Original subtitles

THERE YOU GO. EAT YOUR SNACKS.

BECAUSE YOU'RE KILLING YOURSELF

AND I'M NOT STICKING AROUND FOR IT!

Woman: SOMEWHERE IN ME IS THIS LITTLE GLIMMER OF HOPE.

I JUST WANT TO BE A NORMAL PERSON.

YOU CAN'T DO IT, AND THEN I JUST GET MAD.

Woman #2: IF I DON'T MAKE A CHANGE NOW,

I'M SCARED IT'S GONNA BE TOO LATE.

Woman #3: I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS FOR MY CHILDREN.

OHH!

Paul: I FEEL HELPLESS BECAUSE I'M WATCHING HER DIE

RIGHT IN FRONT OF ME.

OH!

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

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Lindsey: WITH HOW BAD MY BODY IS NOW,

I FEEL LIKE IT'S A MIRACLE I STILL WAKE UP EVERY MORNING.

SO THE MOMENT I WAKE UP, I SAY A LITTLE PRAYER.

THANK YOU FOR MAKING ME WAKE UP.

BECAUSE I'M JUST TERRIFIED OF DYING IN MY SLEEP.

MY WEIGHT'S JUST GOTTEN TO THE POINT

WHERE MY BODY FEELS LIKE IT'S FALLING APART,

AND I'M IN CONSTANT PAIN

TO WHERE NOW I CAN BARELY LIVE MY LIFE.

BUT I STILL TRY TO STRUGGLE AND MAKE MYSELF DO BASIC THINGS

SO MY HUSBAND DOESN'T HAVE TO.

Lindsey: I'M GETTING UP AND TAKING A SHOWER.

ALL RIGHT.

BUT THAT'S GETTING TO BE TOO HARD FOR ME, TOO.

SO MY WEIGHT'S AFFECTING MY WHOLE WORLD,

AND I AM MISERABLE LIVING IN THIS BODY.

DOING ANYTHING IS A CHORE,

AND IT TAKES A LOT OUT OF ME

EVERY TIME I TRY TO GET UP AND WALK.

SO I CAN ONLY GO SHORT DISTANCES AT A TIME

BEFORE I HAVE TO SIT DOWN AND REST AGAIN.

THE FIRST TRIP I MAKE IN THE MORNING

IS TO THE BATHROOM TO TRY AND TAKE A SHOWER,

BUT EVEN JUST WALKING FROM MY BED TO THE BATHROOM

LEAVES ME COMPLETELY EXHAUSTED.

I HAVE TO REST ON THE TOILET

BEFORE I CAN ACTUALLY GO AND GET INTO THE SHOWER

BECAUSE IT'S GETTING SO HARD TO DO ALL THIS ON MY OWN.

AND I REFUSE TO LET MY HUSBAND

HELP ME DO ANYTHING IN THE BATHROOM.

Paul: I HAVE TO DO A LOT FOR LINDSEY NOW.

SINCE LINDSEY HAS GOTTEN BIGGER OVER THE YEARS,

I HAVE HAD TO DO MORE AND MORE FOR HER.

IT'S AT THE POINT RIGHT NOW

WHERE LINDSEY CAN HARDLY DO ANYTHING ON HER OWN,

AND IF I HAVE TO LEAVE FOR WORK OR GO ANYWHERE,

I HAVE TO MAKE SURE THAT SHE HAS EVERYTHING

THAT SHE NEEDS BEFORE I GO.

-MORNING. -MORNING.

I'M ABOUT TO GO GET YOUR BREAKFAST AT THE GAS STATION.

-THANKS. -ALL RIGHT.

Lindsey: A YEAR AGO, I COULD DO MORE

AND WAS ABLE TO SHOWER EVERY DAY,

BUT NOW I TAKE A SHOWER...

EVERY OTHER DAY.

BECAUSE MY MOBILITY HAS WENT DOWNHILL

EXTREMELY WITHIN THE LAST SIX MONTHS.

EVEN NOW, FIVE MINUTES INTO MY SHOWER,

MY WHOLE BODY IS IN A LOT OF PAIN.

THE PAIN STARTS IN MY LOWER BACK,

AND THEN IT GOES UP TO MY SHOULDER BLADES,

AND ALL THAT TOGETHER IS, LIKE, REALLY EXCRUCIATING.

AND I JUST TRY TO HURRY AND DO THE BEST I CAN

BEFORE IT GETS TO BE TOO MUCH FOR ME.

BUT IF I DON'T SHOWER

AND CLEAN IN ALL THE FOLDS AND AREAS ON MY BODY,

THEN I'LL GET THESE REALLY BAD SORES FROM CHAFING

THAT GET INFECTED.

SO IT'S IMPORTANT I DO THIS ENOUGH TO PREVENT THAT.

I'M ASHAMED THAT I LET MYSELF GET TO THIS POINT.

SOMETIMES I FEEL LIKE I HAVE BLINDERS ON --

LIKE, "OH, IT'S NOT THAT BAD" -- WHEN IT IS REALLYBAD.

I HAVE SEEN PAUL LOOK AT ME IN DISGUST

FOR ME BEING OBESE.

SO I TRY TO FINISH SHOWERING AND GETTING DRESSED

BEFORE HE'S BACK FROM GETTING ME BREAKFAST.

AND THE WHOLE TIME I'M PUSHING MYSELF TO GET DRESSED,

I'M TELLING MYSELF IF I JUST FINISH,

I CAN GET MY REWARD FOR ALL MY HARD WORK.

SO ONCE I FINALLY HAVE ALL MY CLOTHES ON,

I HAVE TO SUMMON MY LAST BIT OF STRENGTH AND GET TO MY CHAIR

BECAUSE I'M COMPLETELY EXHAUSTED AT THIS POINT.

BUT I KNOW IT'S ALL GONNA BE WORTH IT

ONCE PAUL BRINGS ME MY FIRST MEAL OF THE DAY.

♪ I'M BACK ♪

THANK YOU.

YOU'RE WELCOME. I GOT TO HEAD TO WORK.

HERE'S YOUR STUFF. OKAY.

THERE YOU GO. ALL RIGHT. LOVE YOU.

-LOVE YOU, TOO. -ALL RIGHT. BYE.

-BYE. -I'LL SEE YOU LATER.

OKAY.

AND ONCE I GET IT, I SAVOR EVERY SINGLE BITE OF IT.

JUST LOVE THE WAY A MEAL MAKES ME FEEL.

WHEN I'M EATING BREAKFAST,

I'M ALREADY THINKING ABOUT LUNCH.

WHEN I'M EATING LUNCH, I'M ALREADY THINKING ABOUT SUPPER.

I'M EATING SUPPER THINKING ABOUT WHAT I CAN HAVE FOR A SNACK.

IT NEVER STOPS FOR ME, AND I NEVER WANT IT TO STOP

BECAUSE THAT GOOD FEELING I GET FROM IT DOESN'T LAST LONG.

AND BREAKFAST IS THE KICK-OFF.

SO ONCE I FINISH THAT, I HAVE TO HAVE MORE.

PAUL HAS TO DO A LOT OF GROCERY SHOPPING

TO KEEP UP WITH ME,

AND HE MAKES LITTLE REMARKS ABOUT IT LIKE,

"WOW, YOU'RE GONNA EAT ALL THOSE?"

OR, "YOU'RE EATING AGAIN?"

AND IT KIND OF MAKES ME A LITTLE EMBARRASSED...

BUT NOT ENOUGH TO STOP.

IT JUST MAKES ME EAT MORE WHEN NO ONE IS AROUND.

FOOD AND ME HAVE A SPECIAL RELATIONSHIP.

I JUST LOVE IT.

IT'S ALWAYS BEEN THERE FOR ME WHEN NO ONE ELSE WAS.

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

I STARTED TO STRUGGLE WITH MY WEIGHT

EVEN VERY EARLY ON,

AND BY THE TIME I WAS 5, MY WEIGHT WAS AROUND 120 POUNDS.

I FELT LIKE I WAS COOKING BALANCED MEALS

THAT WERE GOOD FOR THEM,

BUT THEN I NOTICED AN INCREASE IN LINDSEY'S WEIGHT,

AND I THINK THAT WAS BECAUSE HER DAD

BROUGHT HER HOME CANDY BARS AND ICE CREAM OR PIZZA,

AND SHE THOUGHT, "WELL, IF HE DOESN'T CARE,

I DON'T CARE, SO I'M JUST GONNA EAT."

Lindsey: ALL OUR EATING AT THAT AGE WAS MORE MY DAD'S INFLUENCE.

HE TAUGHT ME ALL THE BAD HABITS

BECAUSE FEEDING ME AND MY YOUNGER BROTHER

WAS HOW HE SHOWED HE LOVED US.

LINDSEY'S LIKE ME. IF SHE WANTS TO EAT, SHE'LL EAT.

AND I REALLY BELIEVED THAT SHE PICKED UP ON MY BAD HABITS.

Lindsey: SO, AS I GOT OLDER, I KEPT GAINING

AND PUT ON ANOTHER 100 POUNDS BY THE TIME I WAS 10.

THAT'S WHEN A LOT OF THINGS CHANGED FOR ME

BECAUSE THAT'S WHEN MY DAD TRIED TO KILL HIMSELF.

HE TOOK A WHOLE BUNCH OF SLEEPING PILLS.

HE WAS DIAGNOSED WITH DEPRESSION,

AND AT THE TIME, WE DIDN'T KNOW IT,

BUT HIS DEPRESSION WAS COMING FROM JUGGLING WOMEN.

HE WAS HAVING MULTIPLE AFFAIRS,

AND THE STRESS OF IT ALL WAS GETTING TO HIM.

SO MY PARENTS GOT A DIVORCE,

AND MY DAD WENT FROM THIS SAFE, FUN PERSON

WHO MADE ME FEEL LOVED

TO THIS ALMOST COMPLETELY NEGATIVE FORCE IN MY LIFE,

AND HE DIDN'T WASTE ANY TIME DOING MORE TO HURT US

BECAUSE MY DAD,

AS SOON AS THE INK DRIED FROM MY MOM'S DIVORCE PAPERS,

WENT TO THE COURTHOUSE AND MARRIED HIS MISTRESS.

HE JUST MOVED ON WITH THE NEW FAMILY INSTANTLY --

LIKE WE NEVER EVEN MATTERED.

AND THAT HURT A LOT.

BUT IT WAS NOTHING COMPARED TO WHAT HE DID TO ME NEXT.

I HAD GOTTEN A JOB AT A FAST-FOOD RESTAURANT,

WHICH DIDN'T HELP WITH MY EATING HABITS.

SO BY THE TIME I WAS 18, I WAS UP TO JUST OVER 380.

BUT WHEN I WAS 19, I FINALLY SAVED UP ENOUGH TO BUY A TRUCK.

AND MY DAD, HE STOLE MY TRUCK 'CAUSE HE HAS MADE UP HIS MIND

THAT HE IS LEAVING WIFE NUMBER TWO

TO MOVE TO MISSOURI WITH THIS NEW WOMAN,

WIFE NUMBER THREE.

THAT'S WHEN I SHOULD'VE LEARNED NEVER TO TRUST HIM AGAIN.

BUT IT'S HARD TO LEARN THAT LESSON WHEN IT'S YOUR FATHER.

SO I JUST BURIED ALL THAT PAIN AND EMOTION IN FOOD

AND KEPT EATING,

AND SO I WAS STILL GAINING A LOT.

I HADN'T EVEN HIT 20 BEFORE I WAS OVER 400,

BUT I WAS STILL GETTING AROUND AND ABLE TO DO THINGS

AND HAD DECIDED TO START COLLEGE.

SO, I WAS GETTING READY TO GO TO COMMUNITY COLLEGE

IN BURLINGTON, IOWA,

AND MY DAD CONVINCES ME TO MOVE TO MISSOURI.

HE TOLD ME WE CAN WORK ON OUR RELATIONSHIP

AND THAT HE WAS SORRY,

EVEN THOUGH HE SOLD MY TRUCK AND KEPT THE CASH.

AND HE MADE IT SOUND LIKE IT WAS GOING TO BE A TON OF FUN

BEING BACK WITH HIM AGAIN.

BUT IT DIDN'T TURN OUT THAT WAY.

HAVING TO DEAL WITH MY FATHER AND HIS THIRD WIFE

CONSTANTLY ARGUING AND SCREAMING AT EACH OTHER,

I STARTED HAVING THESE SEVERE PANIC ATTACKS.

THE ONLY THING THAT COULD REALLY CALM ME DOWN WAS FOOD.

SO I JUST KEPT EATING, AND I PUT UP WITH THAT SITUATION

WITH MY FATHER IN MISSOURI FOR A COUPLE OF YEARS

UNTIL ONE OF MY CHILDHOOD FRIENDS, MELISSA,

HELPED ME LEAVE AND GO BACK HOME TO IOWA.

AND IT WAS ALMOST LIKE I NEVER LEFT

BECAUSE I WAS ABLE TO GET MY OLD JOB BACK.

SO, MY WEIGHT GAIN STILL DIDN'T SLOW DOWN

BECAUSE I WAS JUST CONSTANTLY EATING FAST FOOD THEN.

