All language subtitles for My 600-lb Life S11E06

[Stephanie] Well, you might
have to push me up the hill.

[chuckles]

It's the part I don't like.

[woman] Somewhere
in me is this little glimmer
of hope.

I just wanna be
a normal person.

[panting]

You can't do it,
and then I just get mad.

[woman] If I don't make
a change now,

I'm scared
it's gonna be too late.

[groaning]

It hurts.

[woman] I refuse
to stop fighting.

I have to do this
for my children.

Oh.

This is a recipe
for a totally failure
in their life

This is a recipe
for a totally failure
in their life

and every aspect of the future
of everybody.

My biggest fear is going
to sleep at night

and not waking up
in the morning.

When I lay down, my weight
puts pressure on my chest,

and on my lungs.

So it is difficult
to breathe.

So I'm very scared
to go to bed at night,

especially knowing
my kids are right there.

especially knowing
my kids are right there.

I don't want them to wake up
and me not wake up.

[sighs]

[Stephanie speaking]

Good morning.

I live with just my kids.

But my mom and stepdad come
over just about every day

to help me do
what I need to do.

-Good morning.
-Good morning.

-You ready?
-[Stephanie speaking]

Yeah, I got your stuff.
Hang on for me.

Stephanie has to have
assistance.

-[grunts]
-Got it?

-[grunts]
-Got it?

-Yeah.
-Stand there for a second...

-Yeah.
-...if you get dizzy.

Not that long ago,
a mass developed
between her legs,

and it's hard for her
to walk now.

It's hard for her sleep.

Got it?

I worry all the time

that she's not going
to wake up

and I'm coming
and find her not alive.

There's so much danger

There's so much danger

with the way that her weight
is right now.

You got it?

Her weight affects my life

'cause I don't wanna do
anything without her.

So I don't.

I've put my life on hold.

You ready?

So she doesn't feel bad
if I go do something
and she can't

because I want her to know
that I'm here for her

because I want her to know
that I'm here for her

and I'll sit and wait
as long as I can

until she can do things again.

-I got it.
-[Diana speaking]

Got it.

And she has to have
somebody help her wash.

-[Diana] Keep breathing.
-Hang on. It hurts.

[Diana] I know.
Just keep breathing.

[Stephanie] Hell.

I know.

But it's gotta be quick
'cause she has a hard time

sitting there too long
to do it.

[Diana speaking]

[Stephanie speaking]

Yep. Yep.

[Diana speaking]

Okay.

After I shower, my knees
are grinding like rocks.

It hurts a lot.

Okay.

When they ask you to scale
one to 10, I'm like a 20.

[Stephanie speaking]

I know you do.

Okay. Let me pull the back.

I can't get dressed most
of the time on my own.

Sometimes I need help
with my pant legs.

[Diana] All right.

-Help me doing the legs.
-I know.

-Help me doing the legs.
-I know.

Come on.

Let me pull up the side.

Here.
Let me recheck.

Okay.

Okay.

All right.

-Okay.
-There you go.

Yeah.
Sit down for a second.

I catch my breath.

I let my body feel
a little better.

And then I get up.

-[Diana] Feel better?
-Yeah.

-Okay.
-One, two, three.

[grunts]

And after that,
I'm normally in my living room
all day long.

And after that,
I'm normally in my living room
all day long.

Got it?

And I'll sit in the chair.

-[Diana speaking]
-[Stephanie speaking]

And I'm usually here alone
most of the day.

It's... It's lonely.

Okay.

I'm good.

That's why I love
eating with my family.

It makes me feel, you know,
a part of something.

Not... Not alone.

How's it going, Sean?

[Sean] It's going good.

Sausages are cooking.
Haggis cooking.

My breakfast, most of the time
my son cooks for me.

And as they're getting ready
for school, we watch cartoons.

This smell is making me
more hungry.

Yeah. I don't know
how much syrup
you want on there.

[Stephanie] But I'm constantly
thinking about food.

There you go.

I love just
how delicious it tastes,

how happy it makes me feel,

how like it melts away
my... my thoughts.

how like it melts away
my... my thoughts.

It brings me to life
when I eat.

It makes me forget about
the bad parts at that moment,

just for that little bit
of time.

And I did the same for
when I was younger as well.

My mom and dad
were very young parents

My mom and dad
were very young parents

and they both had to work
odd jobs,

so I was left to myself a lot.

But one of the ways
I would get to spend time
with my dad

is he would take me
to work and driving
his ice cream truck.

I'd sit in the truck
and eat the ice creams

as he was selling them
to everybody.

I did feel special.

I didn't feel alone
at that time.

But my life took a turn
for the worst
when my parents split up.

But my life took a turn
for the worst
when my parents split up.

Stephanie's dad
was a truck driver,

so he was on the road a lot.

Him and I had a fallout
and he left me with the kids.

Stephanie has three brothers,

and so I met somebody

and I moved in
with this guy...

found out he was an alcoholic
that liked to abuse.

I had no support whatsoever.

And then so I called
my husband, Stephanie's dad,
I said I needed help.

And then so I called
my husband, Stephanie's dad,
I said I needed help.

And he said,
"If you can get out of there,

and get back to California,
I'll help you.

You know, we can work
on our relationship."

I said, "Okay, all right.
Thank you.

And everything
was gonna be okay.

And we would get back together
when we got there."

So I remember
we had just got away

and we made it
to California.

But the time I made it
to California,

and within the next day
or two,

we got the call
that he was gone.

we got the call
that he was gone.

Her dad passed away.

He was in an accident.

Stephanie was devastated.

It was a nightmare.

We were homeless.
We lived out of our car.

[Stephanie] And then
my mom called CPS.

[Diana] Told the CPS people
I wasn't taking care of them.

And the day I found out
he passed away,

they took me
to foster care

'cause my mom didn't have
a proper place for us to live.

And it was...
It was really hard.

And it was...
It was really hard.

I didn't get to cry.

I get told he died,
and then I get taken away
from my mom.

It's like I lost two parents
the same day.

I didn't get to talk about it.

I just...
I just had to be strong
for my brothers

and put my emotions away.

So I ate
whatever I could
to suppress them.

Something to make me happy.

I was in foster care
for about four years.

In the beginning
I did not know
where my kids were.

And then after a while,
you know,

I would get to have days
without any monitoring.

