All language subtitles for My 600-lb Life S08E10

1, 2, 3.

NO, YOU GOT TO PULL
MORE THAN THAT.

Ashley:
I'M JUST NOT PHYSICALLY CAPABLE

OF DOING THINGS
THAT I NEED TO DO.

THANK YOU. OH.

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 GOING TO BE TOO LATE.

IT HURTS!

Woman #3:
I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

SO, WHAT'S THE POINT
OF COMING HERE

AND YOU GET DIET, GET MEDICINE,
AND NOT LOSING WEIGHT?

WHAT, DO YOU WANT
MAGIC HAPPEN?

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

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Ashley:
MY LIFE HAS NOT TURNED OUT
ANY WAY LIKE I THOUGHT IT WOULD,

ALL BECAUSE OF MY SIZE.

I'VE GOTTEN TOO BIG TO GET ALONG
AND DO THE THINGS THAT I NEED.

SO I'M FORCED TO DEPEND ON
MY FAMILY TO DO THINGS FOR ME,

EVEN THOUGH I HATE IT.

AND BECAUSE OF HOW MUCH HELP
I NEED NOW,

I HAD TO MOVE BACK IN
WITH MY PARENTS

SO THAT MY MOM
COULD HELP ME OUT.

AND MY OLDEST DAUGHTER, ANIYA,
HAS TO DO A LOT FOR ME, TOO.

SHE'S 11, AND SHE HELPS A LOT

WITH TAKING CARE
OF MY YOUNGEST DAUGHTER,

AMIYAH, WHO'S 9 MONTHS.

ANIYA, CAN YOU PLEASE
BRING YOUR SISTER,

PUT HER IN THE BED,
AND GET THE WALKER FOR ME?

I FEEL LIKE ANIYA IS
TAKING TOO MUCH ON AS A CHILD,

BUT WITH AMIYAH,
I NEED THE HELP.

SO I HAVE TO RELY ON HER A LOT.

I'M JUST NOT PHYSICALLY CAPABLE

OF DOING THINGS
THAT I NEED TO DO

FOR MYSELF AND FOR MY CHILDREN.

I'M ALMOST AT A PLACE
OF IMMOBILITY

BECAUSE I CAN'T STAND FOR LONG,

AND I HAVE TO USE A WALKER
TO GET AROUND.

JUST WALKING, I'M AFRAID
THAT I'M GOING TO FALL

AND MAYBE HURT A HIP
OR HURT A KNEE

THAT THEY CAN'T GET
IN MY BODY TO REPAIR.

SO THIS IS NOT THE LIFE I WANTED
OR ENVISIONED FOR MYSELF

OR MY KIDS AT ALL,
AND I WANT TO CHANGE.

BUT AS LONG AS I CRAVE FOOD
AND EAT IT LIKE I DO,

IT'S GOING TO KEEP
GETTING WORSE,

BECAUSE WHEN THE CRAVINGS
KICK IN,

THERE'S NOTHING GOING TO STOP ME
FROM EATING AT THAT POINT.

OKAY, I'M GOING TO SCHOOL.

MY MOM AND DAD HAVE TO WORK,
AND MY DAUGHTER GOES TO SCHOOL,

SO DURING THE DAY,
I HAVE TO COOK FOR MYSELF.

SO WE KEEP ALL THE UTENSILS
AND PANS

WHERE I CAN GET TO THEM,

LIKE IN THE OVEN
OR SOMEWHERE LOW

BECAUSE I HAVE TO SIT AND COOK
AND CAN'T REACH UP HIGH.

SO ONCE THE DAY STARTS
AND EVERYONE IS OUT,

I JUST MAKE FOOD AND EAT
UNTIL THEY GET HOME

AND SOMEBODY ELSE
CAN MAKE THE FOOD.

BUT FOOD IS WHAT BRING ME
HAPPINESS IN MY DAY EVERY DAY.

IT'S HARD TO REALLY DESCRIBE
ALL IT DOES FOR ME,

BUT WHEN I EAT,

I GET TAKEN TO A BETTER PLACE
FOR A LITTLE WHILE.

I CAN'T GO WHERE I WANT.
I CAN'T DO WHAT I WANT,

BUT IF I EAT THIS,
I'LL BE WHERE I WANT,

BECAUSE ANYWHERE WITH GOOD FOOD
IS A GOOD PLACE.

SO IT MAKES MY LIFE BETTER,
AND IT GIVES ME THE HAPPINESS

THAT I FEEL
THAT I'M MISSING OUT ON.

AND IT HAS NEVER FAILED ME
AT DOING THAT,

BECAUSE FOOD HAS BROUGHT ME

SO MUCH COMFORT
THROUGHOUT THE YEARS.

BUT, YOU KNOW, I KNOW THAT FOOD
IS WHAT'S TAKEN MY JOY IN LIFE

FOR ME NOW
BECAUSE OF HOW MUCH I EAT.

AND I NEVER THOUGHT
WHEN I WAS YOUNGER

THAT THIS IS
WHERE MY LIFE WOULD BE.

I NEVER DID PICTURE
BEING 600 POUNDS.

MY CHILDHOOD WAS REALLY ROCKY
FROM EARLY ON.

I HAVE THREE OLDER SISTERS
AND THREE OLDER BROTHERS

AND A BROTHER THAT PASSED AWAY,

SO THERE WERE FIVE
OF US AT HOME.

BUT GROWING UP, EVERYBODY

WAS KIND OF FOCUSING
ON THEIR OWN THINGS.

SO MOST OF THE TIME,
ME AND MY SIBLINGS

HAD TO HAVE A BABYSITTER.

AND THAT'S WHAT LED
TO WHAT I WENT THROUGH,

BECAUSE THE PERSON
WHO BABYSAT US,

HER BOYFRIEND WAS THE PERSON
THAT MOLESTED ME.

THE FIRST I REMEMBER,
I THINK I WAS ABOUT 5.

EVERY TIME THE BABYSITTER WAS
OVER, IT WOULD HAPPEN THE SAME.

SHE WOULD FEED US OR GIVE US
SOMETHING TO DRINK,

AND THEN I'D FALL ASLEEP
AND THEN WAKE UP,

AND...THE MAN WOULD BE ON ME.

AND I HATED THAT.

BUT THAT WENT ON FOR YEARS,

AND THOSE ARE
MY EARLIEST MEMORIES.

BUT I FELT LIKE THERE WAS
NOTHING I COULD DO ABOUT IT

OR ANYONE I COULD TELL,
SO I DIDN'T.

BUT I THOUGHT, MAYBE IF I GOT
BIGGER AND STRONGER,

I COULD START TO FIGHT HIM OFF.

SO WHAT I DID WAS I ATE
TO GET BIGGER.

AND OVER THE NEXT YEAR
I PUT ON MAYBE 100 POUNDS,

BECAUSE BY THE TIME I WAS 6,
I WEIGHED 150 POUNDS.

AND I JUST KEPT EATING
TO TRY TO GET EVEN BIGGER,

AND THAT JUST LED ME TO 250
WHEN I WAS 7-YEARS-OLD.

MY SIZE NEVER REALLY HELPED ME
TO STOP WHAT WAS HAPPENING.

I FOUND OUT ABOUT IT BECAUSE
ONE OF THE COUNSELORS AT SCHOOL

CALLED AND TOLD ME

THAT ASHLEY HAD REVEALED
THAT SHE HAD BEEN MOLESTED.

I TRIED TO FIND
WHAT ACTUALLY HAPPENED.

AND AT THAT POINT, SHE KIND OF
TOLD ME A LITTLE BIT,

BUT IT WASN'T SOMETHING
SHE REALLY WANTED TO LET OUT.

SHE WAS MORE EMBARRASSED,
LIKE IT WAS HER FAULT,

RATHER THAN A SITUATION
THAT SHOULD'VE BEEN HANDLED.

Ashley: BUT WITH MY MOM KNOWING,
IT WAS A BIG RELIEF,

BECAUSE SHE MADE SURE
IT STOPPED.

BUT I KEPT EATING TO GET BIGGER,
AND BY THE TIME I WAS 10,

I WAS ALREADY OVER 300 POUNDS.

AND AFTER A FEW YEARS
WHEN I WAS 13

IS WHEN IT GOT
TO A BREAKING POINT,

BECAUSE I WAS GETTING CLOSE
TO 400 POUNDS AT THAT TIME,

AND MY BODY WAS PUTTING
SO MUCH WEIGHT ON MY LEG

THAT I WAS STARTING
TO WALK LIKE A DUCK.

MY KNEES WERE KICKING IN,

AND MY FEET WERE PUSHING OUT.

I WAS IN PAIN. I WAS HURTING.

ONE DAY, MY KNEECAP CAME OUT,
AND A LIGAMENT TORE.

AND WHEN IT HAPPENED, I HAD
TO HAVE AN EMERGENCY SURGERY.

THEY PUT A METAL PLATE
AND FIVE SCREWS IN MY LEG.

I DIDN'T WANT HER
TO GET THAT BIG.

I WAS AFRAID FOR HER.

I WAS AFRAID HER HEART
WOULD GIVE OUT

OR SOMETHING WOULD GIVE OUT,

AND HER LEG DID.

SHE HAD TO HAVE SURGERY
ON BOTH KNEES,

SO SHE WENT THROUGH A HARD TIME.

Ashley:
A YEAR LATER, WHEN I WAS 14,

I HAD TO HAVE SURGERY
ON MY OTHER KNEE,

SO I WAS MISERABLE.
AND IT GOT TO A POINT,

I JUST WANTED IT TO ALL BE OVER,

BECAUSE I JUST DIDN'T WANT
TO BE LIKE THAT ANYMORE.

BUT INSTEAD, I JUST KEPT USING
FOOD TO ESCAPE THINGS

AND JUST CONTINUED
TO GET EVEN BIGGER.

AND I WAS A GOOD BIT OVER
400 POUNDS

BY THE TIME I STARTED
HIGH SCHOOL AT 14.

IN SOME WAYS, I DIDN'T LIKE
BEING THAT BIG, BUT IN OTHERS,

I THOUGHT MAYBE IT COULD
PROTECT ME FROM THE ONE THING

I TRIED TO MAKE SURE
WOULD NEVER HAPPEN TO ME AGAIN,

BUT IT DID WHEN I WAS 15.

I WAS WITH MY FRIEND AND MY
BROTHER FRIEND WAS THERE, TOO,

AND MY FRIEND, SHE LEFT.

AND THEN I WAS THERE ALONE
WITH HIM,

AND THAT'S WHEN IT HAPPENED.

HE RAPED ME.

IT WAS BY A FRIEND.

I WASN'T EXPECTING THAT,
AND, LIKE, ONCE HE DID THAT,

I JUST KIND OF FELT LIKE
I WAS STUPID.

LIKE, I FELT LIKE
IT WAS MY FAULT,

AND I STARTED EATING MORE.

THAT MY ONLY DEFENSE
I COULD TRY,

BUT MY SIZE NEVER GAVE ME
CONTROL OR PROTECTED ME,

BECAUSE WHEN I GOT TO OVER
500 POUNDS WHEN I WAS 16,

I WAS RAPED AGAIN
BY ANOTHER FRIEND.

I HAD A FRIEND THAT DID HAIR
OR WHATEVER.

I REMEMBERED I WENT,
AND I SLEPT AT HER HOUSE.

I FEEL SOMEBODY
TOUCHING MY FEET,

SO I WAKE UP, AND I'M LIKE,
"WHAT THE HELL?"

YOU KNOW, AND THERE'S A GUY.

AND I'M LIKE,
"WHAT ARE YOU DOING HERE?"

I MADE IT CLEAR THAT I DIDN'T
WANT TO BE TOUCHED,

AND HE WAS ALL, "OKAY.
YEAH. I'M-A LEAVE."

SO I'M THINKING HE LEAVING,
YOU KNOW, SO I RELAX MYSELF,

AND THE MINUTE I RELAX MYSELF,
HE DIVES DOWN.

AND HE STARTS PULLING MY PANTS.

AND I'M TRYING TO FIGHT HIM.

BUT I COULDN'T STOP HIM,

EVEN WITH MY SIZE
AND HOW BIG I WAS.

AND AFTERWARDS,
I FELT SO POWERLESS

MORE THAN ANY OTHER TIME,
BECAUSE NO MATTER WHAT I DID,

I COULDN'T STOP THAT
FROM HAPPENING.

SO I GOT REALLY DEPRESSED,
AND I DROPPED OUT OF SCHOOL.

BUT I JUST KEEP EATING,

AND I WAS PROBABLY GETTING CLOSE
TO BEING 600 POUNDS

BY THE TIME I WAS 18.

AND AFTER THAT, I STARTED
LIVING REALLY RECKLESSLY,

AND I WAS JUST EATING
CONSTANTLY.

AND I STARTED DRINKING, TOO,
BECAUSE IT MADE ME FORGET.

AND ALL THAT WENT ON
FOR A WHILE.

AND WHEN I'M 19,
I GET PREGNANT.

ONE NIGHT, WHILE I WAS OUT,
I MET SOMEONE,

AND WE STARTED SEEING
EACH OTHER.

AND I MOVED INTO HIS PLACE.

BUT THEN WHEN I GOT PREGNANT,
I TOLD HIM.

AND HE MADE IT APPARENT TO ME

THAT HE DIDN'T WANT A THING
TO DO WITH THE BABY OR ME.

AND I WAS ANGRY
ABOUT BEING PREGNANT

'CAUSE I FELT LIKE
I HADN'T LIVED.

AND AFTER I HAD MY OLDEST,
ANIYA,

I LEFT HER WITH MY MOM
TO TAKE CARE OF HER,

BECAUSE I COULDN'T
HANDLE THAT THEN.

