All language subtitles for My 600-lb Life S07E09

Tiffany:
I'M NOT READY TO DIE.

BUT I'M ALSO NOT READY
TO GIVE UP FOOD,

SO I DON'T KNOW
WHAT I'M GONNA DO.

Woman: HE CAN'T STOP.

HE DOESN'T KNOW HOW.

Woman #2: IT'S TERRIFYING
TO THINK THAT AT ANY MOMENT,

YOUR HEART CAN EXPLODE.

Woman #3: I DON'T WANT TO DIE.

I HAVEN'T EVEN GOTTEN
TO LIVE YET.

WHY ARE YOU JUMPING
ON MY CASE?!

YOU'RE OVEREATING, AND YOU'RE
ACTING LIKE IT IS OUR FAULT!

I KNOW THAT I'M DYING.

I KNOW THAT I'M NOT
GONNA MAKE IT.

IT'S GONNA TAKE A LITTLE WORK
PUTTING MYSELF FIRST.

THAT RESONATES WITH SO MANY
PEOPLE WHO HAVE BEEN ABUSED.

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

EVERYTHING IN MY LIFE HAS BECOME
SUCH A STRUGGLE

BECAUSE OF HOW BIG I AM NOW

AND ALL THE WEIGHT
I HAVE ON MY BODY.

AND I'M OVERWHELMED
WITH THE PAIN

THAT I HAVE TO ENDURE
EVERY SINGLE DAY.

AND IT'S ONLY GETTING WORSE
BECAUSE I'M AT THE POINT

WHERE I CAN'T EVEN
GET OUT OF BED ON MY OWN.

HEY, BABE.
CAN YOU COME HELP?

MY BOYFRIEND, AARON,
HAS TO HELP ME WITH

AT LEAST GETTING UP
AND STARTING MY DAY.

BUT ONCE I CAN GET GOING
I'M STILL ABLE TO MANAGE,

BUT JUST BARELY.

-YOU READY?
-YEAH.

ONE, TWO.

-THANK YOU.
-ALL RIGHT.

-I'M GONNA HEAD TO WORK.
-HAVE A GOOD DAY.

Aaron: ALL RIGHT.

THE WHOLE WEIGHT OF MY BODY
JUST PULLS DOWN ON ME,

MAKING IT SO HARD TO EVEN MOVE.

IT IS MISERABLE.

I HATE MY BODY.

IT'S JUST DISGUSTING,
AND I HATE EVEN LOOKING AT IT.

WHEN I SEE MYSELF,
I FEEL LIKE A FREAK.

AND IT MAKES ME FEEL HUMILIATED

EVEN WHEN NO ONE ELSE
CAN SEE MY BODY,

BECAUSE I CAN SEE
ALL THE PARTS OF ME

THAT DON'T EVEN LOOK
LIKE A HUMAN,

ESPECIALLY MY STOMACH
AND THE LYMPHEDEMA ON MY LEGS.

AND IT REQUIRES ME TO DO A LOT

TO PREVENT THINGS
FROM GETTING WORSE,

BECAUSE ALL THE HANGING AREAS
OF MY BODY CHAFE

AND RUB AGAINST EACH OTHER
WHEN THEY MOVE

TO THE POINT WHERE THEY
BLISTER AND BLEED.

SO I HAVE TO CONSTANTLY CLEAN
THOSE AREAS

BECAUSE WHEN IT HAPPENS,
IT MAKES IT UNBEARABLE TO MOVE.

EVERYTHING IS A CHORE.

AND IF I'M NOT CAREFUL,

I COULD FALL
AND SERIOUSLY HURT MYSELF.

AND IF I FALL,
IT'S ALL OVER FOR ME.

THERE'S NO WAY
I'D BE ABLE TO SURVIVE.

BUT I KNOW THE ONLY REASON
I'M IN THIS SITUATION

AND MY BODY IS LIKE THIS
IS BECAUSE OF HOW I EAT.

IF I CHANGED THAT,
THEN ALL THIS WOULD GET BETTER.

BUT AT THIS POINT,
FOOD IS THE ONLY PLEASURE

I HAVE LEFT IN MY LIFE.

DESSERT IS MOSTLY WHAT I CRAVE,

AND SO MY FIRST CHOICE
IS EITHER CAKE OR ICE CREAM.

NOTHING MAKES ME FEEL AS GOOD
AS SUGAR DOES,

SO IT'S THE FIRST THING
I HAVE EVERY DAY.

AND THE SECOND I TAKE A BITE,
ALL MY PAIN AND WORRY

FADE AWAY FOR JUST A MOMENT.

SO AS LONG AS I'M EATING,
IT'S LIKE I'M INVINCIBLE.

NOTHING CAN HURT ME.

FOOD HELPS ME ESCAPE MY LIFE,

AND THAT'S THE WAY IT'S BEEN FOR
ME FOR A LONG, LONG TIME NOW.

I COME FROM A FAMILY
OF LARGE PEOPLE,

ESPECIALLY MY DAD.

I THINK HE WAS AROUND 450 POUNDS
WHEN I WAS A BABY.

SO FOOD WAS ALWAYS AROUND,
AND WE WERE ALWAYS EATING

BECAUSE WHEN MY DAD
WAS IN CHARGE,

YOU HAD TO BE PART OF
THE CLEAN PLATE CLUB.

EVERYTHING HAD TO BE CLEANED
OFF OF YOUR PLATE.

YOU COULDN'T LEAVE THE TABLE.

AND OFTENTIMES, HE WOULD PUT WAY
TOO MUCH ON MY PLATE.

SO WE WERE ALWAYS EATING A LOT.

BUT I WAS THE ONE THAT ALWAYS
SEEMED TO BE EATING THE MOST,

BECAUSE WHEN MY SISTER
CAME ALONG A FEW YEARS AFTER ME,

MY PARENTS TRIED TO
CURB HER EATING SOME

BECAUSE THEY SAW THE WEIGHT
THAT I WAS ALREADY GAINING,

AND THEY TRIED TO CHANGE
THAT FOR HER.

BY THE TIME I WAS 5,

I WAS ALREADY APPROACHING
BEING 100 POUNDS.

I WAS JUST ALWAYS EATING A LOT
OF UNHEALTHY FOODS,

ESPECIALLY SWEETS.

WHENEVER I FELL DOWN,

MY FAMILY WOULD GIVE ME
A COOKIE OR A CANDY BAR.

AND THAT WAS ALWAYS
TO CHEER ME UP,

SO I STARTED EATING
TO FEEL GOOD.

AND I NEEDED THAT BECAUSE
AS I GOT OLDER,

MY FAMILY STARTED TO STRUGGLE
WITH SOME THINGS.

AS MY FATHER GOT BIGGER,
HE STARTED TO WORK LESS

AND THAT BECAME A SOURCE OF
FRICTION BETWEEN MY MOM AND HIM.

IT GOT TO A POINT WHERE WE HAD
TO MOVE IN WITH MY GRANDMOTHER

JUST TO GET BY,

AND IT MEANT MY MOM
HAD TO GO BACK TO WORK.

SO DURING ALL THIS WHEN
MY PARENTS WERE FIGHTING,

THERE WAS ALWAYS FOOD
TO MAKE ME HAPPY.

AND FOOD DID THE SAME FOR MY DAD
AND MY GRANDMA,

BUT THAT CAUSED EVEN
MORE CONFLICT BETWEEN MY PARENTS

BECAUSE MY MOM WASN'T HAPPY

AT HOW MY DAD AND MY GRANDMA
FED ME.

I WOULD DESCRIBE MY FATHER'S
COOKING STYLE

AS BUTTER FRIED IN BUTTER.

HE WAS TAUGHT BY HIS MOTHER
AND HIS GRANDMOTHER,

AND EVERYTHING IS REALLY FATTY
AND VERY SUGARY.

TIFFANY'S WEIGHT DID CAUSE
CONFLICT,

BUT IT WASN'T ALWAYS
BECAUSE OF HER DAD.

IT WAS WHEN WE HAD TO LIVE
WITH HIS MOTHER.

SHE ALWAYS HAD BIG CAKES

AND THEY WERE
ALWAYS FEEDING HER.

AND THEN SHE'D FEED
WHAT I FED HER,

AND THEN AT DESSERT TIME,
EAT WHAT THEY WERE FEEDING HER.

I WAS 8 THEN, AND I HAD
GOTTEN UP TO 170 POUNDS.

AND MY WEIGHT GAIN
JUST GOT WORSE AS I GOT OLDER,

BECAUSE THINGS KEPT GETTING
WORSE BETWEEN MY MOM AND MY DAD

AND I STARTED
TO GET REALLY DEPRESSED,

AND ATE MORE TO DEAL WITH THAT.

MY DAD STARTED TO GET SO BIG
HE WAS BECOMING IMMOBILE,

AND MY MOM WAS GETTING TO
A BREAKING POINT WITH IT ALL.

SHE JUST GOT FED UP BECAUSE
OF WHAT IT DID TO HER,

AND HOW HIS EATING HABITS
AFFECTED ME

AS I GOT BIGGER AND BIGGER,

BECAUSE I WAS GAINING A LOT
AT A VERY QUICK RATE

AND HIT 300 POUNDS
WHEN I WAS 12.

BUT THAT'S AROUND WHEN THINGS
GOT TO THEIR WORST POINT

BETWEEN MY DAD AND MY MOM.

THEY WERE CONSTANTLY ARGUING
AND FIGHTING OVER THINGS.

AND I TOOK IT VERY HARD
BECAUSE I HAD ALWAYS BEEN

A DADDY'S GIRL,
AND THEN REALIZED

JUST HOW VERBALLY ABUSIVE

AND MANIPULATIVE
MY FATHER COULD BE.

AND I STARTED TAKING
MY MOM'S SIDE.

THAT'S WHEN HIS ANGER
TURNED TO ME.

I WAS HEARTBROKEN BECAUSE
WHEN IT COMES TO MY DAD,

I USED TO THINK
HE WALKED ON WATER.

AND THEN WHEN I STARTED
TO DEFEND MY MOM,

I REALIZED JUST HOW MEAN

AND HATEFUL OF A PERSON
HE COULD BE.

HE CALLED ME ALL THESE NAMES,
AND I STARTED TO BELIEVE HIM.

HE WOULD CALL ME
A LITTLE [BLEEP]

HE WOULD CALL ME FAT [BLEEP]

HE WOULD CALL ME
"THE LITTLE [BLEEP]"

IT WENT FROM BEING LIKE
THE CENTER OF HIS WORLD

TO BEING JUST ANOTHER PIECE
OF [BLEEP] DOWN THE WAY.

I HAD VERY LOW SELF-CONFIDENCE,

AND THAT JUST MADE WHAT LITTLE
BIT I HAD LEFT DISAPPEAR.

SO I WENT FROM ADMIRING MY DAD

IN A MATTER OF A YEAR
TO DESPISING HIM.

MY RELATIONSHIP WITH MY DAD
NEVER REALLY RECOVERED.

SO THAT WAS A REALLY PAINFUL
TIME, LOSING THAT RELATIONSHIP.

SO I JUST WENT TO FOOD
WITH ALL OF THAT.

AND I PUT ON 200 POUNDS
IN TWO YEARS,

AND WAS OVER 500 WHEN
I STARTED HIGH SCHOOL AT 14.

MY HEALTH JUST CONTINUED
TO GET MUCH WORSE FROM THERE,

BECAUSE MY LYMPHEDEMA ON MY LEGS

STARTED TO DEVELOP
WHEN I WAS 16.

SO THAT WAS WHEN IT STARTED
TO GET HARDER TO GET AROUND

AND STAY ACTIVE,
SO I STARTED DOING A LOT LESS.

AND IT GOT SO BAD THAT I HAD
TO DROP OUT OF SCHOOL,

AND THAT WAS HUMILIATING

AND I STARTED TO GET
EVEN MORE DEPRESSED.

EVENTUALLY, WE FOUND
AN ALTERNATIVE HIGH SCHOOL

THAT COULD ACCOMMODATE MY NEEDS.

AND I WAS ABLE TO GET MY HIGH
SCHOOL DEGREE AND GRADUATE.

AND AT THAT POINT,
I WAS AROUND 560.

I COULDN'T BELIEVE THAT
MY WEIGHT WAS GETTING SO BAD.

I WAS 18, BUT I WAS STILL
TRYING TO DO WHAT I COULD

TO HAVE A LIFE.

AND I DECIDED TO GO
TO CULINARY SCHOOL,

AND I ACTUALLY DID WELL
AND LOVED IT.

COOKING WAS A DREAM JOB FOR ME.

BUT MY WEIGHT GOT IN THE WAY
OF THAT, TOO.

I WAS A COOK FOR A BANQUET
AT A CASINO,

SO I COULDN'T
GET AROUND FAST ENOUGH

TO GET THE FOOD OUT
LIKE I NEEDED.

SO I LOST MY JOB.

AND AT THE SAME TIME,
MY PARENTS SEPARATED.

SO IT JUST SEEMED LIKE MY
WHOLE WORLD WAS IMPLODING,

AND I TURNED INTO A SHUT-IN
FOR A WHILE

BECAUSE I WAS SO DEPRESSED.

AND I, OF COURSE, KEPT EATING.

I FELT LIKE THE ONLY THING
I HAD WAS FOOD.

BUT WHEN I WAS 24,
I WAS PLAYING A GAME ONLINE

WHICH I DID A LOT THEN
AND I MET SOMEONE.

WE STARTED TALKING, AND THEN
WE JUST KIND OF HIT IT OFF.

AND I KNEW THAT IF I WASN'T
HONEST WITH HIM,

IT COULD RUIN EVERYTHING.

SO I TOLD HIM
HOW MUCH I WEIGHED.

I SHOWED HIM PICTURES.

AND HE STILL WANTED
TO BE WITH ME.