AND FOR THE FIRST TIME IN MY LIFE,

I WAS ON MY OWN -- AT LEAST FOR THE NEXT YEAR OR SO --

UNTIL I STARTED DATING SOMEONE

AND HAD MY FIRST BOYFRIEND IN MY MID-TWENTIES.

AND IT WAS EXCITING FOR ME, BUT IT WAS THE WORST THING

THAT COULD HAVE HAPPENED FOR WEIGHT GAIN.

BECAUSE NOW I WAS GETTING CLOSE TO BEING OVER 500 POUNDS,

BUT MY BOYFRIEND WANTED ME TO KEEP GETTING EVEN BIGGER.

HE WAS FEEDING ME. HE WAS MAKING ME BIGGER.

HE WAS LIKE, "OH, YOU WANT SECONDS? DO YOU WANT THIRDS?"

HE WANTED ME TO BE THE BIGGEST I COULD BE.

SO I KEPT GAINING, BUT OVER THE NEXT FEW YEARS,

THINGS STARTED TO CHANGE.

AND HE GOT REALLY ABUSIVE,

AND HE STARTED BEATING ME UP WHEN HE WAS UPSET.

AND AS TIME WENT ON, IT GOT WORSE TILL IT HIT A POINT

WHERE HE ALMOST KILLED ME WHEN I WAS 29.

HE JUST BEAT THE CRAP OUT OF ME -- ME AND MY DOG --

BUT I MANAGED TO CALL THE POLICE.

HE WENT TO JAIL, AND I PACKED UP AND SAID

I AM MOVING TO IOWA CITY.

SO, I WAS 30 -- IN BETWEEN 550 AND 560 POUNDS THEN --

AND ON MY OWN AGAIN.

AND I DECIDED I HAD TO START TO CHANGE MY LIFE FOR THE BETTER.

I WAS ALL ABOUT GETTING HEALTHY, AND ABOUT A YEAR LATER,

I HAD THE GASTRIC SLEEVE DONE.

IT WAS GREAT. IT WAS --

I STARTED DROPPING WEIGHT LIKE REALLY FAST.

AND OVER THE NEXT FEW YEARS, I LOST MORE THAN 200 POUNDS

AND GOT DOWN TO THE LOW 300's BY THE TIME I WAS 33.

AFTER THREE YEARS,

I SLOWLY STARTED GAINING EVERYTHING BACK.

BUT THE BEST THING THAT HAPPENED TO ME WITH MY WEIGHT LOSS

AND WHAT MADE IT ALL WORTH IT

WAS THE CONFIDENCE I HAD WHEN I WAS LOSING...

THAT LED ME TO PUT MYSELF OUT THERE ON A DATING SITE

BECAUSE THAT'S HOW I MET PAUL.

I CAME ACROSS LINDSEY, AND I SAW HER PROFILE,

AND I REALLY LIKED IT, SO WE EXCHANGED PHONE NUMBERS,

AND WE STARTED TALKING,

AND WE EVENTUALLY MET UP WITH EACH OTHER.

I KNEW LINDSEY WAS THE ONE WHEN I FIRST GAZED INTO HER EYES.

I KNEW THAT WAS THE GIRL.

I WAS GONNA SPEND THE REST OF MY LIFE WITH HER.

Lindsey: WE HIT IT OFF RIGHT AWAY,

AND HE DIDN'T CARE THAT I WAS BIG.

SHORTLY AFTER WE STARTED LIVING TOGETHER,

I LEARNED THAT PAUL STRUGGLES WITH ADDICTION, TOO.

AND WITH HIM DRINKING, HE HAS THAT URGE

AND THAT NEED TO HAVE, LIKE, A DRINK.

AND WITH ME BEING AN OVEREATER,

I HAVE THAT URGE AND THAT NEED TO EAT.

IT'S THE SAME THING.

I THINK THAT'S WHY WE GET EACH OTHER

AND WHY WE HAVE SUCH A GOOD RELATIONSHIP AND MARRIAGE NOW,

BUT I WANT HIM TO GET HELP,

AND I KNOW HE WANTS ME TO GET HELP, TOO.

IN THE EIGHT YEARS WE'VE BEEN TOGETHER,

I'VE GAINED AT LEAST 300 POUNDS

TO WHERE I'M 39 AND PROBABLY OVER 600 POUNDS.

I KNOW MY WEIGHT'S OUT OF CONTROL NOW,

BUT THERE'S NOTHING THAT'S GONNA STOP ME

FROM GETTING WHAT I WANT TO EAT.

I KNOW HOW MUCH I EAT FRUSTRATES PAUL,

BUT HE'S STOPPED TRYING TO DO ANYTHING ABOUT IT

BECAUSE HE KNOWS IT WON'T HELP.

WHEN WE FIRST MET, SHE WAS EXTREMELY EXCITED ABOUT LIFE,

BUT NOW LINDSEY JUST EATS OR SLEEPS ALL THE TIME.

SO THAT'S EXTREMELY DIFFICULT.

IT'S NOT THE SAME LINDSEY AND PAUL THAT IT USED TO BE.

Lindsey: I DON'T THINK PAUL UNDERSTANDS WHAT I STRUGGLE WITH.

HE CAN AND SHOULD GIVE UP ALCOHOL.

BUT I CAN'T JUST STOP EATING.

HEY, BABE, CAN YOU GRAB ME A BEER OUT OF THERE?

Lindsey: YEAH.

-THANK YOU. -YEP.

HOW WAS YOUR DAY?

MELISSA CALLED AND SAID SHE'S IN TOWN.

MM-HMM.

AND HER AND A BUNCH OF THE GIRLS WERE GOING TO GO OUT,

AND I TOLD HER THAT I WOULD GO OUT, AND THEN I BAILED.

-WHY? -PAUL, YOU KNOW WHY.

THERE IS NO WAY I CAN DO THAT.

SO, KNOWING SHE LIVES A LONG WAYS AWAY,

WHY DIDN'T YOU JUST TELL HER THAT TO BEGIN WITH?

WELL, TIME SLIPPED AWAY FROM ME, AND THEN

BEFORE I KNEW IT, SHE WAS CALLING AND SAYING

THAT WE'RE ALL MEETING AT THIS RESTAURANT.

I JUST DIDN'T WANT TO GO.

THAT'S KIND OF MESSED UP.

-SHE WAS PRETTY DISAPPOINTED. -I BET SHE WAS.

BUT YOU ALSO UNDERSTAND IT'S JUST NOT ABOUT HER.

IT JUST --

IT JUST SEEMS LIKE TO ME YOU BAIL ON WAY TOO MANY PEOPLE.

YOU DO THAT TO ME ALL THE TIME. LIKE, SOMETIMES YOU'LL PROMISE.

"HEY, WE MIGHT GO FRISBEE GOLFING," OR, YOU KNOW,

"HEY, WE'RE GONNA GO TO THIS GAME."

AND THEN YOU SAY, "I CAN'T DO IT."

AND THEN I JUST...

...GET MAD BECAUSE --

I'M NOT MAD AT YOU.

I'M JUST MAD AT THE SITUATION ON HOW THAT HAPPENS.

BUT I UNDERSTAND.

-DO YOU UNDERSTAND, THOUGH? -NO. ME?

HOW HARD IT IS FOR ME TO EVEN JUST GO OUT THERE?

YOU KNOW WHAT? I DON'T.

'CAUSE YOU'VE NEVER BEEN THIS SIZE. YOU'VE NEVER BEEN...

YOU'RE 100% RIGHT. I DON'T. I DON'T KNOW.

I JUST LIKE THE WAY THAT FOOD MAKES ME FEEL.

I-IT'S KILLING -- IT'S KILLING YOU.

I NEED THINGS TO CHANGE.

Lindsey: I KNOW I'M LETTING FOOD AND MY EATING

DESTROY MY WHOLE LIFE.

NOT JUST MY HEALTH, BUT MY MARRIAGE AND EVERYTHING.

AND I KNOW RIGHT NOW

I DON'T HAVE MUCH OF A FUTURE IF SOMETHING DOESN'T CHANGE.

IF I DON'T LOSE THE WEIGHT,

THEN I'M EITHER GONNA DIE SOON OR LOSE PAUL.

I JUST DON'T WANT HIM TO GET FRUSTRATED

OR REALLY EXHAUSTED TO THE POINT THAT HE LEAVES ME

BECAUSE I KNOW IT DISAPPOINTS HIM.

Paul: SHE'S KILLING HERSELF SLOWLY.

I LOVE HER SO FREAKING MUCH.

BUT I'M WATCHING HER DIE RIGHT IN FRONT OF ME.

IT'S --

AND I FEEL HELPLESS.

Lindsey: I'M DESPERATE AT THIS POINT

BECAUSE I KNOW I CAN'T DO WHAT I NEED ON MY OWN.

I HAVE TO GET HELP BEFORE IT'S TOO LATE.

SO I TOLD PAUL I WANT TO GO TO HOUSTON TO SEE DR. NOW

TO TRY AND GET HIS HELP.

'CAUSE THAT MAY BE THE ONLY OPTION I EVEN HAVE LEFT.

AND IF THIS LAST ATTEMPT TO GET HELP DOESN'T WORK,

THEN I'M JUST GONNA END UP EATING MYSELF TO DEATH.

Lindsey: WE'RE SUPPOSED TO BE ON THE ROAD TO HOUSTON RIGHT NOW

BECAUSE I HAVE AN APPOINTMENT WITH DR. NOW IN A FEW DAYS,

BUT PAUL WAS UP LATE DRINKING, AND HE'S STILL SLEEPING IT OFF

WHEN HE KNEW WE WERE SUPPOSED TO LEAVE EARLY TODAY.

SO I'M JUST GETTING ANXIOUS, AND I'M FRUSTRATED RIGHT NOW

'CAUSE I FEEL LIKE MY LIFE IS HANGING IN THE BALANCE,

AND HE DOESN'T EVEN SEEM TO CARE.

BABE! BABE! GET UP!

-WHAT TIME IS IT?! -IT'S LIKE 11:00!

YOU -- .

WHAT'S UP?

HEY. THE TRIP IS GOING TO TAKE LIKE 15 --

ABOUT 16 HOURS.

OKAY. DO YOU HAVE ANYTHING PACKED?

I DON'T HAVE ANYTHING PACKED YET.

Lindsey: I'M STRESSED ABOUT THIS WHOLE TRIP TO HOUSTON

'CAUSE I DON'T KNOW WHAT KIND OF TOLL IT'S GONNA TAKE ON MY BODY.

AND I THINK THE ONLY WAY I'M GOING TO BE ABLE TO MANAGE IT

IS IF I DO IT IN STAGES,

SO THAT MEANS IT COULD TAKE TWO TO THREE DAYS.

I'M HOPING THAT WE CAN MAKE IT SOONER THAN THAT,

AND I DON'T THINK I CAN BE CRAMMED IN A CAR

FOR MORE THAN EIGHT HOURS IN A DAY

WITHOUT IT GETTING TO BE TOO MUCH FOR ME.

AND PAUL DOESN'T THINK HE CAN DRIVE THE WHOLE TIME STRAIGHT,

SO HE EXPECTS ME TO DO SOME DRIVING, TOO,

AND I DON'T KNOW HOW I'M GONNA BE ABLE TO HANDLE THAT

FOR MORE THAN 10 TO 15 MINUTES AT A TIME.

SO PACING MYSELF IS GOING TO BE REALLY IMPORTANT,

TO MAKE SURE I CAN HANDLE THE WHOLE TRIP.

IS THAT GONNA BE ENOUGH?

Lindsey: YEAH.

OKAY.

ALL THAT'S GONNA FIT IN THAT LITTLE BAG?

PLUS YOUR CLOTHES?

-YEAH. STOP. IT IS. -ALL RIGHT.

JUST HURRY UP. LET'S GO.

ARE YOU SERIOUS?

YOU'RE THE ONE THAT WASTED ALL MORNING SLEEPING, YOU JERK.

-I'M JUST SAYING. -DON'T START WITH ME.

JUST PLEASE HURRY THE UP SO WE CAN GET GOING.

STOP!

Paul: I'M WORRIED ABOUT LINDSEY BEING ABLE TO SIT IN A CAR

FOR A LONG PERIOD OF TIME,

BECAUSE IT COULD REALLY PROBABLY SLOW THE TRIP DOWN,

SO I'M WORRIED ABOUT THAT.

BUT I KNOW THAT THIS TRIP IS EXTREMELY IMPORTANT TO LINDSEY

TO GO DOWN TO HOUSTON,

BECAUSE IF SHE DOESN'T GO TO HOUSTON

AND THIS DOESN'T WORK OUT,

SHE COULD POSSIBLY NOT BE AROUND FOR VERY MUCH LONGER.

I WANT MY WIFE BACK,

AND I WANT MY WIFE TO HAVE HER LIFE BACK.

-READY TO DO THIS? -LET'S GO.

Lindsey: OKAY. I'M COMING.

Lindsey: IF DOING THIS WASN'T SO IMPORTANT

AND THE ONLY CHANCE I REALLY HAD LEFT,

I WOULDN'T EVEN BE CONSIDERING IT.