I WAS 20, AND I STARTED
EATING MORE HARD,

DRINKING MORE HARDER.

AND THEN WHEN I WAS 21,
THINGS CHANGED FOR ME,

'CAUSE I MET SOMEONE
THAT I WANTED TO BE WITH,

BUT HE HAD CONCERNS
ABOUT MY WEIGHT.

SO I DECIDED FOR THE FIRST TIME
IN MY LIFE

THAT I WANTED
TO TRY TO LOSE WEIGHT.

AND I TRIED TO LOSE AS MUCH
AS I COULD SO THAT HE'D WANT ME.

AND I HAD SOME SUCCESS AT IT,
BUT THE PROBLEM WAS

THAT NO MATTER HOW MUCH PROGRESS
I WAS MAKING,

IT WASN'T ENOUGH FOR HIM.

SO I STARTED TO FEEL LIKE,
"I GIVE UP," YOU KNOW?

SO I WENT BACK TO EATING A LOT,
AND I WAS GETTING BIGGER.

AT 24, MY EATING
WAS OUT OF CONTROL.

AND I GOT TO A PLACE THEN

WHERE I WAS STARTING
TO LOSE MY MOBILITY,

AND THAT WASN'T THE LIFE
I WANTED FOR MYSELF.

I WANTED A NORMAL LIFE.

AT 25, I STARTED
TO GET MY LIFE TOGETHER,

AND I STARTED
TAKING CARE OF ANIYA

SO MY MOM WOULDN'T HAVE
TO DO IT NO MORE.

BUT I CAN'T DO MUCH
BECAUSE OF MY SIZE.

I'M DISABLED, AND I'M, YOU KNOW,

JUST GETTING MORE
AND MORE STRESSED.

AND I ALWAYS GO BACK TO FOOD
BECAUSE OF THAT.

SO ANY WEIGHT LOSS I HAD
DIDN'T LAST.

AND THAT CYCLE CARRIED ON
FOR THE NEXT 5 OR 6 YEARS

UNTIL IT GOT THE POINT

WHERE I COULDN'T DO IT
ON MY OWN ANYMORE,

SO I HAD TO MOVE IN
WITH MY MOM AT 31.

AND THAT WAS EMBARRASSING
AND HARD FOR ME,

BUT I HAD NO CHOICE.

BUT HAVING TO DO THAT
MADE ME WANT TO DO

WHATEVER I HAD TO GET BETTER.

SO I DECIDED TO GET
WEIGHT LOSS SURGERY,

AND I WAS TRYING TO FIND SOMEONE
TO HELP ME WITH THAT.

BUT I STARTED SEEING SOMEONE
I HAD KNOWN FOR A WHILE,

AND IT WAS GOOD WITH US.

AND THAT'S WHEN I GOT PREGNANT
WITH AMIYAH.

AND THEN THINGS
GOT EVEN WORSE FOR ME,

BECAUSE THE MINUTE I GET
PREGNANT, THAT PERSON LEAVES.

AND NOT ONLY AM I PREGNANT,

I GOT TO DO ALL THIS ALONE.

MY MOM WAS HAVING TO TAKE CARE
OF ME AND PROVIDE FOR ME

LIKE I WAS YOUNG AGAIN,
AND MY SISTER, TIFFANIE,

STARTED HAVING
TO COME OVER TO HELP ME, TOO,

SINCE SHE LIVED NEXT DOOR,
AND MY MOM COULDN'T DO IT ALL.

AND NOW I'M 32 WITH TWO KIDS,
AND I WANT A DIFFERENT LIFE

WHERE I CAN TAKE CARE OF MYSELF
AND MY KIDS,

BUT MY SIZE AND MY WEIGHT
HAS STOLEN THAT ALL FROM ME.

SO I HAVE TO CHANGE THAT.

NO ONE SHOULD HAVE TO LIVE WITH
ALL THE PAIN THAT I LIVE WITH.

IT'S CONSTANT,
AND IT NEVER GOES AWAY.

IT MAKES ME WANT TO SIT ALL DAY
AND NOT MOVE.

I FEEL LIKE I'M MISSING OUT,

BECAUSE I DEFINITELY WANT TO BE
ABLE TO MOVE AROUND A LOT BETTER

AND DO THINGS WITH MY FAMILY
AND KIDS, YOU KNOW?

BUT WITH AMIYAH, I'M NOT ABLE
TO PICK UP HER

AND WALK WITH HER

WITH MY KNEES AND MY BACK GIVING
ME AS MUCH TROUBLE AS IT DOES.

SO I NEED TO LOSE THIS WEIGHT

BECAUSE MY CHILDREN
NEED THEIR MOM, PERIOD.

HEY, MA.
I'M HOME FROM SCHOOL.

HEY, ANIYA.
HOW WAS SCHOOL?

GOOD.

HEY, ASH.

HEY.
WHAT'S UP?

YOU HUNGRY?

NOW, YOU KNOW I'M HUNGRY.

MY LEGS HURT.

YOU GON' FEEL BETTER.

ALRIGHT.COME ON, NOW. YOU GO YOUR MAMA.

NEED YOU TO STEP BACK.

YES, MA'AM.AND PULL.

JUST GIVE ME
A MINUTE, PLEASE.

ALRIGHT, ANIYA.

ALRIGHT. GO.1, 2, 3.

NO, YOU GOT TO PULL
MORE THAN THAT.

OKAY. READY?

YEAH.
1, 2, 3.

THANK YOU. OH.

HOLD ON.
GIVE ME A MINUTE.

MM-HMM.

I NEED THE WALKER.

I'M COMING. OH.

ALRIGHT.

I'M VERY DESPERATE FOR A CHANGE.

MY CHILDREN NEED IT.
MY FAMILY NEED IT

SO I'M NOT LIVING THIS LIFE
WHERE I'M TRAPPED.

I DEFINITELY FEEL TRAPPED.

I DEFINITELY LIKE A PRISONER
IN MY OWN BODY.

ARE YOU OKAY?

I'M TRYING
TO GET IN THE BED.

OW.

OHH.

YOU CALL YOUR NANA?

YOU TELLING ON ME?

HELLO.
HOW YOU DOING, TIFF?

HEY, DADDY.

-HEY, "T."
-HEY, ASHLEY.

-HEY, PA.
-HEY, ASH.

-HEY, MOM.
-HEY, MA.

-ANIYA.
-HEY.

HEY, BABE.
YOU FEELING BETTER?

OH, MY HEAD HURT.

GOOD.

HEY, LITTLE BABY GIRL.

OH. THANK YOU.

Ashley:
FOOD IS STILL MY SAFE PLACE
AND WHAT I FEEL PROTECTS ME

FROM THE PAIN OF
SO MANY THINGS IN MY LIFE,

AND I DON'T KNOW
HOW TO GIVE THAT UP.

AND I FEEL THAT IF I DON'T
DO SOMETHING DRASTIC

TO CHANGE AS SOON AS POSSIBLE,

IT'S GOING TO BE
TOO LATE FOR ME SOON,

AND I WON'T MAKE IT,

BECAUSE MY BODY ALREADY
GIVES ME SO MANY SIGNS

THAT IT CAN'T GO THROUGH
THIS KIND OF TRAUMA ANYMORE.

NOT JUST THE PAIN,

BUT WITH HOW HARD IT IS
JUST TO BREATHE AT TIMES.

I KNOW I'M GETTING TO A POINT
WHERE MY LIFE IS GOING TO END

UNLESS I FIND A WAY
FOR ME TO CHANGE IT

BEFORE IT'S TOO LATE FOR ME.

TODAY, I'M GOING TO TRY
TO GET HELP FOR MY WEIGHT

BY GOING TO HOUSTON
AND SEEING DR. NOW.

HIS CLINIC IS A FEW HOURS AWAY,

SO I'M NERVOUS
ABOUT MAKING THAT TRIP.

MY MOM AND MY SISTER CAN'T
TAKE ME SINCE THEY HAVE TO WORK,

SO ONE OF MY FRIENDS, FAITH,

THAT I'VE KNOWN
SINCE I WAS YOUNG,

IS COMING TO GET ME
AND DRIVE ME THERE.

AND MY DAUGHTER ANIYA'S GOING
TO COME TO HELP SUPPORT ME

EMOTIONALLY
WITH HOW NERVOUS I AM,

BECAUSE IT'S BEEN
A COUPLE OF YEARS

SINCE I PUSHED MYSELF
TO GO OUT THE HOUSE.

AND MY MOBILITY
IS AT ITS WORST NOW,

BUT I KNOW IT'S TIME.
I HAVE TO DO SOMETHING AND TRY,

BECAUSE MY BODY IS TELLING ME
IN SO MANY WAYS

THAT I'M NOT GOING
TO BE ABLE TO GO ON

LIKE THIS MUCH LONGER,

AND THE PAIN IN ME FOR MY WEIGHT
IS JUST CONSTANT NOW

TO WHERE I JUST
REALLY CAN'T TAKE IT,

SO I HAVE TO TRY AND DO THIS.

EVERYTHING ELSE HAS FAILED,
SO DR. NOW IS MY LAST HOPE.

WHATEVER HELP I CAN GET,
I DEFINITELY NEED IT,

AND I DEFINITELY KNOW
I NEED DR. NOW.

AND THEN MY LIFE
AND EVERYTHING I WANT IN IT

DEPENDS ON ME GETTING TO HIM
AND GETTING HIS HELP.

OH. AH.

BRIGHT. OW.

I'M ALREADY STRUGGLING,
SO I KNOW THIS ISN'T GOOD.

BUT I HAVE TO DO THIS.

I CAN'T STOP
NO MATTER HOW HARD IT IS FOR ME.

THANK YOU.

ALRIGHT.

OKAY.

I'M IN EXCRUCIATING PAIN.

MY BACK IS HURTING, AND MY FEET
ARE HURTING REALLY BAD.

NOT SURE HOW I'LL BE
ABLE TO WALK.

AND WE ONLY STOPPED A FEW TIMES
FOR FOOD AND A BATHROOM,

SO I'VE BEEN CRUSHED UP
IN THIS CAR FOR A WHILE NOW,

AND I'M IN SO MUCH PAIN
FROM THIS.

MY BODY HASN'T FELT BAD
LIKE THIS FOR A WHILE,

BECAUSE IT'S BEEN A LONG TIME

SINCE I PUT IT THROUGH
THIS MUCH TRAUMA.

AND I CAN'T GET ANYTHING TO EAT
FOR NOW TO HELP ME WITH IT.

AND I DON'T KNOW
WHEN I'LL BE ABLE TO NEXT.

ASHLEY?

IT'S BEEN A WHILE SINCE I KNEW
MY WEIGHT, AND I'M JUST HOPING

THAT IT'S NOT TOO MUCH HIGHER
THAN IT WAS BEFORE

AND THAT I'M AT LEAST
AROUND 600.

THAT'S A BIT HIGHER
THAN EXPECTED,

SO I KNOW I'M GETTING
EVEN MORE OUT OF CONTROL.

-I'M COMING.
-OKAY.

AND WITHOUT THE HELP I NEED
TO TURN IT BACK,

I'M SCARED
WHAT'S GOING TO HAPPEN TO ME,

BECAUSE I'M ALREADY
AT MY PHYSICAL LIMIT,

AND I KNOW
I CAN'T TAKE MUCH MORE,

SO I NEED THIS RIGHT NOW TO GO
HOW I NEED SO I CAN STOP THAT.

-HI.
-HELLO.

-HOW YOU ALL DOING?
-ALRIGHT. YOU?

GOOD.

WHERE YOU ALL
COMING FROM?

LAFAYETTE, LOUISIANA.

LOUISIANA, OKAY. SO THAT'S
NOT TOO BAD OF A DRIVE.

SO I ASSUME YOU WANT
TO LOSE SOME WEIGHT, HUH?

YES.

SO, YOU'RE 637 POUNDS, HUH?

YES.

ALRIGHT. SO I SEE YOU WALKING
WITH A WALKER, HUH?

MM-HMM.

ALRIGHT.
SO, YOU ARE 32,

AND AT THIS POINT,
I'M GUESSING

YOU HAVE BEEN OVERWEIGHT
MOST OF YOUR LIFE

IF YOU'RE TAKING IT
TO WHERE YOU NEED A WALKER NOW.

YEAH, I'VE BEEN EXTREMELY
OVERWEIGHT MOST OF MY LIFE.

OKAY. SO WHAT GOT YOU
TO THIS POINT HERE?

WHAT'S GOING ON
WITH YOUR EATING HABIT?

OH, IT'S OUT OF CONTROL.

IN WHAT WAY?

LIKE, THERE ARE TIMES

WHERE I JUST DON'T GET UP
TO FIX NOTHING,

SO I MIGHT SNACK,
OR IF I DON'T SNACK,

THEN I MIGHT
BINGE EAT AT TIMES.

SO, WHO ELSE IS IN THE HOUSEHOLD
BESIDE YOU?

IT DEPENDS, BUT MOSTLY
MY MOM AND MY KIDS.

I HAVE MY OLDEST DAUGHTER,
ANIYA, AND THE BABY.

AND HOW OLD IS BABY?

SHE IS JUST STARTING
HER 10th MONTH.

SO THAT'S A LOT OF WORK

TO TAKE CARE OF
A 10-MONTH-OLD BABY, HUH?

YEAH. MM-HMM.

SO YOU NEED A LITTLE HELP.YEAH.

SO YOUR FAMILY HELPS YOU,
BUT DO THEY ALSO ENABLE YOU?

NO.