SO OVER THE NEXT FEW MONTHS,
WE GOT REALLY SERIOUS.

AND HE ASKED ME TO MOVE
IN WITH HIM, AND I SAID YES.

SO I MOVED OUT OF MY MOM'S HOUSE
AND IN WITH HIM,

AND WE'VE BEEN TOGETHER
FOR THE PAST FIVE YEARS.

BUT IN THAT TIME, AARON HAS
HAD TO BECOME MY CAREGIVER.

WITH EACH YEAR THAT'S PASSED,

I'VE BEEN ABLE TO DO
LESS AND LESS.

SO I'M NOT ABLE TO WORK OR DO
ANYTHING TO CONTRIBUTE

TO THE FINANCES,
AND THAT'S NOW MADE AARON

HAVE TO TAKE ON TWO JOBS
TO BE ABLE TO SUPPORT US.

SO I FEEL LIKE I'M TURNING OUT
TO BE JUST LIKE MY DAD.

I AM DOING TO AARON
WHAT MY DAD DID TO MY MOM.

AND SEEING HOW MY DAD'S
HEALTH HAS DECLINED,

AND ALL THIS DUE TO THE WAY
HE ATE,

I AM TERRIFIED
THAT I'M GONNA END UP

IN THE SAME POSITION HE IS.

AND I'M WORSE NOW THAN
I'VE EVER BEEN.

I'M 28, I'M AT LEAST 650 POUNDS,

AND NOT TOO FAR OFF
FROM BEING BEDRIDDEN.

AT THIS POINT,
I DON'T EVEN HAVE A LIFE.

I JUST SIT IN MY ROOM
PLAYING VIDEO GAMES,

AND WATCH MOVIES AND TV SHOWS.

I'M LETTING MY WEIGHT
DESTROY MY LIFE,

AND IT'S ONLY GETTING WORSE.

AND I'M SCARED SOON,
IT'S GONNA GET TO A POINT

WHERE IT'S TOO MUCH FOR AARON
AND HE'S GONNA LEAVE ME.

WE'RE ALREADY NOT REALLY
BOYFRIEND AND GIRLFRIEND.

WE CAN'T BE INTIMATE.

AND I'VE TOLD HIM BEFORE, IF HE
WANTED AN OPEN RELATIONSHIP

SO THAT THAT CAN HAPPEN,

I WAS OKAY AND I UNDERSTOOD,
AND WE WOULD MAKE RULES.

AND HE DIDN'T WANT THAT.

BUT I DON'T WANT MY WEIGHT

TO COST ME MY RELATIONSHIP
WITH HIM.

IT'S ALREADY BECOME A RIFT

IN THE ONLY OTHER
CLOSE RELATIONSHIP I HAVE --

MY RELATIONSHIP WITH MY MOM --

BECAUSE IT GOT TO A POINT
WITH HER

WHERE ALL SHE DID WAS GUILT ME
ABOUT MY WEIGHT.

SO I DON'T TALK MUCH TO HER
RIGHT NOW BECAUSE OF THAT.

SHE GOT ANGRY OVER SOMETHING
I SAID TO HER

THAT WAS TOO BRUTALLY HONEST,
APPARENTLY.

AND I JUST TOLD HER, "OKAY.

WHEN YOU'RE DONE THROWING
YOUR DADDY TEMPER-TANTRUM,

YOU CAN CALL ME."

I KNOW HOW BAD IT IS NOW.

BUT I DON'T EVEN KNOW HOW
I'D BEGIN TO GIVE UP THE WAY

I CONSTANTLY NEED FOOD
AND WANT IT.

-HEY.
-HEY, WHAT'S UP?

-ARE YOU READY?
-YEAH.

YOU'RE GONNA HAVE
TO HELP ME UP.

-ALL RIGHT.
-MY HIP'S PRETTY BAD TODAY.

ONE, TWO, THREE.

TIFFANY AND I DATED
ABOUT SIX MONTHS ONLINE

BEFORE WE MET IN PERSON.

WHEN I FIRST MET
TIFFANY IN PERSON,

I WAS SHOCKED
AT HOW BIG SHE WAS.

BUT I LOVED WHO SHE WAS,

SO I DIDN'T REALLY
LET IT AFFECT ME.

I'M BARELY ABLE TO FUNCTION
AND GET AROUND.

BUT IF I KNOW
WE'RE GONNA GO SHOPPING

AND GET SOMETHING TO EAT,

I WILL PUSH MYSELF
TO TRY AND GO OUT.

BUT I CAN BARELY FIT IN THE CAR
NOW, AND I GET EASILY WINDED.

SO IF I'M GONNA TRY AND SHOP,
I HAVE TO GET A MOTORIZED CART.

AND IF WHERE WE GO
DOESN'T HAVE ONE,

I'M NOT GONNA BE ABLE
TO WALK THAT FAR.

HOW YOU FEELING?

MY HIP HURTS.

DO THEY HAVE ANY OF
THE SITTING CARTS AVAILABLE?

UM, I DON'T
SEE ANYTHING.

ALL RIGHT.

SHOPPING FOR FOOD IS SOMETHING
THAT I ABSOLUTELY LOVE.

ASIDE FROM EATING,
IT'S MY FAVORITE THING TO DO.

I LIKE BUTTERSCOTCH.

AND IT FILLS ME
WITH SUCH EXCITEMENT

WHEN I FIND WHAT I WANT.

BUT ALL THIS ACTIVITY
TAKES A TOLL ON ME,

AND IT GETS TO BE
SO HARD TO MOVE.

I KIND OF WANNA JUST GO
SIT DOWN.

MY HIP HURTS REALLY BAD.

ALL RIGHT.

THANK YOU.

MY HIP AND MY LEGS
ARE IN SO MUCH PAIN,

AND IT TAKES JUST ABOUT
EVERYTHING IN ME

TO MAKE IT BACK TO THE CAR.

IT'S SO EXHAUSTING.

[ CAR HORN HONKS ]

[ HONKING CONTINUES ]

I'M SORRY, MISS.
I AM HANDICAPPED.

I CAN'T WALK VERY FAST.

STUFF LIKE THAT HAPPENS
ALL THE TIME WHEN I GO OUT.

PEOPLE EITHER STARE
AND POINT AT ME,

OR THEY MAKE COMMENTS
ABOUT HOW I'M IN THE WAY.

PEOPLE ARE REALLY BRUTAL
AND JUDGMENTAL

WHEN YOU'RE MY SIZE,

AND THEY DON'T UNDERSTAND
HOW HARD IT IS

FOR SOMEONE LIKE ME TO DO THIS
AND GET AROUND.

I TRY TO IGNORE IT, BUT YOU
NEVER REALLY GET USED TO IT.

-HEY, BABE.
-YEAH?

CAN YOU BRING ME
THE COOKIES?

I NEED THOSE, PLEASE.

ALL RIGHT.

I'M STARVING.

SO, I WAS THINKING
ON THE WAY HOME,

WE COULD STOP BY
AND PICK UP SOME FOOD.

-IS THAT OKAY?
-YEAH, IF YOU'RE HUNGRY.

YEAH, I AM.

Man: WELCOME TO MCDONALD'S.
WHAT'LL IT BE TODAY?

CAN I GET THE DOUBLE
QUARTER POUNDER MEAL, LARGE?

AN ORDER OF 20-PIECE NUGGETS,
AS WELL?

COOKIES, AS WELL?

ALL RIGHT.
$30.63 AT THE WINDOW, PLEASE.

THANK YOU.

HELLO.

NO MATTER WHAT I EAT OR HOW MUCH
I EAT, I NEVER SEEM TO GET FULL.

AND I WOULD EAT NONSTOP
IF I COULD.

I KNOW I EAT WAY TOO MUCH.

THE PROBLEM ISN'T
UNDERSTANDING THAT.

IT'S NOT BEING ABLE
TO CHANGE THAT.

AND THAT'S WHAT I'M SCARED
ABOUT,

BECAUSE I FEEL ALL THE THINGS
IN MY BODY

TELLING ME THAT
I'M GETTING TO A POINT

WHERE I WON'T BE ABLE TO GO ON.

I'M DONE,
BUT I'M STILL HUNGRY.

-ALL RIGHT.
-CAN YOU ORDER ME A PIZZA?

ALL RIGHT.

Aaron: MY BIGGEST FEAR
FOR TIFFANY IS DEATH.

IT DEFINITELY IS A POSSIBILITY
BECAUSE OF HER WEIGHT.

HER HEART COULD GIVE OUT
AT ANY MOMENT,

AND IT'S SOMETHING THAT I FEAR.

SO I WANT TIFFANY TO LOSE WEIGHT
NOT ONLY FOR HER LIFE,

BUT OUR RELATIONSHIP AS WELL.

BUT IF TIFFANY WANTS
A SPECIFIC FOOD, I GET IT

BECAUSE I JUST -- I DON'T KNOW.
I JUST WANT HER TO BE HAPPY.

Tiffany: I'M NOT READY TO DIE.

I STILL HAVE DREAMS OF HAVING
A FAMILY AND KIDS.

BUT I'M ALSO NOT READY
TO GIVE UP FOOD,

SO I DON'T KNOW
WHAT I'M GONNA DO.

BECAUSE AT THIS RATE,
I KNOW THERE'S NO WAY

I COULD GO ON
LIKE THIS MUCH LONGER

AND THAT
I'M RUNNING OUT OF TIME.

TODAY IS A REALLY BIG DAY
FOR ME.

ME AND AARON ARE FLYING
TO HOUSTON TO SEE DR. NOW

TO TRY AND GET THE HELP
I NEED TO LOSE WEIGHT.

MY APPOINTMENT IS TOMORROW,

SO TODAY MY FOCUS
IS JUST GETTING TO HOUSTON.

AND IT WILL BE THE FIRST TIME
IN MY LIFE

THAT I'LL FLY ON A PLANE,

AND I HAVE NO IDEA
WHAT TO EXPECT

OR IF I'M GONNA BE ABLE
TO EVEN DO THIS.

BUT I KNOW I HAVE TO TRY.

...I'LL EVER BE
ON AN AIRPLANE.

Aaron: YEAH.

YEAH, I'M KIND OF TERRIFIED
'CAUSE I'VE ALWAYS BEEN TOLD

THAT AIRPLANE BATHROOMS
ARE REALLY SMALL.

'CAUSE I DID TAKE MY WATER PILL
THIS MORNING,

AND THAT'S GONNA MAKE ME
HAVE TO GO PEE.

AARON CALLED THE AIRPORT TO FIND
OUT THE BEST WAY TO DO THIS.

THEY DID TELL US WE CAN VALET
THE CAR

SO I DON'T HAVE TO WALK
FROM THE PARKING AREAS,

AND THEY'LL HAVE A WHEELCHAIR
WAITING FOR ME.

ALL RIGHT.

I JUST HOPE IT'S BIG ENOUGH
FOR ME.

-HELLO, MA'AM.
-THANK YOU.

YOU'RE WELCOME,
MA'AM.

OKAY.

THIS IS EXTREMELY EMBARRASSING.

THERE WE GO.

I FEEL LIKE EVERYONE'S JUST
STARING BECAUSE OF HOW BIG I AM,

SO I JUST WANNA GET
TO THE PLANE

AND GET THIS ALL OVER WITH
AS QUICKLY AS POSSIBLE.

Man: SHE'S GONNA NEED
AT LEAST TWO TICKETS.

ALL RIGHT.

-ALL RIGHT.
-THANK YOU.

-YEAH.
-OKAY, LET'S GO.

I REALLY HOPE DOING THIS
ISN'T A BIG MISTAKE.

I DON'T LIKE BEING AROUND CROWDS
LIKE THIS,

AND I HAVEN'T BEEN AROUND THIS
MANY PEOPLE IN MY ENTIRE LIFE.

THERE'S NOT A SINGLE PERSON

WHO ISN'T STARING OR GAWKING
AT ME RIGHT NOW,

SO I'M REALLY QUESTIONING
THIS WHOLE TRIP

AND DOING THIS.

OKAY.

-AWESOME.
-YEAH, THANK YOU SO MUCH.

-THANK YOU.
-YOU'RE WELCOME.

ALL RIGHT.

-ARE YOU READY?
-YEAH.

I DON'T THINK I'M GONNA BE ABLE
TO FIT IN ANY AIRPLANE BATHROOM,

AND I CAN'T HOLD IT
THE WHOLE TIME.

BUT I'M NOT GONNA LET MYSELF
HAVE AN ACCIDENT ON THE PLANE,

SO I NEED TO GO NOW.

Woman: SOUTHWEST FLIGHT 1281

IN THE FINAL BOARDING PROCESS
FOR THIS FLIGHT.

AND NOW OUR PLANE IS BOARDING,
SO THIS IS NOT GOOD.

I'LL HAVE TO HOLD IT
THE WHOLE WAY THERE,

AND I DON'T KNOW IF I CAN.

THIS IS PRETTY MUCH
MY NIGHTMARE SCENARIO,

SO I'M REALLY QUESTIONING
THIS WHOLE TRIP

AND DOING THIS RIGHT NOW.

SORRY.

I'M ALREADY AN EMOTIONAL WRECK,

AND I'M NOT GONNA BE ABLE TO
HANDLE MUCH MORE EMBARRASSMENT.

[ GRUNTS ]

MY FEET ARE
A LITTLE ASLEEP.

THIS IS SO STRESSFUL, SO
MY ANXIETY'S THROUGH THE ROOF.

I'M JUST GLAD I HAVE AARON
WITH ME TO HELP ME.

IT WAS EMBARRASSING
TO HAVE TO GET TWO SEATS,

BUT I'M GLAD I HAVE THEM
BECAUSE IT DOES HELP.

AND I KNOW ONCE I EAT,
I'LL CALM DOWN AND FEEL BETTER.

