PRETTY GOOD. 252 00:13:05,200 --> 00:13:07,700 SO, YOU'RE DOWN TO 202 POUNDS. 253 00:13:07,700 --> 00:13:11,300 THAT'S GREAT. YOU LOST, WHAT -- 331 POUNDS? 254 00:13:11,300 --> 00:13:12,800 YEP. 255 00:13:12,800 --> 00:13:14,967 YOU'VE DONE WELL, SO I'M GOING TO GO AHEAD 256 00:13:14,967 --> 00:13:16,767 AND APPROVE YOU FOR SKIN SURGERY. 257 00:13:16,767 --> 00:13:18,533 AWESOME. 258 00:13:18,533 --> 00:13:22,567 PAULA HAS BEEN DOING VERY WELL WITH HER WEIGHT LOSS LATELY. 259 00:13:22,567 --> 00:13:26,333 SHE DOESN'T COME WITH EXCUSES ANYMORE, AND THE RESULTS SHOW. 260 00:13:30,700 --> 00:13:33,500 THAT ONE'S THE ONE THAT THE KNEE HURTS AND THE HIP HURTS. 261 00:13:33,500 --> 00:13:37,467 SHE HAS LYMPHEDEMA IN BOTH LEGS THAT CAN BE VERY PAINFUL 262 00:13:37,467 --> 00:13:40,267 AND PREVENT HER FROM MAKING PROGRESS. 263 00:13:40,267 --> 00:13:42,400 SO I'M GOING TO DO SKIN REMOVAL 264 00:13:42,400 --> 00:13:44,867 ON HER LEGS IN THE FIRST SURGERY, 265 00:13:44,867 --> 00:13:47,967 THEN TAKE CARE OF HER ARM IN THE SECOND SURGERY. 266 00:13:47,967 --> 00:13:50,333 SO, WE'LL SET YOU UP FOR SURGERY, 267 00:13:50,333 --> 00:13:51,567 AND THEN WE'LL GO FROM THERE. 268 00:13:51,567 --> 00:13:52,900 -OKEYDOKE. -ALL RIGHT. 269 00:13:52,900 --> 00:13:56,333 WITH THE SKIN SURGERY, THAT MIGHT BE AN ENCOURAGEMENT 270 00:13:56,333 --> 00:13:58,867 THAT SHE NEEDS TO STICK WITH THE DIET 271 00:13:58,867 --> 00:14:02,533 AND GET TO HER GOAL WEIGHT OF 170. 272 00:14:02,533 --> 00:14:05,933 Paula: I'M REALLY EXCITED TO FINALLY BE MOVING FORWARD 273 00:14:05,933 --> 00:14:07,833 WITH THESE SURGERIES. 274 00:14:07,833 --> 00:14:10,267 THIS SHOULD ALLOW ME TIME TO RECOVER 275 00:14:10,267 --> 00:14:12,700 BEFORE MY FIRST SPEAKING ENGAGEMENT. 276 00:14:12,700 --> 00:14:15,667 ** 277 00:14:25,767 --> 00:14:27,533 Christina: TODAY, I'M HAVING SURGERY 278 00:14:27,533 --> 00:14:30,067 TO HAVE THE EXTRA SKIN ON MY ARMS REMOVED. 279 00:14:30,067 --> 00:14:32,667 I'VE BEEN WORKING REALLY HARD TO LOSE THE WEIGHT 280 00:14:32,667 --> 00:14:34,867 BY WATCHING WHAT I'M EATING, 281 00:14:34,867 --> 00:14:37,933 AND I'M ANXIOUS TO MOVE FORWARD WITH THIS NEXT STEP. 282 00:14:37,933 --> 00:14:40,333 -ARE YOU VERY NERVOUS, BABY? -NO. 283 00:14:40,333 --> 00:14:42,233 I'M NERVOUS. 284 00:14:42,233 --> 00:14:43,700 WELL, YOU'RE ALWAYS NERVOUS. 285 00:14:43,700 --> 00:14:45,900 I'M ALWAYS NERVOUS WHEN YOU HAVE SURGERY. 286 00:14:45,900 --> 00:14:47,933 IN MY HEAD, I'M STILL 700 POUNDS. 287 00:14:47,933 --> 00:14:51,300 I'M STILL REALLY INSECURE ABOUT THE EXTRA SKIN, 288 00:14:51,300 --> 00:14:54,933 AND THE MORE WEIGHT I LOSE, THE MORE SKIN THERE IS. 289 00:14:54,933 --> 00:15:00,267 IT'S STILL A CONSTANT REMINDER OF A NEGATIVE PART OF MY LIFE. 290 00:15:00,267 --> 00:15:05,733 I'M TRAPPED INSIDE THIS BODY THAT I DON'T WANT TO BE IN. 291 00:15:05,733 --> 00:15:10,433 IT'S SOMETHING THAT I'VE WORKED SO HARD TO GET AWAY FROM. 292 00:15:10,433 --> 00:15:14,367 SO I'M READY FOR THIS. 293 00:15:14,367 --> 00:15:16,067 -HOW YOU ALL DOING? -FINE. 294 00:15:16,067 --> 00:15:17,067 PRETTY GOOD. 295 00:15:17,067 --> 00:15:18,567 ALL RIGHT, YOU READY FOR SURGERY? 296 00:15:18,567 --> 00:15:19,800 YES, SIR. 297 00:15:19,800 --> 00:15:22,867 SO, YOU LOST 518 POUNDS. 298 00:15:22,867 --> 00:15:24,933 THAT'S A LOT OF WEIGHT TO LOSE. 299 00:15:24,933 --> 00:15:29,100 CHRISTINA HAS HAD ONE OF THE MOST SIGNIFICANT TRANSFORMATIONS 300 00:15:29,100 --> 00:15:31,567 I HAVE SEEN AFTER WEIGHT-LOSS SURGERY. 301 00:15:31,567 --> 00:15:34,700 SO, TODAY, WE'RE GONNA GET RID OF THIS EXTRA SKIN IN HERE. 302 00:15:34,700 --> 00:15:37,533 AT THIS POINT, SKIN SURGERY IS VERY IMPORTANT 303 00:15:37,533 --> 00:15:41,733 SO SHE CAN BE MORE ACTIVE AND HAVE A NORMAL BODY CONTOUR. 304 00:15:41,733 --> 00:15:44,233 SO, LET'S GET YOU FIXED UP. 305 00:15:44,233 --> 00:15:47,167 Christina: I'M READY FOR THIS. 306 00:15:47,167 --> 00:15:49,700 I'M NOT TURNING BACK NOW. 307 00:15:52,933 --> 00:15:55,133 Dr. Nowzaradan: TODAY, WE'RE GOING TO BE REMOVING 308 00:15:55,133 --> 00:15:57,867 QUITE A LOT OF SKIN FROM CHRISTINA'S ARMS. 309 00:15:57,867 --> 00:16:00,367 OKAY, LET'S BEGIN. 310 00:16:00,367 --> 00:16:02,600 WE HAVE TO BE CAREFUL WITH THIS OPERATION 311 00:16:02,600 --> 00:16:04,867 WITH THE AMOUNT OF BLOOD LOSS. 312 00:16:04,867 --> 00:16:07,700 OKAY. WE GOT ONE SIDE OFF. 313 00:16:07,700 --> 00:16:11,800 CAN YOU NOW LEVEL THE TABLE TO THE OTHER SIDE? 314 00:16:13,667 --> 00:16:19,900 MY WORST FEAR IS HER GOING UNDER AND NOT COMING BACK OUT. 315 00:16:19,900 --> 00:16:23,633 Dr. Nowzaradan: SHE DOESN'T HAVE MUCH FAT ON HER SKIN. 316 00:16:23,633 --> 00:16:27,167 SHE REALLY HAS LOST A LOT OF WEIGHT. 317 00:16:27,167 --> 00:16:31,300 REMOVING SKIN FROM THE OTHER ARM AND THE CHEST. 318 00:16:31,300 --> 00:16:34,300 NOW WE JUST FINISH STITCHING HER UP, 319 00:16:34,300 --> 00:16:36,900 AND WE'RE DONE. 320 00:16:36,900 --> 00:16:39,700 LET'S GET HER TO A RECOVERY ROOM. 321 00:16:42,067 --> 00:16:43,800 SURGERY WENT VERY WELL, 322 00:16:43,800 --> 00:16:48,067 AND WE WERE ABLE TO REMOVE 30 INCHES OF SKIN FROM EACH ARM. 323 00:16:48,067 --> 00:16:51,100 WE DIDN'T REMOVE MUCH WEIGHT 324 00:16:51,100 --> 00:16:54,333 BECAUSE THERE WAS VERY LITTLE FAT. 325 00:16:54,333 --> 00:16:57,733 IT SEEMS THAT CHRISTINA IS PUSHING HERSELF 326 00:16:57,733 --> 00:16:59,067 TOO HARD WITH HER DIET. 327 00:16:59,067 --> 00:17:01,800 IF SHE DOESN'T GET PROPER NUTRITION, 328 00:17:01,800 --> 00:17:04,367 IT CAN CAUSE SERIOUS COMPLICATIONS. 