NO ONE BRINGS YOU FOOD?

NOT REALLY.
OKAY.

WELL, IF YOU'RE THE ONE
CHOOSING TO OVEREAT,

THEN TELL ME
WHY DO YOU KEEP OVEREATING

IF YOU WANT
TO LOSE WEIGHT?

IT'S LIKE I TRY,

AND IT'S NOT LIKE I GREW UP
KNOWING TO EAT HEALTHY

AND KNOWING
WHAT THINGS TO DO.

SO, KIND OF,
ONCE I GET FRUSTRATED,

JUST, LIKE,
I JUST WANT TO BINGE EAT.

SO IT'S JUST FRUSTRATING.

ALRIGHT. SO, ASHLEY,
WE'RE DEALING WITH AN ISSUE

THAT YOU NEED
TO UNDERSTAND, OKAY,

BECAUSE YOU HAVE
AN EATING DISORDER

WHERE YOU DON'T WANT
TO STOP OVEREATING

AND YOU MAKE EXCUSES
WHY YOU AREN'T ABLE TO DO THAT.

SO THIS IS SOMETHING
THAT WE WILL NEED TO ADDRESS.

BUT THE FIRST THE PLACE
WE WILL START

IS WITH A DIET THAT WILL HELP
YOU LOSE SOME WEIGHT.

SO I'M GOING TO GIVE YOU
SOME STUFF

THAT I WANT YOU TO READ
EVERY NIGHT, OKAY?

SO, THIS DIET
IS GOING TO LIMIT YOU

TO ONLY 1,200 CALORIES A DAY,
AND IF YOU STICK TO THAT,

THEN YOU WILL LOSE
80 POUNDS A MONTH.

BUT WHAT I WANT YOU TO DO IS
LOSE THAT IN TWO MONTHS, OKAY?

OKAY.

SO WITH THIS DIET, YOU WON'T
HAVE ANY MORE EXCUSES

THAT YOU DON'T KNOW WHAT TO EAT
OR HOW TO EAT HEALTHY.

YOU GOT IT?
YEAH.

OKAY, GREAT.

ONCE YOU CORRECT
THE EATING HABIT,

THEN WILL BE POTENTIAL
FOR WEIGHT LOSS SURGERY, OKAY?

UH-HUH.

AND I'M ALSO GOING TO GIVE YOU
SOME EXERCISES

TO START DOING, TOO, OKAY?

YES, SIR.

SO THAT WILL HELP
GET YOUR STAMINA UP

SO YOU CAN GET MORE ACTIVE
AS YOU LOSE WEIGHT.

JUST START DOING
THOSE EXERCISES

AND SEE IF WE CAN BRING YOU
STAMINA UP, OKAY?

UH-HUH.

BUT UNTIL THEN, YOU'RE GOING
TO HAVE TO CORRECT

YOUR EATING HABIT, OKAY?

AND THAT'S GOING TO BE
VERY IMPORTANT FOR YOU,

BECAUSE WE NEED TO GET ALMOST
440 POUNDS OFF OF YOUR BODY

BEFORE YOUR CONDITION
GETS EVEN WORSE.

BECAUSE THE GOAL WEIGHT FOR YOU
WITH YOUR HEIGHT

WILL BE PROBABLY
AROUND 200.

BUT AT THIS POINT, EVERYTHING
IS GOING TO BE UP TO YOU.

SO WHAT HAPPENS FROM HERE AND
WHETHER WE MOVE AHEAD WITH YOU

WILL ALL DEPEND ON THE CHOICES
YOU MAKE FROM HERE, OKAY?

OKAY.

ALRIGHT.
ANY OTHER QUESTIONS?

MNH-MNH.

ALRIGHT. SO, LET ME
BRING YOU THIS STUFF,

AND THEN WE HOPE
TO SEE YOU IN TWO MONTHS.

AND IF YOU HAVE ANY QUESTION,
GIVE US A CALL, OKAY?

OKAY.

LET ME BRING THIS STUFF
FOR YOU, OKAY?

OKAY.

Faith: THANK YOU.

Dr. Nowzaradan: IT'S CLEAR
THAT ASHLEY HAS A HISTORY

OF MAKING EXCUSES
TO JUSTIFY HER OVEREATING,

NOT JUST TO OTHERS,
BUT TO HERSELF,

BECAUSE SHE SEEMS TO HAVE
CONVINCED HERSELF

THAT OVEREATING IS AN ACCEPTABLE
COPING MECHANISM.

BUT I ALSO DON'T THINK
SHE'S BEING HONEST WITH ME

ABOUT NOT HAVING ANY ENABLERS.

IF SHE IS AT THE POINT THAT SHE
NEEDS THE WALKER TO GET AROUND,

SOMEONE HAS TO BE
HELPING FEED HER

AND BRINGING HER
WHAT SHE WANTS TO EAT.

SO THAT IS AN ELEMENT
THAT WE NEED TO ADDRESS

IN THE LONG-TERM, AS WELL,

IF SHE'S GOING TO HAVE
ANY CHANCE AT BEING SUCCESSFUL.

BUT THE FIRST THING IS,
ASHLEY NEEDS TO SHOW ME

SHE'S WILLING TO WORK AT MAKING
THE IMPORTANT CHANGES SHE NEEDS

BY FOLLOWING THE DIET PLAN
I HAVE GIVEN HER

AND GETTING DOWN
TO HER WEIGHT LOSS GOAL

OVER THE NEXT TWO MONTHS.

ALRIGHT.
NICE TO MEET YOU, ASHLEY.

NICE TO MEET YOU.ALRIGHT. NICE TO SEE YOU.

NICE TO MEET YOU,
DR. NOW.

BYE.

-OKAY. THANK YOU.
-ALRIGHT.

THANK YOU.

SOME OF THE THINGS DR. NOW SAID
WAS HARSH,

BUT I UNDERSTAND
WHAT HE'S SAYING.

AND I WANT TO LOSE THE WEIGHT
AND CHANGE THINGS LIKE HE SAID.

AND IF THIS DIET AND EXERCISING
IS THE PATHWAY TO SURGERY

SO I CAN DO THAT, THEN I'M GOING
TO TAKE THIS ALL TO HEART

AND DO MY HARDEST
TO PROGRESS LIKE HE WANTS.

I DO HAVE A LOT OF FEAR
ABOUT WHAT IT'S GOING TO TAKE

FOR ME TO DO THAT,

BUT I'M GOING TO GIVE IT MY BEST
BECAUSE I WANT A NEW LIFE.

SO WHATEVER IT TAKES FOR ME,
I'M GOING TO DO IT,

BECAUSE I HAVE TO.

Ashley: IT'S BEEN ONE MONTH
SINCE I WENT TO HOUSTON

AND HAD MY APPOINTMENT
WITH DR. NOW.

AND SINCE THEN I'VE BEEN WORKING
ON AS MANY CHANGES WITH MY DIET

AS I CAN DO,
BUT IT HASN'T BEEN EASY.

THE MOST CHALLENGING THING
ABOUT STICKING TO DR. NOW DIET

IS MY FAMILY IS STILL MY FAMILY.

THEY'RE STILL GOING TO EAT
THE WAY THEY EAT.

SO MY BIG TEMPTATION IS DINNER,

BECAUSE THAT'S WHEN MY MOM COOKS
FOR THE WHOLE FAMILY,

AND THE SMELLS FILL UP
THE WHOLE SPACE.

AND IT MAKES ME WANT TO GIVE IN
AND EAT WHAT THEY'RE HAVING,

BUT I'VE BEEN RESISTING.

BUT HOW I'VE BEEN RESISTING

IS THAT I CALL MY FRIEND
TOMORROW

THAT I'VE KNOWN
SINCE I WAS YOUNG,

AND SHE BRINGS ME OVER
A HEALTHY MEAL TO EAT

INSTEAD OF WHAT MY MOM COOKS.

HEY, GIRLFRIEND.

HI!

OKAY. I GOT YOU SOME SHRIMP,
CRAB MEAT,

AVOCADO,
AND CREAM CHEESE.

Ashley: OKAY.

I REALLY AM PUSHING MY HARDEST,

AND I FEEL LIKE I AM DOING GOOD
WITH MY PROGRESS,

ESPECIALLY WITH MY DIET.
WITH MY MOM IN THE KITCHEN,

I CAN'T EVEN GET CLOSE
TO WHAT SHE'S MAKING,

OR I'M GOING TO LOSE MY WILL
AND GIVE IN.

SO I JUST KEEP MY DISTANCE,

AND I WAIT FOR MY HEALTHY
OPTIONS TO COME, AND I EAT THAT.

YOU WANT ME
TO CHECK ON THE KIDS?

YEAH, YOU CAN.

EXCUSE ME.

THANK YOU, MAMA.

I FIGURED YOU'D
PUT YOUR RANCH YOURSELF.

THANK YOU.YOU'RE WELCOME.

SO MY HOPE IS I MAKE IT
TO ALL MY GOALS FOR DR. NOW,

BECAUSE IT'S VERY IMPORTANT
FOR ME TO GET THIS SURGERY

BECAUSE I FEEL LIKE
IT'S BIGGER THAN FOOD.

I FEEL LIKE THIS IS MY LIFE.

THIS IS MY CHILDREN'S FUTURE.

AND IT'S ONLY GOING TO HAPPEN
IF I DO THIS LIKE I SHOULD,

AND SO I'M PUSHING HARD
TO BE WHERE I NEED

COME TIME FOR ME
TO BE BACK AT THE SCALE

AND IN FRONT OF DR. NOW SOON.

I'M BACK IN HOUSTON
WITH MY SISTER, TIFFANIE,

FOR MY NEXT DR. NOW APPOINTMENT.

FAITH COULDN'T BRING ME
THIS TIME,

SO MY SISTER WAS ABLE TO
TAKE OFF WORK TO BRING ME BACK

SO I WOULDN'T MISS IT.

I'M STILL REALLY SORE
AND IN PAIN

FROM BEING BACK CRUSHED IN A CAR
FOR 4 HOURS AGAIN,

BUT IT FEELS LIKE I COULD HANDLE
A LITTLE BIT THIS TIME AROUND.

AND I DIDN'T EAT THE FAST FOOD
THE WHOLE TIME LIKE I WANTED.

SO I'M PROUD OF THAT,
'CAUSE THAT ISN'T EASY

WITH ALL THE TEMPTATION
ON THE ROAD.

SO WITH ALL THAT, I WOULD SAY

I'M FEELING GOOD ABOUT
MY CHANCES FOR MY GOAL TODAY.

ASHLEY?

AT MY LAST APPOINTMENT,
I WAS UP TO 637,

AND THE GOAL I HAD TO LOSE
WAS 80 POUNDS OVER TWO MONTHS,

SO THAT MEANS I HAVE
TO HAVE GONE DOWN TO 557 POUNDS

TO BE WHERE I NEED.

I KNOW IT'S MORE THAN THAT
THAT I LOST.

THAT'S A BIT SURPRISING TO ME,
'CAUSE I KNOW WHAT I DID

AND HOW HARD I PUSHED MYSELF
TO MAKE THE PROGRESS I NEEDED.

I KNOW THERE WERE DAYS
WHERE I DIDN'T DO AS WELL,

BUT THAT'S JUST BECAUSE
THE STRESS OF MY LIFE

AND EATING SOMETHING TO GET BY.

BUT IT WAS HARDLY EVER,

SO I DON'T UNDERSTAND
WHY MY PROGRESS WAS SO LITTLE.

AND MY ASSUMPTION IS THAT
DR. NOW ISN'T GOING TO THINK

I WAS WORKING LIKE I WAS.
SO I'M UPSET AT THIS,

AND I'M WORRIED ABOUT
WHAT THAT MEANS NOW FOR ME

AND THE PROGRAM
AND GETTING WEIGHT-LOSS SURGERY.

-HELLO.
-HI.

HOW Y'ALL DOING?

ALRIGHT. YOU?

ALRIGHT, ASHLEY.

SO, WHAT'S GOING ON
IN LOUISIANA?

NOTHING MUCH.

I SEE THAT,
BECAUSE IN TWO MONTHS,

YOU BARELY LOST
ANY WEIGHT, HUH?

YEAH.

SO, WHAT IS WITH THAT?

I MEAN, HONESTLY,
I CAN HONESTLY SAY

THAT I HAVE BEEN TRYING
TO FOLLOW THE DIET.

THERE IS A FEW TIMES
THAT I'VE MESSED UP.

OKAY. AT YOUR WEIGHT,
TO MAINTAIN THE WEIGHT YOU ARE,

YOU NEED TO BE EATING AT LEAST
6,000 TO 7,000 CALORIES A DAY.

SO YOU ARE EATING THREE TIME
AS MUCH AS YOU SHOULD

AND PRACTICALLY
AT YOUR WEIGHT

EATING THE FOOD THAT BELONG TO
NEXT THREE YEARS AHEAD OF TIME.

SO YOU'RE STILL OVEREATING
AND DOING WHATEVER YOU WANT

AND JUST GIVING ME
EXCUSES NOW.

SO WHAT'S THE POINT
OF COMING HERE,

AND YOU GET DIET, GET MEDICINE,
AND NOT LOSING WEIGHT?

WHAT, DO YOU WANT
MAGIC HAPPEN?

WHAT DO YOU EXPECT
TO HAPPEN?

NO, IT'S NOT
THAT I EXPECTED MAGIC.

I CAN HONESTLY SAY
THAT DIDN'T DO WHAT I NEED.

I OVER-ATE STILL.

WHY?

IT'S HARD.
I'M NOT GOING TO SAY THAT --

WHAT DO YOU MEAN?