AND THERE'S NO WAY
I'M GONNA BE ABLE TO FIT

IN THE ONE ON THE PLANE,
SO I JUST HOPE I CAN MAKE IT.

WE'VE BEEN FLYING
FOR OVER FOUR HOURS,

AND THANKFULLY,
WE'RE ALMOST THERE.

IT HASN'T BEEN AS RESTFUL
AS I WAS HOPING,

BECAUSE I NEEDED TO GO TO
THE BATHROOM THE WHOLE TIME.

SO IF I DON'T GET OFF
AND INTO A BATHROOM SOON,

I'M GONNA HAVE AN ACCIDENT.

ALL RIGHT.

OH, I'M GOOD.

Woman: YEAH.

OKAY, I GOT IT.

I'M REALLY EMBARRASSED RIGHT NOW
BECAUSE I HAD TO GO IN MY PANTS.

BUT NOW I NEED TO CLEAN UP
AND CHANGE MY UNDERWEAR.

BUT THE SAD REALITY IS,
THIS ISN'T THE FIRST TIME

THAT IT'S HAPPENED BECAUSE
OF MY WEIGHT AND MOBILITY.

AND THAT IS HUMILIATING
FOR ANY GROWN ADULT, TO --

TO HAVE TO CHANGE THEIR CLOTHES

BECAUSE THEY COULDN'T
QUITE MAKE IT.

BUT THERE'S NOTHING I CAN DO
ABOUT IT NOW,

EXCEPT TO MOVE ON
AND GET TO WHERE I NEED.

I'M COMPLETELY WIPED OUT
AND EXTREMELY SORE,

AND I FEEL LIKE EVERYONE'S
STARING AT ME AGAIN.

I FEEL LIKE THERE'S
MORE PEOPLE JUDGING

IN THIS LESS-CROWDED AIRPORT
THAN THERE WAS IN THE --

WHY'S THAT?

BECAUSE I'VE SEEN MORE PEOPLE
STARE, LIKE --

YEAH.

Tiffany: THANKFULLY,
WE DON'T HAVE BAGS TO GET

SINCE WE TOOK OUR ONLY LUGGAGE
WITH US ON THE PLANE.

SO WE CAN JUST GO GET A CAB
AND GET TO THE HOTEL,

AND I CAN REST

AND GET SOMETHING TO EAT
BECAUSE I'M STARVING.

THE ONLY WORRY I HAVE NOW
IS WHAT KIND OF VEHICLE

THEY HAVE WITH THE CABS,

AND IF I'M GONNA BE ABLE TO
FIND ONE THAT I CAN FIT IN.

OH, NO. YOU'RE FINE.

THIS STILL LOOKS LIKE
A TIGHT SQUEEZE.

YEAH.

THIS IS TIGHT, BUT I'M FITTING.

THAT WAS THE LAST BIG OBSTACLE,

SO I'M HOPING NOW WE CAN GET
SOME FOOD AND THEN REST.

BUT I'M STARVING RIGHT NOW.

ALL RIGHT. PERFECT.

I THINK I'M GONNA GO
FOR THE NUMBER ONE COMBO.

CAN I GET A NUMBER ONE COMBO,
PLEASE?

A [BLEEP] MILKSHAKE.

[BLEEP] MILKSHAKE.

-LARGE.
-LARGE. AND THEN,

CAN I GET AN ORDER OF
THE THREE-PIECE CHICKEN STRIPS?

AND THE, CAN I GET
A NUMBER TWO PLEASE, MEDIUM?

-ANYTHING ELSE?
-THAT'LL BE IT.

THANK YOU.

Tiffany: I KNOW TOMORROW,
MY LIFE WILL CHANGE.

AT LEAST, I'M HOPING IT WILL.

BUT IF DR. NOW
SAYS HE CAN HELP ME

AND LETS ME DO HIS PROGRAM,

THEN THAT'LL PROBABLY MEAN

ALL BAD FOOD IS GONE
FOR A WHILE.

AND THAT'S GONNA BE HARD.

BUT I'M PROUD OF MYSELF
FOR WHAT I'VE DONE TODAY.

IT'S SUCH A HUGE ACHIEVEMENT
FOR ME

TO DO SOMETHING LIKE THIS

AND MAKE IT
ALL THE WAY TO HOUSTON.

AND HOPEFULLY, TOMORROW WILL
BE START OF A NEW LIFE FOR ME,

AND I'LL FINALLY
GET THE HELP I'VE NEEDED

TO TRY AND SAVE MY LIFE.

Tiffany:
I'M FEELING REFRESHED SOME.

GETTING A GOOD NIGHT'S SLEEP
AFTER SUCH A LONG DAY

TRAVELING FELT REALLY GOOD.

BUT THAT'S JUST GONNA TAKE ME
A LITTLE WHILE TO RECOVER FROM,

BECAUSE THAT WAS MORE MOVING
AROUND I DID YESTERDAY

THAN I HAVE
IN A REALLY LONG TIME.

BUT RIGHT NOW, ME AND AARON
ARE HEADED TO SEE DR. NOW

FOR MY FIRST APPOINTMENT.

I HAVE NO IDEA
WHAT I'M GONNA BE TOLD,

AND I HAVE NO IDEA
WHAT'S GONNA COME UP

WHEN I STEP ON THAT SCALE.

SO ALL THAT'S REALLY SCARY.

TIFFANY BARKER?

FOR MY WEIGHT, I'M HOPING TO BE
IN THE LOW- TO MID-600s.

I KNOW I'M AT LEAST THAT HIGH,

BUT I'M JUST HOPING I'VE MANAGED
TO STAY IN THAT RANGE

AND THAT I HAVEN'T
LET IT GET WORSE.

BUT AT THIS POINT, I'M REALLY
NOT SURE WHAT TO EXPECT.

THAT SUCKS.

THAT'S DISAPPOINTING.

IT'S NEVER FUN TO SEE ANY BIG
NUMBER COME UP ON A SCALE,

BUT IT'S ESPECIALLY HARD
WHEN IT'S A NUMBER LIKE THAT.

I'M ASHAMED
I'VE LET IT GET WORSE AND WORSE

TO WHERE MY WEIGHT
IS THAT HIGH NOW.

SO I KNOW HOW BAD
I NEED THIS HELP,

BECAUSE IF I DON'T FIND A WAY

TO GET THAT NUMBER
TO START TO GO DOWN,

THEN IT'S GONNA BE
REALLY BAD FOR ME.

[ KNOCKS ON DOOR ]

-HELLO.
-HELLO.

HOW ARE Y'ALL DOING?

GOOD, HOW ARE YOU?

I'M JUST FINE.

ALL RIGHT, I'M DR. NOWZARADAN.
AND YOU ARE TIFFANY?

-YES.
-AND...?

-AARON.
-AARON. MY BOYFRIEND.

ALL RIGHT. SO, TIFFANY,

YOU'RE HERE TO GET HELP
WITH YOUR WEIGHT

BECAUSE YOU'RE
AT 672 POUNDS.

-YEAH.
-THAT PUT YOUR BMI

AT ALMOST 112.

NORMAL BMI IS 18 TO 25,
SO THIS IS VERY HIGH BMI.

AND I'M SURPRISED YOU'RE
STILL ABLE TO GET AROUND,

SO HOW MUCH YOU CAN WALK?

AS OF RIGHT NOW, I COULD WALK
MAYBE FOR FIVE MINUTES.

AND YOU GET SHORT OF BREATH
OR TIRED?

SHORT OF BREATH.

-AND ANY JOINT PAIN?
-YES.

UM, I HAVE ARTHRITIS
IN ONE OF MY HIPS.

-HMM.
-AND MY KNEES

HAVE BEEN REALLY BAD LATELY.

THEY SHOULD BE. YOU PUT
ALMOST 700 POUNDS ON THEM.

THEY AREN'T DESIGNED
FOR THAT.

BUT WITH ALL THESE ISSUES,

YOU'RE VERY CLOSE
TO BECOMING IMMOBILE SOON.

AND ONCE THAT HAPPENS
AT YOUR SIZE,

YOU NEVER LIVE TOO LONG
LIKE THAT.

OKAY?

SO, TELL ME ABOUT
YOUR EATING HABIT.

UM, I AM DEFINITELY
AN EMOTIONAL EATER.

I WILL GET REALLY SAD,
AND I EAT QUITE A BIT.

AND, UM, I HAVE A BAD HABIT
OF WAITING ALL DAY

AND THEN BINGE-EATING
AT THE END OF THE DAY.

THAT'S NOT TRUE.
YOU WOULDN'T BE THIS BIG

IF YOU WEREN'T
EATING ALL DAY.

IT'S BECAUSE YOU DON'T COUNT
ALL THE SNACKING UP TO THEN.

SO DON'T TRY TO TELL ME

WHAT YOU TELL
EVERYONE ELSE, OKAY?

WHAT DO YOU SNACK ON?

I USUALLY HAVE CRACKERS
OR YOGURTS,

AND SOME GRAPES THROUGHOUT
THE DAY JUST 'CAUSE IT'S EASY.

I CAN GRAB IT
AND SNACK ON IT.

YOU KEEP GRAPES IN YOUR ROOM?

SOUNDS HEALTHY.

WHAT YOU TELL ME,
YOU SHOULD BE LIKE, 200 POUND.

SO WHERE'S
THE EXTRA CALORIES COMING IN?

YOU'RE SURE IT'S NOT CANDY BARS,
CHIPS, OR STUFF LIKE THAT?

UM, SOMETIMES, I GUESS.

NO GUESSING.

YOU KNOW IT'S MOST OF TIME,

BUT YOU'RE USED TO
LYING ABOUT IT.

SO WHEN YOU EAT A MEAL, DO YOU
EAT AT HOME, OR YOU EAT OUT?

FOR THE MOST PART, HE WILL GO
GET SOMETHING FROM DRIVE-THROUGH

'CAUSE HE DOESN'T COOK.

HE'LL GO GET SANDWICHES
OR BURGERS

OR SOMETHING,
AND BRING IT HOME.

SO HE'S NOT HELPING YOU
TO CHANGE YOUR EATING HABIT.

HE JUST GIVE YOU
WHATEVER YOU WANT,

EVEN IF IT'S KILLING YOU,

JUST TO AVOID
AN ARGUMENT WITH YOU?

-DOES THAT SOUND RIGHT?
-YEAH.

IT'S -- IT'S EASIER NOT
TO ARGUE WITH ME OVER IT.

SO THE DYNAMIC BETWEEN
YOU TWO IS SOMETHING

THAT'S GONNA HAVE TO CHANGE
FOR THIS TO WORK.

AND A LOT OF OTHER THINGS ARE
GONNA NEED TO CHANGE NOW, TOO.

OKAY.

SO I'M GONNA GIVE YOU
A 1,200-CALORIE-A-DAY,

HIGH-PROTEIN,
LOW-CARB DIET

THAT I WANT YOU
TO START ON TODAY.

-OKAY.
-AND PART OF WHAT

I'M GONNA GIVE YOU
IS A LIST OF FOOD TO AVOID

TO MODIFY YOUR EATING HABITS
TO BE HEALTHY.

-YOU THINK YOU CAN DO THAT?
-YES. I WOULD DO THAT ALREADY,

BUT WE HAVE A LIMITED INCOME

AND IT TENDS TO BE EXPENSIVE
TO EAT HEALTHY

AND GET HEALTHY FOOD.
IT'S JUST EASIER.

IT CAN'T BE MORE EXPENSIVE

THAN BUYING BURGERS
AND FRIES AND THINGS.

YEAH, DEFINITELY NOT.

SO I'M READY. I CAN DO IT.

I REALLY HOPE YOU ARE,
BECAUSE YOU DON'T HAVE

A LOT OF TIME TO PLAY GAMES
WITH THIS.

SO NO MORE EXCUSES AND LIES
ABOUT WHAT YOU'RE EATING.

AND YOU ALSO NEED TO START
INCREASING YOUR ACTIVITY

TO BUILD UP YOUR STAMINA.

I WANT YOU TO START WALKING AT
LEAST AN HOUR TOTAL EVERY DAY,

AND I'LL GIVE YOU SOME
OTHER EXERCISES

YOU CAN DO SITTING DOWN.

-OKAY?
-OKAY.

SO IF YOU DO ALL THIS
AND LOSE 80 POUNDS

IN THE NEXT TWO MONTHS,

YOU WILL VERY EASILY
HIT THAT GOAL

AND I'LL APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

BUT IF WE DO
WEIGHT-LOSS SURGERY ON YOU,

THEN YOU'LL HAVE TO
MOVE TO HOUSTON.

IS THAT GONNA BE
ANY PROBLEM?

NO. THIS IS MORE IMPORTANT THAN
WHERE I LIVE RIGHT NOW, SO...

OKAY. SO, IS HE GONNA BE ABLE
TO MOVE WITH YOU, TOO?

-MM-HMM.
-OKAY.

JUST AS LONG AS YOU
STOP ENABLING HER, AARON.

SO NO MORE BRINGING HER
FAST FOOD AND CANDY, YOU GOT IT?

OH, DEFINITELY, NO.
WELL, AT THIS POINT,

IF SHE'S WILLING TO CHANGE,
OBVIOUSLY, I'LL CHANGE AS WELL.

HONESTLY, IT'S JUST
I DON'T WANNA ARGUE WITH HER.

I CAN'T WIN AN ARGUMENT
WITH HER.

UM, SO...

I TELL PEOPLE IT'S A LOT LIKE
ARGUING WITH A CRAZY PERSON

THAT DOESN'T KNOW
THEY'RE CRAZY.

YOU CAN'T WIN THAT FIGHT.

WELL, IF YOU WANT HER
TO HAVE A CHANCE TO LIVE,

THEN YOU BOTH HAVE TO START
DOING WHAT YOU NEED,

OR, TIFFANY, THERE IS NO WAY
YOU'LL BE AROUND MUCH LONGER.