BUT IF I DON'T GET THIS HELP,

THEN I'M NOT GONNA BE AROUND MUCH LONGER.

SO AS BIG OF A RISK AS THIS IS FOR ME

TO GO OUT ON THE ROAD LIKE THIS,

THE BIGGER RISK IS JUST DOING NOTHING AND WAITING TO DIE.

WE'VE BEEN ON THE ROAD FOR A LITTLE OVER AN HOUR,

AND SO FAR, I'M HOLDING UP OKAY,

BUT I CAN FEEL THE STIFFNESS AND PAIN

STARTING TO SET IN SOME, ESPECIALLY IN MY BACK AND LEGS.

WELCOME TO MISSOURI.

YEAH, SEE YA, IOWA. 15 MORE HOURS LEFT.

HOW YOU FEELING?

SO FAR, I FEEL OKAY-ISH.

MY BACK IS REALLY TIGHT.

MY LEG THAT'S HITTING THE DOOR HERE IS NUMB,

AND SO ARE MY FEET.

BUT IT'S NOTHING A SNACK CAN'T HELP ME WITH.

CAN WE PULL OVER AT THE NEXT STOP?

BECAUSE I'M PRETTY HUNGRY.

WHAT DO YOU NEED, DEAR? WATER?

I NEED FOOD. I'M STARVING.

OKAY. SLICE OF PIZZA AND A KONA AND A WATER OR WHAT?

SURE. YOU KNOW MY -- YOU KNOW WHAT --

GPS: TAKE THE NEXT RIGHT.

SHUT UP, GIRL.

ALL RIGHT.

Lindsey: I'M GONNA NEED ALL THE HELP I CAN GET TO MAKE IT TO HOUSTON

AND PUSH THROUGH THE PAIN,

SO I THINK FAST FOOD IS JUST GONNA HAVE TO BE

A NECESSARY EVIL ON THIS TRIP.

ALL RIGHT. READY TO ROLL?

YEP. ROCK AND ROLL.

ALL RIGHTY.

FOOD HAS ALWAYS HELPED ME GET THROUGH WHATEVER I NEED,

AND WITH MOST OF THE TRIP STILL AHEAD OF US

AND WHAT I'M ALREADY FEELING IN MY BODY,

I KNOW I'M GONNA NEED IT TO GET ME TO HOUSTON.

I JUST HOPE THE PAIN DOESN'T GET MUCH WORSE TOO QUICKLY,

BECAUSE I'M HOPING TO GO FOR AT LEAST ANOTHER SEVEN HOURS TODAY

SO WE CAN MAKE IT HALFWAY THERE.

I FEEL LIKE I AM STUCK IN, LIKE, A SARDINE CAN,

AND I'M REALLY STARTING TO STRUGGLE

BECAUSE I AM IN A LOT OF PAIN RIGHT NOW

AS FAR AS MY BACK GOES.

AND MY LEGS ARE NUMB,

SO MY SCIATIC NERVE IS JUST IS WRECKING ME RIGHT NOW.

Lindsey:

SORRY, BABE. BUT I'M DONE FOR THE DAY.

JUST GET OFF HERE.RIGHT HERE?

YEP. WE HAVE TO STOP AND FIND A PLACE TO REST.

BUT I NEED SOMETHING TO EAT FIRST.

Lindsey: I REALLY DID TRY MY BEST,

BUT FOR THE PAST HOUR, THE PAIN'S BEEN TOO MUCH FOR ME.

IT'S COMING UP RIGHT HERE.

SO I JUST NEED SOMETHING TO EAT,

AND THEN I HAVE TO REST BEFORE I PASS OUT.

ALL RIGHT.

OOH! THEY GOT TENDERLOINS!

I WOULD LIKE A JUMBO TENDERLOIN WITH EVERYTHING ON IT,

ONION RINGS.

AND THEN WHAT DO YOU WANT?

I WILL TAKE A SPICY CHICKEN SANDWICH.

Man: Thank you. Please drive through.

-HI. HERE YOU GO. -HI. THANK YOU VERY MUCH.

THANK YOU.

OH, MY GOD. IT SMELLS LIKE GREASE AND FREEDOM.

I LOVE IT.

Lindsey: THIS IS GONNA TASTE SO GOOD.

THERE'S NOTHING BETTER THAN EATING SOMETHING

AFTER PUSHING YOURSELF HARD AND EARNING YOUR REWARD.

OHH.

OH, MY GOD.

-OHH. -ARE YOU ALL RIGHT?

-ARE YOU GONNA BE OKAY? -HUH?

ARE YOU GONNA BE OKAY GETTING EVERYTHING?

-YEAH. -OKAY.

Paul: I'LL GET THE REST OF THIS STUFF.

ALL RIGHT. WE'RE HERE.

OH, GOD.

Lindsey: OKAY.

Paul: ALL RIGHT. WE MADE IT.

MADE IT.

OHH!

-YOU OKAY? -YEAH, I'M GOOD. I'M GOOD.

-YOU SURE? -YEAH.

OH, MAN.

Paul: ALL RIGHT. I'LL BE BACK.

-I'M GONNA GO PARK THE CAR. -OKAY.

-YOU -- -ALL RIGHT.

Lindsey: I'M IN SO MUCH PAIN RIGHT NOW,

AND I REALLY NEED TO LAY DOWN SOON

OR MY BODY IS GONNA GIVE OUT.

I DON'T KNOW HOW I'M GONNA DO THIS AGAIN TOMORROW.

OHH!

WE DIDN'T EVEN MAKE HALF THE DISTANCE I WANTED TODAY,

BUT IF PAUL HAD GOTTEN UP IN TIME,

I MIGHT HAVE BEEN ABLE TO GET FURTHER BEFORE I HIT MY LIMIT.

OH, WELL.

AHH.

BUT RIGHT NOW I JUST NEED TO REST AND TRY TO RECOVER.

Paul:

ALL RIGHT. I'M BACK. HOW YOU FEELING?

UGH. I MOVED OVER TO THIS CHAIR

SO I CAN HAVE, LIKE, SOME SUPPORT,

BUT MY BACK IS GIVING ME PROBLEMS.

LET ME SEE THIS.

HOLY BUCKETS.

OH, WOW. IT'S HUGE.

OOH.

-KIND ANXIOUS TO SEE IF THIS -- -WHAT HAPPENED?

THEY PUT MAYONNAISE ON IT. OH, WELL.

Lindsey: THIS IS ALL SO MUCH HARDER

THAN I THOUGHT IT WAS GONNA BE, SO I'M SCARED RIGHT NOW

BECAUSE I KNOW I HAVE TO MAKE IT TO HOUSTON.

I JUST REALLY HOPE I HAVE IT IN ME AND I CAN DO THIS.

Lindsey: ME AND PAUL ARE ABOUT TO GET ON THE ROAD TO HOUSTON

FOR THE THIRD AND WHAT I'M HOPING IS OUR LAST DAY

TRYING TO GET THERE.

YESTERDAY WAS EVEN WORSE THAN THE FIRST DAY,

SO MY BODY IS FEELING KIND OF WRECKED,

AND I JUST CAN'T WAIT TO GET THERE AND BE DONE.

WE'RE STILL SIX HOURS AWAY,

BUT MY APPOINTMENT IS IN A LITTLE OVER SEVEN HOURS.

ALL RIGHT.

-HERE GOES NOTHING. -LET'S DO IT.

SO WE'RE NOT GONNA HAVE MUCH TIME TO STOP.

I'M EVEN MORE SORE THAN I WAS YESTERDAY TODAY,

BUT I STILL HAVE TO GO FOR JUST AS LONG,

AND I HAVE TO DO IT WITHOUT FOOD HELPING ME

IF WE'RE GONNA MAKE IT ON TIME.

SO I AM JUST COMPLETELY OVERWHELMED.

BUT AT LEAST PAUL HAS AGREED TO DRIVE THE REST OF THE WAY.

SO MY PLAN IS TO TRY AND SLEEP AS MUCH AS I CAN ON THE ROAD

TO TRY AND MAKE IT GO FASTER FOR ME.

BUT I DON'T KNOW IF I'M GONNA BE ABLE TO DO THAT

BECAUSE IT'S HARD TO TAKE A NAP WHEN YOU'RE IN PAIN.

SO WE'LL SEE HOW THIS GOES.

BUT I'M HOPING WE CAN JUST MAKE IT THERE AS QUICKLY AS POSSIBLE

AND THAT THIS ALL TURNS OUT TO BE WORTH IT.

WE'RE RUNNING A LITTLE BEHIND, BUT THANKFULLY WE'RE HERE.

BEING CRAMMED IN SUCH A SMALL SPACE FOR THREE DAYS

HAS BEEN ABSOLUTELY MISERABLE. SO I'M HAPPY TO FINALLY BE HERE,

BUT I HAVE SO MANY EMOTIONS GOING THROUGH MY MIND.

IT'S ACTUALLY KIND OF SICKENING.

I'M NERVOUS ABOUT MEETING DR. NOW.

I'M SCARED TO HEAR WHAT HE'S GONNA SAY

AND TO FIND OUT IF HE'LL HELP ME OR NOT.

-YOU OKAY? -NO, I'M SORE.

BECAUSE GETTING DR. NOW'S HELP IS THE ONLY HOPE I HAVE LEFT.

THERE YOU GO, BABE.

LINDSEY?

Lindsey: IT'S BEEN A FEW YEARS SINCE I HAD MY WEIGHT CHECKED,

SO I'M NOT REALLY SURE WHAT NUMBER TO EXPECT

ONCE I GET ON THE SCALE.

ALL I KNOW IS THAT, WHATEVER IT IS,

I'D RATHER NOT KNOW IT.

WOW.

THAT NUMBER MAKES ME FEEL GROSS,

AND I'M DEVASTATED THAT I DID LET MY WEIGHT GET UP THAT HIGH

AND THAT I'M STILL SPIRALING OUT OF CONTROL...

EVEN AFTER GETTING A WEIGHT-LOSS SURGERY.

AND I'M ASHAMED OF THAT

AND SCARED TO HEAR WHAT DR. NOW'S GONNA THINK.

-HELLO. -HELLO.

-HOW Y'ALL DOING? -GOOD.

-HI, LINDSEY. I'M DR. NOW. -HI.

I'M GLAD YOU MADE IT HERE.

SO, TELL ME. WHERE ARE YOU COMING FROM?

WE'RE COMING FROM IOWA.

IOWA. ALL RIGHT.

I GUESS YOU WANT TO LOSE SOME WEIGHT.

YEAH. THAT'S RIGHT, YEAH.

BUT IT SAYS HERE IN YOUR CHART

YOU ALREADY HAD WEIGHT-LOSS SURGERY.

YOU HAD A GASTRIC SLEEVE DONE ABOUT EIGHT YEARS AGO.

-MM-HMM. -DIDN'T WORK FOR YOU, HUH?

IT DIDN'T. NOPE.

AND SO NOW MOST LIKELY I KNOW THE WEIGHT-LOSS SURGERY

IS GONNA BE ANOTHER FAILURE FOR YOU.

SO WHAT DO YOU WANT ANOTHER WEIGHT-LOSS SURGERY FOR

IF NOTHING IS GONNA CHANGE?

I WAS JUST HOPING FOR A SECOND CHANCE, I GUESS.

YEAH, BUT YOU DIDN'T DEAL WITH ISSUES

THAT WERE DRIVING YOU TO EAT.

AND FROM WHAT YOU'RE TELLING ME,

YOU GOT TO A POINT AGAIN WHERE YOU DECIDED TO STOP TRYING

AND YOU ATE WHATEVER, WHENEVER YOU FELT LIKE IT.

SO IF YOU STILL FEEL LIKE EATING WHATEVER, WHENEVER,

YOU'RE GONNA BE 600 POUNDS LIKE YOU ARE, OKAY?

SO THIS IS TOTALLY A BEHAVIORAL PROBLEM

THAT IS NOT GONNA BE CORRECTED WITH JUST THE SURGERY.

-OH, OKAY. -OKAY?

EITHER YOU MAKE THE CHOICE TO STOP GIVING IN TO THAT FEELING

AND MAKE A TEMPORARY CHANGE

OR YOU DEAL WITH THE ISSUES BEHIND THAT FEELING, OKAY?

-YEAH. GOT IT. -ALL RIGHT.

SO, WHO ELSE IS IN THE HOUSEHOLD WITH YOU?

MY HUSBAND, PAUL.

OKAY. HE DOESN'T HAVE WEIGHT PROBLEM, HUH?

MNH-MNH. NO.

SO I THINK WE'VE FOUND YOUR ENABLER.

YES.

SO IS HE GIVING YOU FOOD AND ENCOURAGE YOU TO EAT MORE?

UH, NO. NO.

BUT HE BRINGS ME WHATEVER I WANT.

HE DOESN'T LIKE --

HE DOESN'T WANT TO ARGUE WITH YOU OR...?

THAT'S RIGHT. THAT'S RIGHT.

BECAUSE IF HE DOESN'T, THEN YOU'RE GONNA BE MAD OF HIM?

RIGHT. AND HE JUST DOESN'T WANT TO FIGHT, SO...