EATING RIGHT IS HARD?

YEAH, IT'S JUST STRESSFUL.

WHAT KIND OF STRESS
YOU GOT IN YOUR LIFE?

JUST A LOT.

I CAN'T REALLY NECESSARILY MOVE
EXACTLY HOW I WANT TO MOVE.

I'M IN A LOT OF PHYSICAL PAIN,
AND I KNOW --

I FEEL LIKE I WOULD DO
A LOT BETTER

IF I HAD, LIKE, SOME FORM

OF, LIKE,
A PHYSICAL THERAPY,

SO THAT THAT WAY,
I COULD MOVE AROUND MORE.

I KNOW THAT -- IT'S NOT THAT
I CAN'T DO IT AT TIMES.

IT'S JUST, IT'S HARD TO DO IT
WITH MY BABY,

LIKE, MOVING AROUND
WITH HER.

ARE YOU IMPLYING
THAT YOUR WEIGHT LOSS

IS GOING TO BE BETTER
WITH MOVING AROUND?

YES.IF THAT'S WHAT YOU'RE SAYING,

LET ME GIVE YOU BAD NEWS.EXERCISING.

BAD NEWS IS, YOUR WEIGHT LOSS
HAS TO DO WITH YOUR EATING,

NOT ACTIVITY.

OKAY.
OKAY?

SO DON'T CONFUSE YOURSELF.

OKAY.

SO YOU'RE JUST AVOIDING
MY QUESTION,

AND YOU'RE NOT LISTENING
TO WHAT I'M SAYING.

SO YOU'RE OVEREATING,

AND YOU KEEP
CONFUSING YOURSELF --

IF YOU HAD PHYSICAL THERAPY
AND MOVING AROUND,

MAYBE YOU WOULD
NOT BE THAT BIG.

THAT'S NOT REALITY, OKAY?

SO, WHAT IS THE PLAN?

WHAT DO YOU
WANT TO SEE HAPPEN?

WHAT IS ON YOUR WISH LIST?

WHAT DO YOU WANT TO DO?

I MEAN, UM, I DON'T KNOW.

WELL, YOU NEED
TO FIGURE THAT OUT.

NO. THE DIET, YEAH, I CAN
DO THAT A LOT MORE SERIOUSLY.

IT'S NOT THAT --

LIKE I SAID,
I WAS DOING KETO, AND THAT --

IT WAS ALTERED FROM WHAT
Y'ALL HAD ORIGINALLY PUT,

AND I CAN GO BACK TO THE DIET
THAT YOU HAD TO FOLLOW

AND FOLLOW IT CORRECTLY.

OKAY. YOU SEEM LIKE
YOU'RE NOT CATCHING UP

IN ANYTHING
WE TELLING YOU.

WHAT WE GAVE YOU, THOSE PAPERS
THAT YOU'RE SUPPOSED TO READ

EVERY NIGHT
THAT YOU DIDN'T READ,

WILL TELL YOU HOW THE HEALTHY
EATING HABITS SHOULD BE.

OKAY? AND EATING HEALTHY
IS A LIFESTYLE CHANGE

THAT IS GOING TO LAST
THE REST OF YOUR LIFE.

THE 1,200-CALORIE LIMIT
WILL CHANGE.

BUT WHAT YOU SHOULD
AND SHOULDN'T EAT,

THAT NEEDS TO CHANGE
FOR REST OF YOUR LIFE NOW

IF YOU WANT TO BE HEALTHY.

SO, YOU STILL HAVE
THOSE PAPER?

YES.

YOU PULL THEM OUT.
YOU READ THEM EVERY NIGHT,

AND YOU FOLLOW
HEALTHY EATING HABIT

WITH 1,200-CALORIE DIET.

AND YOU FIGURE OUT
WHAT YOU DID WRONG TODAY

AND DON'T MAKE
THOSE MISTAKE TOMORROW.

OKAY.
OKAY?

AND UNLESS YOU DO THAT,

YOU'RE NOT GOING
TO BE SUCCESSFUL

AND CHANGE YOUR LIFE
FOR THE LONG TERM LIKE YOU NEED,

SO THE WAY YOU'RE EATING
IS THE WRONG WAY,

AND THE WAY YOU ARE
RIGHT NOW,

YOU'RE NOT GOING TO LIVE
TOO MUCH LONGER.

OKAY?
OKAY.

OKAY, SO YOU WANT
TO BE HEALTHY.

YOU WANT TO TAKE CARE
OF YOURSELF.

YOU'RE GOING TO HAVE TO BE
THE ONE TO MODERATE YOURSELF

AND THE ONE TO UNDERSTAND
WHAT TO DO, WHAT NOT TO DO

AND THE ONE
THAT MAKE THE CHANGES.

OKAY?

SO, NOBODY ELSE IS GOING TO BE
ABLE TO DO THAT.

WE'RE GOING TO GIVE YOU
SOME TOOL.

WE'RE GOING TO GUIDE YOU
IN THE RIGHT DIRECTION,

BUT ULTIMATELY,
THIS IS ALL UP TO YOU.

AND SOMEWHERE DOWN THE ROAD,
WEIGHT-LOSS SURGERY

IS GOING TO BE
A POWERFUL TOOL FOR YOU

TO BE ABLE TO LOSE WEIGHT
AND MAINTAIN IT FOR LONG TERM.

BUT IF YOU DON'T DO THIS,

THEN IT WON'T MAKE
ANY DIFFERENCE FOR YOU,

BECAUSE WEIGHT-LOSS SURGERY
ISN'T A MAGIC TRICK

THAT WILL FIX
EVERYTHING FOR YOU.

YOU UNDERSTAND ALL THAT?

MM-HMM.
ALRIGHT.

SO I'M GIVING YOU THE SAME GOAL
AS THE LAST TIME

IF YOU WANT TO SHOW ME
YOU'RE GETTING THIS

AND THAT YOU'RE GOING TO MAKE
THE CHOICES YOU NEED.

AND IN TWO MONTHS,
I WANT YOU TO LOSE 80 POUNDS.

YOU THINK YOU CAN DO THAT?

YEAH.OKAY. GOOD.

ALRIGHT, ASHLEY.
NICE TO SEE YOU.

HOPEFULLY YOU CAN GET --

SHARPEN UP
ALL THOSE TOOLS WE GAVE YOU...

ALRIGHT.AND BE ABLE TO LOSE SOME WEIGHT.

YES, SIR.OKAY?

ALRIGHT.ALRIGHT. I'LL SEE YOU LATER.

ALRIGHT.NICE TO SEE YOU.

NICE TO SEE YOU, TOO.

Dr. Nowzaradan:
I'M DISAPPOINTED TO SEE
HOW LITTLE PROGRESS ASHLEY MADE

AND HOW SHE'S CONTINUING
TO MAKE EXCUSES

TO JUSTIFY HER OVEREATING
THAT DON'T LINE UP WITH REALITY.

THE BOTTOM LINE IS,
SHE'S CHOOSING TO OVEREAT

AND DOESN'T WANT
TO GIVE THAT UP.

BUT SHE NEEDS TO WAKE UP SOON,

BECAUSE SHE DOESN'T HAVE
A LOT OF TIME

TO KEEP GOING DOWN
THE PATH SHE'S ON

BEFORE SHE GETS TO A POINT

WHERE THERE MAY NOT BE
MUCH MORE WE CAN DO FOR HER.

Ashley: I FEEL A LITTLE
DISCOURAGED RIGHT NOW

BECAUSE I KNOW HOW HARD I PUSHED

TO GET GOOD PROGRESS
THESE PAST TWO MONTHS.

BUT GIVING UP IS NOT
A WORD IN MY VOCABULARY,

SO I'LL GO BACK
AND TRY TO PUSH MYSELF

SO I CAN COME BACK
AND SHOW DR. NOW

THE PROOF OF HOW
I'M WORKING MYSELF

TO BE WHERE I NEED
WITH HIS GOAL,

BECAUSE I KNOW I DON'T
HAVE MORE CHANCES

TO GET TO THE LIFE THAT I WANT
FOR ME AND MY KIDS.

Ashley:
SINCE MY LAST APPOINTMENT
WITH DR. NOW, I CAME BACK HOME,

AND I'VE BEEN PUSHING MYSELF
EVEN HARDER THIS TIME.

I FEEL A LOT MORE CONFIDENT NOW

THAN WHEN I LEFT MY APPOINTMENT
ABOUT HOW I'M DOING.

I WAS REALLY DISCOURAGED THEN

BECAUSE OF HOW LITTLE MY WEIGHT
DROPPED, BUT THIS TIME,

I KNOW I'M GETTING A LOT
MORE DOWN THE ROAD LIKE I NEED,

BECAUSE I'M FEELING REALLY GOOD
ABOUT MY PROGRESS AT THIS POINT,

BECAUSE I'M DOING A LOT STRICTER
THIS TIME WITH MY DIET.

Tiffanie:
ARE YOU READY, SIS?

YEAH, I'M COMING.

AND I'M WORKING HARDER
WITH MY EXERCISE, TOO.

MY LEG HURT.
OOH!

I'M-A GET THE WALKER
JUST IN CASE.

LEMON-LIME READY.

DAMN WEIGHT.

YOU GOT A WATER FOR ME?

YES, MA'AM.

ALRIGHT.

OKAY.

I KNOW DR. NOW SAYS MY ACTIVITY

IS A LESSER PART
OF MY WEIGHT LOSS,

BUT I KNOW TO MYSELF
HOW IMPORTANT IT IS

FOR MY PROGRESS TO GET
MORE MOVEMENT AND ACTIVITY.

SO MY SISTER, TIFFANIE,
HAS BEEN TAKING ME

TO A GYM THIS PAST MONTH,

AND I'M MAKING LARGE
IMPROVEMENTS IN MY STAMINA

TO WHERE I'M ABLE TO GET AROUND
WITHOUT MY WALKER MORE.

I STILL NEED IT BECAUSE
OF MY KNEE AND BACK PAIN,

BUT I CAN AT LEAST
GO FOR A DISTANCE WITHOUT IT,

SO THAT'S A HUGE IMPROVEMENT IN
MY ABILITIES THAT I AM PROUD OF.

OH, MAN.

ALRIGHT.

ALRIGHT. I'M-A TRY TO GO IN
WITHOUT THE WALKER.

DON'T KILL ME.

READY?
MM-HMM.

YOU NEED ME TO LEAN ON?

-HUH?
-YOU GOT IT?

GO AHEAD, GIRL.

-HOW YOU DOING?
-ALRIGHT. YOU?

-GOOD.
-HI.

HELLO.

Ashley: I'M MOSTLY FOCUSING ON
THE TOP OF MY BODY AND MY ARMS,

BUT I'VE BEEN DOING
THE BOTTOM BODY, TOO.

THE TREADMILL HAS BEEN GOOD
BECAUSE I CAN REST ON THE BAR

TO KEEP MY BALANCE AND TAKE
THE PRESSURE OFF OF MY KNEES,

WHICH IS MY MAIN OBSTACLE
USING MY LEGS,

SO THAT'S BEEN A HELP TO
WHERE I CAN GO FOR LONGER NOW.

SO I NOTICE
IT'S HELPING ME A LOT.

I CAN REALLY FEEL MY PROGRESS
I'M MAKING THIS TIME

MUCH MORE THAN LAST TIME.

SO I'M VERY PROUD OF
MY ACHIEVEMENTS THIS PAST MONTH,

AND I FEEL LIKE MY CHANCES
ARE REALLY GOOD

FOR WHEN I GO BACK
TO MY DOCTOR'S APPOINTMENT

IN A MONTH
THAT I'LL HAVE BETTER RESULTS.

AND HOPEFULLY THAT'LL MEAN
THAT I GET WEIGHT-LOSS SURGERY

WHEN DR. NOW SEES HOW IMPROVED
I DID WITH MY WEIGHT THIS TIME.

SO I'M LOOKING AHEAD TO BE ABLE
TO BE ON THE SCALE AGAIN SOON

TO SEE HOW LOW
I GOT THE NUMBER TO THIS TIME,

BECAUSE I THINK IT'S GOING TO BE
A VERY HAPPY

AND MEMORABLE MOMENT FOR ME

BECAUSE OF WHAT I'M GOING
TO ACHIEVE THEN.

I'M BACK IN HOUSTON
WITH MY SISTER

TO BE AT MY NEXT APPOINTMENT
FOR DR. NOW,

AND I'M FEELING POSITIVE
ABOUT MY RESULTS

AND MY CHANCES OF SEEING
THE GOAL I NEED TODAY

AND GETTING MY WEIGHT-LOSS
SURGERY APPROVED TO MOVE AHEAD.

BUT I KNOW I'M NOT GOING
TO KNOW THAT FOR CERTAIN

UNTIL I'M BEFORE THE SCALE,
AND I SEE HOW LOW THE NUMBER IS.

BUT I CAN FEEL A LOT OF PROGRESS
IN MY BODY AND IN MY ABILITY

BECAUSE OF WHAT
I'M ABLE TO DO NOW,

ESPECIALLY BECAUSE MY STAMINA
HAS BEEN UP SO MUCH

BECAUSE OF MY EXERCISE.

I WAS EVEN HOPING
TO SHOW DR. NOW

HOW I DON'T NEED MY WALKER
FOR AS MUCH,

BUT THE LONG CAR DRIVE'S
PUT TOO MUCH TRAUMA ON MY BODY

TO BE ABLE TO DO THAT.

SO I DON'T WANT TO PUSH MYSELF

TO RISK BEING WITHOUT
SOMETHING TO LEAN ON

WITH MY BODY SO SORE
AND FILLED WITH SO MUCH PAIN

AFTER THIS DRIVE.

