All language subtitles for My 600-lb Life S08E02

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.