THAT'S STILL NO EXCUSE TO HELP KILL YOU, OKAY?

SO FROM THIS POINT,

IF YOU WANT TO HELP HER, JUST MANAGE TO SAY "NO."

OKAY. HERE IS WHAT YOU NEED TO DO.

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

HIGH-PROTEIN, LOW-CARB DIET

THAT I WANT YOU TO START IMMEDIATELY.

AND I WANT YOU TO WORK TOWARD EATING ONLY THREE TIMES A DAY.

-OKAY. -AND NO SNACKING.

OKAY.

AND THAT'S GONNA BE FREQUENCY OF YOUR EATING.

IF YOU FOLLOW THAT, YOU SHOULD EASILY BE ABLE

TO LOSE 75 POUNDS OVER THE NEXT TWO MONTHS.

OH, WOW. OKAY.

IF YOU CHANGE YOUR EATING HABIT AND YOU STICK WITH THE PROGRAM,

THEN I WILL APPROVE YOU FOR WEIGHT-LOSS SURGERY, OKAY?

OKAY.

AND THE OTHER THING YOU NEED TO DO

IF WE MOVE AHEAD WITH YOU

IS MOVE DOWN TO HOUSTON FOR AT LEAST A YEAR.

-DO YOU THINK YOU CAN DO THAT? -YES.

OKAY, GOOD, BECAUSE IOWA IS TOO FAR TO TRAVEL BACK AND FORTH

TO BE PART OF THE PROGRAM.

BUT THE LAST THING WE WILL HAVE TO DO

BEFORE WE EVEN KNOW IF IT IS EVEN POSSIBLE TO MOVE AHEAD

WITH ANOTHER WEIGHT-LOSS SURGERY FOR YOU IS TO DO AN ENDOSCOPY.

OKAY.

BECAUSE YOU...STRETCHED YOUR STOMACH BACK OUT

AND UNDID YOUR LAST WEIGHT-LOSS INJURY.

SO I NEED TO SEE WHAT DAMAGE YOU'VE DONE

AND IF THERE IS ANY ISSUE THAT PREVENT US

FROM DOING A REVISION OR FULL BYPASS.

-OKAY. -OKAY?

SO I EXPECT TO SEE YOU BACK HERE IN TWO MONTHS

AND 75 POUNDS LESS, OKAY?

OKAY.

IF YOU NEED ANYTHING BEFORE THEN, YOU MAY CALL.

-OKAY. ALL RIGHT. YEP. -ALL RIGHT.

-THANK YOU. -THANK YOU.

Dr. Nowzaradan: FOR SOMEONE OVER 600 POUNDS,

TURNING THEIR LIFE AROUND AND LOSING ALL THE WEIGHT

THEY NEED IS A DIFFICULT PROCESS,

BUT KEEPING IT OFF FOR THE LONG TERM IS EVEN HARDER.

AND LINDSEY ALREADY FAILED TO DO BOTH

WITH HER FIRST WEIGHT-LOSS SURGERY.

SHE NEVER EVEN GOT CLOSE TO HER TARGET WEIGHT

BEFORE SHE GAINED ALL HER WEIGHT BACK AND GAVE UP.

SO I HAVE SERIOUS CONCERNS ABOUT HER WILLINGNESS

AND ABILITY TO COMMIT TO THE PROGRAM LIKE SHE NEEDS

TO DO THIS AND TRULY TURN HER LIFE AROUND.

Lindsey: IT WAS HARD TO HEAR ALL THE THINGS DR. NOW SAID,

BUT THE IMPORTANT THING IS THAT HE'S GIVING ME A CHANCE.

THAT'S ALL THAT REALLY MATTERS TO ME AT THIS POINT,

AND I'M READY TO DO THIS.

BEFORE THE NEXT FEW DAYS,

MY FOCUS HAS TO BE ON GETTING BACK HOME,

AND I'LL NEED SOME HELP WITH FOOD TO DO THAT.

BUT ONCE I'M BACK, I'M READY TO GIVE THIS MY ALL

AND DO WHATEVER I NEED TO GET ANOTHER WEIGHT-LOSS SURGERY.

Lindsey: SINCE MY FIRST CONSULT WITH DR. NOW,

IT'S BEEN REALLY, REALLY HARD TO FOLLOW THE PLAN

THAT DR. NOW HAS SET OUT FOR ME.

I WAITED TILL I GOT BACK HOME TO MAKE THE CHANGE

TO THE 1,200-CALORIE-A-DAY DIET

BROKEN DOWN INTO ONLY THREE MEALS,

BUT IT JUST HASN'T BEEN EASY.

I FEEL LIKE THE DIET'S BEEN TOO GREAT OF A SHIFT

ALL AT ONE TIME, BECAUSE FOR SO LONG,

I RELY ON FOOD FOR SO MUCH

THAT I DON'T KNOW WHAT I'M GONNA DO

WITH IT NOT BEING A CRUTCH.

AND IF YOU THINK ABOUT IT, I CONSUMED ANYWHERE

BETWEEN 7,000 TO 10,000 CALORIES IN A DAY,

AND I'M DROPPING DOWN TO 1,200.

I MEAN, LIKE, THAT'S A SHOCK TO YOUR SYSTEM.

SO I'M DOING MY BEST TO GET WHERE I NEED,

BUT I'M HAVING TO DO IT IN STAGES

INSTEAD OF JUST MAKING THIS DRASTIC SHIFT.

BUT PAUL'S BEEN PRETTY VOCAL THAT HE DOESN'T AGREE

WITH HOW I'M WORKING TO LOSE THE WEIGHT I NEED.

SO THAT'S MAKING THIS EVEN HARDER FOR ME

TO STICK TO THE DIET AT ALL.

BUT I KNOW WHAT MY BODY NEEDS AND WHAT'S GONNA WORK FOR ME,

AND PAUL'S NOT GONNA GET THAT NO MATTER WHAT.

HE'S NEVER UNDERSTOOD MY STRUGGLE,

AND I DON'T THINK THAT'S GONNA CHANGE ANYTIME SOON.

PAUL! READY!

-THIS LOOKS NICE! -YOU LIKE IT?

ARE YOU FREAKING KIDDING ME? THAT ITALIAN STUFF?

Paul: LINDSEY'S BEEN STRUGGLING WITH THE DIET A LITTLE BIT,

AND WHEN I TRY TO HELP HER, SHE DOESN'T LIKE THAT.

SO WE'RE FIGHTING A LOT,

AND I'M JUST TRYING TO REALIZE

WHAT NEEDS TO HAPPEN.

WHAT DO WE EAT? HOW AND WHEN?

WHY AND WHERE?

I HAVE TRIED TO SAY "NO, LINDSEY," A FEW TIMES,

BUT IT DOESN'T WORK OUT.

THAT'S THE HARDEST PART.

I MIGHT GET CUT OFF,

I'M MIGHT GET RIDICULED, I MIGHT GET YELLED AT,

BUT I WANT LINDSEY TO BE HEALTHY.

I'M JUST GONNA SAY IT. I HAVE TO START SAYING NO.

I AM READY TO START SAYING NO

BECAUSE IF I DON'T START SAYING NO NOW...

THEN I'M GOING TO HAVE TO SAY YES

TO THE FUNERAL DIRECTOR.

WHAT DO YOU THINK? GOOD?

I MEAN, IT'S NOT A CHEESEBURGER, BUT, YEAH, IT IS REALLY GOOD.

Lindsey: THIS IS SO HARD.

IF I'M GONNA STICK TO THE CALORIE LIMIT

I'M TRYING TO STAY AT,

THEN THAT'S THE LAST BIT OF FOOD I CAN HAVE TODAY.

SO THE ONLY THING I CAN THINK OF IS JUST TO GO TO BED

AND TRY AND SLEEP OFF THE HUNGER PAINS.

THE "SLEEP IT OFF" PLAN ISN'T REALLY WORKING.

MY CRAVINGS WON'T GO AWAY, AND THE HUNGER PAINS

ARE MAKING IT HARD FOR ME TO FALL ASLEEP.

BUT I'M THINKING IF I CAN JUST GET A SMALL FIX

OF SOMETHING THAT TASTES GOOD,

THAT MIGHT BE WHAT I NEED FOR ME TO FALL ASLEEP

AND AVOID GIVING IN IN A REALLY BIG WAY.

BABE.

DO WE HAVE ANY SNACKS LEFT?

YEAH, WE DO, BUT, LIKE, DO YOU REALLY WANT TO EAT THOSE SNACKS?

WELL, MY BACK REALLY HURTS AND --

AND I'M SORRY ABOUT THAT. AND I APOLOGIZE YOUR BACK HURTS.

BUT IF YOU START SNACKING NOW, HONEY, LIKE --

CAN YOU JUST PLEASE GO GET IT? I JUST WANT SOME SNACK FOOD.

I PROMISE THAT I WILL TRY HARDER THE NEXT DAY.

WILL YOU PLEASE JUST GO GET IT?

HEY. HOW'S THIS? THERE YOU GO.

EAT YOUR SNACKS. 'CAUSE THIS IS WHAT IT IS.

YOU KNOW WHAT THIS IS RIGHT HERE?

ALL THESE LITTLE THINGS

RIGHT HERE IN THIS BAG IS CONSIDERED DEATH, LINDSEY,

AND YOU'RE KILLING YOURSELF WITH THIS BULL !

AND I'M NOT STICKING AROUND FOR IT!

I'M SERIOUS! EAT 'EM!

COME ON!

EAT DEATH, LINDSEY! EAT DEATH!

Lindsey: PAUL DOESN'T GET HOW HARD THIS IS FOR ME.

"GIVE ME MY SNACKS." JUST ALL DAY.

"GIVE ME MY SNACKS. GIVE ME MY SNACKS."

Lindsey: THIS IS THE HARDEST THING I'VE EVER DONE,

AND I'M TRYING THE BEST I CAN.

I JUST WISH HE COULD SEE THAT AND SUPPORT ME HOW I NEED.

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

PAUL DIDN'T COME DOWN WITH ME THIS TIME.

WE'VE BEEN FIGHTING A LOT LATELY,

AND IT'S REALLY BEEN STRESSING ME OUT A WHOLE LOT.

AND SO I'VE TOLD HIM IF HE CAN'T RESPECT MY PROCESS

AND HOW I NEED TO DO THIS, THEN I DON'T NEED HIS SUPPORT.

SO, MY MOM SAID SHE'D COME WITH ME THIS TIME

AND BE THERE FOR ME SINCE PAUL CLEARLY ISN'T,

BUT NOW THAT I'M HERE AT DR. NOW'S,

SOME OF THE STRESS AND ANXIETY IS COMING BACK

BECAUSE I'M NERVOUS TO SEE HOW I DID WITH MY WEIGHT-LOSS GOAL.

LINDSEY?

AT MY LAST APPOINTMENT TWO MONTHS AGO, I WAS 647.

AND DR. NOW TOLD ME I HAD TO LOSE 75 IN THAT TIME.

SO THAT MEANS I SHOULD BE BELOW 572 POUNDS IF I HIT MY GOAL.

I WORKED REALLY HARD AND THOUGHT I LOST MORE,

SO IT'S UPSETTING TO SEE I DIDN'T,

BUT THAT'S STILL A LOT OF WEIGHT TO LOSE,

AND I'M HOPING THAT IT STILL MAY BE ENOUGH FOR DR. NOW

TO APPROVE ME FOR WEIGHT-LOSS SURGERY.

BECAUSE IT'S CLEAR I'M TRYING

AND I'M AT LEAST HEADED IN THE RIGHT DIRECTION NOW.

-HELLO. -HI.

-HOW Y'ALL DOING? -GOOD.

GOOD. ALL RIGHT, SO, WHO'S WITH YOU TODAY?

-OH, THIS IS MY MOM, MARY. -HI.

-ALL RIGHT. NICE TO MEET YOU. -NICE TO MEET YOU, TOO.

ALL RIGHT, SO, WHERE'S YOUR HUSBAND?

HE HAD, UH, WORK THIS WEEKEND, THE WHOLE WEEKEND,

SO HE COULDN'T MAKE IT.

ALL RIGHT. SO, TODAY YOU'RE ONLY DOWN TO 619.

-YES. -YOU LOST 28 POUNDS.

-YEP. -WHICH MEANS YOU MAYBE

CUT BACK IN A FEW PLACES,

BUT YOU'RE NOWHERE CLOSE TO BEING ON THE DIET I GAVE YOU.

SO YOU WANT TO TELL ME WHY YOU THINK THAT'S GOOD ENOUGH

AND WHAT CHANGES YOU THINK YOU MADE IN YOUR EATING HABIT?

UH, LET'S SEE.

JUST BASICALLY -- WELL, WE TOOK THE 1,200-CALORIE DIET.

AND IF I COULDN'T DO FOUR THREE TIMES A DAY,

I DID SIX TWO TIMES A DAY.

SO WE HAVE A BIG PROBLEM HERE

BECAUSE NONE OF THAT MAKES ANY SENSE.

IF YOU'D BEEN ON 1,200-CALORIE-A-DAY DIET

AND DONE WHAT YOU SAID, YOU WOULD HAVE LOST CLOSER

TO 100 POUNDS IN THE PAST TWO MONTHS, NOT LESS THAN 30.