329 00:17:04,367 --> 00:17:06,900 SHE NEEDS TO MAKE SURE SHE'S EATING ENOUGH 330 00:17:06,900 --> 00:17:09,533 OF THE RIGHT FOOD TO LET HER BODY HEAL. 331 00:17:11,533 --> 00:17:13,067 SHE'S FINE. 332 00:17:13,067 --> 00:17:16,167 ** 333 00:17:16,967 --> 00:17:18,600 Paula: YOU WANT TO GO FOR A WALK? 334 00:17:18,600 --> 00:17:20,833 I GUESS. 335 00:17:20,833 --> 00:17:23,567 MY LEG SURGERY'S COMING UP IN A COUPLE WEEKS, 336 00:17:23,567 --> 00:17:25,633 AND I WANT TO MAKE SURE I'M STAYING AS HEALTHY AS POSSIBLE 337 00:17:25,633 --> 00:17:27,267 GOING INTO THE OPERATION. 338 00:17:29,567 --> 00:17:32,467 AND I'M TRYING TO USE THIS TIME TO SHOW SAVANNAH 339 00:17:32,467 --> 00:17:34,400 HOW SHE NEEDS TO CHANGE HER HABITS... 340 00:17:34,400 --> 00:17:36,167 HI. 341 00:17:36,167 --> 00:17:39,567 ...EVEN IF IT'S JUST GETTING OUTSIDE, AWAY FROM THE TV. 342 00:17:39,567 --> 00:17:43,900 FOR A LONG PERIOD, I WAS THE WORST ROLE MODEL FOR MY KIDS. 343 00:17:43,900 --> 00:17:46,600 OOH, YOU GUYS GOT A LINE TODAY. 344 00:17:46,600 --> 00:17:49,200 THERE AREN'T A LOT OF HEALTHY OPTIONS AT DRIVE-THROUGHS, 345 00:17:49,200 --> 00:17:51,367 BUT MY KIDS HAVE TO EAT. 346 00:17:51,367 --> 00:17:55,433 NOW I'M TRYING TO REPLACE THOSE MEMORIES WITH GOOD HABITS, 347 00:17:55,433 --> 00:17:58,533 BUT IT'S HARD BECAUSE OUR LIVES ARE FULL. 348 00:17:58,533 --> 00:18:00,600 I HAVE TO BE CAREFUL, BECAUSE IN THE PAST, 349 00:18:00,600 --> 00:18:03,067 WHEN I'VE BEEN STRESSED, I TURN TO FOOD. 350 00:18:03,067 --> 00:18:04,567 YOU STOPPED LOSING WEIGHT, 351 00:18:04,567 --> 00:18:06,700 AND YOU'VE GAINED A COUPLE POUNDS. 352 00:18:06,700 --> 00:18:08,567 I'M DOING 900 CALORIES A DAY, 353 00:18:08,567 --> 00:18:10,767 BUT I HAD A LOT OF STRESS IN THE LAST 10 DAYS. 354 00:18:10,767 --> 00:18:13,267 MY JOB CHANGED, AND MY WHOLE JOB DESCRIPTION CHANGED, 355 00:18:13,267 --> 00:18:15,200 PLUS I'M STILL WORKING 80 HOURS A WEEK. 356 00:18:15,200 --> 00:18:18,700 PAULA, UNTIL YOU MAKE IT A GOAL TO BE UNDER 350 POUNDS, 357 00:18:18,700 --> 00:18:21,167 I'M NOT APPROVING YOUR SKIN SURGERY. 358 00:18:21,167 --> 00:18:24,067 IF I'M GOING TO BE A ROLE MODEL FOR MY CHILDREN 359 00:18:24,067 --> 00:18:27,500 AND OTHER PEOPLE, I CAN'T LET THAT HAPPEN AGAIN. 360 00:18:27,500 --> 00:18:30,333 IT'S JUST NOT AN OPTION. 361 00:18:38,733 --> 00:18:42,967 TODAY, I'M FINALLY HAVING SKIN-REMOVAL SURGERY ON MY LEGS. 362 00:18:42,967 --> 00:18:46,633 THERE'S A RISK TO ANY SURGERY. 363 00:18:46,633 --> 00:18:49,933 BUT I'M EXCITED TO MAKE THIS STEP 364 00:18:49,933 --> 00:18:52,500 SO THAT I CAN SHOW MY CHILDREN AND OTHER PEOPLE 365 00:18:52,500 --> 00:18:57,367 WHAT THE FINAL GOAL LOOKS LIKE AFTER LOSING ALMOST 400 POUNDS. 366 00:18:57,367 --> 00:19:01,200 MY CHILDREN SAW ME AT MY ABSOLUTE WORST FOR MANY YEARS, 367 00:19:01,200 --> 00:19:04,400 SO IT'S REALLY IMPORTANT THAT THEY SEE ME AT MY BEST. 368 00:19:04,400 --> 00:19:08,067 AT THIS WEIGHT, I AM HEAVILY DEPENDENT ON MY CHILDREN. 369 00:19:08,067 --> 00:19:11,933 I HAD FOOT LOTION ON HER LEGS AND PUT HER SOCKS AND SHOES ON. 370 00:19:11,933 --> 00:19:14,300 KIND OF FEELS LIKE SHE'S HANDICAPPED. 371 00:19:14,300 --> 00:19:17,233 Paula: THIS EXCESS SKIN IS REALLY 372 00:19:17,233 --> 00:19:19,700 THE LAST PIECE OF MY OLD LIFE. 373 00:19:19,700 --> 00:19:23,433 I AM BEYOND READY FOR THIS SURGERY. 374 00:19:23,433 --> 00:19:28,333 Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO PERFORM 375 00:19:28,333 --> 00:19:31,133 A THIGH LIFT ON BOTH OF PAULA'S LEGS. 376 00:19:31,133 --> 00:19:33,633 IF WE ARE SUCCESSFUL, 377 00:19:33,633 --> 00:19:37,333 SHE'S GOING TO BE VERY HAPPY WITH HER INCREASED MOBILITY. 378 00:19:37,333 --> 00:19:40,933 LET'S BEGIN. 379 00:19:40,933 --> 00:19:42,200 SUCTION. 380 00:19:42,200 --> 00:19:45,700 WHEN A PATIENT LOSES AN EXTREME AMOUNT OF WEIGHT, 381 00:19:45,700 --> 00:19:49,100 THERE'S STILL A LARGE NETWORK OF BLOOD VESSELS 382 00:19:49,100 --> 00:19:52,333 AND VARICOSE VEINS IN THE LEG. 383 00:19:52,333 --> 00:19:54,533 WE CANNOT JUST REMOVE THE SKIN 384 00:19:54,533 --> 00:19:57,400 WITHOUT ADDRESSING THESE BLOOD VESSELS. 385 00:20:00,433 --> 00:20:04,667 WE HAVE TO TIE OFF HUNDREDS OF VESSELS DURING THE OPERATION. 386 00:20:09,333 --> 00:20:10,867 WHAT?! 387 00:20:12,367 --> 00:20:15,033 NO, NO, NO, NO, NO, NO, NO, NO. 388 00:20:20,833 --> 00:20:22,400 CLIP, CLIP, CLIP. 389 00:20:26,933 --> 00:20:28,233 PUT A HEMOSTAT ON IT. 390 00:20:43,467 --> 00:20:45,967 Dr. Nowzaradan: CLIP, CLIP, CLIP. 391 00:20:45,967 --> 00:20:49,600 WE FINISHED REMOVING SKIN FROM PAULA'S FIRST LEG, 392 00:20:49,600 --> 00:20:52,733 BUT SHE'S LOSING A LOT OF BLOOD. 