Original subtitles

Gina: I BATHE DOWNSTAIRS, IN THE HALF BATH,

SITTING ON THE TOILET, MAYBE ONCE A MONTH.

Woman #1: 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 GOING TO BE TOO LATE.

NO, IT HURTS.

Woman #3: I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS FOR MY CHILDREN.

I'M TRYING, BUT IT'S TOO MUCH.

I'M SORRY.

I'M TRYING.

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

CAPTIONS PAID FOR BY DISCOVERY COMMUNICATIONS

Gina: I WAKE UP EVERY DAY TO THE SAME MISERABLE EXPERIENCE

BECAUSE MY WEIGHT HAS ME TRAPPED IN THIS CHAIR ALL DAY,

EVERY DAY, AND I HATE IT.

ALL I CAN DO NOW IS EAT AND SLEEP,

EXCEPT ON THE DAYS WHERE I'M FORCED TO TAKE A BATH,

WHICH I REALLY HATE DOING.

ME AND MY WIFE, BETH, LIVE WITH MY MOM,

MY SISTER AND HER FIANCE, KEITH,

AND USUALLY IT'S EITHER MY MOM OR MY WIFE

THAT EVENTUALLY MAKE ME TAKE A BATH.

BUT I TRY TO AVOID IT AS MUCH AS I CAN.

-G? -MM-HMM.

Cathy: YOU HAVE TO GET WASHED UP TODAY.

OKAY.

SO I'LL GO IN THERE, AND I'LL GET YOUR BUCKET

AND GET THAT READY FOR YOU.

OKAY, THANK YOU.

YOU'RE WELCOME.

BUT IF MY FAMILY STARTS TO NAG ME A LOT ABOUT IT,

I'D JUST RATHER NOT DEAL WITH EVERYONE BEING UPSET WITH ME,

SO I JUST DO IT MAYBE ONCE A MONTH.

G, YOUR BUCKET IS IN THERE,

SO BETH JUST NEEDS TO GET YOUR CLOTHES AND YOUR TOWEL,

AND THEN YOU'RE ALL SET TO GET WASHED UP, OKAY?

-OKAY, THANK YOU. -YOU'RE WELCOME.

Cathy: GINA IS VERY LAZY, AND SHE DOESN'T TAKE CARE OF HERSELF.

WE ALL STRUGGLE WITH HOW SHE IS AND WANT HER TO DO BETTER,

BUT IT'S LIKE WALKING ON EGGSHELLS TO CONFRONT HER

BECAUSE IT STARTS A FIGHT.

Gina: SOMETIMES I START TO SMELL, AND MY FAMILY DOESN'T LIKE IT,

SO THEY FORCE ME TO GET UP AND DO IT IF IT'S BEEN A WHILE

SINCE THE LAST TIME I CLEANED,

BUT IT'S ONE OF THE MOST MISERABLE EXPERIENCES

IN MY LIFE NOW

BECAUSE I DON'T HAVE A SHOWER OR TUB I CAN USE.

ALL THAT'S UPSTAIRS, AND I STOPPED BEING ABLE

TO GO UP THERE OVER A YEAR AGO.

SO I BATHE DOWNSTAIRS IN THE HALF BATH,

SITTING ON THE TOILET.

BUT WITHOUT RUNNING WATER, I HAVE TO USE A BUCKET

AND A LOOFAH SPONGE THAT HAS A STICK TO REACH

ALL THE AREAS OF MY BODY THAT I NEED.

BUT IT'S SO HARD. IT'S A LOT FOR ME TO DO,

AND IT'S REALLY A PAINFUL EXPERIENCE,

SO I JUST CAN'T DO IT FOR LONG.

SO WHEN IT GETS TOO MUCH FOR ME,

I JUST HAVE TO STOP AND GO BACK TO MY CHAIR BECAUSE I'M DONE.

THANK YOU. -YOU'RE WELCOME.

IT'S EMBARRASSING, NOT BEING ABLE TO HANDLE SOMETHING

AS BASIC AS TAKING A BATH BECAUSE I'M TOO FAT.

AND I KNOW HOW LITTLE I CAN DO FRUSTRATES BETH

BECAUSE OF HOW MUCH SHE HAS TO DO FOR ME.

I'M LIKE A CHILD SHE HAS TO TAKE CARE OF,

AND I DON'T EVEN FEEL LIKE SHE SEES ME AS HER WIFE ANYMORE.

CAN YOU HELP ME GET POWDERED AND GET DRESSED?

YES.

Beth: I PUT EVERYTHING THAT I HAVE INTO THIS RELATIONSHIP

BECAUSE GINA IS MY WHOLE LIFE,

BUT IT'S NOT THE KIND OF MARRIAGE THAT I WANT

BECAUSE OF THE WEIGHT THAT SHE'S AT.

I WANT OUR MARRIAGE TO BE DIFFERENT BY HER BEING HEALTHY,

AND IT MAKES ME FEEL ANGRY

BECAUSE I FEEL LIKE SHE'S GIVEN UP COMPLETELY.

DO YOU WANT TO START MAKING BREAKFAST?

-SURE. -OKAY, THANK YOU.

Gina: I HATE THAT I LET IT ALL GET TO THIS POINT,

BUT WHEN IT COMES TO FOOD, IT FEELS LIKE I HAVE NO CONTROL.

WHEN I WAKE UP, I'M STARVING, AND I CAN'T WAIT TO EAT.

BEFORE SHE GOES TO WORK,

BETH MAKES US ALL WHAT WE NEED FOR BREAKFAST.

EATING, IT MAKES ME FEEL GOOD.

IT MAKES ME FEEL SAFE.

IT MAKES ME FEEL HAPPY.

IT TAKES AWAY ALL MY PAIN AND DEPRESSION,

SO NO MATTER WHAT IT'S COSTING ME

AND HOW MUCH I HATE MY LIFE, I CAN'T STOP.

I JUST WANT MORE AND MORE AND MORE.

HELLO.

-HI. -HERE.

SO I HAVE TO HAVE SOMEONE CONSTANTLY BRING ME MORE FOOD.

OKAY.

WITHOUT IT, I WOULD HAVE NOTHING IN MY DAY

TO EVEN LOOK FORWARD TO.

IT SAVES ME FROM EVERYTHING, AND IT ALWAYS HAS.

NO MATTER WHAT I'VE GONE THROUGH OR HOW BAD THINGS GOT,

I KNEW I COULD ALWAYS RELY ON FOOD TO GET ME THROUGH IT.

MY LIFE'S BEEN HARD.

THE FIRST THING I REMEMBER WAS MY OLDER SISTER,

ALI, GETTING DIAGNOSED WITH AGORAPHOBIA

WHEN I WAS 7 AND SHE WAS 11.

I FELT LIKE ALL OF MY MOM'S ATTENTION WAS ON MY SISTER,

SO I ALWAYS FELT MY WHOLE LIFE LIKE

I WAS ALWAYS, LIKE, PUSHED UNDER THE RUG.

SO THAT WAS A REALLY HARD TIME IN MY LIFE,

AND I GOT REALLY JEALOUS OF MY SISTER,

AND I REMEMBER WHAT MADE ME FORGET

THAT PAIN OF BEING ABANDONED WAS EATING.

BY THE TIME I WAS 10, I WAS ALREADY OVER 150 POUNDS.

Cathy: GINA'S CHILDHOOD -- I WAS THE BAD MOM.

YOU KNOW, SHE WOULD FIGHT ME TO GET FOOD,

AND INSTEAD OF JUST SAYING "NO"

AND DEALING WITH A TEMPER-TANTRUM,

I JUST GAVE IN.

I THINK I LET HER MANIPULATE ME 150 PERCENT.

SO I THINK FOR GINA, I CARRY SO MUCH GUILT

THAT IT WAS MY FAULT SHE WAS SO HEAVY.

Gina: MY WEIGHT STARTED TO CAUSE PROBLEMS FOR ME

BECAUSE I STARTED GETTING BULLIED A LOT.

SO THAT LED TO ME ACTING OUT AND GETTING PUNISHED A LOT,

WHICH MADE THINGS EVEN WORSE, ESPECIALLY WITH MY DAD

BECAUSE THE ENFORCER KIND OF, AND WHEN I DID SOMETHING WRONG,

AND HE WAS UPSET, MY PUNISHMENTS FROM HIM COULD GET BRUTAL.

HE WOULD HIT ME, PULL MY HAIR, BUT AT A YOUNG AGE,

I DIDN'T KNOW THAT WAS ABUSE.

I JUST THOUGHT THAT'S HOW HE, LIKE, HANDLED SITUATIONS,

BUT I WOULD CRY TO MOM, CRY TO MY MOM,

BUT SHE NEVER STOPPED IT OR DID ANYTHING ABOUT IT.

AND IT WASN'T JUST HAPPENING TO ME.

IT WAS HAPPENING TO ALI, TOO.

MY DAD WOULD PUNCH ME IN MY FACE UNTIL MY NOSE BLED.

MY DAD WOULD CHOKE ME UNTIL I COULDN'T BREATHE.

MY DAD WOULD KICK ME UNTIL I WAS BLACK AND BLUE DOWN MY LEGS,

AND I HAD TO GO TO SCHOOL LIKE THAT.

HE WOULD SAY THAT I'M NOT GOOD ENOUGH.

I'M NOT WORTH IT.

I'M DISGUSTING. I'M FAT.

I SMELL. I'M STUPID.

I'M DUMB.

THAT'S WHEN ME AND MY SISTER WOULD ESCAPE

AND GO TO GET FOOD AND GO TO EVERY FAST-FOOD PLACE WE COULD.

AND I WAS ALREADY UP TO OVER 300 POUNDS

BY THE TIME I STARTED HIGH SCHOOL WHEN I WAS 14.

BUT IN HIGH SCHOOL, THINGS GOT EVEN WORSE

BECAUSE MY PARENTS GOT A DIVORCE,

AND FOR SOME REASON, MY MOM DID NOTHING TO KEEP US

WITH HER AT THAT TIME, SO ME AND ALI

ENDED UP LIVING WITH OUR ABUSIVE FATHER WITHOUT OUR MOM,

AND THAT'S WHEN THINGS GOT REALLY BAD

BECAUSE THERE WAS JUST NOTHING HOLDING HIM BACK ANYMORE.

WE WEREN'T ABLE TO LEAVE OUR HOME WHEN THE ABUSE HAPPENED.

WE WEREN'T ABLE TO DO ANYTHING,

AND WHEN WE WERE ABLE TO, WE ESCAPED, AND WE GOT FOOD.

THAT WAS OUR ESCAPE.

I WAS TRYING TO CONSTANTLY EAT AS MUCH AS I COULD,

AND THAT PUSHED MY WEIGHT TO OVER 450

BY THE TIME I GRADUATED HIGH SCHOOL,

AND AS I WAS GETTING CLOSER TO 500,

IT STARTED TO GET HARDER TO DO THINGS.

BUT THAT TURNED OUT TO BE A GOOD THING

BECAUSE BECOMING DISABLED LIKE THAT

MEANT I COULD QUALIFY FOR SOME FINANCIAL ASSISTANCE

TO GET A PLACE, AND I TALKED TO MY MOM

AND MY SISTER ABOUT LIVING TOGETHER.

I STILL HADN'T FORGIVEN MY MOM

FOR HOW SHE HANDLED THINGS WITH MY DAD AND US,

BUT IT WAS DEFINITELY A LOT BETTER OF A LIVING SITUATION

BEING WITH HER AND MY SISTER INSTEAD OF MY DAD.

I WAS 19 AND NOT QUITE 500 POUNDS THEN,

SO I WAS STILL TRYING TO HAVE A LIFE,

AND I EVEN TRIED TO START TO DATE THEN.

WHEN I WAS 23, I FINALLY ADMITTED

TO MYSELF THAT I LIKED GIRLS,

AND I GOT ON A DATING SITE, AND THAT'S HOW I MET BETH.

WHEN GINA AND I FIRST STARTED DATING,

GINA'S PERSONALITY IS WHAT DREW ME TO HER.

GINA HAS A HEART MADE OF GOLD.

SHE'S A FUN, LOVING, CARING PERSON THAT EVERYBODY LOVES.

Gina: I REALLY KNEW I LOVED HER,

AND ONCE WE MADE OUR RELATIONSHIP OFFICIAL,

THINGS WENT REALLY FAST.

THEN 6 MONTHS LATER, WE GOT ENGAGED,

AND THEN A YEAR LATER, WE GOT MARRIED,

SO IT WAS KIND OF VERY FAST.

BETH MOVED IN WITH ME, MY MOM AND MY SISTER,

AND IT'S BEEN A LITTLE AWKWARD BEING MARRIED

BUT HAVING TO LIVE WITH MY FAMILY,

WITH ME AND BETH SLEEPING ON THE COUCH.

AND BEING AS BIG AS I AM NOW

HAS ALSO DEFINITELY PUT A STRAIN ON OUR MARRIAGE, TOO,

BECAUSE AS I'VE GOTTEN BIGGER AND BECOME ALMOST IMMOBILE,

IT'S BECOME BETH'S JOB TO TAKE CARE OF ME.

Beth: THROUGHOUT THE DAY, I'LL GET A PHONE CALL OR A TEXT

TO GET WHAT SHE WANTS FROM A RESTAURANT

OR A PIZZA JOINT UP THE STREET.

AND THEN I ALSO HAVE TO MAKE SURE

THAT I'M GETTING EVERYTHING THAT EVERYBODY ELSE WANTS:

HER SISTER, ALI, HER MOM, CATHY, AND IT'S NOT EASY.

I DO FEEL LIKE A CARETAKER, BUT I DON'T LIKE THE CONFLICT.