SO EITHER YOU DON'T REALIZE ALL YOU'RE EATING

OR YOU KNOW AND YOU'RE JUST TRYING TO PRETEND

YOU MADE ALL THE CHANGES YOU SHOULD HAVE.

BECAUSE THE NUMBERS AND THE SCALE DON'T LIE.

SO NO MATTER WHAT EXCUSE OR STORY YOU TELL ME,

I KNOW THE TRUTH.

THE TRUTH IS YOU REALLY DON'T WANT TO CHANGE.

AND I KNOW THAT BECAUSE YOU ALREADY HAD

ONE WEIGHT-LOSS SURGERY AND YOU FAILED IT

BECAUSE YOU DON'T WANT TO GIVE UP THE FOOD

THAT YOU LIKE THAT'S KILLING YOU.

THIS IS A VERY BAD SITUATION WE HAVE WITH YOU,

BUT THE FIRST STEP THAT HAS TO TAKE PLACE

BEFORE ANYTHING WE DO MAKES ANY DIFFERENCE

IS YOU HAVE TO MAKE THE CHOICE TO DO WHAT YOU NEED.

OKAY.

AND SO FAR, YOU'RE NOT SHOWING ME THAT.

UNTIL YOU DO, THERE IS NO NEXT STEP AND WE'RE NOT MOVING AHEAD.

GOT IT.

SO, I'M GIVING YOU THE SAME WEIGHT-LOSS GOAL

AS THE LAST TIME.

LOSE 75 POUNDS OVER THE NEXT TWO MONTHS.

AND IF YOU FAIL THIS,

THEN THERE'S NOTHING ELSE YOU CAN DO.

-RIGHT. -OKAY?

ALL RIGHT. I'LL SEE YOU IN TWO MONTHS.

IF YOU NEED ANYTHING IN THE MEANTIME, GIVE ME A CALL.

SOUNDS GOOD. THANK YOU SO MUCH.

NICE TO SEE YOU. NICE TO MEET YOU.

NICE TO MEET YOU.

ALL RIGHT. Y'ALL TAKE CARE. I'LL SEE YOU LATER.

-OKAY. THANKS. -ALL RIGHT.

Dr. Nowzaradan: BECAUSE OF HER HISTORY WITH HAVING FAILED

A WEIGHT-LOSS SURGERY, MY BIG CONCERN FOR LINDSEY

WAS THAT SHE WAS LIKELY NOT GOING TO TAKE HER SITUATION

AS SERIOUSLY AS SHE NEEDS,

AND, UNFORTUNATELY, THAT IS TURNING OUT

TO BE EXACTLY THE CASE

BECAUSE SHE STILL WANTS SOMEONE ELSE TO DO

ALL THE HARD WORK FOR HER.

AND UNLESS SAVING HER LIFE

BECOMES MORE IMPORTANT TO HER THAN HER COMFORT IN FOOD

TO WHERE SHE STARTS MAKING THE CHOICES

SHE NEEDS ON HER OWN,

THERE IS NOTHING ANYONE CAN DO FOR HER TO HELP HER.

Lindsey: I CAN'T SAY I DON'T UNDERSTAND WHERE DR. NOW IS COMING FROM.

IF I'M GONNA DO HIS PROGRAM, HE SAYS

I'LL HAVE TO BE DOWN HERE IN HOUSTON LONGER-TERM,

AND I TALKED TO PAUL ABOUT THAT THE LAST TIME WE WERE HERE.

AT FIRST, HE WAS ON BOARD,

BUT NOW HE DOESN'T THINK HE CAN DO IT.

SO WHAT I'M THINKING IS, IF I WENT AHEAD

AND MOVED DOWN HERE ON MY OWN FOR A WHILE,

THAT MIGHT SHOW DR. NOW HOW COMMITTED AND READY I AM.

IT'D ALSO HELP GIVE ME AND PAUL SOME SPACE FOR A WHILE.

BUT DOING THAT WOULD BE REALLY SCARY

BECAUSE I'VE NEVER LIVED ON MY OWN.

BUT I'M RUNNING OUT OF TIME,

SO I NEED TO DO EVERYTHING I CAN TO GET ALL THE WAY TO MY GOAL,

NO MATTER WHAT IT TAKES.

Lindsey: IT'S BEEN A FEW WEEKS SINCE MY LAST APPOINTMENT WITH DR. NOW,

AND THIS TIME I'VE BEEN TRYING TO TAKE A DIFFERENT APPROACH

TO MY WEIGHT LOSS,

SO I'M GIVING MYSELF VERY SMALL CHEAT DAYS TWICE A WEEK

WHERE I ALLOW MYSELF TO EAT AN EXTRA SNACK OR TWO,

AND THAT HELPS ME SATISFY AND DEAL WITH MY CRAVINGS.

SO I FEEL LIKE IT'S WORKING WELL

BECAUSE I CAN FEEL MYSELF GETTING SMALLER

AND I HAVE ALL THIS ENERGY NOW

WHERE I CAN GET AROUND A LOT EASIER.

SO I KNOW I'M MAKING GOOD PROGRESS THIS TIME,

AND I'M CONFIDENT I'M GONNA BE ABLE TO HIT MY GOAL

BY MY NEXT APPOINTMENT WITH DR. NOW.

AND I'VE EVEN BEEN TALKING TO PAUL

ABOUT US MAKING THE MOVE TO HOUSTON.

DR. NOW SAYS I HAVE TO BE DOWN THERE FOR AT LEAST A YEAR

IF I'M GOING TO DO HIS PROGRAM,

AND I'M PLANNING ON GETTING APPROVED AT MY NEXT APPOINTMENT,

BUT TRYING TO TALK SPECIFICS WITH PAUL

HAS BEEN A LITTLE FRUSTRATING,

PARTLY BECAUSE OF HOW MUCH WE'VE BEEN FIGHTING,

BUT HE TOLD ME THAT WE CAN TALK TODAY

WHEN HE GETS HOME FROM WORK, SO I'M EXCITED ABOUT THAT.

-HI, BABE. -WHAT'S UP?

WHAT'S GOING ON?

NOTHING. JUST DOING SOME CLEANING.

HMM.

-HOW WAS YOUR DAY? -OH, IT WAS PRETTY GOOD.

YOU WANT TO SIT DOWN

AND WE CAN TALK ABOUT GOING TO HOUSTON?

Paul: UH, YEAH.

I WISH I COULD BE THERE WITH YOU,

BUT, FINANCIALLY, IT DOESN'T MAKE SENSE.

BABE, I CAN'T MOVE DOWN TO HOUSTON.

JUST -- I CAN'T.

DO YOU UNDERSTAND

THAT I'M, LIKE, REALLY WORRIED ABOUT YOU, THOUGH?

I'M GONNA GO DOWN, AND I'M GONNA GO IN THE RIGHT DIRECTION.

WHAT ARE YOUGONNA DO?

ARE YOU GONNA BE OKAY WITHOUT ME?

NO. OF COURSE, I WOULDN'T BE OKAY WITHOUT YOU

BECAUSE I LOVE YOU AND YOU'RE MY WIFE,

BUT IT'S NOT ABOUT ME.

THIS IS ABOUT YOU AND WHAT YOU DO WITH YOURLIFE,

AND I NEVER HOLD YOU BACK FROM ANYTHING --

NEVER HAVE AND I NEVER WILL -- BECAUSE I LOVE YOU.

...I LOVE YOU, TOO.

NOW GET YOUR ASS DOWN TO TEXAS.

I'M JUST TIRED OF TALKING ABOUT THIS RIGHT NOW.

I'M JUST GONNA GO HEAD TO BED. I LOVE YOU.

-LET ME GET A KISS REAL QUICK. -LOVE YOU.

LOVE YOU, TOO. GOOD NIGHT.

Lindsey: A PART OF ME EXPECTED THIS FROM PAUL,

BUT IF HE CAN'T BE THERE FOR ME,

I STILL HAVE TO DO WHAT I NEED TO SAVE MY LIFE.

I DON'T KNOW HOW I'M GONNA DO IT,

BUT I HAVE TO FIGURE IT OUT.

THIS PAST MONTH HAS BEEN A LITTLE STRESSFUL

BECAUSE I'VE BEEN TRYING TO FIGURE OUT A LOT,

BUT I HAVEN'T LET IT GET TO ME AND MESS WITH MY DIET AT ALL.

I'VE STILL BEEN STICKING WITH IT

EXCEPT FOR MY CHEAT DAYS HERE AND THERE.

BUT I KNOW I'M STILL MAKING GOOD PROGRESS

AND FEEL LIKE I'M STAYING ON TRACK WITH THAT.

SO I'M STILL CONFIDENT I'LL BE ABLE TO GET MY SURGERY APPROVAL

WHEN I GO BACK DOWN TO SEE DR. NOW

FOR MY NEXT APPOINTMENT.

I WAS SUPPOSED TO GO BACK DOWN LAST WEEK,

BUT I HAD TO RESCHEDULE IT

BECAUSE I'M TRYING TO MAKE THE MOVE DOWN TO HOUSTON

TO BE READY FOR SURGERY, AND I'VE BEEN LOOKING ONLINE

FOR A PLACE IN HOUSTON I CAN RENT.

I ACTUALLY FOUND SOMEONE THAT SAYS

I MIGHT BE ABLE TO RENT A ROOM FROM THEM.

HER NAME IS IRENE, AND SHE HAD WEIGHT-LOSS SURGERY, TOO.

SO, WE'VE BEEN TALKING, AND IF SHE LETS ME RENT A ROOM

IN HER HOUSE, THEN MY PLAN IS GOING TO BE TO MOVE IN WITH HER

FOR THE NEXT YEAR TO DO DR. NOW'S PROGRAM.

AND IRENE AND I HAVE REALLY CLICKED SO FAR,

BUT I'M STILL WAITING ON HER TO LET ME KNOW

IF SHE CAN RENT THE ROOM OR NOT.

SHE SAID SHE JUST HAD TO CHECK ON SOME THINGS

AND THAT SHE'S GONNA LET ME KNOW IF I CAN OR NOT,

AND I'M REALLY HOPING IT WORKS OUT.

-HELLO! -Hey, there

HOW ARE YOU?

I'm doing good. How are you?

GOOD, GOOD.

So, I was thinking, and I wanted to offer you

my room in the house.

I think it'll be a good fit.

OKAY. OKAY. OH, MY GOODNESS, THIS IS AMAZING. THANK YOU.

I'll send you the e-mail here shortly...

OKAY.

...with the picture. Then just let me know.

ALL RIGHT. SOUNDS GOOD. ALL RIGHT. WE'LL TALK SOON.

-Okay. -ALL RIGHT.

-Talk to you later. Bye. -ALL RIGHT. BYE-BYE.

Lindsey: I STILL DON'T LIKE THE IDEA

OF MOVING DOWN TO HOUSTON WITHOUT PAUL,

BUT FOR THE FIRST TIME SINCE MY CONVERSATION WITH HIM,

I HAVE AN OPTION I CAN SEE MYSELF DOING.

SO HOPEFULLY I CAN MOVE IN WITH IRENE

BEFORE MY NEXT APPOINTMENT WITH DR. NOW IN A FEW WEEKS

SO I CAN SHOW HIM ALL MY PROGRESS.

AND SO THERE'S NOTHING STANDING IN THE WAY

OF ME BEING ABLE TO GET WEIGHT-LOSS SURGERY.

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

ABOUT A WEEK AND A HALF AGO, I MOVED IN WITH IRENE.

I STILL HAVE A LOT OF MY BIGGER THINGS TO BRING DOWN FROM IOWA,

BUT I'M STAYING AT IRENE'S NOW,

SO I'M GLAD TO HAVE FIGURED OUT MY LIVING SITUATION

AND TO HAVE A ROOMMATE LIKE IRENE.

SHE'S BEEN A LOT OF FUN AND SUPPORTIVE OF MY JOURNEY,

WHICH I REALLY APPRECIATE.

SHE'S EVEN DRIVING ME TO DR. NOW TODAY.

I DON'T LIKE BEING AWAY FROM PAUL AT ALL,

AND EVEN JUST THIS SHORT TIME HAS BEEN HARD,

BUT I KEEP REMINDING MYSELF

THIS IS SO WE CAN BOTH HAVE A FUTURE TOGETHER.

AND RIGHT NOW I JUST HAVE TO FOCUS

ON LOSING THE WEIGHT TO DO THAT WHILE HE WORKS ON GETTING SOBER.

LINDSEY?

I'VE BEEN WORKING REALLY HARD, SO I'M CONFIDENT

I'M GONNA HAVE A BIG WEIGHT LOSS TODAY.

AND SO THAT, COMBINED WITH MY MOVE DOWN HERE,

MEANS THAT THERE SHOULD BE NOTHING STANDING IN THE WAY

OF ME GETTING APPROVED FOR WEIGHT-LOSS SURGERY.

SO I'M REALLY EXCITED, AND I CAN'T WAIT.