And I was staying
in hotels at that time.

And then I met Martin.

He was my savior.

Stephanie was 16
when I met her mom.

She was pretty lonely.

She was basically by herself
a lot of the time.

She was basically by herself
a lot of the time.

She bounce around
from house to house.

I mean, there
was just struggling.

They were just having
a horrible time.

When I came into their life,
I just tried to fix it all.

I was able to fix some of it.

And it's just been
a hard struggle since.

I felt really sad and alone
at that time.

Like I didn't have anybody
to talk to about it all.

And I didn't know
how to express myself
to people.

I didn't want that burden
on everybody.

So, yeah, it was...
it was... it was lonely.

It was... it was sad.

Those are the feelings
that food takes away.

Being alone all the time,
being sad,

those were the ones
that stick out the most.

And still to this day,
I get triggered
by feeling lonely.

And still to this day,
I get triggered
by feeling lonely.

That's a lot of my struggle.

I didn't have any friends,

but I was determined
to finish my education.

And I was actually
the first one in my family
to do the graduation walk.

And then after high school
I was about 250.

And then I had my son,
my first son.

And after him it just went up.

Each pregnancy,
the weight would come on,

Each pregnancy,
the weight would come on,

you know, as she was pregnant
and then it didn't go away.

And his dad was just a person
that I met one night,

and we had
a one night together.

I didn't hear from him
after that.

As soon as I found out
I was pregnant,

I called my mom

and she sent my stepdad
to come pick me up.

And that's when I started
to live with them
for a little while.

And then I applied
for housing,

And then I applied
for housing,

ended up getting
where I am now.

And now I have three kids,
each with different dads.

Only constant in my life
was food.

Food is just there
when I need it

and I haven't get
to this day found

to go to person
that does that.

-[Shawn] You finished?
-Yeah.

-[Shawn] You finished?
-Yeah.

There's no other relationship
like that.

In my early thirties,

my weight was about
420 pounds

and now I'm 36 and I'm now...
I'm roughly 600 pounds.

Due to a car accident I had,

and I was bedridden
for a while.

Will you help me
carry my purse?

[Diana] Yeah, I'll carry it.

-Got it?
-Yeah.

When I even think about
going out in public,

When I even think about
going out in public,

I start to panic.

'Cause I know...

I know people
will stare at me.

[Diana] You ready
for the fun part?

Got it?

[Stephanie] Yeah.

I know they're looking at me.

That's why I try
not to go anywhere.

I'll go in and get the cart
for you.

Is that close enough?

Yeah.

I put the arms up for you.

[Stephanie] You know,
the seat all the way back?

Yeah.

Okay.

Yeah. You might have
to push me,
even if it's wheels.

I know.

I have 'em.

[car door slams]

I don't know,
if it's gonna go uphill.

[Diana] Huh.
I'll grab the basket.

[Stephanie] Well, you might
have to push me up the hill.

[chuckles]

It's the part I don't like.

My life is completely
out of control.

-[Diana] I forgot.
It's hard on the hill.
-Yes.

-This is embarrassing.
-[laughs]

This is why I don't come.

-You ready?
-[Stephanie] Ready.

The front wheels
aren't all the way down.

The front wheels
aren't all the way down.

That's why it wasn't going.

[Stephanie] We go
to the bakery first.

[Diana] Okay.

[Stephanie] I'm gonna look
at the cakes.

I have 'em.

Okay.

When you feel like somebody
is looking at you,

you know, you feel it.

It's a constant in my life
to get stared at.

And most of the time
I'm right.

I look over
and somebody's staring at me.

This makes me feel little
like they're better than me.

Okay. Anything else
if I can reach?

Right there, the fudge.

-This?
-Yes.

Okay.

When I feel that
I don't wanna be there
no more.

I wanna go somewhere
to where I know nobody's at

and eat stuff I shouldn't eat.

Ice cream is my favorite.

[Diana] All right.
And then pizza over there.

[Stephanie] Oh, yeah.
And that's it.

Want your dip?

-That's all you want?
-[Stephanie] Yeah.

-You sure?
-Yep.

[Diana] Okay.

[Stephanie]
Oh, am I gonna fit?

[indistinct chatter]

-[Diana] You okay?
-[Stephanie] Yeah.

[Diana] The legs starting
to hurt?

[Stephanie] Yeah.

[Diana] Almost done.

Are we gonna make it
all the way through?

We're gonna pray.

[Diana] You might to back up
then you go around.

[Stephanie] Yep. No.
I'm gonna back up.

-[Diana] It's... You're stuck.
You can't get through.
-My legs.

All right,
go around over there

and I'll be right here, okay?

Okay.

[indistinct chatter]

All right.
Put these in your basket,

then I don't have
to take several.

It scares me daily
that her value of life
is going away.

Her situation's got
to the point

where I think
it's becoming deadly.

I'm having a really
hard time with it

'cause she's my best friend.

'cause she's my best friend.

Come on.

[Stephanie grunting]
My leg is stuck.

-Got it?
-I got the bottom stuck.

-Oh, is it?
-[Stephanie] Yeah.

-Did you move it?
-[Stephanie] Yeah.

Take your time.

Don't fall.

[Stephanie]
Oh, it's stuck again.

[car door slams]

[Diana] You all right?

Tired and in pain.

That was a lot for you, huh?

Yeah, it was.

I'm tired.
[laughs]

Yeah.

[Diana speaking]

[Diana] There's your pizza.

And my life is completely
out of control.

But I know I need
to lose the weight

so I can live longer,
be healthy.

I'm killing myself
at this point.

I see death.

That's how I feel it.

But thinking about dying
makes me,

wanna change in my life,
makes me, wanna get better.

My kids really need me.

I'm trying to get better
for them.

I don't want them to go
without me.

I don't want them to go
without me.

I don't wanna die.
I'm not ready.

But I can't do it on my own.

Here you go, mom.

-Thank you.
-Yep.

I need help.

[Diana] All right, Stephanie,
you know what you want?

-[Stephanie] Just this--
-All the snacks?

[Stephanie] Yeah, the cupcakes
and the chips.

-Okay.
-[Stephanie] And soda.

-Okay. I got your root beer
for you today.
-Okay.

Today I'm going
to see Dr. Now,

who's a weight loss surgeon,

who I'm hoping can help me
lose some weight.