I DON'T WANT A FIGHTING MARRIAGE,

SO I JUST GET WHAT SHE WANTS.

Gina: SHE TELLS ME SHE STILL LOVES ME AND THAT MY WEIGHT

AND HOW BIG I AM NOW HASN'T CHANGED ANYTHING,

BUT I KNOW IT HAS BECAUSE WE STOPPED BEING INTIMATE.

BETH AND I HAVEN'T HAD SEX SINCE 3 YEARS AGO,

BEFORE WE GOT MARRIED, AND SHE ALWAYS COMES UP

WITH DIFFERENT EXCUSES ON WHY WE'RE NOT,

AND BETH DOES MAKE COMMENTS ABOUT HOW BIG I'M GETTING

AND HOW MUCH I EAT THAT MAKE ME FEEL BAD ABOUT MY WEIGHT.

I JUST FEEL LIKE AT THIS POINT, WITH HOW IMMOBILE I AM

AND HOW BAD MY MARRIAGE SEEMS TO BE,

THAT MY WHOLE LIFE FALLING APART.

AT THIS WEIGHT, I'M VERY MISERABLE.

I'M 28, AND I'M PROBABLY OVER 600 POUNDS NOW,

AND I'M ONLY GETTING BIGGER,

SO I'M RUINING ANY CHANCE I HAVE FOR A FUTURE ALL

BECAUSE I CAN'T STOP EATING.

-WHAT ARE WE DOING FOR DINNER? -I HAVE NO IDEA.

BETH IS PROBABLY NOT GOING TO WANT TO COOK.

SHE'S BEEN WORKING ALL DAY, SO I DON'T KNOW.

-YEAH. -G, IS BETH ON HER WAY HOME?

YEAH.

I'M GOING TO CALL HER TO JUST PICK UP SOME FOOD.

OKAY.

-KEITH. HEY, KEITH.

-HEY, GUYS. -BUBBA.

-WHAT'S SHAKING? -HI.

ALL RIGHT.

I AM GETTING HUNGRY, AND I'M GOING TO CALL HER.

HI, BABE, WHERE ARE YOU?

OH, OKAY.

WELL, CAN YOU GO TO THE DINER AND PICK UP US SOME FOOD?

YOU'RE NOT GOING TO COOK THIS LATE.

NO, YOU'RE NOT.

WHAT'S THE BIG FREAKING DEAL?

I DON'T GET IT. JUST GO.

NO, YOU'RE GOING TO CALL BECAUSE I --

YOU HAVE TO CALL.

-Okay. -OKAY?

-Okay! -ALL RIGHT.

THANKS. LOVE YOU, BYE.

Yep, love you, bye.

I'LL JUST TEXT HER.

OKAY.

IT'S JUST NOT FAIR FOR YOU TO BE TREATED THIS WAY,

AND IT KILLS ME BECAUSE SHE'S YOUR WIFE.

SHE SHOULDN'T DO THAT TO YOU,

AND SHE SHOULDN'T CONSTANTLY MAKE YOU FEEL

LIKE YOU'RE THE PROBLEM AND TELL YOU WHAT YOU DON'T DO.

YOU'RE LAZY. YOU SMELL.

YOU'RE FAT, INSTEAD OF BUILDING YOU UP.

YOU DESERVE SO MUCH MORE.

SHE IS A GOOD PERSON, AND I FEEL MAYBE IT WILL GET BETTER

ONCE I CHANGE FOR MYSELF, BUT ONLY TIME WILL TELL.

HI. -HI, BABE.

YEP. I'LL JUST BRING IT IN THE KITCHEN.

THANK GOD, I'M STARVING.

Gina: I KNOW MY FAMILY THINKS THAT BETH MAKES THINGS WORSE,

BUT I KNOW THAT MY WEIGHT IS AN ISSUE

THAT I COULD CHANGE IF I COULD JUST GIVE UP FOOD.

BUT IF I COULD GIVE UP FOOD,

I WOULD'VE DONE IT A LONG TIME AGO.

BUT AT THE SAME TIME, I KNOW MY BODY IS IN BAD SHAPE,

AND IT'S GETTING WORSE EVERY DAY,

AND IF I DON'T STOP GAINING AND GETTING BIGGER,

THEN I'LL DIE BECAUSE I DIDN'T STOP EATING.

IF I DON'T DO ANYTHING NOW, IT'S JUST GOING TO GET WORSE,

AND I'M GOING TO DIE.

YOU KNOW, MY SISTER IS GETTING MARRIED IN A COUPLE OF MONTHS,

AND SHE WANTS ME TO BE IN THE WEDDING,

BUT I'M TOO BIG TO BE ABLE TO GET AROUND.

SO EVEN IF I COULD MAKE IT TO HER WEDDING, TO BE THERE

FOR ONE OF THE BIGGEST MOMENTS OF MY SISTER'S LIFE,

I DON'T KNOW IF I WANT THE REST OF MY FAMILY

TO SEE HOW BIG I'VE GOTTEN.

Ali: GINA HAS A HARD TIME GETTING OUT OF THE HOUSE,

AND I'M EXTREMELY WORRIED THAT SHE HAS ISOLATED HERSELF

IN A REALLY BIG WAY, AND IT'S HARD.

IT'S REALLY HARD, AND NOW SHE'S JUST SECLUDED HERSELF,

AND GINA IS KILLING HERSELF.

Gina: I KNOW AT THIS POINT, UNLESS I LOSE WEIGHT,

THAT I DON'T HAVE MUCH OF A FUTURE NOW.

I WANT TO HAVE A FAMILY AND KIDS WITH BETH,

BUT I'M AT A POINT WHERE I'M GIVING UP ON MY DREAMS,

BECAUSE HOW COULD I HAVE A LIFE AND DO THINGS WHEN I'M THIS WAY?

Cathy: I'M AFRAID FOR HER BECAUSE IF GINA DOESN'T CHANGE,

I DON'T SEE HER LIVING A LONG LIFE.

LOSING GINA WILL DEVASTATE ME.

I -- IT WOULD BE HORRIBLE.

I DON'T KNOW HOW I WOULD LIVE WITHOUT HER.

I'M GOING TO GET READY FOR BED.

OKAY.

THANK YOU.

Beth: I'M VERY SCARED FOR GINA

BECAUSE I FEEL LIKE GINA IS KILLING HERSELF SLOWLY,

AND IF SHE DOESN'T LOSE THE WEIGHT,

I FEAR THAT SHE WILL DIE.

HEY, BABE, BEFORE YOU LAY DOWN, CAN YOU GET ME A SNACK, PLEASE?

SURE.

Gina: FOOD IS CONTROLLING MY LIFE BECAUSE I LET IT.

HERE YOU GO. THANK YOU.

YOU'RE WELCOME.

AND I KNOW IF I DON'T FIGURE OUT SOME WAY

TO TAKE BACK THAT CONTROL,

THAT I HAVE NO HOPE BECAUSE THERE'S NO WAY

I CAN GO ON LIKE THIS.

SO NO MATTER HOW HARD IT IS FOR ME TO SEE,

I HAVE TO BELIEVE THERE'S A CHANCE FOR ME TO CHANGE,

BUT I KNOW I DON'T HAVE A LOT OF TIME TO FIND THAT HELP.

SO I HAVE TO TRY NOW BECAUSE IT'S NOW OR NEVER.

Gina: TODAY, ME AND BETH ARE GOING TO TRY TO GO TO HOUSTON

TO SEE DR. NOW, BUT I'M FEELING REALLY NERVOUS

ABOUT LEAVING THE HOUSE, SO MY ANXIETY IS HIGH.

WE'RE DRIVING, AND IT'S, LIKE, A 25 OR 26-HOUR DRIVE.

ROUND TRIP, IT'S GOING TO BE, LIKE, 11 DAYS,

BUT AT LEAST BETH IS RENTING A BIG CAR

TO GIVE ME SOME ROOM SO IT WON'T BE AS HARD ON ME.

BUT IT'S STILL NOT GOING TO BE EASY,

SO I'M JUST REALLY OVERWHELMED THINKING ABOUT IT,

AND I'M ALSO A LITTLE FRUSTRATED WITH MY MOM

BECAUSE SHE WAS GOING WITH US TO HELP ME,

BUT LAST NIGHT, SHE CHANGED HER MIND

AND DECIDED SHE DIDN'T WANT TO DO IT.

SHE SAYS SHE NEEDS TO STAY HERE TO HELP ALI

PREPARE FOR THE WEDDING.

SO IT FEELS LIKE A BIT OF MY CHILDHOOD ALL OVER AGAIN,

WHERE MY SISTER GETS THE ATTENTION,

AND I DON'T REALLY MATTER.

SO MY ANXIETY AND HOW OVERWHELMED I FEEL

IS EVEN WORSE NOW BECAUSE OF THAT,

SO I JUST WANT BETH TO GET BACK FROM THE CAR RENTAL,

SO WE CAN GET ON THE ROAD, AND WE CAN GET OUT OF HERE.

OKAY. TAKE THIS.

HOW ARE YOU FEELING?

OVERWHELMED.

THIS IS ALL WORTH IT, GINA.

OKAY, I KNOW.

OKAY, BUT YOU DIDN'T THINK

I WAS GOING TO NOT GET EMOTIONAL TODAY, DID YOU?

I MEAN, COME ON. YOU'RE MY BABY.

ALL RIGHT.

AT LEAST ONCE I GET IN THE CAR AND ON THE ROAD,

I WON'T HAVE TO DEAL WITH MY MOM.

I JUST HOPE LEAVING THE HOUSE FOR SO LONG

ISN'T GOING TO BE A BIG MISTAKE,

AND THAT IT'S NOT GOING TO BE THIS MISERABLE,

PAINFUL EXPERIENCE THE WHOLE TRIP.

HI. -HI.

I GOT THE CAR.

-OKAY. -IT'LL BE ALL RIGHT.

THIS IS GOING TO BE ONE OF THE HARDEST THINGS

I'VE EVER DONE IN MY LIFE

BECAUSE GOING ANYWHERE AT MY WEIGHT IS DANGEROUS,

SO DOING THIS IS A LIFE-OR-DEATH SITUATION,

AND I'M HOPING IF I GET DR. NOW'S HELP

AND WEIGHT-LOSS SURGERY SOON THAT I MIGHT EVEN BE ABLE

TO LOSE ENOUGH WEIGHT TO BE AT MY SISTER'S WEDDING

TO BE THERE FOR HER LIKE SHE WANTS.

BUT I'M STILL TERRIFIED, AND I FEEL LIKE MY ANXIETY

IS GOING THROUGH THE ROOF,

SO I'M JUST TRYING NOT TO THINK ABOUT IT AND GET ON THE ROAD.

YOU OKAY?

-YEAH. -OKAY.

I'M JUST OVERWHELMED...

-I KNOW. -...AND SCARED AND NERVOUS.

-YOU GOT THIS. -THANK YOU.

-YOU READY TO GO, BABE? -YEAH.

CAN YOU GET ME IN THE CAR FIRST, THOUGH?

YEAH. OKAY.

Gina: BUT I HAVE TO MAKE IT ALL THE WAY TO THE CAR FIRST,

AND IT'S GOING TO BE A LOT FURTHER

THAN I'VE HAD TO WALK IN A LONG, LONG TIME,

AND ONCE I STEP OUT THAT DOOR, THERE WON'T BE ANYWHERE TO REST.

THANK GOD, I MADE IT.

WE'RE NOT EVEN ON THE ROAD YET, AND I'M ALREADY WIPED OUT.

AND WE HAVE A REALLY LONG WAY TO GO,

SO THIS IS JUST A LOT FOR ME,

AND I'M REALLY TRYING NOT TO FREAK OUT.

BABE, IT'S HOT.

I'LL START THE CAR.

IT'S GOING TO TAKE A LOT FOR ME

TO MAKE IT TO HOUSTON AND DO THIS.

I'M SO NERVOUS.

I FEEL LIKE I'M GOING TO BE SICK.

I FEEL NAUSEOUS.

GRAB SOMETHING TO SNACK ON.

MAYBE YOU'RE HUNGRY.

I JUST HOPE WE GET THERE WITHOUT ANY ISSUES,

BUT IT'S A LONG TRIP, AND ANYTHING CAN HAPPEN.

CAN YOU STOP AT THE NEAREST FAST-FOOD PLACE?

BECAUSE I'M HUNGRY.

-YEAH. -OKAY.

THE ONE THING I CAN COUNT ON WITH FOOD

IS THAT IT CALMS ME DOWN,

AND IF I'M GOING TO HAVE ANY CHANCE OF MAKING IT

TO THE END OF THIS TRIP, I'M GOING TO NEED THAT HELP.

YOU WANT THE REGULAR OR DOUBLE?

-REGULAR. -MEAL OR NO?

YEAH, BUT... AND CHICKEN NUGGETS.

Woman: HI, AND HOW CAN I HELP YOU?

CAN I GET A NUMBER ONE WITH CHEESE, CHICKEN NUGGETS

AND A ORDER OF THE CHICKEN FRIES?

$14.47 AT SECOND WINDOW, PLEASE.

THANK YOU.

-ALL RIGHT. SAUCE IS IN THE BAG. -THANK YOU.

I HONESTLY DON'T SEE HOW I'M GOING TO BE BE ABLE

TO GIVE THIS UP, ESPECIALLY IN MOMENTS LIKE THESE

WHEN FOOD IS MAKING ALL THE DIFFERENCE.

WE'VE ONLY BEEN ON THE ROAD FOR A LITTLE OVER 4 HOURS,

BUT I TOLD BETH WE JUST HAVE TO STOP FOR THE NIGHT.