393 00:20:52,733 --> 00:20:55,433 SOME PATIENTS BLEED MORE THAN OTHERS, 394 00:20:55,433 --> 00:20:58,033 SO WE HAVE TO BE PREPARED FOR THAT. 395 00:20:58,033 --> 00:21:01,567 SHE LOST TOO MUCH BLOOD TO CONTINUE DOING THE OTHER LEG. 396 00:21:01,567 --> 00:21:05,367 ALL RIGHT, GO AHEAD AND CLOSE HER UP. 397 00:21:05,367 --> 00:21:09,733 UNFORTUNATELY, WE WERE ONLY ABLE 398 00:21:09,733 --> 00:21:14,067 TO COMPLETE SURGERY ON PAULA'S RIGHT LEG. 399 00:21:14,067 --> 00:21:16,300 TO BE SAFE, WE GAVE HER A TRANSFUSION, 400 00:21:16,300 --> 00:21:18,300 AND SHE'S DOING BETTER, 401 00:21:18,300 --> 00:21:20,700 BUT WE HAVE TO LET HER BODY RECOVER 402 00:21:20,700 --> 00:21:23,700 BEFORE WE CAN ATTEMPT SURGERY ON HER LEFT LEG. 403 00:21:27,733 --> 00:21:31,733 ** 404 00:21:31,733 --> 00:21:33,900 Paula: IT WAS REALLY HARD WAKING UP TO FIND OUT 405 00:21:33,900 --> 00:21:36,467 THAT THEY COULD ONLY OPERATE ON ONE LEG. 406 00:21:36,467 --> 00:21:38,367 I KNOW I'M MAKING PROGRESS, 407 00:21:38,367 --> 00:21:41,167 BUT IT FEELS LIKE SUCH A HUGE SETBACK. 408 00:21:41,167 --> 00:21:45,533 THIS IS GOING TO DELAY EVERYTHING I HAD PLANNED. 409 00:21:47,767 --> 00:21:50,633 -HELLO. -HEY. 410 00:21:50,633 --> 00:21:52,167 ALL RIGHT, HERE'S THE SITUATION. 411 00:21:52,167 --> 00:21:54,333 YOUR BLOOD PRESSURE'S TOO LOW. 412 00:21:54,333 --> 00:21:57,067 ALSO, YOUR BLOOD COUNT HAS DROPPED SIGNIFICANTLY. 413 00:21:57,067 --> 00:21:59,333 AND YOUR PROTEIN LEVELS ARE VERY LOW. 414 00:21:59,333 --> 00:22:02,467 THESE ISSUES ARE NOT UNCOMMON 415 00:22:02,467 --> 00:22:04,067 FOR SOMEBODY WHO LOST A LOT OF BLOOD. 416 00:22:04,067 --> 00:22:05,667 Paula: SO WHAT ARE THE DETERMINING FACTORS 417 00:22:05,667 --> 00:22:07,133 OF GETTING THE OTHER LEG DONE? 418 00:22:07,133 --> 00:22:09,233 GETTING MY BLOOD PRESSURE UP, MY PROTEIN UP, AND MY IRON UP? 419 00:22:09,233 --> 00:22:11,433 YEAH, WE GOT TO GET THOSE BUILT UP. 420 00:22:11,433 --> 00:22:13,400 OKAY, LET ME TAKE A LOOK AT IT 421 00:22:13,400 --> 00:22:16,667 AND SEE HOW YOUR RIGHT LEG LOOKS. 422 00:22:16,667 --> 00:22:19,500 PAULA HAS BEEN IMPROVING, BUT WE GOT TO PUT HER 423 00:22:19,500 --> 00:22:22,900 ON A PROTEIN I.V. AS WELL AS MEDICATION. 424 00:22:22,900 --> 00:22:25,667 ONCE PAULA'S BODY RECOVERS, 425 00:22:25,667 --> 00:22:29,600 WE CAN CONSIDER PERFORMING SURGERY ON HER OTHER LEG. 426 00:22:29,600 --> 00:22:32,300 IT CAN BE A WEEK, OR SHE MAY HAVE TO WAIT A MONTH. 427 00:22:32,300 --> 00:22:34,867 I'LL SEE YOU LATER, OKAY? -OKEYDOKE. 428 00:22:35,833 --> 00:22:37,100 [ DOOR CLOSES ] 429 00:22:37,100 --> 00:22:39,867 Paula: IT'S SO HARD, BECAUSE I WANT TO FIX THIS. 430 00:22:39,867 --> 00:22:41,933 BUT ALL I CAN DO IS SIT HERE. 431 00:22:46,700 --> 00:22:49,167 [ ALARM BEEPING ] 432 00:22:50,567 --> 00:22:52,067 Christina: IT'S BEEN ALMOST A MONTH 433 00:22:52,067 --> 00:22:56,067 SINCE I HAD SKIN SURGERY ON MY ARMS. 434 00:22:56,067 --> 00:22:57,667 IT'S BEEN REALLY HARD. 435 00:22:57,667 --> 00:22:59,600 I'VE BEEN KIND OF NEGATIVE, 436 00:22:59,600 --> 00:23:02,800 AND I'M NOT TOO HAPPY ABOUT THE WAY I LOOK. 437 00:23:02,800 --> 00:23:04,900 I JUST THOUGHT THAT, AFTER SURGERY, 438 00:23:04,900 --> 00:23:07,667 I WOULD FEEL SO MUCH BETTER ABOUT MYSELF. 439 00:23:07,667 --> 00:23:10,200 I'M GRATEFUL FOR THE OPPORTUNITIES I'VE HAD 440 00:23:10,200 --> 00:23:11,433 TO GET MY LIFE BACK. 441 00:23:11,433 --> 00:23:13,500 BUT I DON'T KNOW WHY I FEEL THIS WAY. 442 00:23:13,500 --> 00:23:15,867 MORNING. HOW'D YOU SLEEP? 443 00:23:15,867 --> 00:23:18,200 GOOD. 444 00:23:18,200 --> 00:23:20,733 FEELING ALL RIGHT TODAY? 445 00:23:20,733 --> 00:23:23,133 STILL HURTING? -YEAH. 446 00:23:24,433 --> 00:23:27,667 I DON'T KNOW WHY I STILL SEE THAT 700-POUND PERSON 447 00:23:27,667 --> 00:23:29,900 AND WHY I'M STILL HATING MY BODY. 448 00:23:29,900 --> 00:23:32,800 BUT SHANE HAS BEEN A BIG HELP, 449 00:23:32,800 --> 00:23:36,567 AND THAT HAS BEEN PRETTY AWESOME. 450 00:23:36,567 --> 00:23:38,067 THERE YOU GO. 451 00:23:38,067 --> 00:23:39,267 YOU GOOD? 452 00:23:40,833 --> 00:23:43,200 I'M JUST TRYING TO STAY POSITIVE AND HEAL 453 00:23:43,200 --> 00:23:47,300 SO I CAN GET MY NEXT SURGERY AND PUT ALL THIS BEHIND ME. 454 00:23:49,800 --> 00:23:52,833 ** 455 00:23:57,833 --> 00:24:00,333 IT'S BEEN ALMOST TWO MONTHS SINCE MY ARM SURGERY, 456 00:24:00,333 --> 00:24:02,067 AND I'M PRETTY MUCH DONE HEALING. 457 00:24:02,067 --> 00:24:05,800 BUT I STILL DON'T FEEL GOOD ABOUT MY BODY. 458 00:24:05,800 --> 00:24:09,067 THE SKIN ON MY LEGS I REALLY WANT REMOVED, 459 00:24:09,067 --> 00:24:12,067 SO I'VE BEEN EATING LESS AND HOPING THAT THE DOCTOR 460 00:24:12,067 --> 00:24:13,967 WILL APPROVE ME FOR SURGERY. 461 00:24:16,100 --> 00:24:18,367 I USED TO HATE HAVING TO WEIGH MYSELF. 462 00:24:18,367 --> 00:24:21,067 I WAS SCARED I'D BREAK THE SCALE. 463 00:24:21,067 --> 00:24:24,867 BUT NOW I HAVE NO REASON TO BE SCARED. 464 00:24:27,467 --> 00:24:29,267 Nurse: OKAY. IT'S 160. 465 00:24:29,267 --> 00:24:32,500 WOW. I WAS NOT EXPECTING THAT AT ALL. 466 00:24:32,500 --> 00:24:36,400 I FEEL GOOD ABOUT DR. NOW APPROVING ME. 467 00:24:38,533 --> 00:24:41,900 HELLO. HOW ARE YOU TODAY? 468 00:24:41,900 --> 00:24:46,300 ALL RIGHT, I SEE YOU'RE DOWN TO 160. 469 00:24:46,300 --> 00:24:48,200 WHAT'S GOING ON WITH YOUR EATING HABITS? 