BUT I KNOW MY SIZE
HAS LESSENED A LOT

BECAUSE I COULD REALLY FEEL THE
WEIGHT LOSS I MADE THIS TIME.

ASHLEY?

SO I HAVE A LOT OF CONFIDENCE
THAT ALL THE HARD WORK

THAT I PUT IN
THESE PAST TWO MONTHS

IS GOING TO SHOW IN THE NUMBER
I'M ABOUT TO GET

AND THAT THIS WILL BE
A PROUD MOMENT FOR ME

THAT WILL HOPEFULLY LEAD

TO FINALLY GETTING
WEIGHT-LOSS SURGERY

AND THE HELP I NEED
TO CHANGE MY LIFE.

Ashley: I'M BACK AT DR. NOW
FOR ANOTHER APPOINTMENT

TO SEE IF I GOT
MY NUMBER LOW ENOUGH

TO GET WEIGHT-LOSS SURGERY.

AT MY LAST APPOINTMENT,
I WAS DOWN TO 631,

BUT DR. NOW GAVE ME
THE 80-POUND GOAL AGAIN

TO LOSE OVER TWO MONTHS,

SO THAT MEANS I NEED
TO BE LOWER THAN 551.

I'LL TAKE THAT.

IT'S NOT BELOW THE GOAL NUMBER,
BUT IT'S A GOOD DROP,

SO I'M PROUD OF THAT

BECAUSE THAT PROGRESS
IS SOMETHING I EARNED.

AND I FEEL AS THOUGH
IT'S BIG ENOUGH

TO SHOW DR. NOW
HOW MUCH MORE I'M PUSHING NOW

TO GET TO WHERE I NEED.

SO I STILL FEEL LIKE
I HAVE A GOOD CHANCE

TO GET MY APPROVAL
FOR THAT TODAY.

-HELLO.
-HELLO.

-HOW Y'ALL DOING?
-ALRIGHT.

GOOD. ALRIGHT.

SO, YOU MADE SOME PROGRESS
THIS TIME, HUH?

YEAH.

YOU LOST 44 POUNDS,

SO YOU'RE MOVING
IN BETTER DIRECTION,

SO THAT'S GREAT.

BUT IT'S STILL ONLY ABOUT HALF
OF WHAT YOUR GOAL WAS.

SO YOU STILL HAVEN'T MADE
THE CHANGES TO YOUR DIET

LIKE YOU NEED AND SHOW ME
YOU'RE SERIOUS ABOUT THIS YET.

SO WHY IS THAT?

ARE YOU SERIOUS
ABOUT LOSING WEIGHT?

IT'S NOT THAT
I'M NOT SERIOUS.

IT'S JUST THAT I'VE BEEN REALLY
DEALING WITH A LOT OF STRESS,

EMOTIONAL THINGS,
AND THERE'S, LIKE,

A LOT OF FINANCIAL THINGS
THAT I DEAL WITH.

I HAVE CHILDREN.

MY MOM'S SICK.

THERE'S NOT MANY OTHER PEOPLE
THAT CAN HELP WITH MY KIDS.

SO IT SOUNDS LIKE
YOU'RE STILL USING STRESS

AS AN EXCUSE TO OVEREAT
AND KILL YOURSELF WITH FOOD.

SO YOU NEED TO STOP JUSTIFYING
YOUR OVEREATING WITH STRESS,

BECAUSE THE STRESS
IS NEVER GOING AWAY.

IT'S JUST A FACT OF LIFE
THAT EVERYONE HAS TO DEAL WITH.

I DON'T HAVE ANY SOLUTION
FOR YOUR PROBLEMS.

LAST THING YOU'RE GOING
TO NEED WITH THAT

WILL BE
WEIGHT-LOSS SURGERY, OKAY?

WEIGHT-LOSS SURGERY
ONLY BECOME A SOLUTION FOR YOU

IF YOU FIGURE OUT WHAT'S WRONG
WITH YOUR EATING HABIT

AND CORRECT THOSE ISSUES,

AND THAT ALL HAS TO START
WITH YOU TAKING THE FIRST STEP

AND SHOWING YOU'RE WILLING
TO MAKE THE CHANGES YOU NEED.

YOU DO THAT, THEN WE CAN GIVE
YOU THE TOOLS TO KEEP GOING

AND LEARN HOW TO GO
IN HEALTHIER WAYS

AND GIVE YOU
WEIGHT-LOSS SURGERY.

BUT RIGHT NOW, FROM HOW
YOU KEEP MAKING EXCUSES

AND NOT LOSING MUCH WEIGHT,

IT SEEMS LIKE YOU HAVE
NONE OF THOSE INGREDIENT

TO MAKE WEIGHT-LOSS SURGERY
TO BE SUCCESSFUL FOR YOU.

OKAY?

SO IF YOU WANT US
TO CONSIDER ANY NEXT STEPS,

THEN DO THE DIET AND LOSE AT
LEAST 80 POUNDS OVER TWO MONTHS.

BUT IF YOU DON'T, THEN THERE'S
NOT MUCH WE CAN DO FOR YOU,

BECAUSE YOU GOT SO MANY ISSUES
THAT NEED TO BE RESOLVED

THAT YOU THINK
ARE GOOD EXCUSES

TO KEEP KILLING YOURSELF
WITH FOOD.

YOU GOT THAT?

YES. BUT I'M TRYING.

I REALLY AM.

I THINK YOU THINK YOU ARE,

BUT WHAT YOU THINK
IS NOT REALITY,

BECAUSE THE SCALE DOESN'T LIE.
SO WHAT YOU'RE SHOWING ME

IS THAT YOU'RE NOT
TAKING THIS SERIOUSLY,

AND WHAT YOU KEEP SAYING
TO ME IS YOU CAN'T DO IT

BECAUSE OF ALL THE PROBLEMS
YOU HAVE IN YOUR LIFE.

AND SO THERE'S NOTHING I CAN DO
TO HELP YOU IF YOU BELIEVE THAT.

I'M SAYING THAT IT'S A BATTLE
AND THAT,

EVEN THOUGH IT MAY NOT SEEM
THAT I HAVE BEEN FIGHTING,

I HAVE BEEN FIGHTING.

I WORK OUT AT THE GYM, AND
I TRY TO EAT THE RIGHT THINGS.

AND AT TIMES, IT'S HARD,
BUT I DON'T GIVE UP.

I HAVEN'T GAINED WEIGHT...

WELL --...IN THIS WHOLE TIME.

...IT'S NOT A MATTER
OF GAINING. IT'S A MATTER OF --

AND I ALSO LOST
AT MY LAST APPOINTMENT, TOO,

SO THAT'S FOUR MONTHS
OF WEIGHT LOSS I'VE SHOWN YOU.

OKAY, SO, IF YOU WANT
TO KEEP ARGUING WITH ME

AND MAKING EXCUSES,

THEN WE DON'T NEED
TO CONTINUE THIS,

BUT WE ARE NOT
MOVING AHEAD WITH YOU

UNLESS YOU LOSE 80 POUNDS
IN TWO MONTHS.

YOU DON'T AGREE WITH THAT,
THEN THAT'S YOUR CHOICE.

BUT THERE'LL BE NO POINT
IN DOING WEIGHT-LOSS SURGERY

UNLESS YOU DO, BECAUSE YOU
EXPECTING SOME MAGIC HAPPEN,

AND YOU LOSE WEIGHT.

YOU'RE EXPECTING
THE SURGERY'S

GOING TO CURE
EVERYTHING FOR YOU,

BUT THAT'S NOT
GOING TO HAPPEN.

YOU GOT THAT?
YEAH.

ALRIGHT.
ANY QUESTIONS?

UM, NO.
ALRIGHT.

IF YOU NEED ANYTHING,
GIVE ME A CALL.

Dr. Nowzaradan: I'M HAPPY TO SEE
THAT ASHLEY LOST MORE WEIGHT

THAN SHE DID LAST TIME,

BUT SHE'S STILL EATING
OVER TWO TIMES WHAT SHE SHOULD,

SO HER PROGRESS IS STILL
A GOOD WAYS

FROM BEING WHERE IT NEEDS TO BE

TO SHOW ME SHE'S READY TO DO
WHAT IT TAKES TO SUCCEED

WITH WEIGHT-LOSS SURGERY.

AND UNFORTUNATELY
THERE'S BEEN NO CHANGE

IN HER ATTITUDE AND PERSPECTIVES
WHERE SHE JUSTIFIES

AND MAKES EXCUSES
FOR HER CHOICES TO OVEREAT.

AND UNTIL THAT CHANGES,

THERE IS NOT GOING TO BE
MUCH WE CAN DO FOR HER

THAT WILL MAKE MUCH OF
A DIFFERENCE IN THE LONG TERM.

SO RIGHT NOW, THERE IS NO REASON
TO MOVE AHEAD WITH HER,

BUT HOPEFULLY
SHE DECIDES SHE WANTS

TO START TAKING RESPONSIBILITY
FOR HER CHOICES AND HER LIFE

AND CONTINUES TO LOSE MORE
WEIGHT BY HER NEXT APPOINTMENT.

Ashley: I DON'T FEEL DR. NOW
IS BEING THE FAIREST WITH ME,

BECAUSE MY PROGRESS MAY NOT
BE WHERE HE WANTED IT,

BUT IT STILL SHOWS
MY DETERMINATION,

AND IT'S A BIG IMPROVEMENT
FROM THE LAST TIME.

AND WITH WHAT IT TOOK FOR ME
TO DO WHAT I DID THIS TIME,

I'M NOT SURE
HOW TO DO EVEN MORE NOW.

BUT MY WHOLE LIFE
IS STILL DEPENDING ON THIS,

AND I DON'T WANT TO QUIT,
BECAUSE IF I DO,

THEN I'M OUT OF OPTIONS.

SO EVEN THOUGH I'M NOT SURE
HOW I'M GOING TO DO THIS,

I HAVE TO FIND A WAY
TO GIVE MORE OF MYSELF

AND PUSH EVEN HARDER TO MAKE IT,

SINCE NOT HAVING THE CHANCE
FOR WEIGHT-LOSS SURGERY

WILL COST ME EVERYTHING.

AFTER MY LAST APPOINTMENT,
I MADE A REALLY HARD DECISION

THAT I FEEL IS A NECESSITY
FOR ME RIGHT NOW,

AND THAT IS TO MOVE
OUT OF THIS HOUSE

AND BE AWAY FOR A WHILE
IN HOUSTON.

AND I'M LEAVING TODAY
TO DO THAT.

BUT THIS DECISION IS BREAKING ME
SOME INSIDE,

BECAUSE, WITH THIS,
I HAVE TO LEAVE MY BABIES.

BUT I KNOW IF I WANT
TO BE THEIR MOM,

I HAVE TO LOWER MY WEIGHT
AND GET HEALTHY FOR THEM.

AND THE ONLY TIMES
THAT I'M NOT DOING THE DIET

IS WHEN I FACE TEMPTATIONS THAT
MY FAMILY BRINGS INTO THE HOUSE.

SO MY THOUGHT IS THAT THE ONLY
THING THAT'S HOLDING ME BACK

FROM DOING BETTER
IS GETTING AWAY FROM THAT.

AND THIS IS THE ONLY OPTION
THAT I HAVE TO DO THAT.

BUT HAVING TO DO THIS
AND LEAVE MY KIDS

IS BREAKING ME UP INSIDE.

THE ONLY COMFORTING THING I HAVE
IN THIS IS THAT MY SISTER,

TIFFANIE, IS GOING TO COME
WITH ME AND STAY TO HELP ME.

YOU HAVE EVERYTHING PACKED?

YES.
STAYED UP ALL NIGHT.

I'M EXHAUSTED.

I'M SO STRESSED.

I'M TRYING
TO CATCH MY HEAD.

I'M JUST STRESSED
WITH THE VEHICLE.

I'M STRESSED WITH
THE FINANCIAL STABILITY,

AND I'M STRESSED
LEAVING MY KIDS, YOU KNOW?

IT'S GOING TO BE ALRIGHT.

OH, MAN.

IT'S GOING TO BE HARD
WITHOUT THE KIDS,

BUT MAYBE I'LL JUST PUSH
THAT HARDER TO GET BACK TO THEM.

I JUST WANT TO GET ON THE ROAD
AND GET THIS ALL OVER WITH.

I JUST WANT IT TO BE DONE WITH
AND TO GET THERE

'CAUSE THIS IS
SO STRESSFUL FOR ME,

AND IT MAKES ME WANT TO EAT
JUST TO DEAL WITH THE STRESS.

LEAVING MY BABIES
IS HEART-WRENCHING TO ME,

BUT I KNOW THIS IS A SACRIFICE
I GOT TO MAKE FOR THEM,

AND IT BRINGS ME PAIN NOW,

BUT IT'S TO BRING ME
AND THEM JOY LATER,

BECAUSE I'M DOING THIS TO BE
THEIR MOM LIKE THEY DESERVE

AND HAVE OPPORTUNITIES
WITH THEM

THAT I'M NOT GOING TO HAVE
AS LONG AS I'M LIKE THIS.

Tiffanie: MOMMY, I LOVE YOU.

I'M GOING TO MISS YOU.

I'LL MISS YOU, TOO.

YOU GO AND TELL HER.

BYE, DAD.
BYE.

Y'ALL TAKE CARE
OF Y'ALL SELF.

WE WILL.

I'M GONNA MISS YOU.DON'T CRY.

I'M GONNA MISS YOU, TOO.

I LOVE Y'ALL.

OH, MY LEG.