The only thing is,
is he's in Texas.

The only thing is,
is he's in Texas.

And even
for a regular sized person,

that's going to be about
a three day drive.

But for me, it's going
to take longer

because I can't stay
stuck in the car

for more than
two or three hours at a time.

So we're going
to have to stop a lot.

All right.
I think that's all your stuff.

-[Stephanie] Okay.
-[Diana] Your generals.

Yeah, that's fine.

There you go.
I got two bags for you.

Hold.

I'm worried about
you swelling.

I'm worried about
you swelling.

I'm worried about
your comfortness

and being away for so long.

It's gonna be hard.

-You look scared.
-I am.

Just a little bit.

[Diana] It's all for the best.

Be the big boy.

[Stephanie] I'm afraid
to leave you guys, huh?

-[Charlee] Yeah?
-Yeah.

And you guys are gonna be okay
while I'm gone?

Yeah.

I just don't want you
leaving for so long.

I'm scared, but I'm looking
forward to it.

I know it'll... it'll be
better for me in the end.

You'll have to call me
every minute, all the way.

You'll have to call me
every minute, all the way.

I don't know about that one,
but I will.

I will call you all the time.

My mom's going to watch
the kids while we're gone

and my stepdad
is doing the driving,

and I'm really grateful
for that.

[door creaking]

All right, Stephanie,
you ready to go?

Yes, I'm ready to go.

[Martin] Come on,
let's do this.

I've just that and my pillows.

My appointment with Dr. Now
is in seven days,

so that should give us
enough time to get there,

so that should give us
enough time to get there,

even if we go twice
as slow as a normal person.

But I'm scared
'cause I don't know

if my body can handle going
on the road for a full week.

[Martin] You sitting on this?

[Stephanie] No, not...
not yet.

Okay.

Here we go.

[grunts]

Oh.

-You're all in?
-[Stephanie] Okay. Yeah.

I don't wanna do this,
but I know I have to.

I just hope I can do it,

because if I never get
to Houston,

I'll never get the help
I need.

I'll never get the help
I need.

You ready for this long drive?

[Martin] Not really.
But we gotta do it.

[Stephanie] Can we stop
and get something to eat?

[Martin] Yes.

[Stephanie] What to get?
What to get?

[man] Well, what can I
do for you?

All right. Can I get
the number seven large

with curly fries,
the sour dough, grilled
chicken club sandwich

and an order
of the three egg rolls?

[man] Got it.

And can I get two
of your overload cakes?

[man] All right. Let's go.

-[Martin] Thank you.
-[Stephanie] That's it.

[Martin] No, that'll be all.

[man] All right. $45.87.
Thank you.

[Martin] Thank you.

-[woman] Here you go.
-[Martin] Is that all of it?

-[woman] Here you go.
-[Martin] Is that all of it?

-[woman] Yep.
-[Martin] All right.
Thank you.

Delicious.

We're going to stop a lot
to get food, to comfort food,

just to get through the trip.

It's the only way I can try
to make it bearable.

It's the only way I can try
to make it bearable.

[Martin] You're gonna
guide me to Boise?

It stopped.

Doing nothing for me.

Yeah, If it doesn't work,
you gotta reboot it.

Yeah, If it doesn't work,
you gotta reboot it.

Just kind of what we're doing
with you right now.

-Really? Did you just--
-Yeah, I just went there.

Yeah, I'm here
to Houston as a reboot.

[Stephanie] I don't even know
what to say.

[Martin] You're welcome.

[Stephanie] My ears
are starting to pop.

[Martin] Ice.

I'm just not ready
for the ice.

[Stephanie]
Oh, I'm officially scared.

[Martin] There it comes,
this mountain.

[Stephanie]
Oh, it's actually snowing.

-[Martin] Yeah.
-[Stephanie] Oh Lord!

This is like panic
attack mode, man.

[Martin] My sweet-o time,
I'm in a hurry right now.

I mean,
I don't like this truck.

[Stephanie] Oh, can we not?

[Stephanie] Oh, can we not?

-[Martin]
Yeah, I'm gonna pass it.
-[Stephanie] Oh.

[Martin] All right.
Here we go.

[Stephanie] He was coming
towards us.

We've been driving
for three hours
and I'm really sore.

It feels like
we've been driving forever.

I can't believe
we still have
so much to go.

I knew this was gonna be bad,

but I didn't know
it was going to be this bad.

-Good morning.
-Good morning.

I went to try to get
your breakfast.

This is all I can find.

Oh, that's okay.

How was your night tonight?

Not too bad.

Some pain in my hip
and, um, too much pain.

I might not eat
that much today.

[Martin] I know.
Do what you can.

You need anything else?

[Stephanie] No.

-[Martin] All right.
-I just wanna get going.

-[Martin] All right.
-I just wanna get going.

[Martin] All right,
while you do that,
I'm gonna grab this,

take it out to the car,
bring the car around.

All right.

Waking up today and facing
another day on the road
was a miserable feeling.

I just wanted to stay in bed.

But then I remembered
I'm in the middle of nowhere,

somewhere in Utah,
so I can't stay here.

[sighs]

[Stephanie] Phew!

Oh.

Oh, my hip.
Oh, my hip.

Oh, that was worse
than I thought.

We still have 16 hours
to go to get to Houston.

And I don't even wanna think
about how many days
it's going to take us.

And I don't even wanna think
about how many days
it's going to take us.

Because each day is getting
worse with the pain.

-You okay?
-Yeah.

[Stephanie]
The pain is pretty bad.

It's like a 10 on the scale
right now.

I get throbbing through
my spine on my back
and then the hips.

[Martin] You ready?

-[Stephanie] Ready.
-[Martin] All right.

-[Stephanie] Ready.
-[Martin] All right.

[Stephanie] I'm bad.
But I'm ready.

[woman] Continue on US-84 East
for 126 miles.

[Martin] So I noticed
you didn't eat anything
this morning,

so just let me know
when you get hungry
and we'll stop.

I will. I woke up nauseous.

I don't know
if it's everything
catching up to me

or all the bumps
and windy roads.

Trip so far is pretty long.

Pretty hard on me right now.

Pretty hard on me right now.

Been swelling a lot,

especially the lower ball that
I have down there in my leg.

I just wanna get there.

Welcome to New Mexico.