470 00:24:48,200 --> 00:24:50,400 WHAT DO YOU MEAN? 471 00:24:50,400 --> 00:24:53,067 YOU LOST 13 POUNDS IN THE LAST MONTH. 472 00:24:53,067 --> 00:24:55,567 THAT'S TOO MUCH FOR SOMEBODY YOUR WEIGHT. 473 00:24:55,567 --> 00:24:58,233 SO, WHAT DO YOU EAT FOR BREAKFAST? 474 00:24:58,233 --> 00:25:00,233 I DON'T EAT BREAKFAST. 475 00:25:00,233 --> 00:25:03,233 HOW MANY CALORIES DO YOU THINK YOU'RE EATING IN A DAY? 476 00:25:03,233 --> 00:25:05,900 400, 450. 477 00:25:05,900 --> 00:25:08,167 THAT'S FAR BELOW WHAT YOU SHOULD BE GETTING. 478 00:25:08,167 --> 00:25:10,067 YOU SHOULD DOUBLE THAT, AT LEAST. 479 00:25:10,067 --> 00:25:13,067 YOU'RE GOING FROM ONE EXTREME TO THE OTHER. 480 00:25:13,067 --> 00:25:14,967 THEY'RE BOTH UNHEALTHY. 481 00:25:14,967 --> 00:25:16,433 OKAY. 482 00:25:16,433 --> 00:25:21,867 EATING 450 CALORIES A DAY FOR SOMEBODY THAT IS 160 POUNDS, 483 00:25:21,867 --> 00:25:24,400 IT MEANS THAT SHE'S COMPLETELY MALNOURISHED. 484 00:25:24,400 --> 00:25:27,300 CLEARLY, THERE ARE SOME BIGGER ISSUES 485 00:25:27,300 --> 00:25:29,067 THAT WE NEED TO DEAL WITH. 486 00:25:29,067 --> 00:25:30,933 IN MY HEAD, EVEN WHEN I LOOK IN THE MIRROR, 487 00:25:30,933 --> 00:25:33,167 I DON'T SEE WHAT EVERYONE ELSE SEES. 488 00:25:33,167 --> 00:25:36,067 IT JUST -- IT REALLY CONFUSES ME WHEN SOMEONE'S LIKE, 489 00:25:36,067 --> 00:25:37,500 "OH, YOU NEED TO STOP LOSING WEIGHT." 490 00:25:37,500 --> 00:25:39,300 IT'S NOT ABOUT HOW MUCH WEIGHT YOU LOSE. 491 00:25:39,300 --> 00:25:43,233 HAVING A HEALTHY BODY IS THE MOST IMPORTANT ISSUE. 492 00:25:43,233 --> 00:25:44,800 BUT WHEN CAN WE DO THE LEG SURGERY? 493 00:25:44,800 --> 00:25:47,833 BECAUSE I CAN'T FIT IN ANY SMALLER CLOTHES. 494 00:25:47,833 --> 00:25:50,767 LIKE, MY JEANS ARE REALLY BAGGY, 495 00:25:50,767 --> 00:25:53,667 BUT BECAUSE OF MY LEGS, I CAN'T GET ANY... 496 00:25:53,667 --> 00:25:55,167 SEE? 497 00:25:55,167 --> 00:25:58,833 SKIN SURGERY IS NOT EVEN A TOPIC OF CONSIDERATION RIGHT NOW. 498 00:25:58,833 --> 00:26:02,633 UNTIL WE ADDRESS EATING HABITS AND GET YOUR BODY HEALTHY, 499 00:26:02,633 --> 00:26:04,567 WE CANNOT MOVE FORWARD. 500 00:26:04,567 --> 00:26:07,633 THERE ARE CLEARLY SOME EMOTIONAL ISSUES 501 00:26:07,633 --> 00:26:10,367 THAT CHRISTINA NEEDS TO DEAL WITH, 502 00:26:10,367 --> 00:26:14,467 BUT FIRST, WE NEED TO GET HER BODY IN A BETTER POSITION. 503 00:26:14,467 --> 00:26:18,300 I GOT YOU ON PREDNISONE TO DEVELOP SOME MUSCLE MASS. 504 00:26:18,300 --> 00:26:22,167 AND I WANT YOU TO TAKE THIS PROTEIN SHAKE EVERY DAY. 505 00:26:25,533 --> 00:26:28,533 YES, BECAUSE YOU NEED TO GAIN MUSCLE WEIGHT. 506 00:26:33,067 --> 00:26:35,667 LOOKING AT YOUR CONCAVE COLLARBONE, 507 00:26:35,667 --> 00:26:39,067 I CAN SEE THAT YOU DO NOT HAVE ENOUGH BODY FAT. 508 00:26:39,067 --> 00:26:43,333 SO YOU NEED NOT WORRY ABOUT THAT YOU NEED TO LOSE WEIGHT. 509 00:26:43,333 --> 00:26:46,100 I'M ALSO SENDING YOU TO A THERAPIST. 510 00:26:46,100 --> 00:26:48,900 WE NEED TO ADDRESS ALL THESE ISSUES. 511 00:26:48,900 --> 00:26:52,067 CHRISTINA NEEDS TO GET TO THE ROOT OF HER ANXIETY 512 00:26:52,067 --> 00:26:53,533 WITH HER BODY IMAGE. 513 00:26:53,533 --> 00:26:56,200 SHE WILL NOT BE HEALTHY IN LONG TERM 514 00:26:56,200 --> 00:26:58,867 IF SHE DOESN'T RESOLVE THESE ISSUES. 515 00:26:58,867 --> 00:27:02,433 NEXT TIME, I WANT TO SEE THAT YOU'VE GAINED 15 POUNDS. 516 00:27:02,433 --> 00:27:05,733 THEN WE CAN DISCUSS YOUR NEXT SURGERY. 517 00:27:05,733 --> 00:27:08,733 YOU HAVE TO BE HEALTHY, CHRISTINA. 518 00:27:08,733 --> 00:27:10,800 OKAY. 519 00:27:13,067 --> 00:27:14,500 Christina: THE DOCTOR DOESN'T UNDERSTAND 520 00:27:14,500 --> 00:27:15,733 THAT I DON'T WANT TO GAIN WEIGHT. 521 00:27:15,733 --> 00:27:18,633 I'VE BEEN BIG MY WHOLE LIFE. 522 00:27:18,633 --> 00:27:20,067 I WANT TO BE HEALTHY, 523 00:27:20,067 --> 00:27:23,167 BUT I'VE WORKED SO HARD TO GET TO WHERE I AM TODAY. 524 00:27:23,167 --> 00:27:26,500 SO HAVING TO GAIN WEIGHT SCARES ME TO DEATH. 525 00:27:26,500 --> 00:27:29,067 I'M REALLY FRUSTRATED RIGHT NOW. 526 00:27:39,067 --> 00:27:40,900 THANK YOU. 527 00:27:40,900 --> 00:27:42,733 Paula: I'VE BEEN IN THE HOSPITAL FOR A COUPLE WEEKS NOW, 528 00:27:42,733 --> 00:27:44,833 AND I'VE FINALLY RECOVERED ENOUGH 529 00:27:44,833 --> 00:27:47,333 TO MOVE AHEAD WITH MY SECOND LEG SURGERY. 530 00:27:47,333 --> 00:27:48,633 WE'RE GOING THAT WAY. 531 00:27:48,633 --> 00:27:51,267 IT'S BEEN A TOUGH PROCESS, BUT ONCE I HEAL, 532 00:27:51,267 --> 00:27:54,100 I'LL BE ABLE TO GET BACK TO BEING WITH MY FAMILY 533 00:27:54,100 --> 00:27:55,567 AND HELPING MY CHILDREN. 534 00:27:57,200 --> 00:28:00,267 Dr. Nowzaradan: AFTER A COUPLE WEEKS OF TREATMENT IN THE HOSPITAL, 535 00:28:00,267 --> 00:28:02,900 PAULA'S BODY HAS FINALLY RECOVERED 536 00:28:02,900 --> 00:28:07,100 TO THE POINT THAT I CAN COMPLETE THE SURGERY ON HER OTHER LEG. 537 00:28:07,100 --> 00:28:09,500 OKAY. STARTING INCISION. 538 00:28:09,500 --> 00:28:13,233 BECAUSE OF THE COMPLICATION WITH HER FIRST SURGERY, 539 00:28:13,233 --> 00:28:17,067 WE'RE GOING TO KEEP A CLOSE WATCH ON HER BLOOD LOSS. 540 00:28:17,067 --> 00:28:20,933 IF WE ARE ABLE TO COMPLETE THIS SURGERY SUCCESSFULLY, 541 00:28:20,933 --> 00:28:24,800 PAULA SHOULD SEE A DRAMATIC INCREASE IN HER MOBILITY. 