Tiffanie:
COME ON, SHOW-OFF.

LET'S GO.

Ashley: I JUST HOPE
ONCE I GET TO HOUSTON

AND FINISH THIS TRANSITION

THAT I'M ABLE TO DO
ALL THE THINGS I NEED

TO GET TO THE GOAL FOR DR. NOW,

BECAUSE IF I'M NOT ABLE
TO ACHIEVE WEIGHT-LOSS SURGERY,

THIS WILL ALL HAVE BEEN
FOR NOTHING.

Ashley:
WE MADE IT TO HOUSTON.

THANKFULLY, ONCE WE GOT
ON THE ROAD,

THERE WERE NO BIG ISSUES FOR US.

BUT IT'S BEEN AROUND
FIVE HOURS OF DRIVING,

AND I COULD USE A REST.

SO, HOPEFULLY, THE TRENDS OF NOT
HAVING ISSUES CONTINUES FOR US

AT THE PLACE
WE'RE GOING TO BE LIVING

AND THAT WE CAN GET
ALL OUR STUFF MOVED IN

SO I CAN FOCUS ON RECOVERING.

OH, GEEZ.

IT'S BEAUTIFUL.

THIS PLACE IS NICE.

THE FURNITURE'S A LITTLE SMALL

AND DOESN'T LOOK
THE STURDIEST, THOUGH,

AND I HAVE TO HAVE STURDY
FURNITURE TO BE ABLE TO HOLD ME.

BUT IT ALL LOOKS NICE
AS LONG AS IT SUSTAINS ME.

I LIKE THE PLACE.

I'M NOT SURE HOW LONG
WE CAN AFFORD TO STAY HERE,

BUT I THINK IT'S GOING TO BE
A GOOD ESCAPE BEING HERE

TO WHERE I CAN JUST FOCUS ON
MY HEALTH LIKE I NEED RIGHT NOW.

AND MY HOPE IS THAT, BY DOING
THAT OVER THE NEXT MONTH,

I'LL BE ABLE TO GET DOWN
TO THE GOAL I NEED

BY THE TIME I GO BACK
BEFORE THE SCALE AND DR. NOW.

HEY, SO,
WHAT DO YOU THINK?

I THINK IT'S CUTE.
I THINK IT'S CUTE.

I'M HAPPY.

ME AND MY SISTER ARE ON OUR WAY
TO MY NEXT DR. NOW APPOINTMENT

TO SEE WHERE I'M AT
WITH MY PROGRESS NOW.

THIS HAS BEEN A VERY
STRESSFUL MONTH

BEING MOVED DOWN HERE
TO HOUSTON, AND WITH THAT,

I FEEL LIKE MY STAMINA
HAS BEEN REGRESSED,

BECAUSE I'M HAVING TO USE
MY WALKER LIKE I WAS BEFORE.

SO IT'S BEEN
A LITTLE DISAPPOINTING.

BUT EVEN WITH HOW HARD
THIS HAS BEEN,

I STAYED VERY STRICT
AND PUSHED HARD ON MY DIET

TO LOSE AN EVEN BIGGER
AMOUNT OF WEIGHT THIS TIME.

ASHLEY?

AT MY LAST APPOINTMENT,
I MADE IT DOWN TO 587,

AND DR. NOW STILL SAY I NEED
TO LOSE ANOTHER 80 POUNDS,

SO THE NUMBER I NEED TO SEE
TODAY IS 507 OR BETTER.

I'M VERY PLEASED
WITH THAT NUMBER.

I DO HAVE SOME WORRY
THAT DR. NOW

WILL SEE IT AS FALLING SHORT
FOR MY WEIGHT LOSS,

BUT I'M VERY PROUD
OF HOW I IMPROVED

EVEN MORE THAN I LOST LAST TIME.

AND THIS VINDICATES
MY PERSPECTIVES TO ME

THAT ALL MY CHOICES ARE MOVING
ME IN THE RIGHT DIRECTION.

AND SO THAT'S WHAT I'M HOPING
FOR DR. NOW TO SEE

AND UNDERSTAND TODAY

SO THAT HE RECOGNIZES
HOW VERY READY

AND, I THINK, HOW VERY PREPARED
I AM FOR WEIGHT-LOSS SURGERY.

HELLO.
HOW Y'ALL DOING?

HELLO. WE'RE DOING GOOD.
HOW ARE YOU?

GOOD.

ALRIGHT. SO, A LOT HAS HAPPENED
SINCE LAST TIME I SAW YOU.

WHAT'S BEEN GOING ON?
TELL ME.

WELL, LIKE I MENTIONED TO YOU,
WE MOVED TO HOUSTON.

SO WE CAME.
WE SETTLED IN AN APARTMENT

AND JUST BEEN SETTLING HERE
FOR THE PAST MONTH.

SO ARE YOU FULLY MOVED
TO HOUSTON NOW?

YES.

OKAY. SO, WHO IS WITH YOU
IN HOUSTON?

IT'S MY SISTER, TIFFANIE.

WE BOTH MOVED HERE.

AND WHO ELSE?

AND HER BOYFRIEND, BUT I THINK
HE'S GOING TO GO BACK,

SO IT'S PROBABLY JUST
GOING TO BE ME AND HER.

SO WHO'S TAKING CARE
OF YOUR BABY?

SHE'S AT HOME WITH MY MOM.

YOU MISSING YOUR BABY?

YES, I'M MISSING MY CHILDREN
A LOT, BUT...

I CAME HERE.
I MADE IT.

AND I'M DOING EVERYTHING
I CAN TO DO IT.

NOW, HOW'S THAT
GOING TO WORK?

I'M JUST TRYING TO DO EVERYTHING
I CAN TO DO ALL THE STEPS

TO GET THE SURGERY AND THEN
HOPEFULLY MAYBE GO BACK.

WELL, YOUR RESPONSIBILITY
IS TO YOURSELF AND YOUR KIDS.

THEY NEED THEIR MOM
AROUND LATER,

BUT THEY NEED
THEIR MOM NOW, TOO,

SO MAYBE AT SOME POINT
YOU CAN BRING THEM DOWN HERE

TO BE WITH YOU
IF YOU'RE LIVING HERE NOW.

I'LL TRY.
OKAY.

WELL, THE GOOD NEWS IS THAT YOU
MADE MORE PROGRESS THIS TIME.

YOU LOST 67 POUNDS, WHICH IS NOT
AS MUCH AS YOUR 80-POUND GOAL,

BUT IT'S BETTER THAN THE
44 POUNDS YOU LOST LAST TIME.

SO THAT'S POSITIVE PROGRESS
THAT I'M HAPPY TO SEE FROM YOU.

THANK YOU.

BUT YOU'RE STILL OVEREATING A
LITTLE BIT MORE THAN YOU SHOULD.

BUT YOU ARE MAKING PROGRESS
THAT IS CONSISTENT.

SO I SEE THE POSITIVE
CHANGES YOU'RE MAKING,

AND I'M PROUD OF YOU
FOR THAT.

THANK YOU.

SO, THIS IS WHERE WE ARE AT.

YOU HAVE LOST A TOTAL
OF 100 POUNDS,

AND YOU HAVE MADE SOME GOOD
CHANGES IN YOUR EATING HABIT,

AND IT'S SHOWING
THAT YOU ARE LOSING WEIGHT,

AND YOU'RE MOVING
IN THE RIGHT DIRECTION,

SO I WILL APPROVE YOU
FOR WEIGHT-LOSS SURGERY.

OH, MY GOSH.
ARE YOU SERIOUS?

YES.
BUT HERE'S THE CONDITION.

OKAY?OKAY.

I'M GOING TO SCHEDULE
YOUR SURGERY

FOR TWO MONTHS FROM NOW,
AND WHAT I WANT YOU TO DO

IS CONTINUE TO LOSE
AT LEAST 20 POUNDS A MONTH.

SO BY THE TIME
OF YOUR OPERATION,

YOU SHOULD HAVE LOST
ANOTHER 40 POUNDS.

IF YOU DO THAT
AND YOUR TESTS ARE GOOD,

WE WILL MOVE AHEAD
WITH YOUR WEIGHT-LOSS SURGERY.

YOU THINK
YOU CAN DO THAT?

YES. I KNOW I CAN.

GREAT. SO JUST KEEP GOING
IN THE DIRECTION YOU ARE NOW,

AND IF YOU NEED ANYTHING

BEFORE I SEE YOU NEXT,
GIVE ME A CALL.

OKAY.

ANY QUESTION?I HAVE A QUESTION.

YEAH.WOULD YOU BE ABLE TO CHECK ON

SOME OF THE THINGS
WITH MY STOMACH?

SOMETIME IT'S CRAMPS.

AT TIMES, IT CAN BE GAS

OR UPSET STOMACH.

HAS IT BEEN GOING ON
FOR LONG?

YEAH. I'VE BEEN DEALING WITH
STOMACH ISSUES FOR A WHILE.

OKAY. AND SO WE NEED TO
DETERMINE WHAT'S BEHIND THAT,

SO WE NEED TO DO ENDOSCOPY,

SEE WHAT'S GOING ON
WITH YOUR STOMACH PAIN

AND MAKE SURE THAT WE KNOW,

IF WE HAVE
WEIGHT-LOSS SURGERY,

THAT NOT GOING TO AFFECT
YOUR STOMACH PAIN,

MAKE IT WORSE, 'CAUSE THAT CAN
BE A RISK FACTOR WITH THAT.

MM-HMM.

SO WE WILL SET YOU UP
FOR THAT, OKAY?

BUT IF THE PAIN GET WORSE
BEFORE THEN, LET ME KNOW.

OKAY.ALRIGHT.

ANY OTHER QUESTION?

NO.
THAT'S IT.

OKAY.
WELL, NICE TO SEE YOU.

NICE TO SEE YOU, TOO.AND NICE TO SEE YOU.

I'LL SEE YOU ALL
AGAIN, OKAY?

ALRIGHT.ALRIGHT.

Dr. Nowzaradan: I'M VERY HAPPY
TO SEE THAT ASHLEY HAS CONTINUED

TO IMPROVE ON HER EATING HABITS
AND THE PROGRESS SHE'S MAKING.

AND EVEN THOUGH
SHE'S NOT QUITE LOSING

THE AMOUNT I GAVE HER AS A GOAL,

I HAVE SEEN ENOUGH FROM HER
TO CONVINCE ME

SHE'S WORKING HARD
TO MAKE THE CHANGES SHE NEEDS

TO BE SUCCESSFUL
IN THE LONG RUN.

SHE IS STILL STRUGGLING
WITH MAKING SOME EXCUSES,

AND SHE'S ALSO MAKING CHOICES

THAT SEEM TO BE
MAKING HER SITUATION

MORE COMPLICATED AND STRESSFUL
FOR HER AND HER KIDS.

SO WE WILL WORK WITH HER

TO CONTINUE TO ADDRESS
THOSE THINGS WITH HER, AS WELL.

BUT AS LONG AS HER TESTS
LOOK GOOD

AND SHE LOSES AT LEAST 40 POUNDS
OVER THE NEXT TWO MONTHS,

THEN WE'LL BE ABLE
TO MOVE AHEAD

WITH HER WEIGHT-LOSS SURGERY
HERE SOON.

Ashley: I HAVE A LOT
OF EXCITEMENT RIGHT NOW,

AND I'M FEELING
VERY PROUD OF MYSELF

FOR ACHIEVING APPROVAL TODAY.

I WAS FEARFUL
IT WASN'T GOING TO HAPPEN

BECAUSE MY PROGRESS WASN'T
LOW ENOUGH ON THE SCALE

TO BE AT MY GOAL,
BUT MY HOPE WAS THAT DR. NOW

WOULD SEE THE POSITIVE
WITH HOW FAR I COME.

AND I'M VERY THANKFUL HE DID

AND THAT HE'S MOVING ME AHEAD
WITH WEIGHT-LOSS SURGERY,

BECAUSE THIS IS WHAT I'VE BEEN
WORKING MY HARDEST FOR.

Ashley:
SINCE I GOT MY WEIGHT-LOSS
SURGERY APPROVED LAST MONTH,

I STAYED MOTIVATED
TO CONTINUE ON TRACK

WITH MY PROGRESS
LIKE DR. NOW SAID I HAD TO DO.

HE GAVE ME A GOAL OF LOSING
A MINIMUM OF 20 POUNDS A MONTH

UNTIL SURGERY,

BUT MY GOAL FOR MYSELF
THESE MONTHS

IS TO BE DOING
AS GOOD AS I HAVE BEEN.

SO I'VE BEEN PUSHING MYSELF
JUST AS HARD AND THEN HARDER NOW

BECAUSE I'M NOT ONLY
STAYING STRICT WITH MY DIET,

BUT MY MOM SENT ME SOME MONEY

DEDICATED TO ME
GETTING A GYM MEMBERSHIP

SO I COULD START
MY EXERCISES AGAIN.

SO I FOUND A SMALL ONE THAT'S
NOT TOO MUCH ON THE COSTLY SIDE.

I BEEN GOING TO IT TO BUILD
SOME OF MY STAMINA UP,

AND THAT'S FELT REALLY GOOD,
AND I'M PROUD OF MYSELF

FOR PRIORITIZING THIS
AND FOR DOING THIS ON MY OWN,

BECAUSE I'M FINDING MOTIVATION
IN MYSELF TO DO THIS

INSTEAD OF NEEDING TIFFANIE
TO GO WITH ME,

TO ENCOURAGE ME AND BE A COMFORT
FOR ME WHEN I PUSH MYSELF.

SO I'M FEELING REALLY GOOD.