We got nine hours
till we're there in Texas.

[Stephanie] I can't sit
for a long time

'cause then my hips
start hurting a lot.

I try to lift my hips up
a little bit and twist.

I don't have much room

'cause my stomach's
on... on the dash part.

You hungry?

[Stephanie] Yeah.
I should probably stop.

Is that a gas station?

[Martin] It looks like it.
Yeah.

[Stephanie] Yes.

[Martin] Okay.

[Stephanie] Oh, snapples.

[Martin] Come on.

-You got it?
-Yeah.

All right.

We gotta make it up there.

[Stephanie] Yeah.

[grunts]

-[Martin] So you know
what you want?
-[Stephanie] Yeah.

The carne asada burrito bowl.

And then
two grilled chicken tacos.

[Martin] Oh, wow!

Burrito bowl!

Let the munching begin.

We only went about
five hours yesterday.

This has just been
a lot harder than
I thought it would be.

This drive is hell.

I'm swelling.
I can't get comfortable.

These little chairs hurt
my legs, though, my hip.

[Martin] You wanna
move back to the car?

I need to be out of it
for a minute.

[Stephanie] I just...
I can't do it anymore.

You got the door?

You got the door?

Every time we pick a hotel,

I worry about
where the rooms are located,

if they have one,

and how far exactly
from the door

that I would have to go
to get to that room.

So far, I've been able
to do 35 steps.

To pass that,
it's been too far.

Oh, God.

[Martin] We're almost there.

-[Stephanie] Are we?
-[Martin] Thirty one, 32.

[Stephanie] Okay.
Oh, it hurts.

Oh, Jesus.

[door knob rattling]

[Martin] Where's the lights?

[panting]

Oh, God.

-Are you okay?
-Yeah.

-[Martin] Done?
-Yeah.

I'm done.

Be honest, it is probably
the hardest thing I've done
in a while

'cause then I know
I still have
to come back home

'cause then I know
I still have
to come back home

through that long drive
all over again.

My appointment with Dr. Now
is the day after tomorrow.

I don't know. I just hope
he can help me fix myself.

I am ready.

I'm nervous.
Man, I have butterflies.

We finally made it to Houston.
It's been such a long journey.

I might be devastated
if the appointment
doesn't go well...

and if Dr. Now
doesn't help me.

I came all this way
'cause this is my last hope.

You ready?

Stephanie?

[Stephanie] I've done
and tried everything else.

So if I don't get weight loss
surgery here with Dr. Now,

then I'm as good as gone.

So this is my last
and only hope.

We finally made it
to Dr. Now's office

to get his help
to lose weight.

My first appointment with him.

Right now,
I have to see the truth.

I'm not looking forward to it.

My highest weight
was a little bit over that.

So I'm happy that
I've lost a little bit.

We're going
to room five, okay?

We're going
to room five, okay?

[Stephanie]
But I'm still embarrassed.

I really hope
Dr. Now can help me

because I know I can't do it
on my own.

You okay?

Yeah. My foot hurts.

The moment of truth.

The moment of truth.

[knock at the door]

-Hello.
-[Stephanie] Hello.

-[Martin] Hello.
-How y'all doing?

-[Stephanie] Good.
-[Martin] Good.

-Good.
-[door closes]

All right.
You must be Stephanie.

Yes.

All right.
And this young person is who?

My stepdad.

-[Dr. Nowzaradan]
Your stepdad?
-Yes.

All right.
Where are you all coming from?

-Washington.
-All right.

That's a long way
to Houston, huh?

[Stephanie] Yeah, very long.

[Stephanie] Yeah, very long.

So how long it take you
to get down here?

-[Stephanie] About five days?
-[Martin] Five days.

-Mm-hmm.
-Hmm.

And so what brought you
down to Houston?

Hopefully, for help
getting my weight down

and getting healthy again.

What do you mean,
"healthy again"?

You were healthy before?

I wasn't this big.

I was able to move around
and walk more and...

All right.

On a typical day,
what do you eat?

Just whatever...
whatever I can get, I guess.

I mean, for dinner,
I'd have a big plate
of spaghetti.

From time you wake up,
what time you wake up?

I wake up usually at eight
every morning with my kids.

Okay, So what do you eat
at that time?

Um, I eat with my kids
usually.

I'll have just a bunch
of eggs and sausage,
sometimes pancakes.

-Okay.
-So what do you drink
in the morning?

Chocolate milk, juice,
sometimes soda.

Chocolate milk and juice?

Chocolate milk and juice?

Yeah. [chuckles]

-Those are high
calorie drinks.
-Yeah.

Okay, then after that
what do you eat?

Um, when my kids
are at school,

I'll... I'll snack and I'll...
I'll eat, like, sandwiches.

[Dr. Nowzaradan]
Snack mean what?

Or I'll snack
on cupcakes and chips.

Who buy you
those cupcakes and chips?

I, uh, send either my stepdad
or my son to the store.

Sometimes my mom.

I write a list and they go
and buy me what I...

I write a list and they go
and buy me what I...

-what I usually want.
-Okay.

So who else
is in the household?

It's me and my three kids.

So three kids,
how old are the kids?

My... My oldest is 16.

And then it's my daughter,
she's just turned nine.

And then my youngest is five.

Any of them
have a weight problem?

My oldest.

He's 16 and he weighs about
400 pounds right now.

-[Dr. Nowzaradan]
Four hundred pound?
-Mm-hmm.

Okay, so your son
or your stepdad will go get
what you order?

-Yeah.
-Okay.

-Yeah.
-Okay.

So they're your enabler.

So how are we gonna break
that cycle

of being everybody
supporting your eating habit?

I'm gonna have...
I'm gonna have to change it.

I'm gonna have to...

They're gonna have
to tell me, "no."

[chuckles]

If you keep this up, you know,
you're gonna hit 700 pound

and after that
you're gonna be bedridden

and then your health
is gonna go down really quick.

So how motivated you are
to change?

Extremely.

Extremely.

It's why I'm here.
I wanna change.

What do you do all day?
You... Do you work?

No, I'm usually just
at home watching TV,

which, you know, I want...

I wanna be able
to go to work.

So right now, how are you
supporting yourself?

I have my mom
and my stepdad to support...

to support me right now.

How long
they've been doing that?

You know, how long...