542 00:28:24,800 --> 00:28:28,500 I HOPE THE SURGERY WILL DO SOMETHING GREAT 543 00:28:28,500 --> 00:28:31,233 FOR MY MOM SO THAT WAY SHE CAN DO THE THINGS SHE WANTED TO DO, 544 00:28:31,233 --> 00:28:34,400 LIKE RUN, RIDE A BIKE NOW. 545 00:28:34,400 --> 00:28:37,067 SHE CAN HAVE LOTS OF FUN, AND I COULD HAVE FUN WITH HER. 546 00:28:37,067 --> 00:28:39,800 Dr. Nowzaradan: HOW IS THE BLOOD LOSS? 547 00:28:48,467 --> 00:28:51,067 PAULA'S SURGERY WENT VERY WELL. 548 00:28:51,067 --> 00:28:53,967 WE REMOVED ONLY A SMALL AMOUNT OF SKIN, 549 00:28:53,967 --> 00:28:56,367 BUT IT WILL MAKE A BIG DIFFERENCE FOR HER. 550 00:28:59,233 --> 00:29:03,067 WE'LL GET HER INTO RECOVERY, AND AS SOON AS SHE'S READY, 551 00:29:03,067 --> 00:29:06,500 SHE'LL BE ABLE TO HEAD HOME AND LET HER LEGS HEAL. 552 00:29:08,133 --> 00:29:11,167 ** 553 00:29:12,800 --> 00:29:15,900 Christina: DR. NOW HAS ASKED ME TO SEE A THERAPIST TODAY. 554 00:29:15,900 --> 00:29:19,333 HE THINKS I'M PUSHING MYSELF TOO HARD TO LOSE WEIGHT. 555 00:29:21,367 --> 00:29:24,067 I KNOW I'M NOT 700 POUNDS ANYMORE, 556 00:29:24,067 --> 00:29:26,367 BUT I STILL FEEL THAT WAY, 557 00:29:26,367 --> 00:29:29,433 AND I DON'T KNOW HOW TO CHANGE HOW I FEEL. 558 00:29:29,433 --> 00:29:31,067 HI, CHRISTINA. NICE TO MEET YOU. 559 00:29:31,067 --> 00:29:32,133 NICE TO MEET YOU. 560 00:29:32,133 --> 00:29:33,767 COME ON BACK. 561 00:29:35,400 --> 00:29:37,667 Christina: LATELY, I'VE JUST BEEN GOING THROUGH A LOT. 562 00:29:37,667 --> 00:29:40,767 I'VE LOST A LOT OF WEIGHT THE PAST COUPLE YEARS, 563 00:29:40,767 --> 00:29:43,533 AND LATELY, ANYTIME I SEE THE SCALE GO UP, 564 00:29:43,533 --> 00:29:44,900 I TEND TO FREAK OUT, 565 00:29:44,900 --> 00:29:47,333 AND I WILL STOP EATING FOR A COUPLE DAYS. 566 00:29:47,333 --> 00:29:50,100 SO IT'S KIND OF LIKE FOOD'S ALMOST BECOME YOUR ENEMY. 567 00:29:50,100 --> 00:29:52,067 I MEAN, I STILL SEE MYSELF AS 708 POUNDS, 568 00:29:52,067 --> 00:29:54,667 AND PEOPLE ARE STARING AT ME. 569 00:29:54,667 --> 00:29:56,300 IT JUST -- IT MAKES ME NOT WANT TO LEAVE THE HOUSE AT ALL. 570 00:29:56,300 --> 00:29:59,533 IT'S HARD TO SHIFT TO SEEING YOURSELF 571 00:29:59,533 --> 00:30:01,167 THE WAY THAT YOU ARE NOW. -MM-HMM. 572 00:30:01,167 --> 00:30:02,700 BESIDES THE FEAR OF GAINING WEIGHT, 573 00:30:02,700 --> 00:30:04,300 WHAT OTHER THINGS ARE YOU AFRAID OF? 574 00:30:04,300 --> 00:30:06,367 DISAPPOINTING PEOPLE. 575 00:30:06,367 --> 00:30:09,233 I MEAN, IN THE BEGINNING, I HAD A LOT OF PEOPLE DOUBT ME. 576 00:30:09,233 --> 00:30:11,800 PEOPLE THAT YOU CARED ABOUT, LIKE FRIENDS OR FAMILY? 577 00:30:11,800 --> 00:30:14,300 WELL, I MEAN, I WAS IN A REALLY ABUSIVE RELATIONSHIP, 578 00:30:14,300 --> 00:30:17,133 AND THAT DEFINITELY, I THINK, HAS HAD 579 00:30:17,133 --> 00:30:20,200 A NEGATIVE IMPACT ON ME A LITTLE BIT. 580 00:30:20,200 --> 00:30:22,200 IT REALLY IMPACTED YOUR SELF-ESTEEM. 581 00:30:22,200 --> 00:30:25,367 -IT HURTS. -IT HURTS. 582 00:30:25,367 --> 00:30:27,467 IN MY HEART, IN MY HEAD. 583 00:30:27,467 --> 00:30:29,600 EVERYWHERE. 584 00:30:31,600 --> 00:30:34,133 IF YOU WERE GONNA TAKE ONE LITTLE SMALL STEP 585 00:30:34,133 --> 00:30:36,867 JUST TO KIND OF MOVE INTO YOUR LIFE A LITTLE BIT MORE, 586 00:30:36,867 --> 00:30:38,800 WHAT DO YOU THINK WOULD BE HELPFUL? 587 00:30:38,800 --> 00:30:43,667 MAYBE NOT BE SO HARD ON MYSELF, LIKE, 588 00:30:43,667 --> 00:30:47,000 AS FAR AS THE SCALE GOES, LIKE, LEARNING TO JUST BE OKAY. 589 00:30:47,000 --> 00:30:48,067 I MEAN, IT -- 590 00:30:48,067 --> 00:30:49,200 HOW OFTEN ARE YOU WEIGHING YOURSELF? 591 00:30:49,200 --> 00:30:51,033 SEVERAL TIMES A DAY. 592 00:30:51,033 --> 00:30:54,067 THAT'S YOUR SELF-ESTEEM MONITOR, WHICH IS LIKE UP AND DOWN. 593 00:30:54,067 --> 00:30:55,767 AND WE WANT TO MOVE AWAY FROM THAT, 594 00:30:55,767 --> 00:30:57,733 AND WE WANT TO MOVE INTO SELF-COMPASSION. 595 00:30:57,733 --> 00:31:00,433 'CAUSE IT'S NOT REALLY ABOUT THE OUTSIDE. 596 00:31:00,433 --> 00:31:02,967 IT'S NOT ABOUT THE SCALE OR THE FOOD OR THE WEIGHT. 597 00:31:02,967 --> 00:31:05,533 IT'S ABOUT HOW YOU FEEL ON THE INSIDE. 598 00:31:05,533 --> 00:31:08,300 CHRISTINA, I LOOK FORWARD TO WORKING WITH YOU 599 00:31:08,300 --> 00:31:09,733 AND SEEING YOU AGAIN. 600 00:31:09,733 --> 00:31:11,333 ALL RIGHT, THANK YOU. IT WAS NICE MEETING YOU, TOO. 601 00:31:11,333 --> 00:31:12,500 TAKE CARE. 602 00:31:12,500 --> 00:31:13,933 I KNOW I NEED TO WORK THROUGH SOME THINGS. 603 00:31:13,933 --> 00:31:17,833 WHEN I WAS 700 POUNDS, I FELT WORTHLESS 604 00:31:17,833 --> 00:31:19,833 AND LIKE I DIDN'T DESERVE ANYTHING BETTER 605 00:31:19,833 --> 00:31:21,700 THAN THE LIFE I HAD. 606 00:31:21,700 --> 00:31:25,967 AND NOW MY FEAR OF GAINING WEIGHT HAS CRIPPLED ME. 607 00:31:25,967 --> 00:31:30,533 BUT I HAVE TO MOVE PAST THAT FEAR IF I WANT TO LIVE MY LIFE. 608 00:31:33,767 --> 00:31:36,967 ** 609 00:31:41,567 --> 00:31:43,733 I'VE BEEN STARTING TO WORK OUT LATELY. 