MY MOBILITY IS GETTING BETTER
BECAUSE I'VE BEEN WORKING OUT

SINCE EVEN BEFORE
I WAS EATING CORRECTLY.

I HAVE ALWAYS BEEN PUSHING
AND FIGHTING,

SO I DO FEEL LIKE
I'M IN THE RIGHT DIRECTION

TO LOSE THE WEIGHT
THAT DR. NOW WANT ME TO.

I'M NOT QUITE BACK
TO WHERE I CAN BE

WITHOUT MY WALKER
WHEN I GET AROUND,

BUT I KNOW THAT,
AS I KEEP PUSHING MYSELF

AND STICK WITH THIS,

THAT I'LL BE BACK
TO THAT PLACE SOON.

I DEFINITELY FEEL LIKE
I'M LOSING WEIGHT.

IT FEELS A LOT BETTER.

BUT IT KIND OF HITS HOME

WHENEVER IT'S NIGHTTIME,
YOU KNOW,

'CAUSE SOMETIMES I CAN'T SLEEP

'CAUSE I REALLY MISS
MY CHILDREN.

OOH, I GET TO EAT.

-OH, OH, OH.
-OH, I'M SORRY.

I'M HOT, BUT I AIN'T TRYING
TO BE THAT KIND OF HOT.

MUY CALIENTENOW.

IT'S NOT
A HOT GIRL SUMMER.

OKAY.
I'LL GRAB PLATES.

I KNOW THE BIGGEST ELEMENT
TO MY PROGRESS

FROM WHAT DR. NOW REMINDS ME
IS MY EATING.

SO I'VE BEEN HOLDING
TO MY DIET JUST LIKE I WAS

AND MAKING HEALTHY MEALS
FOR ME AND TIFFANIE TO EAT.

AND I THINK I'M GETTING GOOD
AT GETTING IT TASTY

BUT KEEPING THE CALORIES LOW
STILL IN COMPLIANCE TO THE DIET.

OLD ASHLEY WOULD HAVE HAD
A GUMBO WITH A POTATO SALAD

OR éTOUFFéE
WITH THE TEXAS TOAST.

I FEEL LIKE
THE CHANGES ARE HUGE.

SEE?

Tiffanie:
ASHLEY'S DOING REAL GOOD.
EVER SINCE WE MOVE OUT HERE,

SHE'S CHANGED
SO MUCH OF HER FOOD,

AND I BELIEVE THAT
SHE WILL HAVE HER SURGERY.

COME ON, BEAUTIFUL.

NO.

I FEEL BEAUTIFUL IS PAIN
IS A DIFFERENT LEVEL.

GIRL, JUST THINK ABOUT IT.

YOU GOT TO FEEL THE PAIN
BEFORE YOU FEEL THE REWARD.

FEELING LIKE A WARRIOR
ABOUT TO EAT THIS GOURMET MEAL.

LOOK WHAT I FOUND.

Ashley: SO I'M FEELING VERY GOOD
ABOUT ALL MY PROGRESS

AND THAT I'M LOWERING
MY WEIGHT LIKE I NEED

SO THAT WHEN I GO
TO GET MY SURGERY,

I'LL BE AT THE GOAL I NEED,

AND DR. NOW
WILL MOVE AHEAD WITH ME

SO I CAN BE ABLE TO TAKE
THE STEP I'VE BEEN WAITING ON,

TO GET TO THE PLACE
THAT I NEED WITH MY NEW LIFE.

AND I'M VERY MUCH
LOOKING FORWARD TO THAT.

RIGHT NOW, ME AND MY SISTER ARE
HEADED BACK TO DR. NOW'S CLINIC

BECAUSE HIS OFFICE CALLED ME
AND ASKED ME TO COME BACK IN.

SO THAT'S WHAT I'M DOING,

BUT I'M EXTREMELY NERVOUS
ABOUT THIS,

BECAUSE I DON'T KNOW THE REASON
WHY THEY NEED THIS FROM ME.

MY WEIGHT-LOSS SURGERY
IS SUPPOSED TO BE NEXT WEEK,

AND THEY DID MY TESTING FOR IT
LIKE TWO DAYS AGO.

SO MY SPECULATION IS THAT
THEY MAYBE FOUND SOMETHING

THAT'S AN ISSUE

TO KEEP ME FROM MOVING AHEAD
WITH MY SURGERY.

THANK YOU.

AND I'M VERY SCARED OF THAT,
BECAUSE, IF THAT HAPPENS,

IT'S GOING TO DEVASTATE ME,

BECAUSE IF I'M NOT ABLE
TO DO THIS,

THEN I'M GOING TO LOSE
ALL I WORKED FOR.

THANK YOU.

SO I'M PRAYING THAT'S NOT
THE SITUATION I'M GOING INTO,

BUT I'M TERRIFIED IT IS
AND THAT THERE'S SOME REASON

I'M GOING TO BE TOLD
I'M NOT ABLE TO CONTINUE ON.

THAT'S GOING TO COST ME
EVERYTHING.

Ashley: ME AND MY SISTER
ARE BACK AT DR. NOW'S

FOR AN UNEXPECTED APPOINTMENT
BECAUSE HE WANTED TO SEE ME.

AND MY BIG CONCERN IS THAT THERE
IS AN ISSUE WITH MY TESTING

THAT'S SHOWING
I'M NOT GOING TO BE ABLE TO GET

MY WEIGHT-LOSS SURGERY LIKE
I WAS SUPPOSED TO NEXT WEEK.

SO MY NERVES
ARE ALL OVER THE PLACE,

AND I'M EXTREMELY WORRIED
ABOUT WHAT'S ABOUT TO HAPPEN.

ASHLEY?

I HOPEFULLY WILL HAVE GOOD NEWS
FROM THE SCALE

WITH MY WEIGHT LOSS,
BECAUSE I'VE NOT SLACKED

ON PUSHING MYSELF
THE HARDEST I CAN.

THE LAST NUMBER I GOT FROM THE
SCALE WAS 520 TWO MONTHS AGO,

AND THE GOAL I NEEDED
FROM DR. NOW

WAS TO LOSE ANOTHER
40 POUNDS BY NEXT WEEK

SINCE THAT'S WHEN MY SURGERY
IS SUPPOSED TO BE.

BUT I'VE WORKED TO SURPASS THAT
FOR MY OWN GOALS OF LOSING MORE,

SO I THINK I'LL GET
A GOOD NUMBER TODAY.

I WISH I FELT MORE
LIKE CELEBRATING THAT NUMBER.

AND NORMALLY, THIS WOULD BE
A VERY MEMORABLE MOMENT

FOR ME TO DO THAT
WITH BEING IN THE 400s.

BUT I'M FEARING
WHAT DR. NOW MIGHT TELL ME

AND IF IT'LL MEAN I CAN'T MOVE
AHEAD WITH THE SURGERY I NEED

'CAUSE MY PROGRESS
WILL ALL BE POINTLESS

IF I'M NOT ABLE TO AT LEAST

GET WEIGHT-LOSS SURGERY
TO KEEP IT OFF.

HI, ASHLEY.HEY.

HOW ARE YOU?I'M GOOD. HOW ARE YOU?

I'M DOING GOOD.

SO, AS YOU KNOW,
WE RAN THE TESTS WE NEED

TO SEE IF THERE ARE ANY
MEDICAL ISSUES WITH MOVING AHEAD

WITH WEIGHT-LOSS SURGERY
FOR YOU.

AND THE ISSUE WE GOT THAT,
YOU KNOW, YOU SEEMED LIKE

TO HAVE SOME DIGESTIVE PROBLEM
WITH IRRITABLE BOWEL SYNDROME

WITH THIS ABDOMINAL PAIN
THAT YOU HAVE.

MY CONCERN IS THAT
IF WE DO WEIGHT-LOSS SURGERY,

THAT ISSUE MAY BECOME
MORE EXAGGERATED

AND GIVE US
MORE TROUBLE WITH THAT.

SO I THINK WE NEED
TO TREAT THAT CONDITION

THAT YOU HAVE
WITH YOUR G.I. TRACK

BEFORE WE DO
WEIGHT-LOSS SURGERY, OKAY?

OKAY.AND SEE IF WE CAN GET YOU

TO COMPLETELY RECOVER
FROM THAT

BEFORE WE DO
WEIGHT-LOSS SURGERY.

YOU ALSO LOOK LIKE THAT YOU HAVE
SOME GALL BLADDER PROBLEM

THAT WE MAY HAVE
TO ADDRESS THAT, TOO.

OKAY.OKAY?

ALRIGHT. BUT THE MEANTIME,
I DON'T WANT YOU TO SLIP BACK

AND START GAINING WEIGHT.

SO THAT'S GOING TO BE
VERY IMPORTANT.

SO WE'RE GOING TO START DOING
SOME MEDICATION FOR YOUR I.B.S.,

AND THEN WE'RE GOING TO SEE
HOW YOU'RE DOING IN A MONTH,

AND I'M GOING TO SEE WHAT KIND
OF PROGRESS YOU'RE GONNA MAKE.

OKAY?OKAY.

IT MAY TAKE LONGER,
EVEN THREE TO SIX MONTH,

BUT WE'LL SEE
HOW YOU RESPOND TO TREATMENT.

AND AS LONG AS YOU STAY ON TRACK
WITH YOUR WEIGHT LOSS,

WE SEE IF THERE'S ANY WAY
WE CAN MOVE AHEAD

WITH YOUR
WEIGHT-LOSS SURGERY THEN.

SO MAKE SURE YOU TAKE YOUR
MEDICATION AND FOLLOW THE DIET

AND SEE IF WE CAN GET YOU
CHECKED OUT IN ONE MONTH

AND SEE
HOW YOU'RE DOING, OKAY?

ALRIGHT.ALRIGHT, ASHLEY.

IN THE MEANTIME, IF YOU NEED
ANYTHING, LET ME KNOW.

OKAY.NICE TO SEE YOU AGAIN.

NICE TO SEE YOU, TOO.

THAT EXPLAIN
THAT PAIN, THOUGH.

I KNEW THIS
BEEN HURTING.

I'M GLAD TO SEE
THAT ASHLEY HAS CONTINUED

TO MAKE MORE PROGRESS
WITH HER WEIGHT LOSS

AND IS DOWN TO THE 400s NOW.

AND IF IT WEREN'T FOR
THE MEDICAL ISSUES SHE HAS,

WE WOULD BE MOVING AHEAD
WITH HER WEIGHT-LOSS SURGERY.

IT WOULDN'T CREATE ANY LIFE-
THREATENING SCENARIO FOR HER,

BUT IT COULD EXAGGERATE
AND WORSEN THE PAIN

SHE HAS FROM IT
TO A VERY SEVERE POINT

THAT COULD BECOME
UNBEARABLE FOR HER.

SO IT'S VERY IMPORTANT
WE TREAT HER

AND RESOLVE THOSE ISSUES FIRST.

BUT THERE IS NO WAY TO DETERMINE
HOW LONG THAT WILL TAKE.

HOPEFULLY, SHE RESPONDS
WELL ENOUGH TO TREATMENT

TO WHERE WE WILL BE ABLE
TO MOVE AHEAD

WITH HER WEIGHT-LOSS SURGERY
NEXT MONTH.

BUT IT IS POSSIBLE IT COULD TAKE
THREE TO SIX MONTHS

OR LONGER TO RESOLVE THOSE ISSUE
TO THE DEGREE WE NEED.

AND UNTIL THEN,
ASHLEY NEEDS TO STAY MOTIVATED

AND KEEP LOSING WEIGHT
AND MAKING PROGRESS.

Ashley: THIS IS AN EXTREMELY
HARD MOMENT FOR ME,

TO FIND OUT MY ISSUES
HAVE AN EFFECT

ON MY WEIGHT-LOSS SURGERY.

AND MY BIGGEST FEAR WITH THIS
IS THAT I WON'T EVER GET IT.

SO TODAY IS A STRUGGLE FOR ME,
AND I FEEL VERY LET DOWN,

AND I'M VERY SCARED
ABOUT MY FUTURE RIGHT NOW,

BECAUSE EVERYTHING IS
IN THE AIR FOR ME,

AND I DON'T KNOW WHAT
THE OUTCOME IS GOING TO BE.

I'VE JUST BEEN STRUGGLING
WITH MY WILL AND MOTIVATION

SINCE SEEING DR. NOW
FOR MY UNEXPECTED APPOINTMENT

WHERE I GOT THE BAD NEWS

MY SURGERY WAS NEEDING
TO BE DELAYED.

AND I KNOW I'M MAKING MISTAKES
I SHOULDN'T BE MAKING RIGHT NOW,

BUT I FEEL LIKE
I GAVE THIS MY ALL

AND EVERYTHING THAT WAS
IN ME TO DO IT,

EVEN SACRIFICING
BEING WITH MY KIDS

TO ACHIEVE SOMETHING
THAT I DID.

THEN IT FELT LIKE IT WAS TAKEN
FROM ME, LIKE I GOT THIS TROPHY,

AND THEN SOMEONE TOLD ME
I COULDN'T KEEP IT

AND TOOK IT BACK.

AND THE PAIN OF MISSING MY KIDS
AND WHAT I'M HAVING TO GIVE UP

HAS JUST FELT LIKE
MORE WEIGHT TO ME SINCE THEN,

BECAUSE WHAT IF I'M DOING
ALL THAT FOR NOTHING?

WHAT IF I'M SEPARATING MYSELF
FROM MY KIDS

FOR SOMETHING
I'M NEVER GOING TO DO?

SO THIS HAS JUST
BEEN HARD ON ME.