Lindsey: ME AND IRENE ARE AT DR. NOW'S

FOR MY NEXT APPOINTMENT

AND TO FIND OUT IF I HIT MY WEIGHT-LOSS GOAL

SO I CAN GET APPROVED FOR SURGERY,

AND I'M CONFIDENT I'M GONNA HAVE A BIG LOSS.

AT MY LAST APPOINTMENT THREE MONTHS AGO,

I WAS DOWN TO 619,

AND DR. NOW TOLD ME I HAD TO LOSE 75 POUNDS.

SO THAT MEANS I HAVE TO AT LEAST BE DOWN TO 544,

BUT I'M HOPING I LOST EVEN MORE THAN THAT.

MNH-MNH. NOT VERY GOOD.

OKAY.

THAT CAN'T BE POSSIBLE.

SO I'M SHOCKED AND DISCOURAGED RIGHT NOW,

AND I REALLY DON'T KNOW WHAT TO THINK.

-HELLO. -HI.

-HOW Y'ALL DOING? -GOOD.

-GOOD, THANK YOU. -GOOD.

ALL RIGHT. SO, I SEE YOU HAVE SOMEONE NEW WITH YOU TODAY.

WHO IS THIS YOUNG LADY TO WITNESS YOUR EATING HABITS?

-THIS IS MY FRIEND IRENE. -OKAY.

WE MET ONLINE, AND SHE'S GONNA BE MY ROOMMATE HERE IN HOUSTON

BECAUSE MY HUSBAND CAN'T COME WITH ME.

SO I WAS PLANNING ON MOVING IN WITH HER BECAUSE, I MEAN,

TO BE HONEST, I THOUGHT I WOULD GET APPROVED TODAY

AND NEEDED TO MOVE DOWN FOR SURGERY.

BUT I'M GUESSING THAT MIGHT NOT HAPPEN NOW

SINCE I DIDN'T MAKE MY GOAL.

I SEE THAT.

AND YOU ARE CORRECT ABOUT NOT GETTING APPROVED TODAY.

BECAUSE YOU'RE NOWHERE NEAR WHERE YOU SHOULD BE.

I KNOW. YEP.

SO YOU WANTED TO TELL ME MORE EXCUSES AND STORIES

OR YOU WANT TO TELL ME THE TRUTH THIS TIME

FOR WHY YOU'RE NOT LOSING LIKE YOU NEED?

I JUST HAVE REALLY NOT BEEN STICKING TO YOUR DIET

AND KIND OF SPLURGING

ON SPECIALTY COFFEE DRINKS AND DANISHES AND STUFF.

AND, YOU KNOW, PEOPLE THAT FAIL ONE OPERATION,

THEY HAVE A 95% THEY'RE GONNA FAIL

THEIR SECOND OPERATION, AS WELL.

BECAUSE THEY EXPECT THAT SURGERY MAGICALLY MAKE YOU LOSE WEIGHT.

BUT THAT'S NOT GONNA HAPPEN.

SURGERY IS A TOOL THAT WILL NEVER WORK

IF YOU DON'T WORK AT IT.

YOU FOLLOW WHAT I'M SAYING?YEAH.

ALL RIGHT. SO, YOU KNOW, YOU GOT ALL THE INGREDIENTS

OF THERE BEING A FAILURE FOR A SECOND OPERATION, AS WELL.

SO RIGHT NOW YOU KNOW WE'RE CLOSE

TO GETTING WEIGHT-LOSS SURGERY AGAIN.

SO YOU MOVED DOWN HERE TOO EARLY

BECAUSE RIGHT NOW THIS ISN'T LOOKING GOOD FOR YOU.

OKAY.

SO, WHAT DO YOU THINK YOU'RE GONNA DO FROM THIS POINT?

YOU GONNA EAT YOURSELF TO DEATH

OR ARE YOU GONNA CHANGE YOUR EATING HABIT?

NO, I'M DEFINITELY GONNA CHANGE MY EATING HABITS.

OKAY. THEN SHOW ME. BECAUSE YOU'RE RUNNING OUT OF TIME.

AND I'M ONLY GONNA GIVE YOU ONE MORE CHANCE.

BUT IF YOU GO BACK AND DO THE SAME THING AS YOU HAVE BEEN,

THEN DON'T BOTHER COMING BACK

BECAUSE I'M NOT INTERESTED IN PLAYING ANY MORE GAMES.

SO WHEN YOU THINK YOU'RE READY TO SHOW ME YOUR PROGRESS,

YOU CAN CALL AND SET UP YOUR APPOINTMENT

BECAUSE I'M NOT SCHEDULING ONE FOR YOU RIGHT NOW.

OKAY.

AND, SO, HERE'S HOW THIS IS GONNA WORK.

YOU READY FOR IT?

FOR EVERY MONTH THAT PASSES FROM HERE,

I WANT YOU TO HAVE LOST AT LEAST 35 POUNDS.

OKAY.

SO A LITTLE LESS THAN YOUR GOAL NOW.

ALL RIGHT.

BUT IF YOU GO MORE THAN FOUR MONTHS FROM TODAY,

THEN DON'T BOTHER SETTING UP YOUR APPOINTMENT

BECAUSE THERE IS NO WAY YOU'RE GONNA LOSE

THAT AMOUNT OF WEIGHT ON YOUR OWN,

AND I DON'T HAVE TIME FOR MORE GAMES WITH YOU.

YOU GOT THAT? OKAY. GOT IT.

OKAY. IF YOU NEED ANYTHING, GIVE ME A CALL.

-OKAY. -OKAY?

-OKAY. -ALL RIGHT.

-THANK YOU. -OKAY.

UNFORTUNATELY, LINDSEY IS STILL CHOOSING

TO PLAY THE SAME GAMES SHE PLAYED FOR A DECADE NOW,

AND AS LONG AS SHE DOES THAT,

THERE IS NOTHING WE CAN DO TO HELP HER.

SHE CAN EITHER WAKE UP AND DO WHAT SHE NEED

OR SHE LOSES HER LAST CHANCE TO LIVE.

Lindsey: I GOT A LOT OF EMOTIONS RUNNING THROUGH ME RIGHT NOW.

I'M EMBARRASSED AND UPSET AND CONFUSED

BECAUSE I THOUGHT I WAS DOING SO WELL.

BUT MOSTLY I JUST FEEL DEFEATED AND SCARED BECAUSE I NEED THIS.

SO MY PLAN IS TO GO FIGURE IT OUT.

THAT'S REALLY MY ONLY OPTION, EVEN THOUGH I DON'T SEE

WHAT MORE I CAN DO RIGHT NOW.

I DECIDED SINCE I'M NOT GETTING THE SURGERY RIGHT NOW

TO HEAD BACK TO IOWA FOR A WHILE TO BE WITH PAUL.

BUT I HAVEN'T TOLD HIM I WASN'T APPROVED

FOR WEIGHT-LOSS SURGERY.

I'M JUST EMBARRASSED I DIDN'T GET IT,

SO I'M NOT LOOKING FORWARD TO HAVING TO TELL HIM ABOUT IT.

THERE ARE SOME THINGS I CAN BE PROUD OF --

BECAUSE I'VE LOST 50 POUNDS AND I CAN GET AROUND EASIER.

BUT I KNOW I'M NOT MAKING ALL THE PROGRESS I SHOULD BE,

AND THAT'S EMBARRASSING TO ADMIT AND HAVE TO TALK ABOUT.

BABE? HI, PUPPY.

OHH! HOLY !

WHAT ARE YOU DOING?!

YOU'RE NOT --

YEAH. WHAT ARE YOU DOING?!

UGH. IT'S BEEN -- IT'S BEEN HARD.

WHAT ARE YOU TALK--

I HAD A REALLY BAD, UM, WEIGH-IN.

W-WHAT DO YOU MEAN, LIKE A REALLY BAD WEIGH-IN?

WELL, I MEAN, I WAS SUPPOSED TO --

I WAS SUPPOSED TO LOSE 75 POUNDS IN TWO MONTHS.

OKAY.

AND, UM, I ENDED UP ONLY LOSING 20.

HE DIDN'T APPROVE ME OR SURGERY, SO...

I'M JUST REALLY DISAPPOINTED IN MYSELF.

I JUST FEEL LIKE A FAILURE AGAIN.

I DON'T EVEN KNOW IF I CAN GO BACK TO HOUSTON.

YOU'RE GONNA HAVE TO.

BECAUSE I GOT A BUDDY OF MINE

WHO CAN MOVE IN WITH US WITH --

YOU KNOW, RENT THE ROOM OUT FOR A LITTLE BIT OF EXTRA CASH

OR WHATEVER

TO HELP ALLEVIATE SOME OF THE BILLS THAT WE HAVE.

BUT YOU DIDN'T TELL ME YOU WERE DOING THAT.

AND YOU KNOW WHAT? YOU DID NOT TELL ME

THAT YOU WERE COMING BACK.

A HEADS-UP WOULD HAVE BEEN NICE.

AND I WAS GONNA SURPRISE YOU WITH THAT LATER ON.

SAYING, "HEY, BABE, HAVE A ROOMMATE,

AND WE HAVE EXTRA MONEY COMING IN."

SO YOU'RE BASICALLY JUST SHOVING ME BACK DOWN THERE.

I'M NOT SHOVING YOU BACK ANYWHERE.

THAT'S WHERE YOU WANT TO GO BECAUSE THAT'S YOUR GOAL, RIGHT?

IS IT NOT?

THERE'S NO POINT OF ME MOVING DOWN TO HOUSTON

IF I'M GOING TO FAIL.

WELL, YOU'RE NOT GOING TO FAIL.

LISTEN TO YOURSELF. WHAT DID YOU SAY --

I HAD MY CHANCE ALREADY, AND I THAT UP!

I HAVE TWO MONTHS TO HIT MY GOAL.

TWO MONTHS. AND IF I DON'T HIT IT, I DON'T GET SURGERY.

SO, WHAT ARE YOU GOING TO DO THEN?

I DON'T KNOW.

IT'S UP TO YOU.

Lindsey: I'M SO DISCOURAGED,

AND I FEEL REALLY LOST RIGHT NOW.

AND ONCE AGAIN, I DON'T FEEL LIKE PAUL UNDERSTANDS

WHAT I'M GOING THROUGH AND DEALING WITH.

I JUST FEEL LIKE EVERYTHING'S STARTING TO FALL APART,

AND I DON'T KNOW WHAT TO DO OR WHERE TO EVEN GO RIGHT NOW.

ALL I KNOW IS IF I DON'T DO WHAT I NEED

AND FIGURE OUT HOW TO HIT MY GOAL,

THEN I LOSE EVERYTHING.

Lindsey: I'VE BEEN BACK UP IN IOWA FOR A FEW WEEKS,

AND THE ROOMMATE PAUL SET UP TO LIVE HERE

WHILE I WAS SUPPOSED TO BE IN HOUSTON IS MOVING IN.

SO I GUESS IT'S TIME FOR ME TO GO BACK DOWN TO HOUSTON

BECAUSE I'M NOT LIVING HERE WITH ANOTHER PERSON.

SO I'M PACKING UP THE REST OF THE STUFF

I DIDN'T TAKE WITH ME THE FIRST TIME.

AND THEN WHEN PAUL COMES HOME, I'M SAYING BYE

AND HEADING DOWN TO HOUSTON TO LIVE THERE FOR THE NEXT YEAR...

BUT ONLY IF I GET APPROVED FOR THE SURGERY.

IF I DON'T, THEN I GUESS WE'LL HAVE TO FIGURE SOMETHING OUT,

BECAUSE I'M NOT STAYING IN HOUSTON

IF I'M OFF DR. NOW'S PROGRAM AND THERE'S NO POINT.

BUT I'M NOT LIVING WITH A ROOMMATE HERE, EITHER.

SO THIS IS ALL A WEIRD AND STUPID SITUATION.

PLUS, WITH ALL THE STRESS OF ME AND PAUL FIGHTING,

IT'S MAKING IT HARD TO FOCUS ON THE DIET AND DOING WHAT I NEED.

SO I KNOW I NEED TO FIGURE OUT

HOW I CAN BE COMPLETELY DEDICATED

TO DOING WHAT I NEED NOW AND NOT WASTING ANY MORE TIME

BECAUSE I ONLY HAVE FOUR MONTHS TO DO IT AT MOST

BEFORE DR. NOW SAID I'M DONE.

AND THE LONGER IT TAKES ME, THE MORE I HAVE TO LOSE,

AND I'M HOPING HAVING SOMEONE LIKE IRENE TO LIVE WITH,

WHO CAN GIVE ME THE SUPPORT I NEED, WILL HELP ME DO THAT

BECAUSE I'M NOT GETTING ANY OF THAT FROM PAUL RIGHT NOW.

-IS THAT IT? -THAT'S PRETTY MUCH IT.

THAT'S PRETTY MUCH ALL YOU HAVE LEFT, ANYWAYS.

THANKS FOR HELPING ME.

SO, HOW DO YOU FEEL ABOUT GOING TO TEXAS ON YOUR OWN?

I'M GONNA MISS YOU, AND I'M GONNA MISS THE PETS.

BUT YOU CAN COME VISIT.

-OH, I'M GONNA COME VISIT. -YEAH.