610 00:31:43,733 --> 00:31:46,867 ...AND YOU'RE GONNA COME HERE AND THEN BACK UP. 611 00:31:46,867 --> 00:31:50,500 DR. NOW WANTS ME WORKING OUT FIVE DAYS A WEEK TO BUILD MUSCLE 612 00:31:50,500 --> 00:31:53,433 AND GAIN 15 POUNDS BEFORE MY NEXT VISIT. 613 00:31:53,433 --> 00:31:56,200 BLOW IT OUT. THERE YOU GO. GOOD JOB. 614 00:31:56,200 --> 00:32:00,100 I'VE NEVER FOCUSED ON STRENGTH TRAINING BEFORE. 615 00:32:00,100 --> 00:32:02,733 WANT YOU TO SQUEEZE THOSE SHOULDERS TOGETHER. 616 00:32:02,733 --> 00:32:05,267 WHEN I WAS 600 POUNDS, I WOULD STRUGGLE 617 00:32:05,267 --> 00:32:08,367 WITH EVEN THE SMALLEST AMOUNT OF PHYSICAL ACTIVITY. 618 00:32:08,367 --> 00:32:11,500 JUST SIMPLY WALKING FROM THE LIVING ROOM TO THE BEDROOM, 619 00:32:11,500 --> 00:32:13,967 I'M OUT OF BREATH. 620 00:32:13,967 --> 00:32:17,467 NOW I CAN DO SO MUCH MORE THAN I EVER EXPECTED. 621 00:32:17,467 --> 00:32:18,967 GOOD. FANTASTIC. 622 00:32:18,967 --> 00:32:22,333 BUT IT'S HARD TO LET GO OF MY FEARS OF GAINING WEIGHT. 623 00:32:22,333 --> 00:32:25,067 REMEMBER, THE WEIGHTLIFTING, THAT'S GONNA HELP YOU 624 00:32:25,067 --> 00:32:27,933 NOT ONLY BUILD MUSCLE BUT ALSO BURN FAT. 625 00:32:27,933 --> 00:32:29,367 ALL RIGHT, SEE YOU NEXT TIME. 626 00:32:29,367 --> 00:32:33,533 BUT KNOWING I CAN GET MY FINAL SKIN SURGERY KEEPS ME MOTIVATED. 627 00:32:36,067 --> 00:32:37,900 YEAH. 628 00:32:37,900 --> 00:32:41,133 I'M ALSO TRYING REALLY HARD TO EAT THE RIGHT FOODS 629 00:32:41,133 --> 00:32:43,067 AND ENOUGH OF THE RIGHT FOODS, 630 00:32:43,067 --> 00:32:44,467 SO I'M STICKING TO HIGH-PROTEIN FOODS 631 00:32:44,467 --> 00:32:48,167 THAT HELP ME GAIN MUSCLE WEIGHT. 632 00:32:48,167 --> 00:32:50,333 LAST YEAR, I WOULDN'T HAVE DREAMED 633 00:32:50,333 --> 00:32:52,933 OF EATING THIS MUCH FOOD, BUT I'M TRUSTING 634 00:32:52,933 --> 00:32:55,433 WHAT THE DOCTOR'S TOLD ME I NEED TO DO. 635 00:32:55,433 --> 00:32:57,200 I REALLY WANT TO HAVE 636 00:32:57,200 --> 00:32:59,633 ALL THESE SKIN SURGERIES BEHIND ME, 637 00:32:59,633 --> 00:33:04,233 SO I'M DOING EVERYTHING I CAN TO DO THIS THE RIGHT WAY. 638 00:33:07,367 --> 00:33:09,700 CHRISTINA. 639 00:33:09,700 --> 00:33:11,600 I'VE BEEN WORKING REALLY HARD TO EAT BETTER 640 00:33:11,600 --> 00:33:14,400 AND BUILD SOME MUSCLE. 641 00:33:14,400 --> 00:33:17,367 I'M REALLY LOOKING FORWARD TO TAKING THIS FINAL STEP 642 00:33:17,367 --> 00:33:20,333 AND GETTING THIS SKIN REMOVED FROM MY LEGS. 643 00:33:20,333 --> 00:33:22,167 I HOPE I'VE MADE ENOUGH PROGRESS. 644 00:33:31,567 --> 00:33:33,367 Nurse: CHRISTINA. 645 00:33:33,367 --> 00:33:35,500 Christina: I'M BACK AT DR. NOW'S OFFICE TO SEE 646 00:33:35,500 --> 00:33:37,333 IF I'VE GAINED ENOUGH WEIGHT TO GET APPROVED 647 00:33:37,333 --> 00:33:38,833 FOR MY LEG SURGERY. 648 00:33:41,333 --> 00:33:43,967 177.4. 649 00:33:43,967 --> 00:33:48,067 IT'S STILL A LITTLE HARD FOR ME TO SEE THAT NUMBER GO UP, 650 00:33:48,067 --> 00:33:50,800 BUT I DID WHAT DR. NOW WANTED AND GAINED SOME WEIGHT. 651 00:33:52,500 --> 00:33:54,300 HELLO. 652 00:33:54,300 --> 00:33:58,267 OKAY. SO YOU WEIGHED IN AT 177. 653 00:33:58,267 --> 00:34:00,600 THAT'S GOOD. THAT'S 17 POUNDS UP. 654 00:34:00,600 --> 00:34:04,633 YOU HAVE COME A LONG WAY FROM 708 POUNDS. 655 00:34:04,633 --> 00:34:06,067 THAT'S GREAT. 656 00:34:06,067 --> 00:34:08,500 I THINK YOU'RE READY FOR THE SURGERY AT THIS TIME, 657 00:34:08,500 --> 00:34:11,067 AND WE'LL LET YOU KNOW WHEN WE CAN SCHEDULE IT, OKAY? 658 00:34:11,067 --> 00:34:12,133 MM-HMM. 659 00:34:12,133 --> 00:34:14,067 Dr. Nowzaradan: CHRISTINA HAS DONE WELL, 660 00:34:14,067 --> 00:34:17,833 SO I'M GOING TO MOVE FORWARD WITH HER LEG SURGERIES. 661 00:34:17,833 --> 00:34:19,967 SHE HAS A LOT OF EXCESS SKIN ON HER LEGS, 662 00:34:19,967 --> 00:34:22,300 SO THE SURGERY WILL TAKE SOME TIME. 663 00:34:22,300 --> 00:34:23,900 ALL RIGHT, I'LL SEE YOU LATER. 664 00:34:23,900 --> 00:34:25,367 -THANK YOU. -OKAY. 665 00:34:25,367 --> 00:34:28,600 BUT I THINK CHRISTINA WILL BE REALLY HAPPY WITH THE RESULTS. 666 00:34:30,233 --> 00:34:34,067 Christina: I CAN'T WAIT TO GET THIS LAST SURGERY ON MY LEGS. 667 00:34:34,067 --> 00:34:35,233 I'M STARTING TO FEEL LIKE 668 00:34:35,233 --> 00:34:38,100 I'M FINALLY ABLE TO SEE THAT I'M WORTH IT. 669 00:34:38,100 --> 00:34:41,567 AND I'D BE ONE STEP CLOSER TO WHERE I FEEL LIKE I SHOULD BE. 670 00:34:47,300 --> 00:34:50,100 Paula: IT'S BEEN ALMOST TWO MONTHS SINCE MY LAST LEG SURGERY, 671 00:34:50,100 --> 00:34:52,300 AND I'VE HEALED VERY WELL. 672 00:34:52,300 --> 00:34:54,900 TODAY, I'M BRINGING SAVANNAH TO THE GROCERY STORE, 673 00:34:54,900 --> 00:34:57,100 AND WE'RE GONNA BUY SOME HEALTHY, NUTRITIOUS FOOD 674 00:34:57,100 --> 00:35:00,367 AND LEARN ABOUT WHICH FOODS WE SHOULD BUY. 675 00:35:01,900 --> 00:35:04,067 SAY YES, BUT OKAY. 676 00:35:04,067 --> 00:35:08,200 ALL OF MY CHILDREN HAVE SEEN ME BUY AND EAT UNHEALTHY FOODS. 677 00:35:08,200 --> 00:35:10,633 I SHOWED NO RESTRAINT. 678 00:35:13,467 --> 00:35:17,800 I DON'T EAT JUST FOR FUEL. I EAT FOR ENJOYMENT. 679 00:35:17,800 --> 00:35:20,067 NOW I FEEL LIKE I HAVE TO ROLL BACK 680 00:35:20,067 --> 00:35:24,133 THOSE BAD HABITS AND SHOW THEM THE JOY OF EATING HEALTHY NOW. 681 00:35:24,133 --> 00:35:26,200 THESE ARE MY GO-TO THINGS. 