Few... few years now.

[sighs]

All right.

So you got the parents
that are supporting

your eating habit
and everything else.

So I don't see
a whole lot motivation
to change.

I don't want my kids like me.

So that's gonna motivate me
to change myself.

You might haven't done
anything about it
at this point.

I've tried. I don't think
I under... quite understand,

you know, size wise,
portion wise.

It's just something
I just eat until I'm full.

It's just something
I just eat until I'm full.

So right now I'm skeptical
if you're gonna change
anything.

Okay.

And it's not that
you just woke up
and realized that

your weight was your problem.

You've known all along,

but you haven't done
anything about it.

Nobody around you seems
like is supportive of you
to change.

Everybody is supporting you,
to make you happy,

to eat what you want,
and that's going
to be a problem.

So this is gonna be
a really difficult task
for you

and depend
on how motivate you are

and depend
on how motivate you are

and how hard
are you gonna try.

I'm gonna give you
some information.

Okay.

And we're gonna see
if you can get

some changes made
on your eating habit.

-And then if you do that,
I'm gonna work with you.
-Okay.

But if you're not able
to lose weight,

then not much we can do
for you and we go from there.

-Okay?
-Okay.

-How was your activity?
-I don't move around much.

Um, I have a growth
that's growing right here.

I'm not really sure
exactly what it... what it is.

I'm not really sure
exactly what it... what it is.

And so it's...
it's hard for me to walk.

So how long you had
that growth?

About four...
four or five months now.

-[Dr. Nowzaradan]
Four, five months.
-Yeah.

And that's kind of
how my weight started
going up higher.

And before that,
I was in a car accident

that kept me in bed
for a while.

And I didn't get
to move around much

and it's just gone up
from there.

All right. Let me go
get some stuff for you

and bring it and explain
to you, okay?

and bring it and explain
to you, okay?

-Okay.
-All right. I'll be back.

[Stephanie] Okay.

[door closes]

I saw Stephanie.
She came from Washington.

It took her six days
to get down here.

And she came here
with her stepdad

and she eats uncontrollably
and she doesn't know
why she's heavy,

why she's obese,
and she eats

very high calorie food
and drink chocolate milk
and juice.

And then she snack
on cupcakes all day.

And then she snack
on cupcakes all day.

All right.
I got some stuff for you.

And this is what I want you
to read everyday.

She doesn't do a whole lot
and she's not very active.

But on top of that,
she got worse enabling
step-down

and family that supports
her eating habit

and supporting her doing
nothing and taking care
of three kids.

And this is a recipe
for being a totally
failure in their life

and every aspect
of the child care

and every aspect
of the child care

and future of everybody.

The next item,
you probably know that.

It says, everyday
you don't eat very much.

-Read that very carefully.
-Okay.

And here's a two-factor
that control your weight.

And this is gonna be
very important
for her and her family

to make the changes
that she need

and change her life now
before it's too late.

Also, what I want you
to concentrate on,

several pages of exercise.

several pages of exercise.

I want you to do
those exercise
one hour in the morning.

[Stephanie] Okay.

[Dr. Nowzaradan]
And one hour in the evening.

And those are the exercises
that'd be fit at your size
that you can do.

-Okay.
-So you get all the tools
that you need.

If you have any issues,
give me a call.

-Okay.
-Okay?

And also, you may wanna work
on getting your son

educated about eating habit
and... and try
to work with him.

-Okay.
-All right.

Well, next time you come by,

I want you to bring
your son with you.

-Okay.
-[Dr. Nowzaradan] Okay?

-Okay.
-[Dr. Nowzaradan] Okay?

-Okay.
-All right.

So you think you can make
those changes?

[Stephanie] Yes.

And hopefully
you will have everybody
in the family cooperate.

-[Stephanie] Yes. Yes.
-[Martin] Yes.

All right? Any questions?

-Nope.
-Nope, not at the moment.

-All right.
I'll see you later.
-Thank you.

-[Martin] Okay, thank you.
-Okay.

[door closes]

-Da-da-da-da. No.
-No.

-You got this?
-[Martin] Yeah.

-You got this?
-[Martin] Yeah.

We all have the chance.

-Yes.
-You ready to go?

It went pretty good.

He gave me some tips
and some pointers

of how to change things.

Eat better, exercises.

I had no idea I couldn't
drink chocolate milk.

I didn't realize
it was bad for me.

I thought milk
was good for you,

just adding a little bit
of chocolate might not hurt.

[chuckles]

Nobody likes change.

So changing anything
is the struggle for anybody.

And we've been
in such a big routine
for several years.

And we've been
in such a big routine
for several years.

It's just... We just
have to change it all.

I think we all changed
our eating habits

that should be able
to follow a little easier.

I know I need to do this
for my life and for my kids.

You know,
I don't wanna die soon.

And if I keep doing this,
I will.

And then my kids
won't have a mom.

I can't let them
without me.

This is do or die.
It's life or death.

And I don't choose death.

And I don't choose death.

-[Martin] You okay?
-Yeah.

-[car door slams]
-[Stephanie sighs]

[door creaking]

[Martin] Good morning.

-[Stephanie] Good morning.
-And you start already?

Yeah.

Are these the right portions
that you were supposed
to have?

I think so.

[Martin] I think so
is not gonna cut us,
Stephanie.

We gotta make sure
from now on.

We don't have
measurey thing here.

[Martin] Well,
we have to get you one.

The weigh... the weigh thing,
whatever that thing.

Yeah. Scale.

-[Stephanie] Yes.
-Okay.

Coming back from Houston
was pretty horrible.

And when I got home,
I had to stay in bed for,

like, two to three days

just so the swelling
would go down,

to be able to move.

I'll carry it.
I'm good at that.

I'll carry it.
I'm good at that.

[Martin] You'll get good
at it. I'll show you.

[Stephanie] I started my diet.

I started a little bit
of exercise.

I feel a little bit more...
more energized,
a little more motivated.

I'm starting to get there,
starting to move around more.

-[Martin] How is it?
-It's good.

The food's different.

It's not as sugary and sweet.

I'm not used to that.

So it's like a shock
on my body.

It's just hard to give up
what I like
and what tastes good.

It's just hard to give up
what I like
and what tastes good.

I saw you put garlic salt,
but I don't taste it.

'Cause it changes the flavor.
You don't taste the garlic.