I'M JUST HURTING TOO MUCH, AND I JUST NEED TO GO

GIVE MY BODY A BREAK FROM ALL THIS ABUSE,

BUT I'M DISAPPOINTED WE DIDN'T GET AS FAR AS WE PLANNED

BECAUSE WE STILL HAVE SUCH A LONG WAY TO GO,

AND AT THIS RATE, IT'S GOING TO TAKE MORE

THAN A WEEK TO GET THERE,

AND I'LL MISS MY APPOINTMENT WITH DR. NOW.

SO TOMORROW, I JUST HAVE TO DO BETTER, BUT I'M DONE FOR TODAY.

IT'S HOT.

IT'S HOT. PUT THE AIR ON.

OKAY, JUST GO GET THE STUFF. GET THE FAN.

I'M HOT, SWEATING.

OKAY.

ALL RIGHT.

AND SO FAR, IT'S EVEN HARDER THAN I THOUGHT,

SO I'M SCARED, AND I HAVE NO IDEA WHAT'S AHEAD

AND IF I'M GOING TO BE ABLE TO HANDLE IT.

ALL I KNOW IS THAT MY LIFE DEPENDS ON THIS,

SO NO MATTER HOW MUCH IT HURTS OR HOW SCARY AND HARD THIS IS,

I HAVE TO MAKE IT TO HOUSTON.

Gina: ME AND BETH ARE FINALLY IN HOUSTON.

I PUSHED MYSELF TO GO AT LEAST 4 TO 5 HOURS A DAY,

SO WE CAN MAKE IT BY TODAY AND IN TIME

FOR MY APPOINTMENT WITH DR. NOW, AND I MADE IT.

BUT I'M SO SCARED RIGHT NOW.

I NEED THIS HELP SO BAD.

MY LIFE DEPENDS ON IT, AND I DON'T WANT TO DIE.

I'M ONLY 28 YEARS OLD, SO THIS IS VERY IMPORTANT TO ME.

NOWHERE ELSE WILL TAKE ME ON AS A PATIENT.

SO MY WHOLE LIFE DEPENDS ON WHAT'S ABOUT TO HAPPEN.

GINA.

I'M HONESTLY NOT SURE WHAT THE SCALE WILL SAY TODAY.

BUT I KNOW THAT WHATEVER IT SAYS,

IT'S NOT GOING TO BE GOOD.

WOW.

WOW.

THAT'S NOT THE WORST NUMBER I IMAGINED IT TO BE,

BUT IT'S STILL SHOCKING TO SEE A NUMBER LIKE THAT,

SO I SHOULDN'T HAVE GOTTEN THIS WAY.

THIS IS MY LAST CHANCE AT A LIFE.

IF HE SAYS NO, I DON'T KNOW WHAT I'M GOING TO DO.

-HELLO. -HI.

-HI. -HOW ARE Y'ALL DOING?

GOOD, HOW ARE YOU?

JUST FINE, THANK YOU.

I'M DR. NOWZARADAN, AND YOU'RE GINA?

-YES. -AND YOU ARE?

-BETH. -BETH.

AND WE ARE COMING FROM NEW JERSEY.

-YES. -YEAH, TUCKERTON, NEW JERSEY.

ALRIGHT. SO WHAT BROUGHT YOU DOWN TO TEXAS?

I'VE TRIED WEIGHT-LOSS SURGERY BEFORE IN NEW JERSEY,

AND THEY TOLD ME I WAS TOO BIG.

WELL, YOU HAVE A BMI OF 100,

WHEN IT SHOULD BE A QUARTER OF THAT,

SO THAT IS A DANGEROUS SITUATION TO BE IN,

AND THERE WAS A GOOD CHANCE YOU WOULDN'T HAVE SURVIVED

SURGERY BECAUSE OF THAT,

SO I CAN UNDERSTAND WHY YOU WERE TOLD THAT

BECAUSE YOU'RE TOO HIGH-RISK TO HAVE THE SURGERY.

MM-HMM.

AND WHAT SEEMS TO BE THE ISSUE WITH YOUR EATING HABIT?

NOT EATING THE RIGHT THINGS.

I SNACK A LOT.

LOTS OF EMPTY SNACKING, AND YOU ARE 600 POUNDS,

AND YOU WONDERING WHAT'S WRONG, HUH?

JUST A GUY COME IN, COME IN AND SAY,

"MY HEAD HURT," AND I SAY, "WHEN?"

"WELL, WHEN I HIT IT WITH THE BASEBALL BAT."

-YOU'RE RIGHT. -OKAY.

SO, WHAT DRIVE YOU TO SNACK?

ARE YOU HUNGRY? ARE YOU HABIT OR NERVOUS?

BORED, JUST BORED, LIKE...

-BOREDOM? -MM-HMM, YEAH.

SO I ASSUME THAT YOU'RE NOT WORKING.

-NO, I DON'T WORK. -ALL RIGHT.

SO, HOW DO YOU SUPPORT YOURSELF?

I'M ON DISABILITY, AND MY WIFE WORKS.

OKAY. SO YOU WORK ALL DAY AND BRING HOME FOOD

AND PAY FOR HER TO EAT ALL DAY AT HOME.

YES.

ALRIGHT. LET'S SEE.

OKAY, SO IF YOU WANT TO BE IN MY PROGRAM,

HERE IS WHAT IT'S GOING TO TAKE.

THE FIRST THING IS, I'M GOING TO GIVE YOU 1,200 CALORIE A DAY,

HIGH-PROTEIN, LOW-CARB DIET THAT I WANT TO START IMMEDIATELY.

OKAY.

IT IS GOING TO BE ONLY EATING THREE TIMES A DAY.

THERE WILL BE NO SNACKING. -OKAY.

AND THERE WILL BE LISTS OF FOOD TO AVOID.

OKAY.

SO YOU'RE GOING TO HAVE TO CHANGE YOUR EATING HABIT

AND WELL UP SOME DISCIPLINE IN YOUR LIFE,

AND THEN OVER THE NEXT 2 MONTHS, I WANT YOU TO LOSE 50 POUNDS.

YOU THINK YOU CAN DO THAT?

YEAH.

OKAY, I HOPE SO.

SO THAT MEANS, BETH, YOU STOP FEEDING

GINA AS WELL AS HER WHOLE FAMILY.

OKAY.

AND, GINA, YOU START MAKING YOUR OWN MEALS

AND STOP PUSHING BETH TO GET YOU FOOD.

OKAY.

THAT'S GOING TO BE THE STARTING POINT,

AND YOU'RE GOING TO HAVE TO SHOW ME

THAT YOU'RE SERIOUS ABOUT IT AND MOTIVATED

AND GET YOURSELF IN A BETTER SHAPE.

AND THEN, IF I ACCEPT YOU INTO MY PROGRAM,

AND WE MOVE AHEAD TO DO WEIGHT-LOSS SURGERY,

THE LAST THING IS, YOU HAVE TO MOVE DOWN

TO HOUSTON FOR AT LEAST A YEAR,

SO WE CAN PROVIDE YOU WITH THE SUPPORT YOU NEED

TO BE SUCCESSFUL IN THE LONG RUN.

IS THAT SOMETHING YOU THINK YOU BOTH CAN DO?

-MM-HMM. -YES.

WE CAN DO THAT.

ANY QUESTIONS?

-NO. -ALL RIGHT.

I'LL SEE YOU BOTH IN TWO MONTHS, AND IT WAS NICE TO MEET YOU.

THANK YOU SO MUCH. NICE TO MEET YOU, TOO.

-AND NICE TO MEET YOU, TOO. -THANK YOU.

AND IF YOU HAVE ANY QUESTIONS, GIVE ME A CALL.

OKAY. THANK YOU SO MUCH.

YOU'RE WELCOME.

Dr. Nowzaradan: I HAVE A LOT OF CONCERNS ABOUT GINA RIGHT NOW,

BUT WHAT I NEED TO SEE FROM HER RIGHT NOW

IS A WILLINGNESS TO START MAKING THE CHANGES

SHE NEEDS BY LOSING 50 POUNDS OVER THE NEXT 2 MONTHS.

IF SHE DOES THAT, THEN WE CAN WORK WITH HER,

BUT IF SHE DOESN'T, THEN SURGERY AND ANYTHING ELSE WE DO

WILL ONLY LEAD TO TEMPORARY PROGRESS FOR HER

THAT SHE WILL EVENTUALLY UNDO.

SO THE BALL IS IN HER COURT,

AND WHERE WE GO FROM HERE WILL ALL COME DOWN

TO WHETHER SHE'S WILLING TO DO THE WORK SHE NEEDS OR NOT.

Gina: I FEEL AMAZING THAT DR. NOW IS WILLING TO WORK WITH ME

BECAUSE I WAS SO NERVOUS THAT HE WAS GOING TO SAY NO,

BUT IT'S DEFINITELY DAUNTING

THAT I HAVE TO LOSE 50 POUNDS ON MY OWN.

IT'S GOING TO BE HARD AND OVERWHELMING,

BUT I KNOW THIS IS A ONE-IN-A-LIFETIME CHANCE FOR ME

AND THAT MY WEIGHT IS KILLING ME,

SO I NEED TO GET MY LIFE ON TRACK

BEFORE IT'S TOO LATE FOR ME.

I'M HUNGRY.

WHAT WOULD YOU LIKE?

I DON'T KNOW WHAT WE HAVE.

I'LL GO TELL YOU.

OKAY.

ME AND BETH HAVE BEEN BACK HOME FOR ABOUT A WEEK,

AND FOOD WAS OBVIOUSLY A HUGE PART

OF WHAT HELPED ME DEAL WITH THE STRESS

AND THE PAIN OF THE TRIP,

SO I COULDN'T EVEN TRY TO START THE DIET AND EXERCISE PLAN

DR. NOW GAVE ME UNTIL WE GOT BACK HOME,

SO I HAVEN'T HAD A LOT OF TIME TO MAKE SOME PROGRESS YET.

BUT BETH WENT TO THE GROCERY STORE

AND GOT SOME HEALTHIER FOOD OPTIONS FOR ME

TO START ADJUSTING TO THE NEW DIET,

SO I'VE BEEN WORKING ON DOING THAT,

BUT IT HASN'T BEEN EASY BECAUSE I HAVEN'T BEEN FEELING WELL.

I THINK THE TRAVELING TOOK A LOT OUT OF ME

AND BROKE MY SYSTEM DOWN A LITTLE,

BUT I'M TRYING TO DO THE BEST I CAN

BECAUSE I KNOW HOW IMPORTANT THIS IS.

YOU HAVE SOME TURKEY BURGERS.

THERE'S EGGS.

THERE'S SOME LETTUCE, IF YOU WANT ME TO MAKE A SALAD.

I DON'T KNOW.

I'M, LIKE, NOT IN THE MOOD OF ANY OF THAT.

I'M HUNGRY, AND I'M SICK.

WHAT DO YOU WANT?

SOMETHING THAT I PROBABLY SHOULDN'T HAVE, BUT --

YOU HAVE TO HAVE WHAT'S ON THE DIET!

I KNOW, BUT I DON'T FEEL GOOD, AND I'M HUNGRY.

I UNDERSTAND THAT, BUT THAT'S A REASON OR AN EXCUSE!

OKAY, BETH. CAN YOU GO GET ME SOMETHING?

WE CAN'T DO THAT.

YOU HAVE TO EAT -- HAVE WHAT'S ON YOUR DIET.

YOU GUYS AREN'T EATING HEALTHY.

YOU GUYS SAID YOU WOULD DO THIS WITH ME, AND YOU'RE NOT!

YOU BOTH CAN'T BE PREACHING TO ME,

WHEN YOU TWO AREN'T DOING IT EITHER.

YES, I EAT BAD.

I'M SORRY.

I HAVE NOT BEEN 100 PERCENT,

BUT YOU NEED TO WANT TO DO THIS FOR YOU.

YOUR WHOLE LIFE IS AHEAD OF YOU.

BUT I'M OVERWHELMED.

I'M OVERWHELMED.

I'M VERY PROUD THAT YOU WENT TO SEE DR. NOW,

AND FOR YOUR FIRST APPOINTMENT,

AND YOU WENT TO TEXAS, AND YOU DID IT!

AND I THINK THE ONLY WAY THAT YOU ARE GOING TO DO THIS IS,

YOU HAVE TO START BECOMING INDEPENDENT.

THEN MAYBE YOU SHOULD TEACH ME HOW TO MAKE THE TURKEY BURGERS.

YES.

OKAY.

Gina: BETH AND MY MOM JUST DON'T UNDERSTAND

HOW HARD THIS IS FOR ME...

LET'S DO IT. I'M READY.

OKAY.

...BECAUSE FOOD IS THE ONLY THING

I HAVE THAT MAKES ME HAPPY,

AND GIVING ALL THAT UP IS NOT EASY,

BUT I REALLY AM TRYING

BECAUSE I KNOW I HAVE TO START LOSING WEIGHT NOW.

NOT JUST BECAUSE I NEED TO GET IN DR. NOW'S PROGRAM

AND GET WEIGHT-LOSS SURGERY,

BUT BECAUSE ALI'S WEDDING IS COMING UP IN A COUPLE OF WEEKS,

AND ONE OF MY BIG MOTIVATIONS HAS BEEN TO LOSE ENOUGH WEIGHT

TO BE THERE FOR HER, SO I REALLY WANT TO DO THIS.

BUT EVERYONE JUST TREATS ME LIKE I DON'T CARE

INSTEAD OF SUPPORTING ME,

AND THAT MAKES ME FEEL EVEN MORE ALONE

THAN I ALREADY DO TRYING TO DO THIS,

BUT THAT DOESN'T MEAN I'M NOT DETERMINED TO MAKE THESE CHANGES

BECAUSE EVERYTHING IN MY LIFE DEPENDS ON ME DOING THIS.