SO YOU NEED TO TAKE
THIS SERIOUSLY.

OKAY.

ALL RIGHT, I'LL SEE YOU BOTH
IN A COUPLE MONTHS.

ALL RIGHT.
I LOOK FORWARD TO IT.

OKAY.
NICE TO MEET YOU GUYS.

NICE MEETING YOU, TOO.

I'M VERY CONCERNED ABOUT
HOW SERIOUS TIFFANY ACTUALLY IS

ABOUT MAKING THE CHANGES
SHE NEEDS.

IT'S NOT GOING TO BE LONG
BEFORE SHE GAINS ENOUGH

TO MAKE IT TOO DIFFICULT
TO GET AROUND,

AND SHE BECOMES BEDRIDDEN.

SO IT'S VERY IMPORTANT
SHE START MAKING THE PROGRESS

SHE NEEDS NOW
WITHOUT ANY MORE DELAY.

BUT THE FACT
THAT SHE'S STILL LYING

ABOUT HER ACTUAL EATING HABITS

HAS ME CONCERNED THAT SHE'S
NOT AS COMMITTED AS SHE CLAIMS

TO MAKING THE LIFE CHANGES
SHE NEEDS TO DO THIS.

TO TAKE SUCH A LONG TRIP
TO COME TO HOUSTON TO SEE ME

MEANS THERE IS DESIRE TO CHANGE.

BUT THE QUESTION IS, DOES
SHE THINK SHE CAN PLAY GAMES,

AND THAT WEIGHT-LOSS SURGERY

IS GONNA BE SOME SORT OF
MAGIC PILL FOR HER?

BECAUSE IF THAT'S THE CASE,

THERE IS NO POINT
ON DOING SURGERY ON HER

BECAUSE SHE WON'T BE SUCCESSFUL
LONG-TERM.

BUT HOW DOES SHE DOES
OVER THE NEXT TWO MONTHS

AND WHETHER OR NOT SHE HITS
HER WEIGHT-LOSS GOAL

WILL SHOW ME ALL I NEED TO KNOW

AND WILL ANSWER
THAT QUESTION FOR ME.

Tiffany: I THINK THE APPOINTMENT
WITH DR. NOW WENT WELL.

I WAS SHOCKED TO FIND OUT
HOW HIGH MY WEIGHT AND BMI IS.

AND I KNOW DR. NOW IS RIGHT.

IF I DON'T DO THIS,
I COULD PASS AWAY SOON.

AND I DON'T WANT THAT TO HAPPEN,

AND I HAVEN'T EVEN BEEN ABLE
TO BEGIN LIVING YET.

BUT IT'S A BIG GOAL
THAT DR. NOW GAVE ME,

AND THE MOST DIFFICULT THING
FOR ME IN THIS WHOLE PROCESS

IS DEFINITELY GOING TO BE
NOT FREAKING OUT

AND TURNING TO FOOD.

I HAVE TO BE ABLE
TO TELL MYSELF NO

AND STICK TO THAT.

MAKING THOSE CHANGES IS NOT
GONNA BE EASY AT ALL,

SO I PLAN TO WORK REALLY HARD
AT THIS AND DO THE DIET

AND EXERCISES LIKE I SHOULD,

AND WHATEVER ELSE I HAVE
TO DO TO SHOW DR. NOW

I'M FULLY COMMITTED TO PUSHING
MYSELF TO DO WHAT I NEED

TO GET WEIGHT-LOSS SURGERY.

IT HASN'T BEEN THE EASIEST
MONTH, TRYING TO DO

DR. NOW'S DIET
AND ALL THE EXERCISES.

BUT, I'VE BEEN DOING IT.

THERE HAVE BEEN TIMES
WHERE I'VE STRAYED

AND HAD A FEW SWEET THINGS,

BUT THOSE HAVE BEEN
VERY RARE EXCEPTIONS.

AND I'VE BEEN FOCUSING
ON PROTEINS

AND STAYING AWAY
FROM ALL THE CARBS,

BECAUSE I'M FULLY COMMITTED
TO DOING WHAT I NEED

TO GET WEIGHT-LOSS SURGERY

AND SHOWING DR. NOW
THAT COMMITMENT

SO HE CAN SEE HOW READY I AM.

AND BECAUSE OF THAT,
ME AND AARON

DECIDED TO MAKE THE MOVE
TO HOUSTON NOW.

AND SO THAT WHEN HE APPROVES
ME FOR SURGERY,

HE CAN SCHEDULE IT IMMEDIATELY.

AARON FOUND A RESTAURANT JOB
DOWN THERE

THAT HE CAN START SOON,

AND HE ALSO FOUND
A NEW APARTMENT

WE CAN AFFORD FOR THE YEAR.

SO ONCE WE GET PACKED,
WE'RE PLANNING ON HEADING DOWN

TO OUR NEW HOME
AND NEW FUTURE.

MY MOM AND MY SISTER
AND MY COUSIN JASMINE

ARE ALL HERE HELPING US OUT.

WE STILL HAVE A LOT.

Lisa:
KIND OF GETTING EXCITED?

UM...

YEAH, I'M EXCITED.

WELL, I'M EXCITED FOR YOU.

IT'S A LONG TIME COMING.

-YEAH.
-SOMETHING YOU'VE NEEDED TO DO,

AND ME TELLING YOU WHAT TO DO
JUST DOESN'T WORK.

NO, 'CAUSE THEN
I DO THE OPPOSITE.

EXACTLY.

Lisa:
RIGHT NOW, TIFFANY IS STUCK.

SO I'M REALLY HOPING AND PRAYING
THAT SHE CAN HAVE THIS SURGERY

SO THAT SHE CAN HAVE THE LIFE
SHE REALLY WANTS.

Tiffany: MY COUSIN JASMINE'S
GONNA COME WITH US

TO HELP GET US THERE
AND GET SETTLED IN,

BECAUSE IT'S TOO MUCH
FOR AARON TO DO ON HIS OWN.

EVEN THOUGH I'M EXERCISING
A LOT NOW,

I'M STILL NOT ABLE TO DO
THAT MUCH TO HELP OUT.

-I WISH YOU LUCK. I LOVE YOU.
-I LOVE YOU, TOO.

AND I WILL TALK
TO YOU SOON.

GOOD LUCK.
GOOD LUCK ON THE TRAVEL.

WELL, THANK YOU.

AND I HAVE TO SAVE
WHAT ENERGY I DO HAVE,

BECAUSE THIS IS GONNA BE
A LONG TRIP.

IT'S GONNA BE SOMETHING
LIKE FIVE DAYS ON THE ROAD,

AND I'VE NEVER DONE THAT,
ESPECIALLY AT MY SIZE.

SO IT'S GONNA BE A LOT FOR ME,

BUT I'M DOING AS MUCH
AS I CAN TO HELP OUT

AND TRYING TO PREPARE MYSELF
MENTALLY FOR THIS.

AS EXCITING AS IT IS TO BE
GOING,

LEAVING MY FAMILY AND MY HOME IS
A SACRIFICE AND IT'S NOT EASY.

BUT I KNOW IF I STAY HERE,
I'M NOT GONNA HAVE A LIFE.

SO MY ONLY FUTURE IS IN HOUSTON.

GOING THERE IS THE ONLY WAY
I'M GONNA GET THE HELP I NEED.

I HAVE ONE MORE MONTH UNTIL
MY FOLLOW-UP WITH DR. NOW

TO SHOW HIM HOW MUCH PROGRESS
I'VE MADE.

BUT I THINK ONCE HE LEARNS
I'VE ALREADY MADE THE MOVE DOWN,

THAT'LL GO A LONG WAY
TO SHOW HIM

MY LEVEL OF COMMITMENT
AND DEDICATION.

AND THEN, I SHOULD BE ABLE
TO GET MY APPROVAL,

BECAUSE I'M READY
TO LOSE ALL THIS WEIGHT

AND START MY NEW LIFE.

-WE'RE HERE!
-AAH.

Tiffany:
AFTER A WEEK ON THE ROAD,

WE FINALLY MADE IT TO HOUSTON

AND I'M EXTREMELY TIRED
AND SORE AT THIS POINT.

MY KNEES FEEL LIKE
THEY'RE GONNA POP,

SO I'M JUST GONNA WAIT
UNTIL AFTER YOU GUYS

GET SOMETHING IN THERE
THAT I CAN SIT DOWN ON.

Jasmine: ALL RIGHT.
JUST GIVE US A FEW MINUTES.

OKAY.

I'M RESTING IN THE CAR
FOR A WHILE

TO GIVE AARON AND JASMINE
SOME TIME

TO GET A PLACE FOR ME
TO SIT SET UP,

BECAUSE I CAN'T GO IN
AND SIT ON THE FLOOR.

ASIDE FROM THE TRAVEL, IT'S
ALREADY BEEN A REALLY LONG DAY

AND I JUST WANNA GET IN
AND GET SETTLED, REST, AND EAT.

BUT I'M LOOKING FORWARD
TO GETTING IT ALL DONE,

AND I'M AT LEAST GLAD
WE'RE FINALLY HERE.

I'LL CLEAR
ALL THIS STUFF OFF,

AND I'LL HAND YOU DOWN
THIS BOX SPRING.

OKAY.

WE HAVE A FRIEND WHO ACTUALLY
LIVES HERE IN HOUSTON,

AND SHE'S MET UP WITH US
TO HELP AARON AND JASMINE

GET ALL OUR STUFF IN.

I JUST WISH I WAS CAPABLE
OF DOING MORE,

BECAUSE RIGHT NOW
I'M ALREADY EXHAUSTED

AND STARVING AND I FEEL USELESS.

HELLO, BEDROOM.

-HEY, TIFFANY?
-YEAH?

ARE YOU GONNA CHILL OUT
IN THE CORNER?

-YEAH.
-WHAT DO YOU WANNA DO?

WANNA GET SOME STUFF IN HERE
BEFORE WE GO GET LUNCH, OR...?

UM, WHAT I'LL DO IS ORDER
SOME FOOD TO BE DELIVERED,

AND Y'ALL CAN KEEP WORKING.

-OKAY.
-OKAY.

I'LL GO TALK WITH AARON.

-OKAY.
-I'LL BE RIGHT BACK.

I'M GONNA LOOK AND SEE
WHAT KIND OF STUFF'S

IN THE AREA FOOD-WISE.

GO FOR IT.

I'M A LITTLE STRESSED OUT,

BECAUSE I CAN'T DO ANYTHING
RIGHT NOW TO HELP

AND I FEEL KIND OF USELESS.

-WHAT DID YOU GET?
-IT'S LIKE A STEAK AIOLI.

I HAVE A LITTLE OVER THREE WEEKS

UNTIL MY NEXT APPOINTMENT
WITH DR. NOW,

AND I'M GONNA KEEP
WORKING HARD UNTIL THEN.

EVEN BEING ON THE ROAD,
I'VE BEEN STICKING TO THE DIET

AND TRYING TO GET SALADS
AND HEALTHY FOOD WITH PROTEIN.

AND I'M GONNA MAKE SURE
I'M DOING EVERYTHING I NEED

SO THAT I HIT MY GOAL,

BUT I'M FEELING REALLY GOOD
AND CONFIDENT

ABOUT MY PROGRESS SO FAR.

AND IF I KEEP IT UP
FOR THE NEXT FEW WEEKS,

I THINK I'LL BE IN A GOOD PLACE
AND WHERE I NEED TO BE.

ME AND AARON ARE BACK AT
DR. NOW'S FOR MY FOLLOW-UP.

AND I DON'T KNOW IF I'M
MORE NERVOUS OR EXCITED.

TIFFANY BARKER?

I THINK WHEN I TELL DR. NOW
WE'VE MOVED TO HOUSTON,

THAT HE'LL SEE JUST
HOW COMMITTED I AM.

AT MY LAST APPOINTMENT,

I WAS UP TO 672 AND DR. NOW

SAID I NEEDED TO LOSE 80 POUNDS
OVER THE LAST TWO MONTHS.

SO IF I DID THAT,
IT'LL PUT ME AT 592 TODAY.

I WASN'T EXPECTING THAT.

I DON'T REALLY UNDERSTAND
HOW THIS IS POSSIBLE.

A LITTLE DISCOURAGING,
BUT STILL A LOSS.

AND I THINK THAT COMBINED
WITH US MOVING HERE TO HOUSTON

WILL SHOW DR. NOW
ENOUGH COMMITMENT

TO APPROVE ME FOR SURGERY.

-HELLO.
-HELLO.

-HOW YOU DOING?
-I'M GOOD, HOW ARE YOU?

Dr. Nowzaradan:
I'M DOING ALL RIGHT.

OKAY, TIFFANY.

OVER THE LAST TWO MONTHS,
YOU ONLY LOST 26 POUNDS.

YOU'RE DOWN TO 646,

WHEN YOU SHOULD BE WELL
UNDER 600 AT THIS POINT.

SO YOU'RE NOWHERE CLOSE
TO YOUR GOAL.

DO YOU WANNA TELL ME
WHAT HAPPENED?

I DID BREAK FROM THE DIET
A FEW TIMES,

BUT I TRIED TO CORRECT IT

BY NOT EXCEEDING MY CALORIES
FOR THE DAY.

ALL RIGHT. WELL, I SEE YOU'RE
STILL LYING ABOUT HOW YOU EAT.

IF ANY OF WHAT YOU'RE
SAYING WAS ACCURATE,

YOU WOULD HAVE LOST OVER 100
POUNDS IN THE LAST TWO MONTHS.

BUT YOU'RE NOT EVEN CLOSE,

SO I'M NOT APPROVING YOU
FOR WEIGHT-LOSS SURGERY.

BUT WE ALREADY MOVED DOWN HERE
SO THAT IT'S EASIER.