682 00:35:26,200 --> 00:35:29,133 IT DOESN'T SAY SALT. IT'S SODIUM... 683 00:35:29,133 --> 00:35:30,500 480. 684 00:35:30,500 --> 00:35:32,400 Paula: RIGHT. 685 00:35:32,400 --> 00:35:35,733 SAVANNAH, AT 11 YEARS OLD, SHE WEIGHS MORE THAN I DO RIGHT NOW. 686 00:35:35,733 --> 00:35:37,833 SO I FEEL LIKE I CAN HELP HER THE MOST 687 00:35:37,833 --> 00:35:39,700 BY HELPING HER FIND HEALTHY FOODS 688 00:35:39,700 --> 00:35:42,433 AND WHAT TO LOOK FOR WHEN DECIDING WHAT TO EAT. 689 00:35:42,433 --> 00:35:44,233 WHAT ABOUT THIS STUFF? 690 00:35:44,233 --> 00:35:46,900 -LOOK AT IT. -22 CARBOHYDRATES. 691 00:35:46,900 --> 00:35:48,467 THESE ARE PRETTY GOOD, RIGHT? 692 00:35:48,467 --> 00:35:51,433 -NO. SORRY. -OH. 693 00:35:51,433 --> 00:35:54,500 NOW THAT I'VE MOSTLY HEALED FROM MY LEG SURGERY, 694 00:35:54,500 --> 00:35:56,367 I'M LOOKING FORWARD TO GETTING THE EXCESS SKIN 695 00:35:56,367 --> 00:35:59,067 FROM MY ARMS REMOVED. 696 00:35:59,067 --> 00:36:01,267 DR. NOW IS GOING TO SCHEDULE THE SURGERY 697 00:36:01,267 --> 00:36:02,733 WITHIN THE NEXT MONTH OR SO. 698 00:36:02,733 --> 00:36:05,200 MY BIGGEST FEAR GOING INTO SURGERY IS 699 00:36:05,200 --> 00:36:07,767 THAT THEY WON'T BE ABLE TO DO BOTH ARMS 700 00:36:07,767 --> 00:36:11,733 AND THAT WILL DELAY MY RECOVERY EVEN FURTHER. 701 00:36:11,733 --> 00:36:15,067 I REALLY NEED TO GET THIS FINAL SURGERY BEHIND ME. 702 00:36:24,067 --> 00:36:26,367 SEE YOU WHEN YOU WAKE UP. 703 00:36:26,367 --> 00:36:28,267 Christina: I'M SO EXCITED TO FINALLY BE GETTING 704 00:36:28,267 --> 00:36:29,733 THIS LAST SURGERY ON MY LEGS. 705 00:36:29,733 --> 00:36:32,767 I CAN'T WAIT TO BE ON THE OTHER SIDE. 706 00:36:32,767 --> 00:36:36,367 I FEEL LIKE MY WHOLE LIFE HAS BEEN LEADING UP TO THIS. 707 00:36:36,367 --> 00:36:39,733 Dr. Nowzaradan: TODAY, WE'RE ATTEMPTING TO PERFORM 708 00:36:39,733 --> 00:36:42,067 THE FINAL SKIN SURGERY ON CHRISTINA. 709 00:36:42,067 --> 00:36:43,800 OKAY. KNIFE, PLEASE. 710 00:36:43,800 --> 00:36:45,967 WE'RE DOING A SPIRAL THIGH LIFT 711 00:36:45,967 --> 00:36:50,467 AND REMOVING A CONSIDERABLE AMOUNT OF SKIN FROM HER LEGS. 712 00:36:50,467 --> 00:36:53,967 WE'LL START REMOVING TISSUE FROM THE BACK OF HER LEGS 713 00:36:53,967 --> 00:36:56,800 AND LOWER BUTTOCKS ON BOTH SIDES. 714 00:36:56,800 --> 00:36:58,367 Nurse 715 00:36:58,367 --> 00:37:00,500 THEN WE'LL TURN HER OVER, 716 00:37:00,500 --> 00:37:03,600 AND WE'LL CONTINUE ON THE FRONT SIDE OF HER LEGS. 717 00:37:03,600 --> 00:37:06,500 AND WE'LL BRING HER SKIN TOGETHER 718 00:37:06,500 --> 00:37:09,367 AND MAKE HER THIGHS TIGHT AND NORMAL. 719 00:37:09,367 --> 00:37:11,067 ALL RIGHT, WE'RE DONE. 720 00:37:11,067 --> 00:37:13,833 CLEAN HER UP AND GET HER UP TO A RECOVERY ROOM. 721 00:37:13,833 --> 00:37:16,367 CHRISTINA'S SURGERY WENT GREAT. 722 00:37:16,367 --> 00:37:19,500 HER NEW LEG CONTOUR LOOKS VERY NATURAL. 723 00:37:19,500 --> 00:37:24,133 SKIN SURGERY ON THE LEGS CAN BE A LITTLE BIT MORE DIFFICULT 724 00:37:24,133 --> 00:37:25,600 IN THE RECOVERY. 725 00:37:25,600 --> 00:37:30,667 SO CHRISTINA WILL NEED TO TAKE IT EASY AND LET HER BODY HEAL. 726 00:37:30,667 --> 00:37:33,433 Shane: I KNOW IT'S SOMETHING SHE'S WANTED, 727 00:37:33,433 --> 00:37:36,767 SOMETHING SHE'S FOUGHT FOR OVER THE COURSE OF YEARS. 728 00:37:36,767 --> 00:37:38,400 AND I HOPE THAT THIS IS 729 00:37:38,400 --> 00:37:41,300 THE BEGINNING OF SOMETHING NEW FOR HER. 730 00:37:42,500 --> 00:37:45,767 ** 731 00:37:45,767 --> 00:37:49,333 Paula: TODAY, I'M GOING IN FOR SKIN SURGERY ON MY ARMS. 732 00:37:49,333 --> 00:37:52,400 I BOOKED MY FIRST SPEAKING ENGAGEMENT BACK IN ATLANTA, 733 00:37:52,400 --> 00:37:55,967 SO I'M REALLY LOOKING FORWARD TO GETTING THIS SURGERY COMPLETED. 734 00:37:55,967 --> 00:37:59,600 I AM A LITTLE CONCERNED ABOUT MY BLOOD-LOSS ISSUES, 735 00:37:59,600 --> 00:38:03,367 ESPECIALLY AFTER WHAT HAPPENED WITH MY LEG SURGERY. 736 00:38:03,367 --> 00:38:07,533 Dr. Nowzaradan: TODAY, WE'RE GOING TO ATTEMPT SKIN-REMOVAL SURGERY 737 00:38:07,533 --> 00:38:09,100 ON PAULA'S ARMS. 738 00:38:09,100 --> 00:38:12,667 SHE POSES SOME UNIQUE RISK FACTORS 739 00:38:12,667 --> 00:38:16,267 BECAUSE OF HER ISSUES WITH BLOOD LOSS IN THE PAST. 740 00:38:16,267 --> 00:38:19,367 SO WE HAVE TO BE VERY CAREFUL. 741 00:38:19,367 --> 00:38:21,100 LET'S GET STARTED. 742 00:38:29,967 --> 00:38:34,233 Dr. Nowzaradan: PAULA IS HAVING SKIN SURGERY TODAY FOR HER ARMS. 743 00:38:34,233 --> 00:38:38,167 OKAY, STARTING INCISION. 744 00:38:38,167 --> 00:38:40,833 PAULA HAS GOOD MUSCLE TONE IN HER ARM, 745 00:38:40,833 --> 00:38:44,900 BUT LOSING WEIGHT CAUSED HER TO GAIN THIS SAGGING SKIN. 746 00:38:44,900 --> 00:38:48,833 WE'RE REMOVING THE SKIN DOWN THE LENGTH OF HER ARM 747 00:38:48,833 --> 00:38:51,067 AND A LITTLE FROM HER CHEST. 748 00:38:51,067 --> 00:38:53,333 OKAY, AND STITCH HER UP. 749 00:38:53,333 --> 00:38:55,800 OKAY. PAULA'S SURGERY IS OVER. 750 00:38:55,800 --> 00:38:57,567 PAULA'S SURGERY WENT VERY WELL. 751 00:38:57,567 --> 00:39:01,333 AND I THINK SHE'LL BE VERY HAPPY ONCE SHE HEALS. 