AND WHAT HELPS ME
DEAL WITH THAT,

WHEN I GET TO A CERTAIN POINT,
IS THE COMFORT OF FOOD,

ESPECIALLY WHEN
I'M MISSING MY BABIES,

BECAUSE I MISS THEM
SO GREATLY RIGHT NOW.

AND THE FEAR THAT THIS COULD
ALL BE FOR NOTHING

JUST GETS OVERWHELMING TO ME.

SO I'M GIVING IN
MORE THAN I SHOULD

JUST TO SURVIVE WITH MY WORRY

AND THE PAIN
FROM THE SEPARATION I HAVE

WITH MY CHILDREN
AND FAMILY THROUGH THIS,

BECAUSE THAT'S THE HARDEST
FOR ME IN ALL THIS RIGHT NOW,

AND I JUST WANT TO BE WITH THEM.

MOM, CAN I TALK
TO AMIYAH, PLEASE?

HI!

MAMA, YOU STILL GOT IT
TOO HIGH.

HI, AMIYAH!

MARIE:
Give Mommy kiss. Mwah!

MWAH!

HI -- I MISS YOU!

OH, MWAH.

Aww.
She misses her mama.

Aww.

OH.

MWAH.

HI!

YOU SMILE SO PRETTY.

THIS IS SO HARD FOR ME
RIGHT NOW,

BECAUSE EVERY DAY I'M DOING THIS

IS ANOTHER MOMENT
I'M NOT WITH MY KIDS.

DAMN IT.

HI, MIYAH.

I CAN'T WAIT TO SEE YOU, MIYAH.

ALRIGHT. ALRIGHT.
GO EAT YOUR FOOD.

I LOVE YOU.

GOODBYE.

I LOVE YOU.

AND IT'S HARD TO IGNORE
THOSE FEELINGS AND FEARS

THAT ARE MAKING ME
STRUGGLE WITH IT.

SO I'M JUST NOT SURE IF I HAVE
ANY ABILITY TO KEEP DOING THIS,

AND I'M VERY AFRAID THAT JUST
ALL WAS JUST FOR NOTHING

AND THERE'S NO MORE HOPE FOR ME.

Ashley: I'M GOING BACK
TO DR. NOW WITH MY SISTER AGAIN,

AND THE HOPE IS THAT
THERE HAS BEEN PROGRESS

WITH MY MEDICAL ISSUES

TO WHERE I CAN MOVE AHEAD
WITH MY SURGERY.

BUT MY HONEST WORRY IS THAT I'M
JUST GETTING MORE BAD NEWS TODAY

BECAUSE I'M STILL HAVING
SOME STOMACH PAINS,

SO I'M TAKING THAT TO CONCLUDE
THE I.B.S. IS STILL AN ISSUE.

AND I'M ALSO FIGURING
MY PROGRESS

ISN'T GOING TO BE AS MUCH
AS THE LAST TIME

BECAUSE OF HOW I'VE STRUGGLED.

ASHLEY?

I WAS DOING REALLY WELL
FOR MANY MONTHS,

AND I WAS DOWN TO 468 LAST TIME,

AND DR. NOW DIDN'T
GIVE ME ANY GOALS

OTHER THAN TO KEEP LOSING MORE.

BUT I KNOW MY PROGRESS
ISN'T GOING TO BE AS GREAT

AS IT HAS BEEN EACH TIME

BECAUSE OF THE SLIP-UPS I HAD
WITH MY STRUGGLING,

SO MY GUESS IS MY PROGRESS

WILL BE MORE AROUND
5 TO 10 POUNDS OF LOSS TODAY,

WHICH WOULD BE A SLOWDOWN FOR
ME, BUT IT'D STILL BE PROGRESS.

I'M IN SOME SHOCK AT THAT.

I KNOW I HAD A LOT OF STRUGGLES
THIS PAST MONTH,

BUT TO SEE SUCH A RISE
IN MY NUMBER

IS A SURPRISE
I WASN'T EXPECTING.

SO I'M JUST A LITTLE
OFF-GUARD RIGHT NOW

AND NOT EVEN SURE
WHAT MY THOUGHTS ARE.

BUT THAT'S VERY WORRISOME TO ME.

AND MY MIND IS FLUTTERING
WITH CONCERNS

ABOUT WHAT THIS MEANS
FOR ME WITH NEXT STEPS

AND WHAT THOUGHTS DR. NOW
IS GOING TO HAVE ABOUT ME NOW.

I'M WORRIED ABOUT MY TESTING

AND MY MEDICAL ISSUES,

BUT THIS IS THE ISSUE THAT'S ON
THE FRONT OF MY MIND RIGHT NOW

AND THAT'S GIVING ME
THE MOST FEAR.

HELLO.HI.

HOW Y'ALL DOING?ALRIGHT. HOW ARE YOU?

GOOD.

SO, ASHLEY, YOU NEED
TO STAY ON TRACK

AND TRY TO LOSE WEIGHT

SO WE CAN MOVE AHEAD
WITH YOUR WEIGHT-LOSS SURGERY

AS SOON AS WE RESOLVE
YOUR MEDICAL ISSUES.

BUT WITH THE WEIGHT GAIN
OF 34 POUNDS IN A MONTH,

IT LOOKS LIKE
YOU'RE GOING OFF THE RAILS.

SO YOU WANT TO TELL ME
WHAT'S GOING ON?

WELL, A LOT OF IT IS THE STRESS
AND WORRYING ABOUT MY SURGERY

AND IF I'M GOING TO GET IT.

SO STRESS EATING IS THE EXCUSE
AGAIN FOR YOU, HUH?

IT'S JUST HARD.

OKAY. WELL, YOUR ULTRASOUND
AND TESTS SHOW

THAT WE ARE MAKING
SOME PROGRESS

TO SUCCESSFULLY TREAT
YOUR I.B.S.

BUT NOW THE ISSUE IS
WE HAVE TO RESOLVE THAT

ON TOP OF GETTING YOU BACK
ON TRACK WITH YOUR WEIGHT LOSS

AND PROVING TO ME
YOU'RE STICKING WITH THAT

LIKE YOU NEED AGAIN.

SO YOU ARE MAKING
YOUR SITUATION WORSE.

AND IF YOU CONTINUE
LIKE THIS,

IT WILL ONLY TAKE A FEW MONTHS
FOR YOU TO COMPLETELY UNDO

ALL THE WEIGHT LOSS
YOU HAVE MADE.

YOU UNDERSTAND THAT?

YES, I DO.

OKAY. WE'LL CONTINUE
TO TREAT YOU FOR I.B.S.

TO RESOLVE THAT ISSUE
AND GET IT UNDER CONTROL.

AND WHAT I NEED
TO SEE FROM YOU NOW

IS I WANT YOU TO LOSE 80 POUNDS
OVER THE NEXT TWO MONTHS AGAIN.

AND IF YOU DO THAT,
YOU GET BACK ON TRACK,

ONCE WE RESOLVE
YOUR MEDICAL ISSUES,

WE CAN MOVE AHEAD
WITH YOUR WEIGHT-LOSS SURGERY.

BUT IF YOU DON'T,
THEN WE WON'T.

YOU UNDERSTAND THAT?

YES.

OKAY. GREAT.

ALRIGHT.
I'LL SEE YOU IN TWO MONTHS.

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

THANK YOU.ALRIGHT.

Tiffanie: YOU REALLY ARE GOING
TO HAVE TO BACK UP SOME MORE

ON WHAT YOU'RE DOING...MM-HMM.

...'CAUSE YOU HAVE
TO SHRINK THAT LEVEL.

YEAH.

THERE IS NOBODY'S FAULT
BUT YOURS.

IT'S WHEN WE DON'T TAKE
ACCOUNTABILITY FOR OURSELVES.

THAT GETS --WHO FIX MY FOOD?

I TRY TO DROP KNOWLEDGE ON YOU,
AND YOU STILL FIGHT ME.

IT'S SO --I'M NOT GOING BACK AND FORTH.

I'M NOT DOING THIS.

ALRIGHT, TIFFANIE.
OKAY. WHATEVER.

Dr. Nowzaradan:
I'M VERY DISAPPOINTED
TO NOT ONLY SEE A WEIGHT GAIN

FROM ASHLEY AT THIS POINT,
BUT ALSO WITH THE AMOUNT

SHE GAINED
IN SUCH A SHORT PERIOD OF TIME,

BECAUSE A 34-POUND GAIN
IN ONE MONTH IS VERY CONCERNING.

SO MY HOPE IS THAT THIS WAS
JUST A TEMPORARY STRUGGLE

AND NOT THE BEGINNING OF HER
FALLING BACK INTO HER OLD HABIT

OF USING STRESS AS AN EXCUSE
TO JUSTIFY HER OVEREATING.

HER I.B.S. IS SOMETHING WE STILL
NEED TO FINISH ADDRESSING

AND FULLY TREAT

BEFORE WEIGHT-LOSS SURGERY
IS AN OPTION AGAIN,

AND THAT STILL COULD
TAKE MONTHS.

BUT EVEN IF WE DO THAT,

IF ASHLEY DOESN'T GET BACK
ON TRACK WITH HER WEIGHT LOSS,

SURGERY WILL STILL NOT BE
AN OPTION FOR HER.

SO THE NEXT FEW MONTHS
WILL DETERMINE WHETHER ASHLEY

IS GOING TO BE ABLE TO GET BACK
TO WHERE SHE NEEDS TO SUCCEED

OR IF SHE'S GOING TO CONTINUE
TO SPIRAL OUT OF CONTROL

UNTIL SHE SELF-DESTRUCTS

AND LOSES HER CHANCE TO GET
HEALTHY AND SAVE HER LIFE.

Ashley: THIS MOMENT TODAY,
BEING BEFORE THE SCALE

AND HEARING WHAT DR. NOW SAID,
REALLY SHOOK ME A LOT.

AND I DON'T WANT TO GO BACK
TO WHERE I WAS NOW.

SO I KNOW I HAVE TO GO
AND START TO SEARCH MY SOUL

TO FIND MY STRENGTH AGAIN,
BECAUSE IT WAS SHOCKING

TO SEE HOW FAST
I WENT BACK THE OTHER WAY.

AND I CAN'T LET THAT
HAPPEN TO MYSELF.

SO I HAVE TO FIND A WAY
TO GET RIGHT AGAIN

BEFORE I GET MORE
OUT OF CONTROL.

COME ON.

LET'S GO FOR A WALK.

ALRIGHT.

YOU WANT TO TAKE
YOUR WALKER?

YEAH, PROBABLY,

BECAUSE MY LEG
IS HURTING.

FOR THE PAST MONTH,
I BEEN FOCUSED

ON GETTING BACK TO WHERE I NEED,

AND TIFFANIE HAS BEEN A BIG
SUPPORT TO ME IN DOING THAT.

SHE WAS SHOOK
WITH SEEING THE GAIN I HAD

AT MY APPOINTMENT, TOO,

SO SHE'S BEEN AN ENCOURAGEMENT,
HELPING ME TO BE MORE POSITIVE

AND FOCUS ON
GETTING RIGHT AGAIN.

BUT IT'S STILL A STRUGGLE,

AND I DO HAVE A HARD TIME
WITH NEGATIVITY AT MOMENTS,

BECAUSE ALL THOSE FEARS
AND WORRIES I HAVE

AREN'T JUST GOING TO GO AWAY.

COME ON.

COME ON.

CATCH YOU,
AND I'LL RUN YOU OVER.

AND I'M STILL STRUGGLING
WITH THE SETBACK.

BUT WHAT I REALIZE IS
HOW I'M NOT READY TO GIVE UP.

SEEING MY WEIGHT GAIN
WAS A MOMENT OF REALIZATION

OF HOW BADLY I DON'T
WANT TO LOSE THIS.

SO I'M SEARCHING MY SOUL
TO KEEP FINDING MY MOTIVATION,

AND, MOST OF THE TIME,
THAT'S MY KIDS,

AND I KNOW I HAVE TO DO THIS
FOR THEM.

DR. NOW SAYS
THAT IT COULD TAKE MONTHS

TO GET TO WHERE
MY MEDICAL ISSUES

AND MY I.B.S. ARE TREATED ENOUGH

TO WHERE I COULD HAVE
MY SURGERY WITHOUT ISSUES,

SO THAT COULD BE A LONG TIME.

SO MY FOCUS IS BACK
TO HIT THE GOAL

TO SHOW HIM I'M BACK ON TRACK,

AND THAT MEANS I'M STRICT
WITH MY DIET LIKE I WAS

AND EXERCISING EVERY DAY AGAIN.

AND WHEN THE DARK MOMENTS
THAT LED ME TO STRUGGLING COME,

MY SISTER SAYS WE'RE JUST GOING
TO GET OUTSIDE AND BE ACTIVE

UNTIL THEY GO BACK
TO WHERE THEY CAME FROM.

MM.

IT'S BEEN A MINUTE, HUH?

CATCH IT.

OH, SHE'S STILL
GOT SOMETHING.

OH!

HOLD ON.

YOU GOT UP!

I DON'T KNOW
WHAT TOMORROW HOLDS FOR ME.

ALL I KNOW IS THAT
I'M NOT READY TO GIVE UP.

SO I'M GOING TO KEEP FINDING IT
WITHIN ME TO KEEP PUSHING HARD

SO I CAN KEEP MOVING FORWARD
HOWEVER MUCH I CAN

AND GIVE MYSELF FAITH AND HOPE

THAT IF I DO THAT MY HARDEST
AND I KEEP FIGHTING,

THAT I'LL BE ABLE TO MAKE IT

AND THAT I'LL HAVE THAT LIFE
I'M WORKING TO

FOR ME AND MY KIDS.