WELL, I APPRECIATE THAT.

BUT JUST BECAUSE
YOU MOVED HERE

DOESN'T MEAN YOU'RE
GETTING SURGERY AT ALL.

IF YOU WANNA MOVE AHEAD,
YOU CAN DO WHAT I TOLD YOU.

DO THE DIET
AND LOSE THE WEIGHT.

AND OVER
THE NEXT TWO MONTHS,

LOSE THE 80 POUNDS
YOU WERE SUPPOSED TO LOSE.

-YOU GOT IT?
-YES.

GREAT, BECAUSE YOU'RE
RUNNING OUT OF TIME.

SOME OF THE TESTS WE'VE DONE

SHOW YOU HAVE SOME ISSUES
LIKE GALLSTONES.

WE CAN ADDRESS THAT WHEN
WE DO WEIGHT-LOSS SURGERY.

BUT IF YOU HAVE GALL BLADDER
ATTACK BEFORE THEN,

AND WE'RE FORCED
TO DO SURGERY ON YOU NOW

WHILE YOU'RE OVER 600 POUNDS,
YOU'LL BE RISKING YOUR LIFE.

SO YOU EITHER DO
WHAT YOU NEED NOW,

OR THERE IS NOTHING WE'RE
GONNA BE ABLE TO DO FOR YOU.

-OKAY?
-YEAH.

HOW 'BOUT YOU, AARON?

ARE YOU HELPING SUPPORT HER
BY NOT BRINGING HER FOOD?

RECENTLY, WE HAD A TALK.

AND HE TOLD ME HE WOULD TRY
AND CHANGE,

AND HE'S SAYING NO A LOT MORE,
WHICH IS GOOD.

I'M TRYING NOT TO PUT HIM
IN THAT SITUATION

WHERE HE HAS TO SAY
YES OR NO,

AND I'M JUST TRYING
TO NOT PUT HIM

IN AN UNCOMFORTABLE SITUATION.

WHY DON'T YOU LET HIM
SPEAK FOR HIMSELF?

ONE SIGN OF A BULLY IS TO
SPEAK FOR THE OTHER PERSON.

SO, AARON, YOU'RE STILL
BRINGING HER FOOD?

AND IS SHE STILL GETTING
UPSET IF YOU DON'T?

IT'S DEFINITELY CAUSED A LOT
OF ARGUMENTS BETWEEN US.

BUT, UM, YOU KNOW,
THERE ARE TIMES

WHERE I'LL BE LIKE TRYING
TO AVOID AN ARGUMENT.

SO I'LL SAY YEAH.

SO TWO DIFFERENT STORIES.

AARON SEEMS TO BE
THE MORE HONEST ONE.

BUT IT DOESN'T SOUND LIKE
MUCH HAS CHANGED.

YOU'RE BULLYING HIM,
AND HE'S STILL FEEDING YOU,

SO YOU BOTH HAVE
A LOT OF WORK TO DO.

BUT YOU NEED TO
FIGURE IT OUT NOW,

BECAUSE IF YOU DON'T,
IT COULD COST YOU YOUR LIFE.

Dr. Nowzaradan: I WAS REALLY
DISAPPOINTED TO SEE THE RESULT

OF TIFFANY'S LACK OF EFFORT
OVER THE LAST TWO MONTHS.

SHE'S BEEN GIVEN A CHANCE
TO SAVE HER LIFE AT A TIME

WHEN SHE'S ALREADY CLOSE
TO HER BREAKING POINT.

BUT SHE'S STILL PLAYING GAMES,

LYING TO ME ABOUT
HER EATING HABITS,

AND NOT TAKING THE DIET
AND ANY OF THIS SERIOUSLY.

AND IF SHE DOESN'T WAKE UP SOON
AND START DOING WHAT SHE NEEDS,

THEN SHE'S GONNA
RUN OUT OF TIME.

AND THERE'LL BE VERY LITTLE
ANYONE CAN DO TO HELP HER

AFTER HER BODY
GETS TO THAT POINT,

BUT THAT'S EXACTLY
WHAT'S GONNA HAPPEN.

RIGHT NOW, THE ONLY WAY
TO CHANGE THAT OUTCOME

IS FOR HER AND AARON TO START
DOING WHAT THEY NEED.

Tiffany: I'M REALLY UPSET.

THE APPOINTMENT DIDN'T GO
ANYWHERE CLOSE

TO HOW I THOUGHT IT WOULD GO,

SO THIS IS ALL JUST VERY
FRUSTRATING AND DISCOURAGING.

BUT I HAVE TO HAVE THIS HELP
'CAUSE I HAVE TO LOSE WEIGHT.

SO EVEN THOUGH I FEEL LIKE
I'VE ALREADY DONE A LOT,

I'LL TRY TO WORK HARDER
BECAUSE I KNOW MY LIFE

AND EVERYTHING IS RIDING
ON DOING THIS.

AND IF I FAIL AT THIS,

IT WON'T JUST MAKE MOVING HERE
AND ALL WE'VE DONE POINTLESS.

IT'LL MEAN I'VE LOST THE ONLY
CHANCE I HAVE TO GET HELP.

Tiffany: AFTER MY LAST
APPOINTMENT A FEW WEEKS AGO,

I WAS FRUSTRATED AND UPSET.

I TOOK THE FACT I DIDN'T
GET APPROVED HARD.

BUT I'VE BEEN TRYING TO NOT
LET THAT GET TO ME,

AND WORK EVEN HARDER THIS TIME.

BUT IT'S BEEN A LITTLE BIT
OF A STRUGGLE

BECAUSE I DON'T FEEL LIKE
I HAVE ALL THE SUPPORT I NEED,

BECAUSE I DON'T THINK
AARON IS FULLY UNDERSTANDING

HOW HARD THIS IS FOR ME.

HE GOT SOME HEALTHY STUFF FOR ME
THAT'S ON MY DIET,

BUT ALSO GOT A LOT
OF OTHER STUFF FOR HIMSELF

THAT'S A HUGE TEMPTATION
FOR ME TO BE AROUND.

LOOK AT THIS.

IT'S A BIT RIDICULOUS.

SO, I'VE GOT BOXED RICE,

WHICH YOU PUT BUTTER
AND MILK IN THIS,

AND I'M NOT SUPPOSED TO DO THAT.

I'VE GOT STUFFING.

THERE'S MUFFIN MIX IN HERE.

THERE'S MACARONI AND CHEESE.

AND I JUST TRY AND AVOID
THIS ALTOGETHER,

BECAUSE 98% OF WHAT'S IN HERE
IS NOT MINE

AND 98% OF WHAT'S IN HERE IS NOT
OKAY FOR ME TO BE EATING.

SO I JUST LEAVE
THIS ENTIRE CABINET ALONE.

I COME OVER HERE.

AND IN THE FREEZER, I'VE GOT
MY MEATS LIKE GROUND TURKEY.

I'VE GOT CHICKEN BREASTS.

AND THEN, THESE ARE MINE.

THESE ARE SUGAR-FREE POPSICLES.

THEY'RE ONLY 15 CALORIES EACH,

SO WHEN I AM CRAVING SOMETHING
SWEET, THIS IS MY GO-TO

INSTEAD OF A CHOCOLATE BAR

OR INSTEAD OF GUMMY BEARS
OR THINGS LIKE THAT.

BUT RIGHT NEXT TO THAT HAPPENS
TO BE A CONTAINER OF ICE CREAM.

AND LUCKILY,
I HAVE HAD SELF CONTROL

'CAUSE THIS ONE LITTLE CONTAINER
OF ICE CREAM HAS BEEN HERE

SINCE I'VE MOVED IN,
AND I HAVE NOT TOUCHED IT.

IT'S NOT FAIR TO MAKE HIM
HIDE HIS STUFF.

I'M TRYING REALLY HARD.

AND I'VE MADE A SPECIFIC EFFORT
TO START EXERCISING AGAIN.

I WILL DO LEG LIFTS.

SOMETIMES I'LL DO SIT-UPS

WHILE SITTING ON THE BED,
THINGS LIKE THAT.

AND I FEEL LIKE
I'M GETTING STRONGER,

BECAUSE I CAN DO
A LITTLE MORE EVERY DAY.

AND I'M REALLY TRYING,

BECAUSE I HAVE
TO GET WEIGHT-LOSS SURGERY.

IF I DON'T, I'M SCARED
I WON'T GET ANOTHER CHANCE.

YESTERDAY, MY STOMACH
STARTED TO HURT.

AND NOW IT'S JUST EXCRUCIATING.

SO I CALLED DR. NOW AND TOLD HIM
WHAT WAS GOING ON,

AND HE TOLD ME TO COME
TO THE HOSPITAL IMMEDIATELY

AND THAT'S HE'S WORRIED
IT'S A GALL BLADDER ATTACK,

SINCE HE KNOWS
I HAVE GALLSTONES.

BUT I CONFESSED TO HIM
THAT I'VE KNOWN

I'VE HAD THEM FOR YEARS

BUT NO DOCTOR COULD OPERATE
ON ME

AND REMOVE MY GALL BLADDER,

AND THAT I'D HAD A LOT
OF GALL BLADDER ATTACKS BEFORE.

I WAS JUST NEVER AS WORRIED
ABOUT THEM UNTIL HE TOLD ME

HOW CLOSE I AM
TO ONE LITTLE THING

PUSHING MY BODY
TO ITS LIMIT AND KILLING ME.

I JUST DIDN'T
TALK ABOUT IT BEFORE

BECAUSE I DIDN'T WANT DR. NOW

TO HAVE ANY REASON TO DELAY
MY WEIGHT-LOSS SURGERY.

BUT I KNOW THAT WASN'T SMART,

AND DR. NOW WASN'T TOO HAPPY
ABOUT THAT.

BUT I'M REALLY SCARED NOW,

AND I HOPE I HAVEN'T
PUSHED MYSELF TOO HARD.

Dr. Nowzaradan: IT'S UNFORTUNATE
THE TIFFANY DIDN'T SHARE EARLIER

HOW LONG SHE'S BEEN SUFFERING
FROM GALL BLADDER ATTACKS.

SHE DOESN'T SEEM TO BE TAKING
ANY ASPECT OF HER SITUATION

AND CONDITION SERIOUSLY,
BECAUSE IF A GALL BLADDER ATTACK

IS SEVERE ENOUGH, IT CAN BE
VERY DANGEROUS FOR HER.

BUT WE DON'T KNOW
WHAT THE ACTUAL CAUSE

OF HER STOMACH PAIN
IS RIGHT NOW,

SO WE'RE GOING TO DO
AN ULTRASOUND

TO CHECK HER GALL BLADDER

AND AN ENDOSCOPY TO SEE IF
THERE ARE ANY OTHER ISSUES

SUCH AS ULCERS THAT COULD BE
CONTRIBUTING TO HER PAIN.

BECAUSE IF SHE HAS BEEN IGNORING
SYMPTOMS LIKE THIS FOR A WHILE

AND LEFT A LOT
OF THINGS UNTREATED

FOR EXTENDED PERIOD OF TIME,

THEN THERE COULD BE A NUMBER
OF THINGS THAT ARE ABOUT

TO BECOME
LIFE-THREATENING TO HER.

SO WE NEED WORK FAST TO IDENTIFY
ALL THE POSSIBLE ISSUES

THAT SHE'S SUFFERING FROM,

SO WE CAN ADDRESS THEM
BEFORE IT'S TOO LATE.

Dr. Nowzaradan:
YESTERDAY, TIFFANY CAME IN

WITH SEVERE STOMACH PAIN.

AND SHE REVEALED TO US
SHE'S FREQUENTLY HAVING

GALL BLADDER ATTACKS
FOR A WHILE NOW

AS A RESULT OF GALLSTONES
SHE HAS DEVELOPED.

SO WE'VE DONE SOME TESTS
AND DETERMINED THAT SHE WAS,

IN FACT,
HAVING A GALL BLADDER ATTACK.

BUT LUCKILY,
IT WASN'T THAT SERIOUS.

SO SHE'S BEEN ABLE TO RECOVER

AND HER STOMACH PAIN
AS GONE AWAY

AFTER WE GAVE HER
SOME MEDICATION,

BUT IT'S VERY IMPORTANT
WE REMOVE HER GALL BLADDER

BEFORE SHE HAS
A MORE SEVERE ATTACK.

HOWEVER, HER WEIGHT IS STILL
TOO HIGH

FOR IT TO BE SAFE FOR US
TO DO ANY OPERATION ON HER.

SO HER ONLY OPTION IS TO LOSE
WEIGHT BEFORE IT'S TOO LATE.

BUT UNFORTUNATELY, WE GOT
HER WEIGHT EARLIER TODAY

AND SHE HASN'T MADE THE PROGRESS
SHE SHOULD HAVE AT THIS POINT.

AND I'M CONCERNED THAT SHE'S
NOT GONNA MAKE IT MUCH LONGER

IF SHE DOESN'T START
TO DO WHAT SHE NEEDS.

-HELLO.
-HI, TIFFANY.

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

-YEAH.
-YOUR STOMACH FEELING ALL RIGHT?

-YEAH.
-ALL RIGHT.

Dr. Nowzaradan: SO, YOU WERE
HAVING A GALL BLADDER ATTACK,

BUT IT WASN'T SEVERE.

SO THANKFULLY, IT WAS JUST
A BIT OF A FLARE-UP.

BUT IT'S VERY IMPORTANT
WE REMOVE YOUR GALL BLADDER

BEFORE YOU HAVE AN ATTACK
THAT IS MUCH WORSE,

BECAUSE IF IT GETS
TO THAT STAGE,

IT COULD BE DEADLY FOR YOU.

BUT A BIG PROBLEM IS YOUR WEIGHT
AND YOUR CURRENT CONDITION

MAKES DOING ANY SURGERY
ON YOU TOO RISKY.