Gina: IT'S BEEN A LITTLE OVER A MONTH

SINCE MY FIRST APPOINTMENT WITH DR. NOW,

AND I STILL HAVE ANOTHER MONTH BEFORE MY NEXT FOLLOW-UP.

Beth: YOU WANT YOUR SHOES ON?

YES, PLEASE.

YOU WANT TO TIE ONE FOR ME?

BUT I'VE BEEN PUSHING MYSELF TO MAKE AS MUCH PROGRESS

AS I CAN BY THIS POINT

BECAUSE TOMORROW IS MY SISTER'S WEDDING,

BUT TONIGHT IS THE REHEARSAL,

AND ALI ASKED ME TO BE THE MAID OF HONOR,

AND I REALLY DON'T WANT TO LET HER DOWN,

SO I'M TRYING TO BE THERE FOR HER.

I JUST DON'T KNOW IF I'M GOING TO BE ABLE TO DO IT.

GO.

I'M SO NERVOUS ABOUT THIS.

I'M ALREADY FEELING TIRED,

AND I'M OVERWHELMED AT THE THOUGHT OF SEEING EVERYONE,

OR, REALLY, EVERYONE SEEING ME IS WHAT I'M WORRIED ABOUT.

AND WHEN WE GET THERE, I DON'T EVEN KNOW

IF THE SEATS THEY HAVE ARE EVEN GOING TO BE ABLE TO HOLD ME.

SO THIS IS ALL JUST A LOT, AND I'M TRYING NOT TO FREAK OUT.

CAN I GET OUT? OKAY.

REALLY?

WHERE?

BETH, CAN YOU HOLD THE CHAIR?

-HI, SWEETIE. -HI, HOW ARE YOU?

I'M GOOD. IT'S GOOD TO SEE YOU.

GOOD TO SEE YOU, TOO.

-HOW YOU FEELING? -OKAY.

YOU SOUND LIKE YOU HAVE A LITTLE BIT OF A COLD.

I DO.

ALL THIS IS GETTING TO BE TOO MUCH FOR ME.

SO I DON'T KNOW HOW LONG

I'M GOING TO BE ABLE TO HANDLE SITTING HERE.

FEELS LIKE EVERYONE IS STARING AT ME.

Ali: HI, WHAT'S UP?

I DON'T KNOW IF I'M GOING TO WALK IN.

OH, YOU MEAN, LIKE, WALKING...

BECAUSE I NEED -- BECAUSE, LIKE, IT'S TOO MUCH RIGHT NOW.

WALK IN TONIGHT, YOU MEAN, OR JUST TOMORROW?

YEAH, JUST -- NO, TONIGHT.

-OKAY. BECAUSE IT'S TOO MUCH, AND...

-THAT'S FINE. -MY -- I -- JUST TOO MUCH.

OKAY, THAT'S FINE, OKAY.

I WANTED TO GO BY THE DOOR BECAUSE IT'S HOT.

-GO AHEAD. -THIS RIGHT HERE?

-YEAH. -THANK YOU, BETH.

YOU'LL BE FINE.

IT'S TOO MUCH.

-HERE IS GOOD? -YEAH.

I JUST NEED TO GET OUT OF THE CENTER OF THE ROOM.

I THINK DOING THIS AND BEING HERE WAS A BAD IDEA.

THIS IS JUST TOO MUCH FOR ME.

I FEEL LIKE I NEED TO GO THE CAR.

I'M HAVING A BAD -- I NEED TO GO TO THE CAR.

LET'S GO. YOU HAVE THE KEYS?

YOU CAN'T DO THIS TOMORROW.

I KNOW, BUT DO YOU HAVE THE KEYS?

AND WHERE IS THE VAN?

RIGHT OUTSIDE.

I CAN'T DO THIS.

I JUST CAN'T.

I'M ALREADY EXHAUSTED, AND WE HAVEN'T EVEN DONE THE REHEARSAL,

AND I FEEL LIKE I'M ABOUT TO HAVE A PANIC ATTACK.

I CAN'T DO -- I DON'T FEEL GOOD.

WELL, I CAN'T TAKE YOU BACK HOME.

I KNOW, BUT IT'S TOO MUCH.

I'M TRYING.

I JUST DON'T THINK I COULD GO BACK IN THERE TONIGHT.

I'M SORRY.

I'M TRYING.

I'M JUST AFRAID THAT GINA IS GOING TO BACK OUT, SO...

THIS WAS A REALLY BAD IDEA.

I DON'T WANT TO LET MY SISTER AND MY FAMILY DOWN,

BUT I JUST CAN'T DO THIS,

AND I DON'T KNOW IF I COULD BE THERE TOMORROW

BECAUSE THIS IS JUST TOO MUCH FOR ME.

IT'S THE DAY OF MY SISTER'S WEDDING,

AND I DECIDED TO TRY AND GO TO IT

AND BE THERE FOR HER,

BUT I'M TERRIFIED BECAUSE I STILL DON'T KNOW

IF I CAN DO IT...OH, MY GOD.

...ESPECIALLY WITH HOW IT WENT LAST NIGHT

AND HOW LITTLE I CAN HANDLE.

IT'S GOING TO BE A LOT, BUT I'M WILLING TO TRY IT FOR MY SISTER.

THIS IS A DAY THAT I DON'T WANT TO LET MY WEIGHT KEEP ME FROM,

SO I REALLY WANT TO GET THIS OVER WITH,

AND I'M PRAYING I'M ABLE TO GET THROUGH THIS.

READY?

-YEAH. -ALRIGHT?

YES. YOU'RE GOOD. GO, GO, GO.

YOU'RE FINE. YOU'RE FINE.

Beth: WELCOME, EVERYONE.

ALEXANDRA, WITH THIS RING, DO YOU PLEDGE BEFORE

ALL OF YOUR FRIENDS AND FAMILY TO LOVE, HONOR AND CHERISH

KEITH FROM TODAY AND ALL THE DAYS HEREAFTER?

I DO.

I NOW PRONOUNCE YOU HUSBAND AND WIFE.

YOU MAY NOW HIGH-FIVE AND KISS YOUR BRIDE.

Gina: I'M REALLY STARTING TO STRUGGLE.

THIS IS TOO MUCH, AND MY ANXIETY IS GETTING HIGHER.

AND I WANT TO DO THE TOAST FOR MY SISTER, BUT I JUST CAN'T.

I JUST HOPE ALI ISN'T UPSET AT ME

THAT I CAN'T DO THE MAID-OF-HONOR

TOAST FOR HER...

BECAUSE I REALLY, REALLY WANTED TO,

BUT I HAVE TO GO.

Beth: GO ON YOUR PHONE.

I'M GOING TO LIVE YOU IN, AND I'LL LET YOU WATCH IT, OKAY?

OKAY.

OKAY.

THIS IS NOT HOW I WANT TO DO THIS

AND HOW I WANTED TO BE THERE FOR MY SISTER,

BUT IT'S BETTER THAN NOTHING AND MISSING IT.

Man: ALRIGHT. NEXT WE'RE GOING TO HAVE GINA GIVE HER SPEECH.

HELLO?

Hello, can you hear me?

-YES. -WHOO!

OKAY.

HI.

IF YOU GUYS DON'T KNOW ME, I'M ALI'S BIG --

I MEAN, LITTLE SISTER.

ALI AND I HAVE ALWAYS BEEN MORE THAN SISTERS.

WE ARE BEST FRIENDS.

ALI IS MY ROCK, THE ONE PERSON THAT I CAN ALWAYS COUNT ON.

I TRULY

I TRULY DON'T KNOW WHAT I'D DO WITHOUT HER.

I'm so happy that I got to stand here today

and witness the love that you both have for each other.

ALI AND KEITH, I LOVE YOU BOTH,

AND NOW YOU GUYS CAN HIGH-FIVE FOR A LIFETIME.

CHEERS.

THANK YOU. LOVE YOU, GINA.

THANK YOU. LOVE YOU.

EVERYBODY, LET'S GIVE GINA A ROUND OF APPLAUSE

SO LOUD SHE CAN HEAR IT OUT IN THE CAR.

-WHOO! -EVERYBODY CHEER FOR GINA.

YES, GINA.

Gina: I'M REALLY DISAPPOINTED IN MYSELF

THAT I COULDN'T HOLD OUT FOR EVERYTHING,

AND I'M EMBARRASSED THAT EVERYONE THERE KNEW

I HAD TO BE OUT IN THE CAR BECAUSE I WAS TOO BIG TO HANDLE

BEING AT MY SISTER'S WEDDING FOR LONG.

I DON'T WANT TO EVER HAVE TO GO THROUGH

SOMETHING LIKE THIS AGAIN,

BUT ALL THIS IS JUST MORE OF A REMINDER

WHY I HAVE TO LOSE THE WEIGHT.

I'M DONE WITH THIS LIFE,

AND I'M READY TO FIGHT TO HAVE A NEW ONE.

Gina: RIGHT NOW, ME AND MY FAMILY ARE JUST OUTSIDE HOUSTON.

IT'S BEEN ALMOST 2 MONTHS

SINCE MY LAST APPOINTMENT WITH DR. NOW,

AND I GO BACK TO SEE HIM AGAIN NEXT WEEK

TO FIND OUT IF I HIT MY GOAL

AND IF I'M GOING TO GET WEIGHT-LOSS SURGERY.

BUT ONE OF HIS REQUIREMENTS FOR HIS PROGRAM WAS THAT ME

AND BETH WOULD HAVE TO MOVE TO HOUSTON FOR A YEAR,

SO SHORTLY AFTER MY SISTER'S WEDDING,

I DECIDED I WANTED TO GO AHEAD AND MAKE THE MOVE.

OH, MY GOD, OKAY.

MY WHOLE FAMILY SAID THEY WOULD COME DOWN TO HELP ME

AND BETH DO THIS, SINCE I STILL CAN'T DO MUCH,

BUT IT'S BEEN ANOTHER REALLY LONG DRIVE HERE.

IT'S TAKING A BIG TOLL ON MY BODY,

SO I'M READY TO GET INTO OUR PLACE AND REST.

I'VE NEVER LIVED ON MY OWN

BECAUSE I LIVED WITH MY SISTER MY WHOLE LIFE,

AND EVEN THE SHORT TIMES WE HAVEN'T LIVED TOGETHER,

WE'VE STILL BEEN CLOSE TO EACH OTHER,

BUT NOW WE'RE GOING TO BE SEPARATED BY HALF THE COUNTRY,

AND THAT'S NOT GOING TO BE EASY FOR ME.

IT'S ALL YOURS, PRINCESS.

BUT IN SOME WAYS IT'S GOING TO BE REALLY GOOD

BECAUSE IT'S GOING TO GIVE ME A CHANCE

TO DISCOVER MORE OF WHO I AM,

NOT BEING A HOUSE WITH FOUR OTHER PEOPLE.

WE NEED A BED.

WELL, I DON'T KNOW WHAT YOU EXPECT ME TO DO TONIGHT.

I DON'T KNOW HOW ME AND BETH

ARE GOING TO TAKE BEING ON OUR OWN.

OUR MARRIAGE AND OUR RELATIONSHIP,

IT HASN'T BEEN THE GREATEST,

BUT I WANT TO CLOSE THAT CHAPTER,

OPEN UP A NEW CHAPTER HERE IN TEXAS,

START MY NEW LIFE.

NOT JUST A NEW LIFE,

BUT A BETTER LIFE THAT'S POSSIBLE FOR ME

AS LONG AS I WORK HARD TO GET IT.

ME AND BETH ARE HEADING TO DR. NOW'S

FOR MY SECOND APPOINTMENT,

AND HOPEFULLY IT'S GOING TO BE A GOOD ONE

WHERE I GET APPROVED FOR WEIGHT-LOSS SURGERY.

THE PAST 2 MONTHS HAVE BEEN REALLY HECTIC

WITH MY SISTER'S WEDDING AND THE MOVE DOWN HERE TO HOUSTON,

BUT EVEN WITH ALL THAT GOING ON AND THE STRESS OF EVERYTHING,

I WORKED REALLY HARD TO LOSE WEIGHT.

SO I'M FEELING GOOD ABOUT THE PROGRESS I SHOULD SEE TODAY

AND THAT IT'LL BE WHERE IT NEEDS TO BE TO SHOW DR. NOW

THAT I'M READY TO BE A PART OF HIS PROGRAM

AND GET WEIGHT-LOSS SURGERY.

GINA?

AT MY LAST APPOINTMENT, I WEIGHED 606, AND DR. NOW

GAVE ME A GOAL TO LOSE 50 POUNDS TODAY,

SO THE WEIGHT I NEED TO BE BELOW TODAY TO HIT MY GOAL IS 556.

I CAN'T SEE HOW THAT'S RIGHT.

I JUST DON'T SEE HOW I'VE GAINED,

NOT WITH HOW HARD I'VE WORKED.

I CHANGED SO MUCH, AND I GAVE UP A LOT,

SO THAT JUST DOESN'T MAKE ANY SENSE,

AND I DON'T WANT DR. NOW

TO TELL ME I CAN'T DO HIS PROGRAM

AND THAT I'M NOT WORKING HARD ENOUGH WHEN I REALLY AM,

SO I HOPE HE BELIEVES ME.

-HELLO. -HELLO.

-HI. -HOW Y'ALL DOING?

GOOD, HOW ARE YOU?

JUST FINE, THANK YOU. ALRIGHT.

GINA, IN 2 MONTHS YOU WERE SUPPOSED TO LOSE 50 POUNDS.