BUT IT'S -- EVERYTHING'S GONNA BE FINE.

THANKS, HONEY. THAT MEANS A LOT.

-ALL RIGHT. -ALL RIGHT. LET'S GO.

-IS THAT IT? -YEP.

-YOU SURE? -HM, YES.

ALL RIGHT.

-YEP. -ALL RIGHT.

Lindsey: I GET THERE'S NO MORE TIME FOR EXCUSES

AND JUSTIFICATIONS FOR MY BAD CHOICES.

I KNOW I HAVE TO BE ALL-IN,

AND I'M FINALLY READY TO DO THAT.

SO I'M GOING DOWN TO FIGHT FOR MY LIFE.

I'VE BEEN BACK IN HOUSTON

LIVING WITH IRENE FOR THE PAST MONTH,

AND I FEEL LIKE THINGS HAVE BEEN GOING REALLY WELL

THANKS TO HER HELP.

WITH HER EXPERIENCE FROM HER OWN WEIGHT-LOSS SURGERY,

SHE'S BEEN ABLE TO HELP ME WITH MEAL OPTIONS

AND SHE'S BEEN HELPING ME STAY ON TRACK WITH MY EXERCISE, TOO.

SO TO HAVE SOMEONE WHO UNDERSTANDS

WHAT I'M GOING THROUGH HAS HELPED ME TREMENDOUSLY.

SO I FEEL LIKE I'VE BEEN ABLE TO STAY MOTIVATED

AND FOCUSED LIKE I NEED.

SO, HOW DOES IT FEEL THAT NOW YOU'RE STANDING

AND DON'T NEED A CHAIR?

I'M KIND OF LIKE -- NOW I'M FIDGETY.

I DON'T KNOW. I DON'T KNOW WHAT TO DO.

DID YOU COOK EVERY TIME WITH THE CHAIR?

EVERY TIME. YEAH.

ISN'T THAT SOMETHING?

YEAH. ALL RIGHT. I THINK WE'RE DONE.

THE ONLY DISTRACTION I'VE HAD HAS BEEN PAUL,

WHICH IS IRONIC SINCE HE'S OVER 1,000 MILES

AWAY FROM ME RIGHT NOW.

WE'VE BEEN TALKING EVERY OTHER DAY, AND I MISS HIM A LOT.

HE SAYS HE MISSES ME, AND HE'S TAKEN UP A HOBBY DOING TAEKWONDO

TO PASS THE TIME SINCE I'M NOT AROUND.

SO WE'VE BOTH BEEN MANAGING.

BUT YESTERDAY I SAW SOME ALCOHOL PURCHASES

ON OUR CREDIT-CARD BILL,

AND HIM DRINKING WHEN I'M NOT AROUND HAS BEEN MY BIGGEST FEAR.

SO THAT STRESSED ME OUT SOME,

AND WORRYING ABOUT HIM IS ANOTHER LAYER OF STUFF

I DON'T NEED TO DEAL WITH RIGHT NOW.

I'M DOWN HERE TRYING TO DO WHAT I NEED TO DO...

JUST LIKE I PROMISED.

SO I NEED HIM DOING THE SAME THING BACK HOME.

-Hey! -HOW ARE YOU, HONEY?

I'm better now that you called. How are you?

I'M GOOD. SO, I WANTED TO TALK ABOUT SOME THINGS.

Let's talk about whatever you want to talk about.

I'm ready to talk about.

WELL, I WAS REALLY DISAPPOINTED IN SEEING

ALL THOSE TRANSACTIONS FOR 30-PACKS.

AND, SO, I MEAN, HOW HAVE YOU BEEN DOING?

HOW HAVE YOU --

HOW DO YOU THINK YOU'VE BEEN DOING?

I've been cutting back on alcohol a little bit.

Like, I don't -- I don't buy like --

I SAW FOUR TRANSACTIONS FOR 30-PACKS, HONEY.

I stockpile sometimes just to have it.

THAT'S --

I don't have to drink it. I just want to have it.

OH, THAT'S OLD-SCHOOL PAUL CRAP

THAT YOU'RE PULLING RIGHT THERE.

That's bull .

IT ISBULL .

YOU NEED TO HOLD YOUR END OF THE BARGAIN.

IF I COME BACK AT THE END OF THE YEAR

AND NOTHING HAS CHANGED WITH YOU,

DO YOU KNOW HOW HEARTBROKEN I'M GONNA BE?

DO YOU?

PLEASE HOLD YOUR END OF THE BARGAIN.

I LOVE YOU A LOT. I JUST WANT THE BEST FOR YOU.

I love you too, baby. It was nice seeing you.

It was dark today until you showed your face up,

and then the sun came out.

YOU'RE ALWAYS CASANOVA. ALL RIGHT. I LOVE YOU.

-Love you, too. -ALL RIGHT. BYE.

Lindsey: I KNOW I NEED TO FOCUS ON ME.

I HOPE PAUL DOES WHAT HE SAYS,

BUT NO MATTER WHAT CHOICES HE MAKES OR WHAT HAPPENS,

I HAVE TO DO WHAT I NEED TO FOCUS ON MY HEALTH RIGHT NOW.

HEY, IRENE. I WAS THINKING ABOUT DOING A LITTLE WORKOUT.

Irene: OKAY.

SO NO MORE JUSTIFYING NOT DOING DR. NOW'S DIET AND PLAN.

SO I CALLED DR. NOW'S OFFICE

AND SCHEDULED MY NEXT APPOINTMENT

FOR ALMOST A MONTH FROM NOW.

SO I'M GONNA HAVE TO KEEP WORKING AS HARD AS I CAN

AND HOPE IT'S ENOUGH WHEN I GO BACK TO SEE HIM.

I'M HEADED BACK TO DR. NOW'S FOR ANOTHER APPOINTMENT,

AND I'M ABSOLUTELY TERRIFIED RIGHT NOW,

AND I REALLY WISH I HAD SOMEONE TO GO WITH ME TODAY.

IRENE HAD TO WORK, SO SHE COULDN'T BE WITH ME,

BUT I REALLY WISH SHE COULD --

OR PAUL OR MY MOM COULD HAVE COME DOWN --

BECAUSE THIS IS A BIG MOMENT WITH A LOT RIDING ON IT

BECAUSE THIS IS THE LAST CHANCE

DR. NOW IS GIVING ME TO HIT MY GOAL,

SO EVERYTHING IS DEPENDING ON THIS WEIGH-IN TODAY.

Lindsey: I'M BACK AT DR. NOW'S

TO FIND OUT IF I HIT MY GOAL OR NOT.

AT MY LAST APPOINTMENT THREE MONTHS AGO,

I WAS DOWN TO 599,

AND DR. NOW TOLD ME

I NEEDED TO LOSE AT LEAST 35 POUNDS A MONTH.

SO THAT MEANS MY WEIGHT-LOSS GOAL

WAS TO LOSE 105 POUNDS TO GET UNDER 494 TODAY.

AND I REALLY, REALLY HOPE I DID THAT.

YES.

I CAN'T BELIEVE I LOST THAT MUCH WEIGHT,

AND I FEEL EXCITED ABOUT THAT,

BUT I DON'T REALLY KNOW WHAT TO EXPECT FROM DR. NOW

AND WHETHER I SHOULD BE THIS EXCITED

OR IF I SHOULD BE WORRIED

BECAUSE I DON'T KNOW HOW THIS IS GONNA GO

OR WHAT DR. NOW IS GONNA SAY.

I JUST REALLY HOPE THAT THIS WAS ENOUGH TO MAKE HIM PROUD OF ME.

-HELLO. -HELLO.

-HOW ARE YOU TODAY? -GOOD.

I'M GLAD TO HEAR THAT. IT'S BEEN THREE MONTHS.

SO YOU SHOULD HAVE LOST 105 POUNDS, THE GOAL I GAVE YOU.

BUT 82 IS STILL A LOT.

THANK YOU.

SO YOU HAVE SHOWN ME THAT YOU'RE STARTING

TO MAKE YOUR CHOICES YOU NEED TO WORK HARD.

SO THIS IS WHAT I'M GOING TO DO.

SINCE YOU LOST 82 POUNDS, I WANT TO APPROVE YOU FOR SURGERY.

-NO WAY. -YES.

OH, MY GOSH! THAT IS AWESOME!

I WAS NOT EXPECTING THAT.

OHH! OH, MY GOSH! THAT'S AWESOME! THANK YOU.

BUT HERE'S THE CATCH. OKAY?

FIRST, THAT YOU NEED TO SHOW ME YOU'RE GONNA STICK WITH THIS

AND THAT THIS WASN'T JUST A TEMPORARY CHANGE.

OKAY.

SO I'M GONNA SCHEDULE YOU FOR SURGERY

FOR TWO MONTHS FROM NOW,

AND IN THAT TIME, I WANT YOU TO LOSE ANOTHER 40 POUNDS.

ALL RIGHT. WOW.

AND WHEN YOU SHOW UP FOR SURGERY,

WE'LL CHECK YOUR WEIGHT, AND IF YOU HAVEN'T DONE THAT,

THEN I WILL CANCEL YOUR SURGERY,

AND WE WILL BE BACK TO SQUARE ONE.

-YOU THINK YOU CAN DO THAT? -YES. MM-HMM.

AND THE SECOND THING IS WE HAVE A PREVIOUS GASTRECTOMY,

WHICH MEANS THERE MAY BE SCAR TISSUE OR OTHER ISSUES

THAT MAY LIMIT OUR OPTIONS...

OR PREVENT US FROM DOING THE WEIGHT-LOSS SURGERY.

SO I'M GONNA SCHEDULE YOU FOR AN ENDOSCOPY

TO LOOK INSIDE OF YOUR STOMACH AND SEE WHAT THE SITUATION IS.

OKAY.

AND IF IT ALL LOOKS GOOD, WE WILL MOVE AHEAD

AS LONG AS YOU HIT YOUR WEIGHT-LOSS GOAL

BY THE DAY OF YOUR OPERATION. SO YOU'VE GOT ALL THAT.

-ALL RIGHT. -ALL RIGHT? SUPER.

AS ALWAYS, IF YOU NEED ANYTHING, GIVE ME A CALL, OKAY?

-THANK YOU SO MUCH. -YOU'RE QUITE WELCOME.

THANK YOU.

Dr. Nowzaradan: I'M A LITTLE BIT SURPRISED WITH LINDSEY'S TURNAROUND,

BUT I'M VERY HAPPY THAT SHE'S FINALLY APPLYING HERSELF

AND TAKING SOME RESPONSIBILITY

TO START WORKING HARD LIKE SHE NEEDS.

BUT I STILL NEED TO SEE A LITTLE BIT MORE FROM HER

TO MAKE SURE THIS ISN'T JUST A TEMPORARY PUSH

THAT SHE'S NOT GOING TO STICK WITH.

AND WE NEED TO SEE WHAT, IF ANY, OUR OPTIONS ARE

FOR SURGERY WITH HER.

BUT IF HER ENDOSCOPY LOOKS GOOD

AND SHE KEEPS MAKING THE PROGRESS SHE SHOULD

OVER THE NEXT TWO MONTHS,

THEN WE'LL TAKE THIS NEXT BIG STEP

AND DO ANOTHER WEIGHT-LOSS SURGERY WITH HER.

Lindsey: I'M SO EXCITED RIGHT NOW.

I WAS REALLY WORRIED AND SCARED THIS WHOLE TIME

THAT I COULDN'T DO IT AND THAT I'D FAIL,

BUT I FEEL REALLY ENCOURAGED WITH THE PROGRESS I MADE,

AND I KNOW I CAN DO IT NOW.

I JUST HOPE THE WHOLE ENDOSCOPY THAT DR. NOW NEEDS TO DO

DOESN'T SHOW ANY ISSUES THAT STOP ME FROM GETTING THE SURGERY

BECAUSE I'VE WORKED REALLY HARD TO GET TO THIS POINT.

SO THIS NEXT STEP IS THE SECOND CHANCE I NEED,

AND THIS TIME I'M NOT GONNA TAKE MY CHANCE

TO GET MY LIFE BACK FOR GRANTED.

I'M HERE AT THE HOSPITAL TO GET MY ENDOSCOPY

AND TO FIND OUT IF THERE ARE ANY ISSUES FROM MY FIRST SURGERY

THAT WOULD MAKE IT TOO HARD TO HAVE ANOTHER ONE.

SO I'M A LITTLE NERVOUS BECAUSE I HAVE NO IDEA WHAT DR. NOW

IS GONNA FIND OR WHAT'S GONNA HAPPEN.

BUT THANKFULLY IRENE WAS ABLE TO COME WITH ME TODAY.

HAVING HER HERE HELPS.

I'D BE A BIGGER BUNDLE OF NERVES IF I HAD TO DO THIS ON MY OWN.

Woman: AND HERE YOU GO, MA'AM.

Lindsey: BUT ALL I CAN REALLY DO IS HOPE THAT EVERYTHING'S OKAY

AND THAT THERE'S NO REAL BIG ISSUE

THAT THE OTHER SURGERY OR MY OVEREATING CAUSED

TO KEEP ME FROM GETTING THE WEIGHT-LOSS SURGERY AGAIN,

BECAUSE I REALLY NEED IT.