AND IT'S EXTREMELY IMPORTANT

THAT YOU UNDERSTAND
HOW SERIOUS THIS IS.

OKAY.

YOU SAY "OKAY," BUT SO FAR,
YOU HAVEN'T DONE THAT.

YOUR NEXT APPOINTMENT
IS ONE WEEK FROM NOW,

AND YOU WERE SUPPOSED TO
LOSE 80 POUNDS BY THEN.

BUT WHEN WE CHECKED
YOUR WEIGHT EARLIER TODAY,

YOU WERE ONLY DOWN TO 627.

YOU'VE ONLY LOST 19 POUNDS
IN ALMOST TWO MONTHS.

SO, WHAT IS YOUR EXCUSE?

UM, I THOUGHT I WAS WORKING
REALLY HARD, SO I DON'T KNOW.

NO, YOU DIDN'T. YOU JUST THINK
YOU CAN KEEP PLAYING GAMES.

YOUR FAMILY MAY BUY THAT,
BUT DOESN'T WORK ON ME.

SO HERE'S YOUR CHOICE.

WE'RE GONNA SEND
YOU HOME TODAY,

AND I WANT YOU TO LOSE
80 POUNDS

OVER THE NEXT TWO MONTHS
AGAIN

SO WE CAN GET YOU UNDER 600
AND DO SURGERY ON YOU.

IF YOU DO THAT,
WE'LL DO WEIGHT-LOSS SURGERY

AND REMOVE
YOUR GALL BLADDER.

BUT IF YOU DON'T,
THEN YOU'RE ROLLING THE DICE

AND RUNNING OUT OF TIME.

SO IF YOU DON'T WAKE UP,
THAT'S EXACTLY WHAT WILL HAPPEN.

AND THEN THAT'LL
BE IT FOR YOU.

YOU GOT IT?

LOUD AND CLEAR.

I WILL MOST DEFINITELY
KEEP LOSING WEIGHT.

FOR YOUR SAKE, I HOPE SO

BECAUSE THIS IS
YOUR LAST CHANCE.

OKAY. I UNDERSTAND.

OKAY. IF YOU NEED ANYTHING
OR YOUR STOMACH HURTS AGAIN,

GIVE ME A CALL.

Dr. Nowzaradan: I'M HOPING
TIFFANY TRULY UNDERSTANDS

HOW DANGEROUS IT IS FOR HER
TO KEEP GOING LIKE THIS.

SHE COULD HAVE ANOTHER
GALL BLADDER ATTACK ANY DAY,

AND IF IT IS MORE SEVERE,

THERE IS A GOOD CHANCE
SHE WON'T MAKE IT.

AND FOR US NOT TO BE ABLE
TO ADDRESS THAT

BECAUSE OF HER WEIGHT
WHEN SHE'S BEEN GIVEN

THE OPPORTUNITY TO CHANGE THAT
IS UNACCEPTABLE.

BUT HOPEFULLY, THIS WAS
A WAKE-UP CALL FOR HER

AND SHE WILL START
TO TAKE THIS SERIOUSLY.

BUT IF SHE DOESN'T,
THEN THERE IS A GOOD CHANCE

SHE WON'T BE AROUND
FOR MUCH LONGER.

SINCE I GOT BACK FROM THE
HOSPITAL A COUPLE OF WEEKS AGO,

I'VE GOTTEN AS SERIOUS AS I CAN
ABOUT WHAT I NEED TO DO.

I KNOW HOW CLOSE I'VE GOT
TO SOMETHING

REALLY BAD HAPPENING TO ME
BECAUSE OF HOW LONG

I'VE LET MY HEALTH GO,
AND I'VE IGNORED SOME THINGS.

AND I DON'T WANT A SCARE
LIKE THAT AGAIN.

SO I'VE TAKEN EVERYTHING
I'M DOING UP A NOTCH.

WITH MY EXERCISES,
I'VE GOTTEN A TRAINER.

I'M NOT REALLY A HUGE FAN
OF THE GYM,

SO AARON'S BEEN TAKING ME
TO MEET HIM IN THE PARK

SO I CAN WORK OUT THERE.

TIFF!

-HOW ARE YOU?
-WHAT'S UP?

YOU CAN ALL GO AHEAD
AND HAVE A SEAT IF YOU WANT.

TODAY WE'RE TRYING BOXING,
WHICH WILL BE NEW FOR ME.

BUT I FEEL LIKE I'M READY.

READY TO GET EXCITED?
WE'RE ABOUT TO PUMP UP.

ALL RIGHT.

ALL RIGHT.

GO AHEAD AND GET IN THAT
FIGHTING POSITION.

THERE WE GO, NICE.

NOW I WANT YOU
TO THROW ME SOME JABS.

ALL RIGHT, BOOM.

NICE. CROSS.

LET'S GO, JAB.

KEEP THAT FORM UP.
KEEP THAT FORM UP.

CROSS.
LET'S GO.

FINAL ROUND!

ONE, TWO, THREE, FOUR!

LET'S GO, TIFF,
GET AGGRESSIVE!

GET AGGRESSIVE!

NICE. NICE.

NICE, NICE, NICE, NICE.

I'M PROUD.
I'M PROUD!

-THANK YOU.
-YOU DID IT.

-YOU EXHAUSTED?
-YEAH.

YOU DID THE DANG THING,
GIRL!

-YOU DID IT!
-THANK YOU.

YOU DID IT!

IT'S BEEN EXCITING, GETTING OUT
AND BEING MORE ACTIVE.

CLAP IT ON OUT.
ALL RIGHT.

-I'M GONNA SEE Y'ALL TOMORROW.
-HAVE A GOOD NIGHT.

Y'ALL HAVE A GREAT ONE.

IT WAS HARD TO START.

BUT NOW THAT I'VE TAKEN
THAT FIRST STEP IN DOING IT,

IT'S NOT AS BAD
AND I'M STARTING TO LIKE IT.

SO I FEEL REALLY GOOD --

BETTER THAN I HAVE
IN A LONG TIME.

I'M ALSO WORKING REALLY HARD
ON MY DIET.

I'M STARTING TO HAVE
A LOT MORE ENERGY,

AND I FEEL LIKE I'M REALLY
LOSING A WHOLE LOT

BECAUSE I'VE COMPLETELY CUT OUT
ALL THE BAD STUFF FROM MY DIET.

AND I'M NOT MAKING
ANY MORE EXCUSES.

I'M NOT EATING ANY MORE CARBS
OR SWEETS RIGHT NOW,

SO I'M FOCUSING ON LOW-CALORIE
AND HIGH-PROTEIN OPTIONS.

JASMINE HAS ALSO COME BACK DOWN
TO SUPPORT AND HELP ME DO THIS.

SO, HOW'D
YOUR WORKOUT GO TODAY?

IT WENT PRETTY GOOD.

THE ONLY HARD PART IS THERE WAS
A LOT OF PEOPLE THERE,

AND THAT WAS
KIND OF INTIMIDATING.

MM-HMM.

GH-IN,

AND I'M GONNA MAKE IT COUNT.

I HAVE NO OTHER OPTIONS.

I EITHER DO THIS NOW,
OR THIS NEXT APPOINTMENT

ISN'T GONNA GO THE WAY
I WANT

AND THINGS ARE GONNA TAKE
A REALLY BAD TURN FOR ME.

ME AND AARON
ARE HEADED TO DR. NOW'S

FOR MY NEXT APPOINTMENT
AND WEIGHT-CHECK.

AND TO SAY I'M NERVOUS
IS AN UNDERSTATEMENT.

IT'S MORE LIKE
I'M FREAKING INSIDE,

AND I'M JUST TRYING
TO STAY CALM ON THE OUTSIDE.

I'VE WORKED HARDER
THESE LAST TWO MONTHS

THAN I THINK I HAVE
MY WHOLE LIFE.

BUT EVERY TIME I'VE GONE
TO AN APPOINTMENT,

I'VE LOST FAR LESS
THAN I THOUGHT I DID.

SO AS CONFIDENT AS I AM ABOUT
HOW I APPLIED MYSELF,

IT'S HARD FOR ME NOT TO BE
ABSOLUTELY SCARED OUT OF MY MIND

BECAUSE I KNOW FAILURE TODAY
MEANS I'M DONE.

TIFFANY BARKER?

DR. NOW WON'T KEEP ALLOWING ME
TO DO HIS PROGRAM

AFTER SO MANY TIMES WHERE
I DIDN'T LOSE WHAT I NEEDED.

SO IF THE NUMBER THAT COMES UP
RIGHT NOW IS NOT WHERE I NEED,

THEN THAT'LL MEAN
I'VE LOST THIS CHANCE

AND THE ONLY HOPE
I'D HAD LEFT TO SAVE MY LIFE.

Tiffany:
ME AND AARON ARE AT DR. NOW'S,

AND I'M ABOUT TO FIND OUT

IF I HIT MY GOAL
OR IF I FAILED AGAIN.

SO I'M REALLY STRESSED OUT.

TIFFANY BARKER.

Tiffany: THE LAST TIME I HAD
MY WEIGHT CHECKED

WAS AT THE HOSPITAL
TWO MONTHS AGO.

AND DR. NOW TOLD ME I HAD
TO LOSE 80 POUNDS IN THAT TIME.

SO THAT MEANS I NEED TO BE
BELOW 547 POUNDS TODAY.

THANK YOU.

I'M RELIEVED TO SEE
SUCH A BIG WEIGHT LOSS.

BUT IT'S NOT QUITE AS MUCH
AS I WAS SUPPOSED TO LOSE.

AND EVEN THOUGH IT WAS CLOSE,
IT HAS ME SCARED,

BECAUSE I HAVE NO IDEA

IF DR. NOW IS GONNA THINK
IT'S GOOD ENOUGH

AND APPROVE ME FOR SURGERY

OR TELL ME IT'S NOT ENOUGH
AND I'M DONE.

-HELLO.
-HELLO.

HOW ARE YOU ALL DOING?

GOOD.
HOW ARE YOU?

DOING ALL RIGHT.
THANK YOU.

SO, TODAY, YOU'RE DOWN
TO 555 POUNDS,

ABOUT 8 POUNDS
SHORT OF YOUR GOAL.

BUT, AT THE SAME TIME,

YOU MADE MORE PROGRESS
IN THE LAST TWO MONTHS

THAN YOU DID
IN THE FIRST FIVE COMBINED.

SO THAT'S POSITIVE.

AND I THINK IT SHOWS THAT

YOU'RE FINALLY
TAKING THIS MORE SERIOUSLY.

SO I'M APPROVING YOU
FOR WEIGHT-LOSS SURGERY, OKAY?

AWESOME.
THANK YOU.

BUT HERE'S THE DEAL --

I'M GONNA SET YOU UP
FOR TWO MONTHS FROM NOW,

AND I WANT YOU TO SHOW ME

THAT YOU'RE GONNA KEEP
MAKING PROGRESS IN THAT TIME

AND STICK TO DOING
WHAT YOU NEED.

OKAY.

AND I WANT YOU
TO GET TO UNDER 500 POUNDS,

AND IF, THE DAY OF SURGERY,

YOU COME IN HERE
NOT UNDER 500 POUNDS,

WE'RE GONNA CANCEL
YOUR SURGERY.

-OKAY.
-ALL RIGHT.

ANY QUESTIONS?

NO QUESTIONS.

ALL RIGHT, I'M HAPPY TO SEE
THE PROGRESS YOU'RE MAKING,

AND AS LONG AS YOU
KEEP AT IT,

WE WILL FINALLY MOVE AHEAD
WITH YOUR WEIGHT-LOSS SURGERY

AND REMOVE
YOUR GALLBLADDER

SO YOU WON'T SUFFER FROM
ANY MORE ATTACKS WITH THAT.

SOUND GOOD?
AWESOME.

THANK YOU.
ALL RIGHT.

I'LL SEE YOU LATER.
THANK YOU.

NICE TO SEE YOU BOTH,
OKAY?

NICE TO SEE YOU, TOO.

ALL RIGHT.

IT'S SCARY AND AWESOME
AT THE SAME TIME.

[ CHUCKLES ]
YEAH.

I'M VERY HAPPY TO SEE
TIFFANY'S RECENT PROGRESS,

ESPECIALLY AFTER
SHE STRUGGLED FOR SO LONG.

IT SEEMS THE CLOSE CALL
WITH HER GALLBLADDER ATTACK

WAS WHAT SHE NEEDED TO FINALLY
WAKE UP AND TAKE THIS SERIOUSLY.

BUT SINCE IT TOOK HER SO LONG
TO GET TO THIS POINT,

I NEED TO MAKE SURE
HER RECENT AMBITION AND DRIVE

WASN'T JUST A TEMPORARY PUSH
TO GET APPROVED

AND THAT SHE'S WILLING
TO SIT WITH IT.

SO, IF SHE GETS UNDER 500
BY HER SURGERY DAY,

THEN THAT WOULD BE ENOUGH
TO SHOW ME

THAT SHE'S TRULY READY

TO TAKE THIS NEXT STEP
OF GETTING WEIGHT-LOSS SURGERY.

Tiffany:
I'M SO EXCITED RIGHT NOW.

AND I'M GONNA DO
EVERYTHING I CAN

TO MAKE SURE MY SURGERY
DOESN'T GET CANCELED.

THAT WOULD BE DEVASTATING
TO ME.

I'D FEEL LIKE I FAILED MYSELF
AND LET EVERYONE DOWN.

SO I'M GONNA MAKE SURE
I KEEP AT IT AND WORK HARD

TO SHOW DR. NOW

THAT I'M DEFINITELY READY
TO DO EVERYTHING I NEED

TO MAKE SURE MY WHOLE
WEIGHT-LOSS JOURNEY

IS A SUCCESS.