YEAH.

BUT YOU GAINED 8 POUNDS, SO HOW IS THAT POSSIBLE?

I WASN'T FOCUSED AT ALL. I MESSED UP A LOT.

I TAKE FULL OWNERSHIP FOR THAT.

I FELT LIKE, BEING IN NEW JERSEY,

I JUST KEPT GOING BACK INTO MY OLD WAYS.

IT WAS VERY EASY, SO I WASN'T FOCUSED,

AND NOW THAT WE MOVED DOWN HERE,

I FEEL LIKE I'M MORE FOCUSED NOW TO REALLY DO IT

BECAUSE I SHOULD'VE HAD THE TOOLS IN NEW JERSEY

TO DO IT, AND I DIDN'T, AND THAT'S TRUE, SO YEAH.

COME ON.

THE REALITY IS YOU DIDN'T WANT TO CHANGE

YOUR EATING HABITS, SO YOU DIDN'T.

IT'S AS SIMPLE AS THAT.

SO WHY WOULD YOU MOVE DOWN HERE

IF YOU'RE NOT FOLLOWING MY DIET AND EXERCISES?

I WANT TO.

I FEEL LIKE I NEEDED THE CHANGE TO MOVE HERE.

WHAT DO YOU MEAN WANT TO?

MEANING, LIKE, I WANT TO HAVE A LIFE.

I DON'T WANT TO DIE, AND WHAT I HAVE BEEN DOING,

I -- WASN'T THE CORRECT WAY,

AND I KNOW THAT I DO HAVE THE FIGHT IN ME.

I DO KNOW THAT I DO HAVE, YOU KNOW,

THE PASSION IN ME TO DO THIS, AND NOW THAT I'M HERE,

I FEEL LIKE I'LL BE MORE FOCUSED,

AND, I DON'T KNOW, THAT'S WHAT...

I JUST THINK I NEED MORE FOCUS.

OKAY, EH, EH, EH! JUST HOLD IT RIGHT THERE.

LET ME ASK YOU THIS: DO YOU VALUE YOUR LIFE?

YES. YEAH.

OKAY, IF YOU VALUE YOUR LIFE, THEN YOU KNOW YOU'RE OVEREATING

AND WHAT YOU ARE DOING IS GOING TO LEAD TO AN EARLY DEATH.

WHY DO YOU KEEP DOING IT?

I DON'T KNOW. I JUST... I DON'T KNOW.

YOU DON'T KNOW, SO YOU'RE HERE BECAUSE YOU NEED HELP, RIGHT?

-MM-HMM, YES. -SO YOU KNOW WHAT YOU NEED,

BUT THE PROBLEM IS YOU THINK THAT HELP

IS TO DO THE WORK FOR YOU,

AND THAT'S NEVER GOING TO HAPPEN,

BUT YOU'RE THE ONE WHO HAS TO DO THE WORK TO GET THERE.

NO ONE ELSE IS GOING TO DO IT FOR YOU.

THAT'S TRUE. I AGREE WITH YOU.

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

I DON'T WANT YOU TO SAY ANYTHING.

YOU ASKED ME HOW YOU CAN BE PART OF MY PROGRAM.

I TOLD YOU WHAT YOU NEEDED TO DO,

BUT YOU STILL DIDN'T DO IT.

YOU SKIPPED AHEAD AND MOVED TO HOUSTON

LIKE YOU EXPECT TO GET WEIGHT-LOSS SURGERY.

I AM GLAD YOU ARE OUT OF THE UNHEALTHY ENVIRONMENT

WITH YOUR FAMILY, BUT THE PRIMARY DYSFUNCTION

AT HOME IS WITH YOU AND BETH,

SO YOU TWO STILL HAVE A LOT OF WORK TO DO

TO ADDRESS THAT BEFORE YOUR HOME SITUATION IS GOING TO IMPROVE.

RIGHT.

SHE'S OVERWEIGHT AND YOU'RE OVERWEIGHT EXTREMELY,

AND I'VE GOT NEWS FOR YOU TWO.

YOU'RE BOTH ENABLING EACH OTHER.

OKAY?

AND THIS IS A BAD DYNAMIC YOU'VE GOT BETWEEN YOU TWO,

AND THE WHOLE RELATIONSHIP THAT YOU'VE GOT

IS FOCUSED AROUND FOOD.

SO YOU MAY HAVE MOVED AWAY FROM YOUR FAMILY

TO GET OUT OF THAT ENVIRONMENT,

BUT YOU'RE STILL LIVING WITH YOUR PRIMARY ENABLER,

WHO NOW IS THE ONLY PERSON THAT YOU KNOW HERE IN HOUSTON.

AND YOUR WHOLE RELATIONSHIP YOU TWO HAVE

WITH EACH OTHER REVOLVES AROUND FOOD,

SO YOU BOTH NEED TO START DOING SOMETHING

WITH THE RELATIONSHIP BESIDE THE FOOD, OKAY?

MM-HMM.

SO WE GOT A LOT OF ISSUES HERE BETWEEN YOU TWO.

NOW YOU NEED TO CORRECT THEM, OKAY?

OKAY.

SO FAR YOU HAVEN'T DONE ANYTHING

TO QUALIFY TO BE IN MY PROGRAM, OKAY?

AND IF YOU DON'T FOLLOW MY DIET

AND MAKE ANY OF THE REAL CHANGES YOU NEED,

YOU DON'T LOSE 58 POUNDS IN THE NEXT 2 MONTHS,

YOU NEED TO GO BACK TO NEW JERSEY, OKAY?

OKAY.

BECAUSE THERE'S NO POINT IN EITHER OF US WASTING TIME

IF YOU'RE JUST GOING TO WAIT AROUND

FOR SOMEONE ELSE TO DO THE WHOLE WORK FOR YOU.

I KNOW. THAT'S -- I KNOW.

IF YOU KNOW, THEN WHY HAVEN'T YOU DONE IT ALREADY?

I KNOW. I DON'T KNOW.

I DON'T KNOW WHAT TO SAY BECAUSE IT'S TRUE.

DOESN'T MATTER WHAT YOU SAY.

IT MATTER WHAT YOU DO.

IT DOESN'T MATTER WHAT FIGURE OF SPEECH.

IT'S THE ACTION, AND THAT ACTION IS NOT MOVING DOWN TO HOUSTON.

THE ACTION IS YOU VALUE YOUR LIFE,

SO YOU MAKE GOOD CHOICES TO CHANGE THAT

BEFORE IT'S TOO LATE.

AND AT THIS POINT THE ONLY HOPE

I SEE TO TRY TO GET THROUGH TO YOU,

IS TO GET YOU TO START PSYCHOTHERAPY.

OKAY.

SO WE'RE GOING TO SET YOU UP TO SEE A THERAPIST

AS SOON AS POSSIBLE. -OKAY, OKAY.

AND, BETH, I WANT YOU TO GO WITH HER, OKAY?

OKAY.

SO THIS IS GOING TO BE FOR BOTH OF YOU TO MAKE THE CHANGES.

I'M DISAPPOINTED YOU DIDN'T MAKE ANY PROGRESS,

BUT HOPEFULLY NOW WE'RE GOING TO MAKE THE CHANGES, OKAY?

-OKAY, THANK YOU SO MUCH. -OKAY, THANK YOU.

ALRIGHT.

Dr. Nowzaradan: THERE WERE ALREADY A NUMBER OF CONCERNING ISSUES WITH GINA

THAT ARE GOING TO MAKE TRYING TO TURN HER SITUATION

AROUND VERY DIFFICULT,

BUT I'M EVEN MORE CONCERNED ABOUT GINA NOW.

HER FLIPPANT ANSWERS AND CLICHéS SHE USED TO EXPLAIN HER CHOICES

SHOW A LEVEL OF DELUSION THAT'S CONCERNING AS WELL,

AND, ON TOP OF THIS,

THE UNHEALTHY DYNAMIC BETWEEN HER AND BETH

IS ANOTHER LAYER TO HER WHOLE UNHEALTHY SITUATION

BECAUSE BETH HELPS GINA CREATE THE DELUSIONAL WORLD

SHE WANTS TO LIVE IN,

SO I'M HOPING PSYCHOTHERAPY WILL BE ABLE TO MAKE

SOME PROGRESS TO HELP GET THEM TO A HEALTHY PLACE

BEFORE IT'S TOO LATE, AND SHE RUNS OUT OF TIME.

Gina: I'M REALLY GLAD DR. NOW

IS GIVING ME ANOTHER CHANCE TO BE ON HIS PROGRAM,

AND I THINK THERAPY FOR ME AND BETH WOULD BE GOOD FOR US.

SO I'M DISAPPOINTED I DIDN'T GET APPROVED

FOR WEIGHT-LOSS SURGERY TODAY,

BUT I'M DETERMINED TO DO WHAT I NEED TO MAKE SURE,

WHEN I COME BACK, I HIT MY GOAL TO GET IMPROVED

BECAUSE UNTIL I DO,

MY LIFE IS GOING TO BE HANGING IN THE BALANCE.

Gina: ME AND BETH ARE ON OUR WAY TO START THERAPY.

DR. NOW THINKS WE ENABLE EACH OTHER,

AND HE'S PROBABLY RIGHT, SO WE HAVE TO CHANGE THAT,

SO I THINK THIS WILL BE GOOD FOR US.

Clay: HI.

FEEL FREE TO HAVE A SEAT.

OKAY.

WHY DO THE TWO OF YOU THINK YOU'RE HERE TODAY?

-COMMUNICATION. -MM-HMM.

IT'S LIKE WE BATTLE EACH OTHER EVERY DAY.

LIKE, SHE KNOWS WHAT TO SAY TO ME TO GET ME UPSET,

AND I KNOW WHAT TO SAY TO HER TO, YOU KNOW, GET HER UPSET,

AND I FEEL LIKE IF SHE JUST SAYS IT NICELY TO ME

AND ACTUALLY TALKS TO ME AND NOT HAVE AN ATTITUDE,

I THINK IT'LL BE BETTER, BUT I FEEL LIKE I GET DEFENSIVE

BECAUSE SHE'S HURTING ME, SO I WANT TO HURT HER.

WE CAN START BY JUST STOPPING.

JUST STOP IT.

THE TWO OF YOU ARE A TEAM,

AND SO YOU HAVE TO PRIORITIZE THE RELATIONSHIP

AND YOUR LOVE FOR ONE ANOTHER, SO LET ME CHECK IN WITH BETH

BECAUSE, BETH, I SAW YOU NODDING IN AGREEMENT AS WELL.

TALK ABOUT THAT A LITTLE BIT.

HAVING ME DO EVERYTHING IN THE HOUSE,

FROM GOING TO WORK, TO COMING HOME,

TO CLEANING UP, TO DOING THIS, DOING THAT,

I HAVE EXPRESSED TO HER THAT IT JUST FEELS LIKE A LOT.

MARRIAGE IS A PARTNERSHIP,

BUT IT'S VERY, VERY COMMON TO BECOME

SO CONCERNED WITH MEETING THE NEEDS OF YOUR SIGNIFICANT

OTHER THAT YOU FORGET YOUR OWN NEEDS,

AND SO THAT'S WHERE RESENTMENT SEEPS IN,

AND IT CAN START TO POISON A RELATIONSHIP.

MM-HMM.

SO WHAT'S THE CURRENT SLEEPING ARRANGEMENT?

WELL, RIGHT NOW WE DON'T HAVE A BED,

SO I SLEEP IN THE LIVING ROOM ON A CHAISE,

AND SHE SLEEPS IN THE ROOM ON AN AIR MATTRESS.

-OKAY. -YEAH.

NOW I DO HAVE SOME HOMEWORK

THAT I WANT TO GIVE EACH OF YOU.

OKAY.

FOR YOU, BETH, I WANT YOU TO HAVE A STAYCATION OF SORTS,

SO IF THAT MEANS GOING SOMEWHERE DURING THE DAY

AND JUST GETTING AWAY AND HAVING YOUR WHOLE DAY BE ABOUT YOU,

I'D LOVE TO SEE YOU DO THAT.

OKAY.

AND, GINA, YOUR HOMEWORK IS TO EXPERIENCE A DAY

WITHOUT HELP...

MM-HMM.

...BECAUSE I LOVE THE IDEA OF YOU

DISCOVERING FOR YOURSELF WHAT YOU CAN DO.

MM-HMM, YEAH.

ANOTHER HOMEWORK ASSIGNMENT THAT I HAVE FOR THE TWO OF YOU,

AS A COUPLE, GO AND OBTAIN A BED TOGETHER.

YEAH.

ARE THE TWO OF YOU UP FOR THAT CHALLENGE?

-YEAH. -YEAH.

I AM.

-OKAY? -OKAY.

WELL, I APPRECIATE YOU BOTH,

AND I CAN'T WAIT TO SPEAK WITH YOU AGAIN.

SAME HERE, THANK YOU.

OKAY. THANK YOU.

THAT WAS HARDER THAN I THOUGHT IT WOULD BE,

BUT I THINK IT WAS GOOD,

AND I'M READY TO WORK ON THINGS LITTLE LOLA WANTS US TO DO

BECAUSE I WANT TO GET HEALTHY AND LOSE THE WEIGHT,

AND I WANT ME AND BETH TO HAVE A GOOD, HEALTHY RELATIONSHIP,

AND I'M READY TO DO MY PART,

AND DO WHATEVER IT TAKES SO THAT CAN HAPPEN,

INSTEAD OF THINGS JUST GETTING WORSE.

SINCE SEEING LOLA, ME AND BETH HAVE BEEN TRYING TO DO

ALL THE THINGS SHE TOLD US TO START MAKING CHANGES.