Can you actually put
just garlic in it?

You could,
but we don't have any.

We have to get you some.
I prefer the minced garlic.

Yeah.

I eat a lot... lot less,
I've noticed now.

Sometimes I want more
and I'm like,

"Uh, Just give it to me."

But then I got people
who tell me, "no."

Martin tells me, "no"
all the time now,
so I have to get used to it.

Martin tells me, "no"
all the time now,
so I have to get used to it.

So garlic and a scale.

Exercise!

Right now I exercise
at least twice a day.

I know I should
probably be three times
a day like the book says.

Remember, the doctor
wants to see you, too.

-Oh, I know.
-Will you wait in here,
Martin?

Yeah, I'll wait here.
I'm gonna...

-I'll clean up the kitchen.
-[coughs]

My goal is to be able
to go around the whole block
in a month,

and I'm going to work towards
being able to do that.

and I'm going to work towards
being able to do that.

Like it takes everything
in me every day just
to get up and do anything.

All right, Mom.
We go dead end and back.

[Stephanie] Just getting
the help from my son,

knowing that he's here for me,

knowing he's gonna help me,

knowing he'll do this
with me...

and it just makes me proud...

and it just makes me proud...

and it makes me motivated,

and I wanna actually do this
for him, for my kids,
and fight for it.

So I feel like I'm changing
a lot of how I do things

and I'm doing it
for my family.

I want a better life for them.

It's... It's hard,
but I'm trying.

[Shawn] You're her support.

[Shawn and Stephanie
chuckling]

All right, guys, I am gonna go
try to cook dinner.

[Blain] It sounds amazing.

-Okay?
-[Blain] Mm-hmm.

When I call you,
you go to the table, right?

-Yep.
-Mm-hmm.

The past month,
I've been staying on track...

and I feel like I've made
more progress with everything.

and I feel like I've made
more progress with everything.

I've been doing the diet.

And I started making
my own meals more often.

My mom has really
bad fibromyalgia,

but it's forcing me
to do more on my own.

So I can't go back
to Dr. Now, right now.

I don't have anyone
to watch my kids

and I won't be able to do so
until my mom gets better

so that either
she or my stepdad
can help me again.

[Stephanie] All right, guys.
Come in here.

The only downside is that

my kids have to eat
the same thing I do

because I don't have
the energy or the time

or the money to make
two meals every time.

So, they're having to suffer
from my mistakes.

I feel bad about that.

It feels good, you know,
to actually sit
at a table with them.

Like it's been a long time
since I got to do that myself.

Kind of proud of myself
for that.

Just a little bite.

No, I don't like it.
Can I have a cornmeal?

You sure?

You know it's healthy, right?

-Mm-hmm.
-I do like...

And I do like it.

The food was good
what my mom cooked.

The food was good
what my mom cooked.

[Stephanie] You're done?

Do you guys want to go take
a walk in just a second?

[Charlee] Yeah.

[Stephanie]
I've been keeping up
with my exercise routine,

and I'm getting better
at doing more.

[Charlee] I do like to go out
with my mom

and she also can ride bikes
when she lose weight.

Go, momma.

-Really?
-Go, mom. Go, mom.

-All the way?
-Go.

-Well, I have to?
-Go, come on.

Go.

[panting]

Oh, my God.

-I did.
-Now we have to walk back.

Well, thanks for the support.

Felt good that I can
actually do it this time.

Like last time, you know,

it was a struggle just
to get to the stop sign.

You'll carry me?

-No?
-Now you're tired?

-Piggyback ride?
-Are you tired?

-Piggyback ride?
-Are you tired?

[laughs]

[Stephanie] I'm hoping
I get, you know,

to the point where I can walk
past the stop sign
and keep going.

Not just across the street,
but a little bit further.

Sooner I get this done this,
you know,

sooner I can get
the weight loss surgery,

the sooner
I can get healthier.

Lose the weight.

That's the main thing
right now is, you know,

getting healthy for my kids.

All right, guys,
when we get to Nana's,

Mommy's got to make a call
to the doctor.

Doctor Now.

So, I need you guys...
after you guys play

and say hi to Nana,
we got to be quiet, okay?

And go inside.

All right, cool.

All right, cool.

It's been another month
and my mom is still sick.

She's been feeling
a little bit better,
but she's not a 100 percent.

Not like she needs to be
for watching my kids

and not for traveling with me
back to Houston either.

So, it means
I've been on my own a lot.

All right, guys,
we're at Nana's.

-[Blain] Really?
-[Stephanie] Yeah.

All right, you guys.

Go to Nana.

So, until she gets better,

Houston and Doctor Now
aren't an option.

Doctor Nell's office
reached out a few days ago

to set up a video call
with him

because he wants
to check in with me.

So that's happening today.

But I decided to go
to my mom's house
to do it,

to show him that I'm able
to get out of my house now

'cause I've been working hard
on building up my stamina.

So, I'm hoping Doctor Now sees
how well I'm doing.

So, I'm hoping Doctor Now sees
how well I'm doing.

And that he understands
I'm doing my best

and still working hard
and that I'm gonna come back
and see him soon.

Right now, it's just
that my hands are tied.

I'm just glad
the kids get to get out.

I think it's cool
when Mikey talked about
the balls on the trampoline.

-[Stephanie] Yeah.
-[Diana] So they can play
on it.

[Stephanie] Charlee, Bubba,
come here.

I need you guys to go
sit inside while I make
a call on the video.

I need you guys to go
sit inside while I make
a call on the video.

[Diana] Charlee,
bring momma her...

Can you bring me the laptop?

[Charlee] Yeah.

You guys got to be
super quiet, okay?

[Blain] Mm-hmm.

-Love you.
-[Blain] Love ya.

They're not gonna be quiet,
are they?

-[Diana] No, they're not.
-They're not gonna be quiet.

[Diana] No.

Thank you much, darling.

Okay. Go back inside.
Keep an eye on your brother
for me.

[Martin] Um, and I'll go
and keep them quiet.

-Good luck with that.
-Yeah.

-Good luck with that.
-Yeah.

Not happening.

Mom, you want
to scoot on over?

-Come on, Dixie.
-Ouch.

You know, you want
to be get close.

[grunting]

My glass. Okay.

There we go.

-[videocall line ringing]
-[Diana] You can do this.