I CAN'T BELIEVE THIS DAY
IS FINALLY HERE.

AND I'M SO PROUD OF MYSELF
FOR NOT GIVING UP

AND MAKING IT TO THIS POINT.

I'VE WORKED SO HARD.

AND WHEN DR. NOW
GAVE ME ANOTHER GOAL

TO GET UNDER 500 BY TODAY,

I LOST ANOTHER 64 POUNDS,

AND I'M DOWN TO 491.

SO HE SAID HE'S MOVING AHEAD
WITH MY SURGERY TODAY.

AND I'M REALLY EXCITED
TO HAVE THIS CHANCE

TO GET SOMETHING I'VE NEEDED
AND WANTED FOR SO LONG.

-HEY.
-HI.

-HOW'S IT GOING?
-GOOD. GOOD.

[ SIGHS ]

MY MOM FLEW IN, TOO,
TO BE HERE WITH ME TODAY.

AND HAVING ALL THEIR LOVE
AND SUPPORT RIGHT NOW

AND WORK EVEN HARDER
NTFOR THEM AND FOR ME.ES

I'M EXCITED FOR YOU.

[ CHUCKLES ]

Tiffany: I'M EXCITED
TO GET IT OVER WITH,

WAKE UP, HEAL,
AND GET MY LIFE TOGETHER.

[ LAUGHS ]

-ALL RIGHT.
-OKAY.

SO, GOOD LUCK, AND WE'LL
SEE YOU AFTER SURGERY.

ALL RIGHT.
LOVE YOU.

OKAY. LOVE YOU, TOO.

BYE.

Tiffany:
I AM A LITTLE NERVOUS,

BECAUSE DR. NOW SAID
I'M STILL HIGH-RISK.

BUT IT IS SO WORTH THE DANGER
JUST TO GET MY LIFE BACK.

EVENTUALLY, I WANT TO BE ABLE
TO HAVE KIDS,

AND THIS IS GOING TO
HELP ME GET TO THAT POINT.

SO, AS AFRAID AS I AM
OF WHAT COULD GO WRONG TODAY,

IT'S FAR LESS
THAN THE FEAR I HAVE

OF WHAT'S GONNA HAPPEN TO ME
IF I DON'T GET THE SURGERY.

SO I'M READY FOR THIS.

Dr. Nowzaradan: TODAY,
WE ARE ATTEMPTING TO DO

A GASTRIC SLEEVE ON TIFFANY.

SHE'S TAKEN A WHILE
TO START MAKING PROGRESS.

BUT SHE'S FINALLY DOING
WHAT SHE NEEDS,

SO SHE'S READY
FOR THIS STEP TODAY.

WE ARE ALSO PLANNING ON REMOVING
HER GALLBLADDER...

THE OPERATION IS
WITH HER GALLSTONES.

LIGHT OFF.

AND THAT WILL ALSO BE
A GREAT HELP TO HER.

BUT TIFFANY HAS PUSHED HER BODY
CLOSE TO ITS LIMIT

FOR A VERY LONG TIME.

SO SHE HAS HAD A LOT OF STRAIN
ON HER SYSTEM.

AND WE HAVE TO BE CAREFUL NOT
TO DO ANYTHING TO ADD TO THAT,

BECAUSE SURGERY IS VERY
HIGH-RISK FOR SOMEONE HER SIZE.

SO IF THERE IS ANYTHING
THAT CONCERNS US,

WE HAVE TO END
THE OPERATION EARLY.

BUT, HOPEFULLY,
IT WON'T COME TO THAT,

BECAUSE IT'S VERY IMPORTANT

TIFFANY HAVE HER
GALLBLADDER ADDRESSED

AND HAVE THIS GASTRIC SLEEVE,

BECAUSE THIS PROCEDURE IS GOING
TO BE A VERY IMPORTANT TOOL

TO HELP HER TO CONTINUE
TO LOSE THE WEIGHT

FOR THE LONG TERM,
LIKE SHE NEEDS,

BECAUSE WHAT THIS OPERATION DOES
IS REDUCE THE STOMACH BY 90%,

LEAVING A SMALL, NARROW TUBE
THAT LOOKS SIMILAR TO A SLEEVE.

SO THE PATIENT'S FOOD INTAKE
IS PHYSICALLY LIMITED.

SO THIS OPERATION WILL GIVE THEM
AN OPPORTUNITY

TO LOSE EVEN MORE WEIGHT.

WAITING FOR TIFFANY
IS KIND OF NERVE-RACKING,

JUST 'CAUSE YOU DON'T KNOW
WHAT COULD HAPPEN.

IT'S A LOT OF RISK,

'CAUSE THERE COULD BE A LOT OF
COMPLICATIONS WITH THIS SURGERY.

BUT TIFFANY
IS A REALLY STRONG PERSON.

AND I JUST HOPE
SHE COMES OUT ALIVE.

LET'S SEE IF WE CAN PUT THAT
ON THE BACK TABLE.

[ MONITORS BEEPING ]

-YOU DID IT.
-OKAY.

CAN YOU TURN
THE ROOM LIGHT ON?

OKAY.
ALL FINISHED.

ALL RIGHT, TIFFANY'S SURGERY
WENT VERY WELL.

WE SUCCESSFULLY REMOVED
HER GALLBLADDER

D ORA RIISES TS S VE SCEFUO.

SHE'LL BE ON A LIQUID DIET
SO, WE'LFOR ONE MONTH,

AND IN THAT TIME, SHE SHOULD
LOSE ANOTHER 35 POUNDS.

THEN, ONCE SHE GOES BACK
ON SOLID FOOD,

SHE SHOULD BE ABLE TO LOSE
AT LEAST 20 POUNDS A MONTH

UNTIL SHE GETS TO
HER TARGET WEIGHT.

BUT WITH HOW SHE STRUGGLED
TO GET TO THIS POINT,

IT'S CLEAR THAT SHE HAS
A LOT OF EMOTIONAL ISSUES

THAT ARE AT THE CORE
OF HER PATHOLOGICAL EATING

THAT WE NEED TO START TO ADDRESS

NOW THAT SHE HAS HAD
WEIGHT-LOSS SURGERY.

SO, AS SOON
AS SHE'S RECOVERED,

WE'RE GONNA SEND HER
TO PSYCHOTHERAPY

TO START WORKING
ON THOSE ISSUES.

AND IT IS ESSENTIAL THAT WE DO
THAT, BECAUSE IF WE DON'T,

THEN IT WILL
ONLY BE A MATTER OF TIME

BEFORE TIFFANY STARTS TO GO BACK
TO FOOD FOR COMFORT

AND, OVER TIME,
STRETCHES HER STOMACH BACK OUT

AND STARTS TO GAIN AGAIN.

AND ONCE THAT HAPPENS,

THE PROBABILITY OF
GETTING HER BACK ON TRACK

WILL BE LESS THAN 1%.

SO IT'S VERY IMPORTANT
WE PREVENT THAT FROM HAPPENING.

Tiffany:
TODAY, AARON IS DROPPING ME OFF

AT THE THERAPIST DR. NOW
WANTS ME TO START SEEING.

IT'S BEEN A MONTH
SINCE MY WEIGHT-LOSS SURGERY,

AND I'M DOING WELL.

AND WHAT'S SURPRISING TO ME NOW
WAS HOW LITTLE I CAN EAT

BEFORE I GET REALLY FULL.

BUT DR. NOW TOLD ME,

IF I'M NOT CAREFUL
AND I PUSH MYSELF TO OVEREAT,

I COULD END UP BASICALLY
UNDOING THE SURGERY,

IF I DON'T ALSO GET MY DRIVE TO
EAT UNDER CONTROL EMOTIONALLY.

SO THAT'S WHY IT'S IMPORTANT
I DO WHAT I'M DOING TODAY

AND START THERAPY.

-TIFFANY?
-HI.

HI. I'M LOLA.

NICE TO MEET YOU.
NICE TO MEET YOU.

AND WHENEVER YOU'RE READY,
YOU CAN GO RIGHT ON IN.

ALL RIGHT.

AND JUST HAVE A SEAT
WHEREVER YOU'RE COMFORTABLE.

SO, THANKS FOR JOINING ME
TODAY, MISS TIFFANY.

THANK YOU.

WHY DON'T YOU TELL ME
A LITTLE BIT ABOUT YOURSELF

AND WHAT LIFE WAS LIKE
WHEN YOU WERE GROWING UP?

I'M FROM WASHINGTON STATE.

AS A KID,
WE WERE VERY POOR.

SO WE LIVED OFF
OF FOOD STAMPS

FOR MOST OF MY CHILDHOOD,
OFF AND ON UNTIL --

SO LIFE WASN'T NECESSARILY
AN EASY ROAD FOR YOU.

NO. NO.

DO YOU HAVE
ANY LINGERING RESENTMENTS

BECAUSE
OF HOW YOU GREW UP?

SOMETIMES, I THINK ABOUT,
IF MY DAD

WASN'T SO VERBALLY ABUSIVE
TOWARDS MY MOM...

HE WAS
A STAY-AT-HOME DAD.

HE WAS A SELF-EMPLOYED MECHANIC,
AND MY MOM WORKED.

SO SHE WAS WORKING ALL DAY.

SHE WOULD COME HOME.

AND THEY WOULD ARGUE A LOT.

AND I STARTED TO REALIZE
THAT HE, UM,

HE WASN'T THE BEST PERSON
TOWARDS HER.

MM-HMM.

AND AS I BECAME
A TEENAGER,

I REALLY STARTED
TO DEFEND HER,

BECAUSE SHE WAS WORKING
TWO FULL-TIME JOBS.

AND WHEN I STARTED
TO DEFEND MY MOM,

I REMEMBER BEING CALLED

ALL SORTS OF PROFANITIES
AND NAMES AND...

I'M SORRY YOU HAD
THAT EXPERIENCE.

AND I HOPE THAT
YOUR PARENTS RECOGNIZE

WHAT AN EXTRAORDINARY
YOUNG WOMAN THEY HAVE,

BECAUSE I NOTICE

THE WAY YOU HAVE REMAINED
RESPECTFUL OF YOUR PARENTS.

I CAN SEE THE WAY
YOU'VE HANDLED YOURSELF,

THAT THAT MEANS A LOT
TO YOU.

IT'S LIKE,
NO MATTER WHAT HAPPENS,

I ALWAYS FEEL LIKE,
IF IT'S SOMEBODY CLOSE TO ME,

I HAVE TO PROTECT THEM,

NO MATTER WHAT
THEY'VE DONE TO ME.

"I HAVE TO PROTECT THEM,

NO MATTER WHAT
THEY'VE DONE TO ME" --

THAT RESONATES WITH SO MANY
PEOPLE WHO HAVE BEEN ABUSED,

BECAUSE THAT'S
WHAT ABUSE CREATES --

A BURDEN OF SECRECY,
A BURDEN OF SHAME,

WHERE YOU HAVE TO STAND UP
FOR THE PERSON THAT ABUSED YOU.

BUT I WANT YOU TO KNOW
THAT YOU DIDN'T DESERVE

THE THINGS
YOU'VE EXPERIENCED,

BUT YOU WALKED THROUGH
THAT EXPERIENCE WITH COURAGE,

AND NOW YOU'RE ON
THE OTHER SIDE OF IT.

OKAY.

SO, TIFFANY,
TELL ME A LITTLE BIT

ABOUT THE RELATIONSHIPS
IN YOUR LIFE RIGHT NOW.

MY MOST
SIGNIFICANT RELATIONSHIPS

ARE PROBABLY
WITH MY BOYFRIEND.

WHAT'S HIS NAME?

HIS NAME IS AARON.

AND DID HE ACCOMPANY YOU HERE
ON YOUR WEIGHT-LOSS JOURNEY?

YES, HE DID.

AND WHAT'S THAT BEEN LIKE
FOR Y'ALL?

IN THE BEGINNING,
IT WAS A CHALLENGE,

JUST BECAUSE I WAS TRYING
TO GET HIM TO EAT HEALTHIER,

AND HE DIDN'T WANT TO

AND HE WAS BRINGING FOOD
IN THE HOUSE

HE SHOULDN'T HAVE BEEN.
MM-HMM.

AND ME, HAVING LITTLE
SELF-CONTROL,

I WOULD EAT THE STUFF
THAT I WASN'T SUPPOSED TO.

AND IT'S REALLY IMPORTANT,
ON A WEIGHT-LOSS JOURNEY,

FOR YOUR SUPPORT SYSTEM
TO BE JUST THAT -- SUPPORT.

OKAY.

JUST LIKE YOU HAVE
TO ASK YOURSELF

IF WHAT YOU'RE PUTTING INTO
YOUR BODY IS HEALTHY FOR YOU,

YOU HAVE TO ASK YOURSELF

IF WHAT YOU'RE INVESTING
YOUR EMOTIONAL ENERGY IN

IS HEALTHY FOR YOU.

OKAY.

SO, I WANT TO TALK
ABOUT SOME HOMEWORK.

OKAY.

HAVE A CONVERSATION
WITH YOUR BOYFRIEND.

MM-HMM.

AND I WANT THE TWO OF YOU
TO TALK ABOUT

WHAT YOU WANT
THE RELATIONSHIP TO LOOK LIKE,

BECAUSE IT'S
REALLY IMPORTANT THAT --

THE POINT YOU'RE AT
IN YOUR LIFE RIGHT NOW,

YOU HAVE TO
START DEFINING

WHAT THINGS
ARE GOING TO LOOK LIKE.

IN REGARDS TO YOUR FATHER,
TIFFANY,

I WOULD LIKE FOR YOU
TO MAYBE WRITE DAD A LETTER.

AND I WANT IT TO JUST BE
A REFLECTION

OF WHAT YOU FEEL
IN YOUR HEART

REGARDING HOW HIS BEHAVIORS
SHAPED YOUR LIFE

AND THE PERSON
THAT YOU ARE TODAY.