-IT'S READY. -THANK YOU.

ONE REALLY BIG STEP WE TOOK,

IS THAT WE WENT AND BOUGHT A BED.

THANK YOU, BYE.

SO THAT'S EXCITING BECAUSE NOW ME AND BETH

WILL START SLEEPING IN THE SAME PLACE LIKE A MARRIED COUPLE.

THANK YOU.

AND I HOPE IT WORKS OUT,

AND I DON'T END UP NOT BEING ABLE TO SLEEP.

WANT TO GO CHECK IT OUT?

YEAH, WE COULD GO CHECK IT OUT.

BUT EVEN IF IT'S HARD, THE TRADE-OFF IS WORTH IT

IF IT HELPS ME AND BETH GET TO A BETTER PLACE.

WOW!

NICE.

OOH!

DO YOU WANT TO PUT THE SHEETS ON AND STUFF?

YEAH, I THINK WE SHOULD.

OKAY.

I'M READY FOR THE NEW ME, AND THE LIFE ME AND BETH

CAN HAVE IF I'M ABLE TO LOSE THE WEIGHT.

IS IT THIS WAY? YEP.

YEAH.

AND I KNOW ONE OF THE BIGGEST STEPS IN DOING THAT

IS GETTING MY WEIGHT-LOSS SURGERY.

OKAY, LET'S TRY IT.

SO I'M COMMITTED TO WORKING AS HARD AS I NEED TO GET IT

AND MAKE IT TO THAT LIFE.

OH, WOW.

THIS IS SO COMFORTABLE.

IT IS.

OH.

OH, YEAH.

ME AND BETH ARE HEADING BACK TO SEE DR. NOW AGAIN.

THIS WILL BE MY THIRD APPOINTMENT WITH HIM,

AND I'M HOPING IT GOES BETTER THAN IT DID LAST TIME

AND THAT I HIT MY GOAL THIS TIME,

BUT I'M NERVOUS ABOUT GETTING ON THE SCALE

AND FINDING OUT MY WEIGHT TODAY.

GINA?

AT MY LAST APPOINTMENT TWO MONTHS AGO,

I HAD SOMEHOW GAINED A LITTLE AND WAS UP TO 614,

SO DR. NOW TOLD ME

I STILL HAD MY FIRST GOAL OF LOSING 50 POUNDS,

PLUS LOSING THE 8 POUNDS I GAINED AT MY LAST APPOINTMENT,

SO I NEED TO BE BELOW 556 TODAY, AND I'M REALLY HOPING I'M THERE,

OR AT LEAST REALLY CLOSE TO THAT.

OKAY, IT'S 5 POUNDS, BUT IT'S SOMETHING, BUT...

-YEAH, IT'S A LITTLE LOSS.

I'M REALLY SCARED RIGHT NOW

BECAUSE I KNOW I BARELY LOST ANYTHING,

AND DR. NOW IS NOT GOING TO BE HAPPY WITH ME,

AND I'M WORRIED HE'S GOING TO TELL ME

I'M DONE, AND I'M NOT DOING HIS PROGRAM.

I NEED THIS, SO I REALLY DON'T WANT THAT TO HAPPEN.

-HELLO. -HELLO.

HOW Y'ALL DOING?

GOOD. COULD BE BETTER.

WELL, I HAVE TO AGREE WITH YOU.

IT COULD BE BETTER.

-YEAH. -ALRIGHT.

SO THIS TIME YOU DIDN'T GAIN, BUT YOU ONLY LOST 5 POUNDS,

AND YOU'RE STILL A HIGHER WEIGHT THAN WHEN YOU FIRST CAME IN,

SO THE ISSUE IS YOU'RE STILL OVEREATING.

ARE YOU GOING TO THERAPY?

YES, I DID.

IS IT HELPING YOU FIGURE OUT SOME THINGS,

AND HELPING YOU TO IMPROVE YOUR DYNAMIC AND BE MORE POSITIVE?

ABSOLUTELY.

I THINK I REALLY NEEDED TO SEE A THERAPIST,

AND I THINK IT'S HELPING ME A LOT TO NOT GO TO FOOD,

AND TO REALLY PUT MYSELF FIRST, AND REALLY WORK ON ME,

AND THAT'S WHAT I'VE BEEN REALLY TRYING TO DO.

OKAY, WELL, SO FAR IT HASN'T MADE MUCH OF A DIFFERENCE,

SO KEEP WORKING ON IT, AND WE'LL SEE.

BUT AT THIS POINT, WE'RE GOING TO GO BACK

TO FIRST GOAL I GAVE YOU.

IF YOU WANT TO DO THIS, LOSE 50 POUNDS OVER THE NEXT TWO MONTHS.

OKAY.

GREAT. ALRIGHT.

THEN SO I'M GOING TO SEE YOU BOTH IN 2 MONTHS, OKAY?

-OKAY, THANK YOU SO MUCH. -THANK YOU.

ALRIGHT. I'LL SEE Y'ALL LATER.

OKAY.

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

OKAY, I WILL. THANK YOU.

OKAY. ALRIGHT.

-THANK YOU. -MM-HMM.

IT GO BETTER THAN YOU EXPECTED?

YEAH. GOT IT.

GINA SO FAR IS CONTINUING TO SHOW ME THAT SHE IS NOWHERE

CLOSE TO BEING READY FOR WEIGHT-LOSS SURGERY.

WHILE SHE AND BETH BOTH STILL SEEM TO WANT

TO HOLD ONTO THE SAME NEGATIVE BEHAVIOR

THAT ENABLED THEIR UNHEALTHY DYNAMIC,

AND GINA'S OVERALL SITUATION AND OUTLOOK

STILL LOOKS TO BE JUST AS DIRE BECAUSE SO FAR AS SHE SEEMED

TO ONLY WANT A MAGIC SOLUTION TO FIX HER PROBLEMS.

SO THIS IS ALL GOING TO COME DOWN

TO WHETHER OR NOT SHE'S WILLING TO DO THE WORK SHE NEEDS,

BUT UNLESS SHE WAKES UP SOON,

HER SITUATION IS JUST GOING TO KEEP GETTING WORSE

UNTIL SHE GETS TO A POINT WHERE SHE'S OUT OF TIME.

Gina: I'M VERY RELIEVED THAT DR. NOW DIDN'T TELL ME

I WAS DONE WITH HIS PROGRAM.

I WAS TERRIFIED THAT THAT'S WHAT WAS GOING TO HAPPEN

WHEN I GOT MY WEIGHT, BUT I KNOW I'M RUNNING OUT OF CHANCES.

SO NO MATTER WHAT, I HAVE TO DO EVERYTHING IN MY POWER

TO GET TO MY GOAL THIS TIME

BECAUSE I'M PROBABLY NOT GOING TO GET ANOTHER CHANCE.

Gina: TODAY I'M TAKING A BIG STEP,

DOING ONE OF THE THINGS THAT LOLA WANTED ME TO DO.

SHE AND DR. NOW WANT ME TO BE LESS RELYING ON HAVING BETH

DO EVERYTHING FOR ME,

AND NOW I'M COOKING DINNER FOR BETH TO THANK HER

FOR ALL SHE DOES FOR ME AND TO SHOW HER

I'M TRYING TO START TURNING OUT RELATIONSHIP INTO A MARRIAGE.

HI! HEY, BABE.

HOW ARE YOU? HOW WAS YOUR DAY?

IT WAS GOOD. HOW WAS YOURS?

REALLY GOOD.

WELL, FIRST I WANT TO KNOW WHAT YOU DID.

DID YOU ENJOY YOUR ALONE TIME?

I DID ACTUALLY.

YEAH? YEAH.

OKAY.

SO I MADE YOU DINNER.

YOU DID?

I DID, AND YOUR FOOD IS ON THE TABLE.

OOH.

SO IT'S BEEN A BIG DAY FOR ME,

AND I'M PROUD OF HOW MUCH I'VE DONE.

I'M TRYING SO HARD THIS TIME,

AND I'M JUST REALLY, REALLY HOPING

WHEN I GO BACK TO SEE DR. NOW NEXT MONTH...

I HOPE -- I MEAN, IT LOOKS COOKED, RIGHT?

IT'S COOKED.

...THAT I CAN FINALLY GET APPROVED FOR SURGERY.

IF I DON'T, THEN I DON'T KNOW WHAT'S GOING TO HAPPEN.

IT'S GOOD.

I COULD COOK?

MM-HMM.

ME AND BETH ARE BACK AT DR. NOW'S

FOR ANOTHER APPOINTMENT.

MY ANXIETY LEVEL IS REALLY HIGH

BECAUSE IT'S SO IMPORTANT I'M AT MY GOAL TODAY,

AND I'VE BEEN WORKING SO HARD TO MAKE SURE

I LOST WHAT I NEEDED TODAY.

GINA?

AT MY LAST APPOINTMENT TWO MONTHS AGO,

I WAS AT 609, AND DR. NOW'S GOAL

WAS FOR ME TO LOSE 50 POUNDS BY TODAY.

SO I'M PRAYING WHEN MY WEIGHT COMES UP THAT

I'M AT LEAST BELOW 559.

THAT'S OKAY.

I DON'T KNOW.

I DID BETTER, BUT IT'S STILL NOT MY GOAL,

SO I DON'T KNOW WHAT THIS MEANS OR WHAT DR. NOW IS GOING TO SAY.

I'M REALLY HOPING THAT HE'S AT LEAST HAPPY

I DID BETTER THIS TIME,

BUT I'M SCARED THAT ALL HE'S GOING TO CARE ABOUT

IS THAT IT'S NOT HOW MUCH

I NEEDED TO LOSE AND HE'S NOT GOING TO BE HAPPY WITH ME.

-HELLO. -HELLO.

HELLO.

-HOW ARE Y'ALL DOING? -GOOD.

-FINE. -HOW ARE YOU?

I'M DOING GOOD. THANKS.

ALRIGHT. LET'S SEE.

GINA, THIS TIME YOU LOST 23 POUNDS IN TWO MONTHS PERIOD?

YES.

THAT'S JUST BARELY HALF OF WHAT YOU SHOULD HAVE DONE,

BUT AT LEAST YOU'RE LOSING SOME WEIGHT NOW.

SO WHAT ARE YOU DOING DIFFERENT THIS TIME?

I'VE BEEN WORKING EXTREMELY HARD.

I'M MAKING ALL CHANGES: THERAPY, DOING STUFF BY MYSELF,

EATING THE 1,200-CALORIE DIET, DOING EXERCISE.

SO I'VE BEEN TRYING REALLY HARD TO DO EVERYTHING

I'M SUPPOSED TO BE DOING.

THEN WHY DIDN'T YOU LOSE MORE?

I, HONESTLY, I DON'T KNOW.

I DON'T KNOW. I DON'T KNOW.

WHAT DO YOU MEAN YOU DON'T KNOW?

HOW MANY TIMES ARE YOU EATING NOW?

I TRY TO DO EITHER THREE TIMES A DAY OR TWICE A DAY, SO...

-NO SNACKING? -NO, ONLY HEALTHY SNACKING.

LIKE, IF I HAVE A MEAL, LIKE THE HEALTHY MEAL,

THEN IF I DIDN'T FINISH IT,

I WILL SNACK ON THAT INSTEAD OF...

WHAT DO YOU MEAN YOU SNACK ON THAT?

LIKE, IF I'M HUNGRY, I'LL GO BACK TO THAT MEAL

THAT I DIDN'T FINISH, AND I'LL FINISH IT.

THAT'S WHAT... -REALLY?

YEAH.

SO YOU KNOW THE DIET SAYS YOUR MEALS

ONLY LAST 20 MINUTES, RIGHT?

YES.

BUT YOU'RE NOT FOLLOWING THAT BECAUSE WHAT YOU'RE TELLING ME

IS YOU EAT WHAT YOU CAN'T EAT IN 20 MINUTES,

AND THEN AFTER THAT, YOU GO BACK AND EAT THE SAME THING AGAIN.

MM-HMM, YEAH.

YOU DOING THAT FOR EVERY MEAL?

MOSTLY, YEAH.

SO IF YOU'RE DOING THAT FOR EACH MEAL,

THEN YOU ARE EATING SIX MEALS A DAY IN REALITY.

THERE IS A REASON THE DIET IS THE DIET,

AND YOU NEED TO FOLLOW IT

BECAUSE WHEN YOUR OWN SYSTEM LIKE THIS,

YOU'RE JUSTIFYING EATING MORE BY TRADING THIS OR THAT AMOUNT.

BUT THE REALITY IS EVERYONE EATS MORE THAN THEY REALIZE,

SO IF YOU DON'T STICK TO WHAT YOU CAN EAT IN 20 MINUTES

AND THAT'S IT, YOU GO BACK AND EAT ANOTHER MEAL

THAT IS JUST AS BIG.

BUT YOU CONVINCE YOURSELF YOU'RE NOT EATING THAT MUCH,

BUT YOU'RE STILL PRETTY MUCH EATING ALL DAY LONG.

DID YOU FEEL LIKE THIS WAS SOMETHING WRONG

WITH DOING THAT OR NOT?

NO, ABSOLUTELY I DON'T THINK THAT WAS RIGHT,

AND I KNOW THAT, THAT WAS WRONG.

AND --I -- I DON'T KNOW.

THE REALITY IS THAT YOU KNOW WHAT YOU'RE DOING

AND THAT YOU'RE STILL OVEREATING.

YOU'RE JUST IN DENIAL OF YOUR OVEREATING.

THAT'S TRUE.

I UNDERSTAND THAT.