752 00:39:04,100 --> 00:39:07,267 ** 753 00:39:10,067 --> 00:39:12,333 Christina: I'VE BEEN WORKING REALLY HARD LATELY 754 00:39:12,333 --> 00:39:14,467 TO BE OKAY WITH WHO I AM. 755 00:39:14,467 --> 00:39:16,533 AND NOW THAT I FINISHED MY SKIN SURGERY, 756 00:39:16,533 --> 00:39:19,267 IT'S NICE TO BUY CLOTHES THAT SPEAK TO WHO I AM. 757 00:39:19,267 --> 00:39:21,567 IT'S MAKING IT A LITTLE BIT EASIER 758 00:39:21,567 --> 00:39:23,367 TO SEE WHAT EVERYONE ELSE SEES. 759 00:39:23,367 --> 00:39:26,100 AND IT'S DEFINITELY A CONFIDENCE BOOST. 760 00:39:26,100 --> 00:39:28,133 WHEN I WAS 700 POUNDS, 761 00:39:28,133 --> 00:39:30,167 I COULDN'T GO ANYWHERE IN PUBLIC, 762 00:39:30,167 --> 00:39:32,233 LET ALONE GO SHOPPING FOR CLOTHES. 763 00:39:32,233 --> 00:39:33,500 THANK YOU. HAVE A GREAT DAY. 764 00:39:33,500 --> 00:39:34,833 YOU TOO! 765 00:39:34,833 --> 00:39:37,800 SO I'M REALLY GRATEFUL I CAN DO NORMAL THINGS LIKE THIS. 766 00:39:37,800 --> 00:39:38,933 Nurse: MISS PHILIPS. 767 00:39:38,933 --> 00:39:40,067 I'VE BEEN LEARNING 768 00:39:40,067 --> 00:39:42,100 THAT THE NUMBER DOESN'T MATTER AS MUCH, 769 00:39:42,100 --> 00:39:44,767 AND THE PRIORITY IS THAT I NEED TO BE HEALTHY. 770 00:39:44,767 --> 00:39:47,567 171. 771 00:39:47,567 --> 00:39:51,133 ALL RIGHT. SO YOU'VE LOST 537 POUNDS. 772 00:39:51,133 --> 00:39:53,900 THAT'S A LOT OF WEIGHT TO LOSE. 773 00:39:53,900 --> 00:39:55,567 THANK YOU. 774 00:39:55,567 --> 00:39:58,967 CHRISTINA IS A REALLY AMAZING SUCCESS STORY. 775 00:39:58,967 --> 00:40:01,933 I KNOW IT'S BEEN A DIFFICULT PROCESS FOR HER 776 00:40:01,933 --> 00:40:05,800 TO HAVE A HEALTHY OUTLOOK ON FOOD AND HER SELF-IMAGE, 777 00:40:05,800 --> 00:40:07,933 BUT SHE'S MADE GREAT PROGRESS. 778 00:40:07,933 --> 00:40:11,533 YOU'VE DONE AN AMAZING JOB, AND I'M PROUD OF YOU. 779 00:40:11,533 --> 00:40:12,533 THANK YOU. 780 00:40:12,533 --> 00:40:14,100 ALL RIGHT. 781 00:40:14,100 --> 00:40:18,133 Christina: IT'S STILL SO HARD TO BELIEVE I'VE COME THIS FAR. 782 00:40:18,133 --> 00:40:21,300 AND NOW THAT MY SKIN SURGERY'S BEHIND ME, 783 00:40:21,300 --> 00:40:24,433 I'M GLAD TO BE DONE WITH THIS PROCESS. 784 00:40:24,433 --> 00:40:26,733 AND I'M READY TO LIVE MY LIFE. 785 00:40:26,733 --> 00:40:30,367 I FEEL LIKE I'M STARTING A NEW JOURNEY. 786 00:40:32,467 --> 00:40:35,733 I'M SO GLAD I FOUND SOMEONE THAT LOVES ME LIKE SHANE. 787 00:40:35,733 --> 00:40:39,133 NOW MY LIFE IS FULL OF SO MANY NEW EXPERIENCES 788 00:40:39,133 --> 00:40:42,700 THAT I COULD NEVER HAVE IMAGINED WHEN I WAS BIG. 789 00:40:47,600 --> 00:40:48,967 Nurse: PAULA JONES. 790 00:40:48,967 --> 00:40:51,267 Paula: IT'S BEEN A COUPLE WEEKS SINCE MY ARM SURGERY, 791 00:40:51,267 --> 00:40:54,733 AND I'M HERE FOR A FOLLOW-UP WITH DR. NOW. 792 00:40:54,733 --> 00:40:57,067 WHEN I WALKED INTO THIS CLINIC FOR THE FIRST TIME, 793 00:40:57,067 --> 00:40:59,600 I DON'T THINK I EVER COULD HAVE IMAGINED 794 00:40:59,600 --> 00:41:03,567 THAT I'D MAKE IT THIS FAR. 795 00:41:03,567 --> 00:41:05,667 YEAH. 796 00:41:06,233 --> 00:41:11,200 IT'S VERY IMPRESSIVE TO COME FROM 533 TO UNDER 200 POUNDS. 797 00:41:11,200 --> 00:41:12,633 YOU DIDN'T THINK I'D MAKE IT THAT FAR. 798 00:41:12,633 --> 00:41:15,167 I DID HAVE SOME DOUBTS IN THE BEGINNING. 799 00:41:15,167 --> 00:41:17,200 BUT FINALLY, YOU FIGURED IT OUT. 800 00:41:17,200 --> 00:41:21,333 PAULA HAS ACHIEVED A LOT OF SUCCESS, AND I'M PROUD OF HER. 801 00:41:21,333 --> 00:41:25,533 Paula : THIS IS, BY FAR, THE HARDEST THING THAT I'VE EVER DONE. 802 00:41:25,533 --> 00:41:28,133 BUT MOST OF ALL, I HOPE THAT MY CHILDREN SEE 803 00:41:28,133 --> 00:41:29,800 THAT ALL THINGS ARE POSSIBLE. 804 00:41:29,800 --> 00:41:32,833 MY DAUGHTER SAVANNAH HAS LOST A LITTLE BIT OF WEIGHT, 805 00:41:32,833 --> 00:41:35,267 BUT WHAT'S MORE IMPORTANT IS THAT I THINK 806 00:41:35,267 --> 00:41:37,633 WE'RE FINALLY ON THE RIGHT PATH AS A FAMILY, 807 00:41:37,633 --> 00:41:40,633 AND NOW IT'S TIME FOR ME TO TAKE MY STORY OUT 808 00:41:40,633 --> 00:41:42,967 TO THOSE WHO NEED HELP THE MOST. 809 00:41:46,467 --> 00:41:50,333 I'M FINALLY HEADED TO MY FIRST SPEAKING EVENT IN ATLANTA. 810 00:41:50,333 --> 00:41:54,367 I FEEL LIKE I CAN FINALLY LEAD BY EXAMPLE AND BE PROUD OF IT. 811 00:41:54,367 --> 00:41:56,067 Y'ALL READY FOR PAULA? 812 00:41:56,067 --> 00:41:57,733 [ CHEERS AND APPLAUSE ] 813 00:41:57,733 --> 00:41:59,067 GO AHEAD. 814 00:41:59,067 --> 00:42:02,567 EVEN THOUGH THE SURGERY, AT FIRST, MADE ME LOSE WEIGHT, 815 00:42:02,567 --> 00:42:05,933 I HAD TO RE-LEARN EVERYTHING I EVER DID, 816 00:42:05,933 --> 00:42:09,567 AS FAR AS FOOD, NUTRITION, EVEN WORKING OUT. 817 00:42:09,567 --> 00:42:11,333 SINCE I STARTED THIS JOURNEY, 818 00:42:11,333 --> 00:42:14,067 I'VE FELT LIKE IT WAS MY PURPOSE TO MOTIVATE OTHERS 819 00:42:14,067 --> 00:42:16,933 TO BE HEALTHY, AND I'M FINALLY DOING IT. 820 00:42:16,933 --> 00:42:19,867 [ CHEERS AND APPLAUSE ] 821 00:42:19,867 --> 00:42:22,300 I'M REALLY PROUD OF MY MOM. 822 00:42:22,300 --> 00:42:24,933 SHE SPOKE FROM HER HEART. SHE HAS BEEN REALLY INSPIRING. 823 00:42:24,933 --> 00:42:27,400 -I ENJOYED YOU. -THANK YOU. 824 00:42:27,400 --> 00:42:30,433 Paula: THERE HAVE BEEN SOME REALLY HARD TIMES IN THIS JOURNEY, 825 00:42:30,433 --> 00:42:32,200 BUT I'M SO GLAD I PUSHED THROUGH.