OKAY?

DO YOU THINK
YOU CAN DO THAT?

I THINK I CAN.

IT'S GONNA TAKE A LITTLE WORK
PUTTING MYSELF FIRST.

YEAH?

JUST BECAUSE
I'M NOT USED TO IT.

-[ CHUCKLES ] BUT...
-BUT?

[ BREATHES SHARPLY ]
I'M DEFINITELY GONNA TRY.

[ CHUCKLES ]

YOU JUST
HAVE TO KEEP TRYING.

IT'S HARD WORK,
BUT YOU JUST HAVE TO FOCUS

ON WHAT YOU WANT FOR YOU.

OKAY?
THANK YOU, MISS TIFFANY.

THANK YOU.

OKAY, I LOOK FORWARD
TO SEEING YOU NEXT TIME.

I LOOK FORWARD
TO SEEING YOU, AS WELL.

-HAVE A GOOD DAY.
-BYE.

Tiffany:
THAT WAS A LOT.

AND, TO BE HONEST,
I'M NOT SURE HOW I FEEL,

BECAUSE IT FELT GOOD
TO TALK ABOUT SOME OF THAT,

BUT I HADN'T REALIZED HOW MUCH
MY RELATIONSHIP WITH MY FATHER

HAS AFFECTED ME AND HOW
THAT CONNECTS TO MY EATING.

BUT I DON'T EVEN KNOW HOW I'D BE
ABLE TO REACH OUT TO HIM.

AND THINKING ABOUT DOING THAT
MAKES ME REALLY ANXIOUS.

BUT I KNOW IF I DON'T START
DOING THESE THINGS,

THEN THERE'S A GOOD CHANCE

I'LL END UP TRYING TO USE FOOD
FOR COMFORT AGAIN.

AND IF
I CAN'T FIGURE IT OUT,

I KNOW THAT
THE FINAL OUTCOME WILL BE

THAT I REGAIN ALL THE WEIGHT

AND END UP RIGHT BACK AT WHERE
I STARTED BEFORE ALL THIS.

Tiffany: THIS PAST MONTH

HAS BEEN A BIT OF A STRUGGLE,
EMOTIONALLY.

THANKFULLY,
MY WEIGHT-LOSS SURGERY

IS STILL PREVENTING ANY CRAVINGS
OR BIG TEMPTATIONS TO OVEREAT

OR EAT STUFF I SHOULDN'T.

SO MY WEIGHT LOSS
HAS STAYED ON TRACK.

AND I'M WORKING HARD
TO KEEP IT THAT WAY

BY TRYING TO DO ALL THE HOMEWORK
LOLA GAVE ME.

I'VE BEEN JOURNALING
TO START TO TRY AND PROCESS

SOME OF MY FEELINGS.

AND THAT HAS HELPED.

WHAT I'VE BEEN ABLE
TO SEE MORE

IS HOW MUCH OF WHAT DROVE ME
TO FOOD REVOLVES AROUND MY DAD.

SO, BECAUSE OF THAT,

OUT OF ALL THE BIG STEPS
I NEED TO TRY AND TAKE,

I DECIDED TO TRY
AND TALK TO MY DAD.

IT TOOK ME A BIT TO WORK UP
THE COURAGE TO CALL HIM,

BUT WHEN I DID,
IT DIDN'T GO SO WELL

AS SOON AS I BROUGHT UP
ANY OF THE PAST.

HE HUNG UP ON ME.

[ RINGING ]

Woman: YOU HAVE REACHED
THE VOICEMAIL BOX --

[ BEEPS ]

AND NOW HE'S NOT EVEN
ANSWERING MY CALLS.

SO, WHAT I'VE DECIDED TO DO
IS MAKE A VIDEO

WHERE I TELL HIM
HOW HE MADE ME FEEL

WHEN I WAS YOUNGER.

I TALKED TO LOLA
ABOUT MY IDEA,

AND SHE SAID TO STAND UP
FOR MYSELF

AND LET THIS STUFF OUT.

SO THAT'S WHAT I'LL DO.

HEY, DAD.

SO, I WENT TO THERAPY,

AND A LOT OF THE THINGS
WE TALKED ABOUT

HAD TO DO
WITH MY RELATIONSHIP WITH YOU --

HOW MUCH YOU AND MOM FOUGHT,

HOW THE THINGS YOU SAID AND DID
HURT NOT JUST MOM,

BUT IT WAS HURTING CHANDRA,
AND IT WAS HURTING ME.

AND ALL THIS STUFF REALLY SHAPED
THE PERSON I AM.

I JUST WANTED YOU TO KNOW
HOW THAT AFFECTED ME

SO THAT WE CAN MOVE PAST IT

AND I CAN ACCEPT YOU
AS MY DAD AGAIN.

I GENUINELY WANT
OUR RELATIONSHIP

TO MEAN SOMETHING
AND BE GOOD AND HEALTHY

SO THAT, WHEN I HAVE KIDS,

YOU CAN BE
AN AMAZING GRANDFATHER.

I LOVE YOU.
BYE.

I'VE ALWAYS DREAMED
OF THE POSSIBILITY

OF HAVING MY RELATIONSHIP
WITH MY DAD RESTORED ONE DAY.

SO I HOPE HE TRIES
AND HE PLAYS THE VIDEO,

BECAUSE I LOVE HIM,

AND MY LIFE HAS ALWAYS
FELT INCOMPLETE WITHOUT HIM.

BUT ALL I CAN DO RIGHT NOW
IS WAIT AND SEE HOW IT GOES.

BUT EVEN IF IT DOESN'T GO
LIKE I HOPE,

THIS WAS
THE FIRST BIG STEP I NEEDED

IN A LONG JOURNEY
I HAVE AHEAD

TO START DEALING
WITH WHAT I NEED

TO TAKE BACK CONTROL
OF MY LIFE.

THANK YOU.

YOU READY TO GO?

YEAH.
SWEET.

I'M FEELING REALLY GOOD.

IT'S OFFICIALLY COMING UP
ON A YEAR

SINCE I STARTED
MY WEIGHT-LOSS JOURNEY.

AND, SO FAR,
I'VE LOST 257 POUNDS.

AND I THINK A BIG PART OF WHY
I'VE BEEN ABLE TO STAY ON TRACK

IS THAT I'M NOT BACKING DOWN
FROM DOING THE THINGS

LOLA SAID
I NEED TO BE FACING

SO I CAN START TO TAKE BACK
CONTROL OF MY LIFE.

I SENT THE VIDEO TO MY DAD,

BUT I STILL HAVEN'T
HEARD BACK FROM HIM.

BUT, FOR NOW, I CAN ONLY WORK ON
WHAT I CAN CONTROL.

I STARTED HAVING SOME IMPORTANT
CONVERSATIONS WITH AARON

ABOUT WHETHER THIS IS
A RELATIONSHIP

WE'RE BOTH
FULLY INVESTED IN

AND WHERE WE WANT TO DO.

AND THAT'S BEEN A BIG STEP
THAT I'M PROUD OF, TOO,

BECAUSE I FEEL LIKE
IT OPENED A DOOR FOR BOTH OF US.

AND WE'VE KEPT
THE CONVERSATION GOING.

SO, WHAT ARE YOU
THINKING ABOUT, BABE?

YOU KNOW, WE REALLY
HAVE COME A LONG WAY.

WE REALLY HAVE.
YEAH.

ABOUT A YEAR AGO,
I USED TO FEEL

MORE LIKE YOUR CAREGIVER
THAN ANYTHING.

I DIDN'T FEEL LIKE WE WERE
A COUPLE WHATSOEVER.

YEAH.
I WAS JUST --

JUST BEING THERE TO HELP YOU,
AND THAT'S PRETTY MUCH IT.

AND NOW YOU'RE ACTUALLY
STARTING TO BE

A LITTLE MORE INDEPENDENT,
WHICH IS COOL.

I LIKE THAT.

ONE OF THE THINGS
I REMEMBER YOU TELLING ME

AND ONE OF THE BIG
DECIDING FACTORS

FOR ME TO GET
THE SURGERY WAS --

YOU DIDN'T SEE US
HAVING A FUTURE

-UNLESS I LOST THE WEIGHT.
-YEAH.

AND I DO WANT TO EVENTUALLY
MARRY YOU AND HAVE KIDS.

DO YOU STILL SEE THAT
AS A POSSIBILITY NOW?

I DO. I DEFINITELY DO SEE THAT
AS A POSSIBILITY NOW.

YEAH.
I LOVE YOU, BABE.

I LOVE YOU, TOO.

Tiffany: AS NERVOUS
AS I WAS TO DO IT,

I'VE REALLY ENJOYED THIS LEVEL
OF COMMUNICATION BETWEEN US.

AND IT FEELS LIKE ALL THE STUFF
I'VE BOTTLED UP INSIDE OF ME

IS FINALLY ABLE TO COME
TO THE SURFACE

IN A WAY THAT DOESN'T OVERWHELM
ME OR TAKE CONTROL OF ME.

AND IT'S ALL HELPING ME
START TO FIND MYSELF AGAIN.

AND I'M LOVING IT.

IT'S BEEN SO LONG
SINCE I SAW MYSELF

AS A FUN PERSON
AND NOT JUST SOME MISTAKE.

I HAVEN'T SAT
BEHIND THE WHEEL OF A CAR

SINCE I WAS LIKE 14.

WELL, IF YOU REALLY WANT TO TRY,
WE CAN GO RIGHT NOW.

I JUST FEEL LIKE
I'M READY TO TRY.

ALL RIGHT.
YOU NEED HELP UP?

NO, I GOT IT.
ALL RIGHT.

REMEMBER, I'VE LOST WEIGHT.
I CAN DO STUFF NOW.

MM.
[ SNIFFLES ]

I'M BECOMING INDEPENDENT,
AND THE MORE I LOSE,

THE MORE I'M ABLE TO DO.

I CAN WALK FURTHER THAN I HAVE
IN SUCH A LONG TIME.

AND I'M ABLE TO GO OUT
AND DO SO MUCH MORE.

BUT THE BIGGEST THING
I'VE WANTED TO DO IS DRIVE.

BECAUSE OF MY SIZE
AND MY LYMPHEDEMA,

BY THE TIME
I WAS A TEENAGER,

I NEVER GOT THE CHANCE
TO LEARN HOW TO DRIVE

BECAUSE I COULDN'T FIT BEHIND
THE STEERING WHEEL.

SO I'M REALLY HOPING
I'M GETTING CLOSE

TO BEING ABLE
TO FIT IN THE DRIVER'S SEAT.

ONCE I'M ABLE TO DO THAT,
IT WILL MEAN

I WON'T HAVE TO DEPEND ON ANYONE
TO TAKE ME ANYWHERE.

IT'S LOOKING A LITTLE TIGHT.
WHAT IF I DON'T FIT?

JUST TRY IT.

IF YOU DON'T FIT,
YOU DON'T FIT.

ALL RIGHT.

WELL, BE CAREFUL.

[ KEYS JINGLING ]

BABE, LOOK.

I'M GONNA BE RUNNING YOU
OFF THE ROAD ANY DAY NOW.

-[ LAUGHS ]
-WHOO!

I WAS SO SCARED
I WAS GONNA LOSE THIS CHANCE.

BUT TO BE WHERE I'M AT NOW,
WITH ALL I'M STARTING TO DO,

IS SUCH
AN INCREDIBLE FEELING.

SO THERE'S NO WAY I'M GONNA
LET MYSELF SLOW DOWN,

BECAUSE I KNOW THERE'S
SO MUCH WAITING FOR ME

JUST AROUND THE CORNER.

I KNOW MY JOURNEY
ISN'T EVEN CLOSE TO BEING OVER

AND THAT I'VE ONLY LOST
A LITTLE OVER HALF THE WEIGHT

I NEED AT THIS POINT.

BUT DR. NOW SAYS, IF I KEEP UP
MY CURRENT RATE OF PROGRESS,

THAT I'LL BE READY FOR MY FIRST
REMOVAL OF EXCESS SKIN

IN A FEW MONTHS...

...AND THAT HE'LL START

BY TAKING OFF
SOME OF MY LYMPHEDEMA,

WHICH HE SAID COULD BE
UP TO 30 POUNDS.

SO THAT ALONE IS GONNA BE
LIFE-CHANGING.

ALL RIGHT.
[ CHUCKLES ]

I'M ALIVE.
YOU'RE ALIVE.

I THINK -- I THINK
THAT'S A GOOD THING.

Aaron: SINCE THE SURGERY,
TIFFANY HAS LOST ENOUGH WEIGHT

FOR HER
TO MOVE AROUND MORE,

AND I FEEL REALLY GOOD
ABOUT IT.

I FEEL LIKE EVERYTHING
WE'VE DONE HAS BEEN WORTH IT.

AND I'M REALLY PROUD
OF TIFFANY.

I'M REALLY EXCITED BECAUSE
TIFFANY MEANS EVERYTHING TO ME.

I JUST WISH MY HIPS
AND MY KNEES WERE BETTER

SO THAT THIS PART WAS EASY.

[ BREATHING HEAVILY ]

Tiffany:
I KNOW THERE ARE SO MANY GOOD
THINGS FOR ME JUST UP AHEAD.

I CAN SEE IT ALL
ON THE HORIZON,

AND I BELIEVE
I CAN GET THERE NOW.

I JUST HAVE TO KEEP WORKING ON
WHAT I NEED INSIDE OF ME

TO MAKE A LASTING CHANGE
ON THE OUTSIDE.

AND IF I DO THAT,
BEFORE I KNOW IT,

I'M GONNA FINALLY BE
WHO I WANT.

AND I CAN'T WAIT.

HIGH FIVE.

GOOD JOB.
THANK YOU.

[ CHUCKLES ]
I'M EXCITED.