DO YOU ALSO UNDERSTAND THIS IS A VERY BAD SITUATION,

THAT WE CANNOT GET YOU TO DO THE BASIC LEVEL OF WORK

YOU NEED TO START TO SAVE YOUR LIFE?

MM-HMM.

SO YOU'RE LOOKING FOR A MAGIC SOLUTION

THAT WILL MAGICALLY MAKE YOU LOSE WEIGHT OR WHAT?

NO, NO.

SO WHAT'S THE SOLUTION FROM HERE?

I DON'T KNOW.

I THINK I NEED TO REALLY TRY HARDER, OR...

I DON'T -- I DON'T KNOW.

THAT'S WHAT YOU'RE TELLING ME EVERY TIME.

EVERY TIME YOU COME IN, YOU GIVE ME THE SAME STORY,

AND YOU'RE NOT LOSING WEIGHT.

SO UNLESS YOU ARE ABLE TO REACH IT ANYHOW

AND LOSE 50 POUNDS OVER THE NEXT TWO MONTHS,

WE WON'T BE MOVING AHEAD WITH YOU,

AND YOU'RE NEVER GOING TO BE APPROVED

FOR WEIGHT LOSS SURGERY.

-OKAY. -OKAY?

BUT THIS IS YOUR LAST CHANCE.

YOU GOT THAT?

-YES, ABSOLUTELY. -OKAY?

AND THE ONLY REASON I'M GIVING YOU ANOTHER CHANCE HERE

IS THAT YOU FINALLY MADE SOME PROGRESS THIS TIME.

OKAY. THANK YOU.

BUT SO YOU HAVE NO EXCUSE.

AT THIS POINT, I'M GOING TO GET YOU TO SEE A DIETITIAN.

OKAY.

SO WE'LL SET THAT UP FOR YOU, BUT RIGHT NOW,

WE ARE GIVING YOU EVERY POSSIBLE TOOL TO DO THIS.

SO IF YOU DON'T THIS TIME, THEN THERE IS NOTHING MORE

WE CAN DO FOR YOU, AND WE'LL BE DONE.

YOU UNDERSTAND THAT, RIGHT? -YES.

I UNDERSTAND. MM-HMM.

I REALLY HOPE SO BECAUSE THIS IS IT FOR YOU,

AND, BETH, YOU NEED TO WORK ON THINGS TOO

IF YOU REALLY WANT HER TO DO THIS.

I DO.

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

-OKAY. THANK YOU. -THANK YOU.

-GOOD LUCK. -THANK YOU.

-THANK YOU. -ALRIGHT.

Dr. Nowzaradan: I'M GLAD THAT GINA FINALLY HAS SOME LEVEL OF WEIGHT LOSS,

BUT HER PROGRESS IS STILL NOWHERE NEAR WHERE IT SHOULD BE.

SO THINGS AREN'T LOOKING GOOD FOR HER RIGHT NOW.

THE DIETITIAN WE ARE SENDING TO HER

MAY HAVE SOME POSITIVE IMPACT ON HER,

BUT NOTHING WE DO OR PROVIDE FOR HER

IS REALLY GOING TO MAKE MUCH OF A DIFFERENCE

AS LONG AS GINA ISN'T WILLING TO PUT IN THE HARD WORK SHE NEEDS.

AND SO FAR SHE HAS SHOWN ME THAT SHE DOESN'T WANT TO DO THIS,

BUT THIS IS HER LAST CHANCE.

SO IF SHE DOESN'T WAKE UP AND TAKE HER SITUATION

SERIOUSLY RIGHT NOW,

SHE'S GOING TO LOSE HER CHANCE TO TURN HER LIFE AROUND.

Gina: I'M GLAD I STILL HAVE ONE LAST CHANCE, BUT I'M TERRIFIED

BECAUSE I KNOW FOR A FACT THAT THIS IS IT.

AND I'M HOPING WHAT DR. NOW TOLD ME ABOUT MY EATING

AND HOW TO CHANGE IT AND SEEING A NUTRITIONIST

OR GIVES ME MORE OF AN EDGE TO LOSE MORE

BECAUSE I'M DOING EVERYTHING ELSE I CAN.

SO NO MATTER WHAT, I HAVE TO DO IT NOW.

MY LIFE IS DEPENDING ON THIS.

Gina: ME AND BETH ARE SEEING A NUTRITIONIST TODAY.

AT MY LAST APPOINTMENT WITH DR. NOW,

I HADN'T LOST WHAT I NEEDED, SO TO HELP,

HE'S SENDING A NUTRITIONIST TO GO OVER THINGS WITH ME,

AND THEY'LL BE HERE SOON.

I'M LOOKING FORWARD TO IT

AND THINK IT COULD BE A GOOD LEARNING EXPERIENCE FOR ME.

WHATEVER IT IS, IF IT'S SOMETHING THAT COULD

POSSIBLY HELP ME LOSE MORE,

I WANT ALL THE HELP I CAN GET AT THIS POINT

BECAUSE I HAVE TO HIT MY GOAL THIS TIME.

BECAUSE IF I DON'T, THEN I'M GOING TO LOSE MY CHANCE

TO DO DR. NOW'S PROGRAM, AND I CAN'T LET THAT HAPPEN.

SO I'M NOT SURE WHAT I'M GOING TO LEARN TODAY,

BUT WHATEVER INSIGHT I GET INTO BETTER NUTRITION,

I'M GOING TO TOTALLY APPLY TO TRY AND DO BETTER

AND GET TO THE WEIGHT LOSS GOAL

I HAVE TO HAVE.

-HI! I'M ROXANNE. -HI. I'M BETH.

-HI, BETH. NICE TO MEET YOU. -NICE TO MEET YOU.

HI! I'M GINA.

HI, GINA. NICE TO MEET YOU.

-NICE TO MEET YOU, TOO. -OKAY.

SO THE REASON WHY I'M HERE TODAY

IS BECAUSE I UNDERSTAND Y'ALL HAVE A MEAL PLAN,

AND I UNDERSTAND YOU'VE BEEN FOLLOWING IT.

BUT YOU STILL FEEL LIKE YOU...

THERE'S A LITTLE BIT OF DIFFICULTIES

OR YOU'RE REALLY NOT 100% SURE ON WHAT THE PORTION SIZE IS.

YES, ABSOLUTELY, YES.

SO WHY DON'T WE TAKE A LOOK

AT YOUR REFRIGERATOR AND YOUR PANTRY,

AND MAYBE I COULD HELP YOU ANSWER SOME OF THOSE QUESTIONS.

OKAY.

ALRIGHT.

SO I SEE THIS.

-THAT'S MY CHOCOLATE MILK. -OKAY.

NOW WHEN I LOOK ON THE LABEL HERE,

THERE ARE 12 GRAMS OF SUGAR FOR ONE TABLESPOON,

AND THAT TELLS ME HOW MANY SUGAR PACKETS ARE IN THIS.

SO IN ONE TABLESPOON, THERE ARE 3 SUGAR PACKETS.

OH, MY GOODNESS. WOW!

YES.

I DIDN'T EVEN REALIZE THAT. OKAY.

-RIGHT. -I TOLD YOU.

NOW LET'S LOOK AT THE REFRIGERATOR.

OKAY.

OKAY.

THIS IS LIGHT SOUR CREAM.

-OKAY. -OKAY?

LIGHT DOES NOT MEAN IT'S REALLY LIGHT.

THIS IS ABOUT 50 PERCENT FAT.

WOW.

-SO EVEN THOUGH IT SAYS LIGHT... -OKAY.

...YOU HAVE TO BE CAREFUL WITH THAT.

I DIDN'T EVEN KNOW THAT BECAUSE I THOUGHT, LIKE,

IF IT SAYS LIGHT OR LOW-FAT, I ALWAYS ASSUMED IT WAS HEALTHY.

IT IS A LITTLE BIT BETTER THAN REAL SOUR CREAM.

RIGHT.

BUT IT'S STILL NOT A GOOD CHOICE.

WOW, OKAY.

DID YOU KNOW THAT?

-I DID NOT KNOW THAT. -SEE?

WE BOTH DIDN'T KNOW.

-OKAY. SO LIGHT MAYO? -MM-HMM?

WHAT YOU CAN FIND OUT IS THAT

ABOUT 30 OF THE CALORIES IS FROM FAT.

WOW.

EVEN THOUGH IT'S ONLY 35 CALORIES.

WOW.

SO THIS IS ALMOST 100 PERCENT FAT.

-OH, MY GOODNESS. -WOW.

SO NOW I KNOW SOME PEOPLE LIKE TO USE

A LITTLE BIT OF MAYONNAISE,

AND I SAY USE FAT-FREE MAYONNAISE.

YOU KNOW? USE FAT-FREE SOUR CREAM.

OH, OKAY.

YOU KNOW, IF IT'S STILL -- I LIKE REAL FOOD.

I THINK WHEN YOU START DOING THAT,

THAT THAT'S NOT AS HEALTHY. -YEAH, YEAH, YEAH.

HOWEVER, SOMETIMES YOU JUST WANT SOMETHING

THAT HAS MAYONNAISE OR SOUR CREAM,

AND YOU CAN USE A LITTLE BIT, BUT GO TO FAT-FREE

BECAUSE THAT MEANS THERE IS NOT FAT.

OH, WOW. OKAY.

NOW, WE'RE GOING TO LOOK IN HERE.

AH! FOUND IT.

OH. FOUND OUR STASH OF CHEESE.

OKAY.

SO...

OH.

I'M GOING TO TAKE THESE ITEMS THAT ARE NOT NECESSARILY GOOD

FOR YOU AND GET THEM OFF YOUR HANDS.

OKAY. THANK YOU.

Gina: I FEEL LIKE THAT WAS REALLY INSIGHTFUL

AND THAT LEARNING ALL THE THINGS SHE TAUGHT US

IS GOING TO HELP ME DO BETTER NOW.

THANK YOU SO MUCH. -THANK YOU.

YES. Y'ALL HAVE A GOOD DAY.

SO ME AND BETH HAVE SOME MORE CHANGES TO MAKE

WITH EVERYTHING WE STILL EAT, BUT I'M READY AND WILLING

TO GET RID OF WHATEVER IT TAKES RIGHT NOW

BECAUSE EVERYTHING DEPENDS ON ME LOSING WHAT I NEED THIS TIME

SO THAT WHEN I GO BACK TO DR. NOW

AND STEP ON THAT SCALE, I FINALLY HIT MY GOAL

AND GET WEIGHT LOSS SURGERY.

ME AND BETH ARE HEADING BACK TO DR. NOW'S ONCE AGAIN,

AND I'M SO MUCH MORE NERVOUS THAN I'VE BEEN BEFORE.

EITHER I HIT THE GOAL TODAY, AND I GET TO DO DR. NOW'S

PROGRAM, SO I CAN TURN MY LIFE BACK AROUND,

OR I DIDN'T, AND I LOSE THIS CHANCE TO GET HELP,

AND ALL MY HOPES AND DREAMS FOR A LIFE

I DESPERATELY WANT WILL BE GONE.

SO MY WHOLE LIFE DEPENDS ON THIS,

AND I REALLY, REALLY HOPE I DID IT.

Gina: I'M AT DR. NOW'S FOR WHAT WOULD BE MY FINAL APPOINTMENT

IF I DON'T HIT MY GOAL TODAY.

AT MY LAST APPOINTMENT TWO MONTHS AGO,

I WAS DOWN TO 586, AND MY GOAL AGAIN

WAS TO LOSE 50 POUNDS BY TODAY, SO I HAVE TO BE AT 536

OR I'M GOING TO LOSE MY CHANCE TO GET WEIGHT LOSS SURGERY.

SO I JUST HAVE TO HAVE MADE IT.

THAT'S A LOT BETTER THAN LAST TIME,

BUT I'M HONESTLY NOT SURE IF THAT'S ENOUGH AND I DID IT.

SO I DON'T KNOW WHAT TO THINK,

BUT I'M STILL REALLY NERVOUS RIGHT NOW

BECAUSE I HAVE NO IDEA WHAT'S ABOUT TO HAPPEN.

I JUST HOPE IT'S NOT BAD.

HOW ARE Y'ALL DOING?

-GOOD. -HOW ARE YOU?

I AM GOOD. OKAY.

SAYS HERE THAT YOU WERE ABLE TO LOSE SOME WEIGHT, HUH?

-YEAH! MM-HMM. -ALRIGHT.

SO YOU LOST 43 POUNDS, SO NOT QUITE YOUR GOAL,

BUT IT'S ALMOST DOUBLE WHAT YOU LOST THE LAST TIME.

MM-HMM.

SO THAT SHOWS ME YOU'RE WORKING HARDER

AND GOING IN THE RIGHT DIRECTION

WHICH IS THE FIRST REALLY POSITIVE THING

I'VE SEEN FROM YOU IN 10 MONTHS.

SO HOW DO YOU FEEL?

I FEEL REALLY GOOD.

I SEE MYSELF MAKING THE CHANGES.

YOU KNOW, EVERY DAY IT'S A LITTLE BIT BETTER,

SO I'M PROUD OF MYSELF FOR THAT.

OKAY.

WELL, I'M PROUD OF YOU FOR THAT, TOO.

THANK YOU.

AND SINCE I CAN SEE YOU WORKING HARD, THIS IS WHAT I'LL DO.

I'M GOING TO GO AHEAD AND APPROVE YOU

FOR WEIGHT LOSS SURGERY.

OH, MY GOSH.

-THAT AWESOME -OH, MY GOD.

I'M SO EXCITED! THANK YOU SO MUCH.

I APPRECIATE IT.

IT TOOK YOU A WHILE TO START MAKING PROGRESS,

SO I NEED YOU TO SHOW ME YOU'RE GOING TO STICK WITH IT

AND THAT THIS WASN'T JUST A TEMPORARY CHANGE.