[Nowzaradan] Hello.

Hello.

How are you doing today?

How are you doing today?

-I'm doing good.
- All right.

Then, Stephanie,
it's been a long time,

and we tried to call you
several times

and never got the answers.

So, what's going on with you?

A... A lot. I had...
My phone broke.

So, I didn't have a phone
for a while.

But I've been doing everything
I can to lose the weight,

to get out and do more things.

You feel like you lost
any weight?

Ah, yes.

I actually went to the doctor
about two weeks ago

and he weighed me
and I was down a quite
a bit of weight.

and he weighed me
and I was down a quite
a bit of weight.

So, what was your weight?

When I went to see him,
it was 530.

Okay. So what changes
you made with your diet?

Um, I've been following
your book pretty good.

I've been lowering the calorie
count, more water.

I've been trying to move
around more and do exercises.

Well, my diet will put you
on your loss

if you crack with that
50 pounds in five months,
that's a 10 pound a month.

if you crack with that
50 pounds in five months,
that's a 10 pound a month.

If you follow the book,
you should lose
a whole lot more than that.

- So, what's going on?
-I'm... I'm trying.

I'm trying. I did...

I did end up getting sick
for a few weeks there
with COVID.

So that put me back
a little bit.

Well, but that's only about
a couple of weeks,

it's not five month.

So even if you get sick
with COVID, you lose
more weight.

So, what's going on
with your eating habit?

So, what's going on
with your eating habit?

[Stephanie] Um, it's changed.

I mean, not as much
as it probably should,

but I've cut back a lot.

I've changed a lot.
I don't eat as much
as I used to.

I mean, I could probably
exercise more,

but I do have the issue
with the ball between my legs

to make it hard to walk.

But I do...
I do try other exercises.

[Nowzaradan] All right.
But how are we doing

with the committing
to our program and come
and see us?

- What's going on with that?
-[Stephanie] Um, I'm...

- What's going on with that?
-[Stephanie] Um, I'm...

I'm ready to come see you,
I think.

-I'm not sure
of the exact day.
- Well, then...

then sure got
you live so far.

I don't want you to drive

because that's gonna take
a long time.

Is there any way
you can fly?

Ah, I think
that's that was the next step.

I think that's what
we're gonna do.

[Nowzaradan] Okay.
Well, here's the situation.

If you tell me
that you have lost weight

and then make an appointment,

we'll see in Houston
and think about making

some changes to come
to Houston

some changes to come
to Houston

to either our program
and consider
weight loss surgery.

So that's gonna be the issue
that you need to work on it.

But moving out here doesn't
automatically approve you
for weight loss surgery.

You still gonna
have to demonstrate

that you are able to change
your way of eating
and lose weight and...

and be proactive with that.

And that's gonna be something
that you're gonna have
to demonstrate.

- Okay?
-Okay.

[Nowzaradan] So, tuck down
your eating habit

[Nowzaradan] So, tuck down
your eating habit

and come down
as soon as you can

and bring your son
so we can have a plan
for the whole family

and see if we can make it
very healthy.

-Okay.
-[Nowzaradan] Okay?

-Yep.
-[Nowzaradan] All right.
Well, nice to see you.

-You too.
-[Nowzaradan] And if you need
anything, give me a call.

I look forward to see you
in Houston. Okay?

Okay.

All right. Bye now.

[Stephanie] Bye.

[Stephanie] Bye.

-We'll get it down.
-I know.

Yeah.

We'll get through it.

[Diana] You'll do it.

Take backseats?

Yep.

Oh, snap.

I'm heading to Houston today.

My son got sick,
so he can't come.

But my mom is taking care
of everyone.

She finally feels well enough
to watch the younger kids
on her own.

-Ready?
-Set.

-Ooh.
-Up.

[Stephanie] So, my stepdad
stepped up to help me
get there.

You got it?

[Stephanie] I have
an appointment with Doctor Now
later on today.

[Stephanie] I have
an appointment with Doctor Now
later on today.

So, we had to get
on the plane

'cause we didn't have
enough time to drive.

I don't think I can handle
six days on the road anyway.

I'm really nervous about
how this is gonna go.

We're gonna get there
and go straight to his office.

Start to get more nervous
about it.

I haven't been on an airplane
in a while,

especially not at the size
I'm at.

I mean, I had...
I had trouble back

then sitting in the airplane,

but I did have to buy
two seats.

but I did have to buy
two seats.

And you do have...
you have to do that now.

It'd be, you know, awesome
to be able to go back

to not having to purchase
two seats again.

Oh, man, this is brutal.

I do have a hard time
with people staring
at me or judging me.

And it's... it's difficult.

To me it feels very degrading
to get stared at or, you know,

somebody make
a rude comment about me.

We can do this.
I got this.

But like, how am I gonna
actually do this?

I just hope
I can fit in the seat.

Okay. These ones.

They knocked them up.

They knocked them up.

[woman] Not that first one.

[grunting]

[Stephanie] I have a seatbelt
just under.

And I am wiped out.

It's pinching me on the sides,

but at least I can just try
to fall asleep.

This is going to be
a four and a half hour flight.

So, I know I can do it.

It's just...

if it gets too painful,
what am I gonna do?

Tired, sore...

hot.

We just did
very long flight...

from my home
to see Doctor Now.

I'm always worried about
how he's gonna react.

I get, you know,
very depressed
if it negative news,

I get, you know,
very depressed
if it negative news,

and I just don't want
that to happen.

I've never been
in this situation.

So yeah, definitely nervous.

I could do it.
I got this.

[Martin] There it is, that.

Yeah. Here we are.
See how this is gonna go.

All this traveling is harder
on me than I thought.

All this traveling is harder
on me than I thought.

I'm not sure
I can keep doing it.

But I'm glad to finally
be back to see Doctor Now.

And I really hope
all my hard work will pay off

and I'll be able to get
weight loss surgery.

If I don't get approved,

it's going to mean
all the months of hard work

and sticking to it
and going through all this
has been for nothing.

So, I really just need to get
the weight loss surgery.

Okay.

I want to get out
of the wheelchair.

All right.

We don't need it now
that we're not at the airport.

I know I've lost, but I just
don't know how much.

I just hope it's enough.

[Martin] Oh, I hate it...

Stephanie.