Dr. Nowzaradan: ALL RIGHT.

SO, WITH THIS ENDOSCOPY, WE ARE PUTTING A SMALL CAMERA

DOWN LINDSEY'S ESOPHAGUS AND INTO THE DIGESTIVE SYSTEM

TO SEE IF THERE ARE ANY ISSUES THAT MAY PREVENT US

FROM DOING WEIGHT-LOSS SURGERY ON HER.

IN PARTICULAR, I WANT TO SEE

IF THERE IS ANY SCAR TISSUE THAT SHE'S DEVELOPED

THAT WOULD MAKE IT PROBLEMATIC TO DO ANY OPERATION,

TO REVISE HER SLEEVE OR GIVE HER A FULL BYPASS.

BUT HOPEFULLY THAT'S NOT THE CASE.

OKAY.

WELL, THINGS DON'T LOOK GREAT WITH LINDSEY'S ENDOSCOPY.

SHE HAS A LOT OF ISSUES,

BUT AS COMPLICATED AS IT WILL BE,

I THINK I CAN STILL DO A REVISION WITH HER

AS LONG AS SHE STAYS ON TRACK

AND HITS HER WEIGHT-LOSS GOAL BY THEN.

BECAUSE IF SHE'S GOING TO HAVE

ANY CHANCE TO BE SUCCESSFUL FOR THE LONG-TERM,

SHE WILL NEED HER GASTRIC SLEEVE FIXED.

Lindsey: IT'S BEEN A MONTH SINCE DR. NOW

APPROVED ME FOR WEIGHT-LOSS SURGERY

AND TOLD ME THAT THE ISSUES HE SAW IN MY ENDOSCOPY

WEREN'T GONNA KEEP ME FROM MOVING AHEAD WITH THE OPERATION.

SO ALL I HAVE LEFT TO DO

IS TO WORK HARD AND STAY ON TRACK

TO HIT THE TWO-MONTH WEIGHT-LOSS GOAL HE GAVE ME.

-YOU OKAY THERE? -YEAH, I'M WINDED, BUT...

SO THAT'S WHAT I'VE BEEN DOING FOR THE PAST MONTH,

AND I FEEL REALLY GOOD ABOUT THE PROGRESS I'M MAKING AGAIN.

OH, MY GOODNESS. THE CHAMPION.

OH, IRENE. THAT'S SO HEAVY.

SO I FEEL LIKE THINGS ARE GOING WELL RIGHT NOW

AND THAT I'M ON TRACK

AND I'M SETTLING IN MORE TO HOUSTON AND LIVING HERE.

Mary: HERE. YOU NEED HELP, HON?

Lindsey: MY MOM BROUGHT MORE OF MY STUFF DOWN

TO HELP ME OUT AND PAY ME A VISIT.

ALL RIGHT. HER BOOK FELL.

GRAB YOUR PETS THERE, GIRLFRIEND.

Lindsey: SO IT'S ALL STARTING TO FEEL

MORE OFFICIAL AND REALER.

BUT I KNOW I NEED TO HIT THIS NEXT GOAL TO GET SURGERY

BECAUSE I HAVE TO HAVE THAT TOOL IF I'M GONNA HAVE ANY CHANCE

AT DOING THIS FOR THE REST OF MY LIFE.

SO I HAVE ONE MORE MONTH, AND I'M GONNA WORK AS HARD AS I CAN

TO MAKE SURE I HIT THE GOAL I NEED

WHEN I SHOW UP FOR SURGERY.

IT'S FINALLY THE DAY OF MY SURGERY,

AND I'M REALLY EXCITED RIGHT NOW.

AND I WISH PAUL WAS HERE WITH ME FOR THIS

BECAUSE GETTING A SECOND CHANCE LIKE THIS

IS A BIG MOMENT THAT NOT MANY PEOPLE GET.

SO I KNOW HOW IMPORTANT THIS IS

AND HOW IT CAN CHANGE THE COURSE OF MY LIFE LIKE I NEED...

AS LONG AS I KEEP WORKING HARD.

AND THIS TIME, I'M GONNA MAKE SURE I DO THAT

NO MATTER WHAT.

I KNOW I'M NOT GETTING ANOTHER CHANCE AFTER THIS.

THIS IS IT. SO I'M NOT GONNA MESS IT UP AGAIN.

I PLAN TO MAKE IT COUNT...

TO FINALLY GET MY LIFE BACK

AND HAVE THE FUTURE I WANT FOR ME AND PAUL.

Dr. Nowzaradan: TODAY WE ARE ATTEMPTING TO DO

A GASTRIC SLEEVE REVISION ON LINDSEY,

AS WELL AS REMOVE HER GALLBLADDER

TO ADDRESS HER GALLSTONES.

BUT THIS IS GOING TO BE A VERY COMPLICATED PROCEDURE

BECAUSE OF ALL THE SCAR TISSUE

AND ADHESIONS AND STAPLES

SHE HAS FROM HER FIRST WEIGHT-LOSS SURGERY.

AND ALL THAT IS NOT ONLY GOING TO MAKE

THIS PROCEDURE MORE COMPLICATED,

BUT IT MAY MEAN WE MIGHT NOT BE ABLE TO DO WHAT WE INTEND

AND PERFORM THE REVISION LIKE WE NEED.

THE BIGGEST FACTOR THAT WILL DETERMINE THAT

WILL BE HOW LONG

ATTEMPTING TO WORK AROUND THOSE ISSUES WILL TAKE,

ESPECIALLY ALL THAT SCAR TISSUE,

BECAUSE IF IT SLOWS US DOWN TOO MUCH

TO WHERE THE DURATION OF HER OPERATION

AND ANESTHESIA PUSHES HER BODY FOR TOO LONG,

THEN WE'LL HAVE TO STOP EARLY

BEFORE WE CAN ATTAIN WHAT WE NEED.

BECAUSE AT THE SIZE LINDSEY IS, WITH ALL OF THAT WEIGHT

STILL PUTTING A LOT OF STRAIN ON HER BODY,

SHE'S STILL VERY HIGH-RISK FOR ANY OPERATION,

SO WE HAVE TO BE VERY CAREFUL NOT TO PUSH HER BODY TOO HARD

OR ADD TOO MUCH TO THE STRAIN SHE ALREADY HAS ON HER SYSTEM.

SO IF IT TAKES TOO LONG TO ADDRESS ALL THE ISSUES WE NEED,

WE WILL HAVE TO END THE OPERATION

TO PREVENT ANY LIFE-THREATENING EVENTS FROM OCCURRING.

BUT HOPEFULLY WE'LL BE ABLE TO COMPLETE THIS OPERATION

AND FIX HER GASTRIC SLEEVE

BECAUSE IT WILL BE AN IMPORTANT TOOL FOR HER

TO HAVE ANY CHANCE AT SUCCEEDING

WITH HER WEIGHT LOSS FOR THE LONG TERM.

BECAUSE WHAT THIS OPERATION DOES

IS YOU REDUCE THE SIZE OF THE STOMACH

BY TAKING OUT 70% TO 80% OF THE STOMACH,

LEAVING A LONG NARROW TUBE THAT'S SHAPED LIKE A BANANA.

AND WHAT THAT DOES IS IT RESTRICTS THE AMOUNT OF FOOD

THE PATIENT IS ABLE TO EAT IN ONE SITTING,

SO THEY WILL BE ABLE TO EAT LESS

AND WILL LOSE MORE WEIGHT OVER THE LONG TERM.

AND THIS IS GOING TO GREATLY HELP TO TURN LINDSEY'S SITUATION

AROUND TO GET HER HEALTH WHERE IT NEEDS TO BE,

AS LONG AS WE ARE ABLE TO COMPLETE IT.

Irene: LINDSEY'S BEEN IN SURGERY FOR A LITTLE BIT OVER AN HOUR,

AND IT'S BEEN CHALLENGING WAITING.

HER FAMILY'S WAITING TO HEAR WHAT'S GOING ON.

SHE WAS A LITTLE NERVOUS THIS MORNING,

AND SHE WAS WORRIED THAT THERE'D BE TOO MUCH SCAR TISSUE

AND THE SLEEVE WOULD NOT BE ABLE TO HAPPEN TODAY.

SO, I MEAN, JUST TRYING TO KEEP POSITIVE VIBES GOING

AND JUST HOPING EVERYTHING GOES WELL.

Dr. Nowzaradan: LET'S SEE IF WE CAN PUT THAT -- OKAY.

OKAY. ALL FINISHED.

LINDSEY'S SURGERY ULTIMATELY WENT VERY WELL.

WE HAD A LOT OF COMPLICATIONS BECAUSE OF HER SCAR TISSUE,

BUT ULTIMATELY I WAS ABLE TO WORK AROUND THAT.

SO WE'LL GET HER TO RECOVERY NOW,

AND WE GET HER HOME IN A COUPLE DAYS.

FOR THE FIRST MONTH, SHE'LL BE ON LIQUID DIET.

AND THEN IF SHE SAYS ON TRACK,

SHE SHOULD BE ABLE TO LOSE AT LEAST 25 POUNDS A MONTH

UNTIL SHE STARTS TO GET CLOSE TO HER TARGET WEIGHT.

BUT THAT'S ONLY GONNA HAPPEN

IF LINDSEY STARTS TO DEAL WITH THE CORE ISSUES

THAT HAVE BEEN DRIVING HER TO EAT

AND THAT LED TO HER FAILING HER FIRST WEIGHT-LOSS SURGERY.

SO, ONCE SHE FULLY RECOVERS FROM HER SURGERY,

SHE'S GONNA NEED TO START PSYCHOTHERAPY AND GO TO THAT

AT LEAST EVERY TWO WEEKS FOR THE FORESEEABLE FUTURE

UNTIL SHE GETS CONTROL OF HER EMOTIONAL COMPULSION TO EAT

AND STARTS TO LEARN TO COPE IN A MORE HEALTHY WAY.

SO THE REALLY HARD WORK FOR LINDSEY

IS JUST ABOUT TO START THIS NEXT YEAR.

IT COULD BE THE YEAR SHE GETS HER LIFE BACK

OR THE YEAR SHE LOSES HER LAST CHANCE TO LIVE.

WHERE WE GO FROM HERE IS STILL ALL UP TO HER,

BUT I'M HOPEFUL THAT SHE WILL SUCCEED THIS TIME.

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

AND DR. NOW SAYS I'M FULLY RECOVERED

AND CLEARED ME TO GO BACK ON SOLID FOODS

AND TO START WORKING OUT.

SO ME AND IRENE JOINED A GYM

AND ARE GONNA START GOING TOGETHER

A FEW TIMES A WEEK, AND I'M EXCITED ABOUT THAT.

SHE'S BEEN A GODSEND AND A GREAT WEIGHT-LOSS PARTNER.

I'M NOT SURE I COULD HAVE MADE IT

AS FAR AS I HAVE IN THIS TIME WITHOUT HER HELP,

AND I'M SO GRATEFUL FOR THAT.

FIVE. GOOD JOB. YAY.

AHH.

I'M ALMOST BACK DOWN TO THE 300's,

SO I'M REALLY EXCITED ABOUT THAT.

I NEVER MADE IT PAST THE 300's

WITH MY LAST WEIGHT-LOSS SURGERY,

BUT DR. NOW SAYS THE NEXT BIG STEP FOR ME TO KEEP GOING

IS THAT I HAVE TO START PSYCHOTHERAPY THIS MONTH.

HE THINKS I'M GONNA FAIL IN THE LONG TERM

IF I DON'T DEAL WITH SOME THINGS.

AND I KNOW HE'S RIGHT, BUT I'LL BE HONEST --

I'M NOT LOOKING FORWARD TO THE ISSUES

THAT COULD BE DUG UP WITH THE PROCESS OF THERAPY.

BUT I KNOW HOW IMPORTANT IT IS THAT I DO THAT.

AND IF I DON'T, NOTHING WILL BE DIFFERENT THIS TIME.

-OKAY. GOING BACK. -OH. IGO BACK.

-YES. -I DIDN'T KNOW THAT.

YEAH. GOOD JOB!

NOTHING'S GONNA SHAKE MY COMMITMENT

TO DOING WHAT I NEED TO HAVE THE LIFE I WANT

BECAUSE I HAVE DREAMS OF DOING THINGS

AND HAVING A FAMILY WITH PAUL SOMEDAY.

AND THAT WILL NEVER HAPPEN IF I DON'T DO MY PART.

PAUL HAS TO DO HIS PART, TOO,

AND HE HASBEEN OVER THE LAST FEW MONTHS.

AND HE AGREED TO START THERAPY AT THE SAME TIME I DO.

SO WE'RE BOTH GONNA WORK ON OUR ISSUES TOGETHER.

SO I'M REALLY EXCITED AND OPTIMISTIC ABOUT THE FUTURE.

AND FOR THE FIRST TIME IN A LONG TIME,

I BELIEVE IN MYSELF AND I'M NOT GONNA LET

ANYTHING STOP ME FROM GETTING THAT LIFE

AND MAKING ALL MY DREAMS COME TRUE.