OKAY.

SO I'M GOING TO SET UP YOUR SURGERY FOR 3 MONTHS FROM NOW.

OKAY.

AND I WANT YOU TO LOSE ANOTHER 50 POUNDS.

-OKAY. -AND IF YOU LOSE 50 POUNDS,

WE'LL GO AHEAD WITH YOUR SURGERY.

OKAY.

BUT IF YOU FALL BACK TO YOUR OLD HABIT AND DON'T LOSE,

THEN WE'RE GOING TO CANCEL YOUR SURGERY.

OKAY? -OKAY.

KEEP IT UP OVER THE NEXT THREE MONTHS

IF YOU WANT TO GET WEIGHT LOSS SURGERY.

-OKAY. -OKAY?

ALRIGHT. SOUNDS GOOD.

THANK YOU, DR. NOW. -THANK YOU SO MUCH.

ALRIGHT.

Dr. Nowzaradan: I'M VERY HAPPY TO SEE THAT GINA

IS FINALLY STARTING TO SHOW SOME INITIATIVE

AND THAT SHE'S TAKING SOME RESPONSIBILITY FOR HERSELF,

BUT RIGHT NOW AFTER 10 MONTHS OF LITTLE TO NO PROGRESS,

I NEED TO SEE A LITTLE MORE THAN JUST 2 MONTHS OF HARD WORK

TO FEEL CONFIDENT ENOUGH TO MOVE AHEAD

WITH HER WEIGHT LOSS SURGERY.

Gina: I'M REALLY HAPPY, AND I'M REALLY, REALLY PROUD OF MYSELF.

I'VE WORKED SO HARD, AND I'VE STUCK WITH IT.

AND I'M SO GLAD I DID BECAUSE IT ALL PAID OFF,

SO NOW I CAN'T WAIT TO FINALLY GET WEIGHT LOSS SURGERY.

AND I'M GOING TO KEEP WORKING HARD OVER THE NEXT 3 MONTHS

TO LOSE 50 MORE POUNDS.

TODAY I'M TAKING ANOTHER BIG STEP IN MY JOURNEY

TOWARDS BEING MORE INDEPENDENT AND GOING OUT ON MY OWN

FOR THE FIRST TIME IN MAYBE SEVEN OR EIGHT YEARS.

ME BEING LESS DEPENDENT ON BETH

IS STILL A BIG FOCUS IN OUR THERAPY APPOINTMENTS,

BUT SHE STILL HAD TO DO ALL THE SHOPPING

AND GET THE GROCERIES BECAUSE I DON'T GO OUT ON MY OWN.

BUT TODAY I TOLD HER I WANT TO TRY AND DO IT

AND THAT I FEEL READY FOR THIS.

THANK YOU.

BUT IT'S HARD NOT TO BE A LITTLE AFRAID

BECAUSE I STILL CAN'T HANDLE TOO MUCH WALKING AT ONCE.

SO I'M GOING TO HAVE TO USE ONE OF THE MOTORIZED CARTS

TO GET AROUND FOR IT ALL.

OKAY.

THIS IS A LITTLE TRICKIER THAN I THOUGHT,

BUT I KNOW I CAN MANAGE.

AND I'M GOING TO PACE MYSELF

BECAUSE I WANT TO GET EVERYTHING ON THE LIST,

AND IF I HIT MY LIMIT TOO QUICKLY,

I WON'T BE ABLE TO DO THAT.

I DON'T THINK I CAN BE AROUND ALL THIS FOOD FOR LONG.

THERE'S SO MANY THINGS TO BUY AND SO MANY TEMPTATIONS.

IT FEELS LIKE THERE'S A LOT MORE OPTIONS

NOW THAN THE LAST TIME I WAS AT A GROCERY STORE.

I HAVE TO BE VERY CAREFUL NOT TO PUSH MYSELF TOO MUCH

BECAUSE I DON'T THINK

BETH WILL LET ME TRY THIS AGAIN ANY TIME SOON

IF I END UP GETTING MYSELF IN A BAD SITUATION.

OH, MY GOD. OH!

OH, MY GOD.

OH, NO.

OH, MY GOD.

I WANT TO GET OUT OF THIS STORE BECAUSE I CAN'T...

I'VE GOT TO GET OUT OF HERE.

I DIDN'T GET THE WHOLE LIST OR EVEN MOST OF IT.

I AM A LITTLE DISAPPOINTED ABOUT THAT,

BUT I PLAN TO TRY THIS AGAIN SOON.

HOPEFULLY NEXT TIME I CAN HANDLE MORE AND DO MORE

AND NOT END UP HAVING AN ACCIDENT.

AND DOING THIS HAS GIVEN ME MUCH MORE APPRECIATION OF BETH

AND ALL SHE DOES FOR ME.

THANK YOU SO MUCH. HAVE A GOOD DAY.

YOU TOO.SORRY ABOUT THE EYEGLASS CASE.

NO, IT'S OKAY. OKAY.

THANK YOU.

I FEEL LIKE THE WORLD CHANGED

A WHOLE LOT MORE THAN I REALIZED,

AND I'M STARTING TO FEEL A LITTLE RUN DOWN

BECAUSE IT WAS A LOT HARDER THAN I THOUGHT IT WOULD BE.

BUT IT'S ALL ABOUT BABY STEPS, AND AS LONG AS

I'M GOING IN THE RIGHT DIRECTION AND MOVING FORWARD,

THEN I'M MAKING PROGRESS.

ME AND BETH ARE CONTINUING TO MAKE TIME TO DO THINGS

TOGETHER THAT DON'T REVOLVE AROUND FOOD.

WE'RE GOING ON A DATE TO A CERAMIC PAINTING PLACE.

I THINK DOING THESE THINGS TOGETHER IS HELPING US

CHANGE THE DYNAMIC IN OUR RELATIONSHIP,

AND I'M REALLY HAPPY ABOUT THAT.

-HI, GUYS. -HI. HOW ARE YOU?

WANT TO HOLD THE CHAIR SO I DON'T FALL?

OKAY.

AH, OKAY.

AND OVERALL, I FEEL GOOD ABOUT

HOW I'VE BEEN DOING OVER THE LAST 2 MONTHS.

I'M HAVING A LOT OF FUN.

ME TOO.

THERE'S BEEN SOME TEMPTATION RECENTLY

JUST BECAUSE COOKING EVERY DAY FOR EVERY MEAL IS HARD,

SO ON OCCASION WE ORDER DELIVERY FROM SOME NEARBY RESTAURANTS.

BUT IT'S BEEN VERY RARE TIMES WE'VE DONE THAT,

AND I HAVEN'T HAD ANYTHING LIKE CHEESE STEAK WITH CHEESE FRIES.

THIS IS GOING TO BE SO CUTE IN OUR HOUSE.

I THINK THIS IS SOMETHING I'VE ALWAYS WANTED TO DO,

AND NOW I AM.

AND I'M DOING IT WITH YOU, AND WE'RE HAVING A DATE.

I'M SORRY WE HAVEN'T HAD DATES.

THERE'S ONLY ONE MORE MONTH UNTIL MY WEIGHT LOSS SURGERY,

AND I PLAN TO KEEP WORKING AS HARD AS I CAN TO MAKE SURE

WHEN I GET THERE THAT I MAKE IT TO MY GOAL

AND GET TO MOVE AHEAD.

AND I CAN'T WAIT FOR THAT.

I THINK THAT'S GOOD.I THINK HE'S GOOD, TOO.

HE'S SO CUTE.

IT'S THE DAY OF MY WEIGHT LOSS SURGERY,

AND I'M REALLY GLAD IT'S FINALLY HERE.

I WORKED REALLY HARD, AND I WAITED SO LONG FOR THIS.

AND I'M READY TO MOVE AHEAD, BUT DR. NOW IS COMING BY

TO DO MY WEIGHT CHECK TO SEE IF I HIT MY GOAL FIRST.

SO I'M A LITTLE NERVOUS ABOUT THAT.

HELLO.

-HELLO. -HELLO.

HOW ARE Y'ALL DOING?

I'M GOOD. HOW ARE YOU?

GREAT.

SO YOU'RE READY FOR YOUR SURGERY.

OH, A LITTLE. I'M NERVOUS.

I'VE NEVER HAD SURGERY BEFORE, SO I'M REALLY NERVOUS.

WELL, THAT'S NORMAL TO BE NERVOUS

BECAUSE YOU'RE GOING TO SURGERY.

YOU'RE NOT GOING TO A PICNIC.

RIGHT, RIGHT. THAT'S TRUE.

OKAY?

SO LET'S GET YOU UP AND DOWN TO THE SCALE.

AT MY LAST APPOINTMENT THREE MONTHS AGO,

I WAS DOWN TO 543, AND DR. NOW GAVE ME A GOAL

TO LOSE ANOTHER 50 POUNDS.

OKAY.

SO TO MOVE AHEAD, I NEED TO BE DOWN TO 493 TODAY.

ALRIGHT: 556.

SO YOU ACTUALLY GAINED SOME WEIGHT, AND THAT'S NOT GOOD.

NO, IT'S NOT.

I'M JUST, LIKE, REALLY MAD AT MYSELF RIGHT NOW.

ALRIGHT. LET'S GO BACK TO YOUR ROOM.

OKAY.

WELL, I ALREADY KNOW HOW.

ALRIGHT. YOU STARTED MAKING SOME PROGRESS

AND MOVING IN ONE DIRECTION.

BUT YOU SHOWED ME TODAY THAT YOU'RE NOT STICKING

WITH IT LIKE YOU NEED,

SO I'M CANCELING YOUR SURGERY,

AND WE'RE NOT MOVING AHEAD WITH THAT TODAY.

I'M REALLY MAD AT MYSELF RIGHT NOW

BECAUSE I'VE BEEN WORKING SO HARD.

HERE'S THE DEAL.

I'M GOING TO GIVE YOU ONE MORE CHANCE.

OKAY.

BUT IF I'M GOING TO MOVE AHEAD WITH YOU AT ALL,

THEN I NEED TO SEE YOU LOSE A GOOD AMOUNT OF WEIGHT

OVER A CONSISTENT AMOUNT OF TIME.

OKAY.

SO YOU NEED TO LOSE 75 POUNDS OVER THE NEXT THREE MONTHS.

IF YOU DON'T DO THAT, YOU WON'T BE DOING THE PROGRAM

OR GETTING WEIGHT LOSS SURGERY FROM ME.

YOU GOT IT? -I GOT IT.

I UNDERSTAND.

ALRIGHT. LET ME GET THE NURSE TO TAKE YOUR IV OUT,

AND WE'RE GOING TO SEND YOU HOME.

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

OKAY. THANK YOU SO MUCH.

ALRIGHT.

Dr. Nowzaradan: WE OBVIOUSLY HAVE A VERY UNFORTUNATE SITUATION WITH GINA.

SHE HAD A CHANCE TO TAKE A BIG STEP

TOWARD GETTING HEALTHY TODAY,

BUT WE CAN'T MOVE AHEAD WITH SURGERY

IF SHE'S STILL GAINING WEIGHT.

SO I'M VERY DISAPPOINTED IN THIS OUTCOME

AND HER CHOICES RIGHT NOW.

WHEN SHE FINALLY HAD SOME WEIGHT LOSS A COUPLE MONTHS AGO,

I WAS HOPEFUL IT WAS A SIGN

THAT SHE WAS FINALLY STARTING TO TURN THINGS AROUND.

BUT THIS WEIGHT GAIN HAS SHOWED THAT,

THAT IS CLEARLY NOT THE CASE AND THAT SHE'S STILL STRUGGLING

WITH TAKING RESPONSIBILITY FOR WHAT SHE NEEDS TO DO.

HOPEFULLY SHE WAKES UP

AND DOES WHAT SHE NEEDS OVER THE NEXT THREE MONTHS,

BUT AT THIS POINT, WITH HER TRACK RECORD SO FAR,

THINGS DON'T LOOK POSITIVE.

BUT AS ALWAYS, WE'LL BE HERE

WAITING TO GIVE HER THE HELP SHE NEEDS

IF SHE DECIDES TO START MAKING THE CHOICES SHE HAS TO.

Gina: I THINK I'M IN SHOCK.

I JUST CAN'T BELIEVE THIS IS HAPPENING,

AND I DON'T KNOW WHAT I'M GOING TO DO.

AND I DON'T KNOW HOW THIS HAPPENED.

I THINK THIS WILL MOTIVATE HER TO MAKE SURE

THAT SHE GETS THE SURGERY FOR THE NEXT TIME

BECAUSE DR. NOW GAVE HER ONE LAST CHANCE,

AND THIS IS HOPEFULLY THE CHANCE THAT SHE TAKES UP ON.

Gina: I DON'T KNOW HOW THIS HAPPENED, BUT I KNOW I HAVE TO FIX IT.

THE ONLY THING I COULD FIGURE IS THAT I'M SABOTAGING MYSELF,

SO WHAT I WANT TO DO IS TALK TO LOLA

ABOUT WHAT'S GOING ON WITH ME AND TRY TO FIGURE IT OUT.

I'M NOT GIVING UP.

I HAVE THREE MONTHS TO SAVE MY LIFE

OR LOSE IT ALL COMPLETELY,

AND I CAN'T LET MYSELF MESS THIS UP AGAIN.

SO I'M GOING TO GET BACK ON TRACK

AND DO WHAT I NEED AGAIN, AND IN THREE MONTHS,

I'M GOING BACK TO DR. NOW.

AND I'M GETTING MY WEIGHT LOSS SURGERY

BECAUSE MY LIFE DEPENDS ON IT.