[Stephanie] Last time
I was at 611

and Doctor Now gave me
a goal of losing 50 pounds
in two months.

I know it's been longer
than that,

I know it's been longer
than that,

but I'm hoping
if I hit my original goal,

he'll be happy enough
to move forward with me.

[woman] just step up
on the scale.

[Stephanie] So, to hit that
number, I have to be 561.

-Five, four.
-Yes.

[Stephanie] What?

[Stephanie] What?

How did that happen?

Why would my weight
be that high?

It doesn't make sense
with how hard I worked.

I hate this.

Hello. How y'all doing?

-[Stephanie] Hi. Good.
-[Martin] Good.

Well, Stephanie,
it's been five months

Well, Stephanie,
it's been five months

since I saw you last
and made several phone calls.

You never answered them.

So, what is going on with you?

I just dealing
with my kid's schools

and I had gotten sick
for a few weeks with COVID
and then...

-Okay.
-That's your five months?

No, I was dealing
with my kids in school

and my oldest son
having some medical issues
of his own.

Well...

So, what was your intention

when you last came
in five months ago
to lose weight?

when you last came
in five months ago
to lose weight?

I still want to.
It's why I'm here.

I want to continue doing that.

I can lose 10 pounds
in one week.

Okay.

So, this is the situation
that related to the food.

There's no other factor
that control her weight

beside whatever you eat.

And the question is,
is she manipulating you

to bring in more food
and all that?

No.

So you are just bringing her
more than she need?

So you are just bringing her
more than she need?

Um, actually,
I haven't been doing that

since the last time
I spoke to you.

We've actually
been trying to cut back

on a lot of things.

It's been hard,
but I'm working on it.

Um, there are issues
that you need to understand.

There's nothing justify you
to overeat.

And if you've got any issues
that we have difficulty
in mobility,

that should be remind you
to cut back on your eating.

Okay. So, are you serious
about making the changes?

Okay. So, are you serious
about making the changes?

Yes.

Well, if you continue
with the same thing,

that's gonna be very difficult
for you to lose weight.

Even if you lose
10 pound a month,

-it's gonna take two years
to get there.
-Right.

[Nowzaradan] So what changes
you're willing to make now?

I'm just gonna
reevaluate everything,

read the book better
and weigh...

weigh the food,
do more portion control.

So how long will it take you
to understand that
you're overeating?

So how long will it take you
to understand that
you're overeating?

Oh, I understand.
I'm overeating.

I just need to stop
is the thing.

[Nowzaradan]
So, it should be easy

for you to lose 50 pounds
in two months.

Okay.

[Nowzaradan] If you do that,
then we're gonna work
with you.

If you're not able to do that,

then there's no point there
for you

to making the trip
coming down here.

-Right.
-[Nowzaradan] Okay.

'Cause that's not gonna be
a productive for you.

Then if you lose that,

then we're gonna have
to thinking of moving down
to Houston

if you're considering
weight loss surgery.

if you're considering
weight loss surgery.

Okay.

And the question is,
do you think
you can do that?

That's what I'm working
on right now.

Okay.

And so, this time
your son is sick.

But if you come back
and you think
he can come with you.

I'll bring him.

Okay.

So, it is gonna be something
that we can try to work

with both of you to make you
healthy and do that.

-Okay.
-[Nowzaradan] Okay?

-Okay.
-So, stick with your diet

and lose 50 pounds
in two months.

And if you need anything,
give me a call.

And if you need anything,
give me a call.

-Okay.
-[Nowzaradan] Okay?

-Yes.
-All right.

I wish you good luck
and have a safe trip
back home.

-All right. Thank you.
-Thank you.

[Nowzaradan] All right.

Man's intense.

[Nowzaradan] It is clear to me

that Stephanie
doesn't have much desire

to take responsibility
for her life
and her situation.

She liked to say
that she's ready to change

and do what she needs,
but that's just part
of the game she plays.

and do what she needs,
but that's just part
of the game she plays.

It's her way
to convince everyone

that she has tried everything.

And then when nothing
in her life changes,

she wants everyone to think
that she is a victim
of unfair situation.

So, it's not her fault.

That's how she manipulates
her family and
she does it well.

The only thing
that is gonna convince me

she's serious is the number
of the scale going down.

But I'm skeptical
that's gonna happen

because at this point,

because at this point,

Stephanie seems to have
a strong hold on the family.

I've done a lot to get here.

I mean, I've had to change
a lot of schedules.

I had to leave my kids
with my mom.

And it's we went through
a lot to get here

to just to get
through the planes.

And now I don't even know
if it's worth it.

But if I don't get
the surgery soon,

But if I don't get
the surgery soon,

I'm not sure
what I'm gonna do.

So, the next time
has to be better.

Still makes me nervous.

I don't like going out places.

[Diana] True. I know, right?

That's the painful,
painful part.

Getting in there.

[Stephanie] Yeah.

It's gonna suck.

Last time I saw Doctor Now
I was a little bit upset.

But after I got home
and had a few days
to think about it,

I decided that I'm going
to work harder than ever.

I decided that I'm going
to work harder than ever.

So, I joined a gym
and it's hard to do
the workouts,

but after I've done them,
I feel better.

You want me to open
that back door for you?

[Diana] Yeah.

Is it fat friendly?

[bleep]

What is my...
Well, come on.

[Diana] So, let's get...

[grunting]

Ooh.

Shi... yes.

[Diana laughs]

[Diana] Did it get stuck
in your hair?

[grunting]

He can pull this one, too.

All right.

I don't trust this bench.

I don't trust this bench.

[Diana] Is that one okay?

-Huh?
-[Diana] The... in...

I've never used
one of these.

[Diana] Okay. Feel the burn.

-Hmm?
-[Diana] Feel the burn.

Do I do this out to the side?

[Diana] That one can also pass
around like this,

[Diana] That one can also pass
around like this,

around you to your backside.

Couldn't.

[Dian] That doesn't work?

-No.
-[Diana] Ah.

I've never pushed myself
this hard before.

It's hot. It's sweaty.

But I know it...
it'll benefit me in the end.

It moves muscles that
I'm not used to moving.

I'd love to come
to the gym more.

That's one of my goals,
is to be able to actually

be comfortable
coming to the gym.

[Diana] Are you feeling it?
How's it going?

-It's burning.
-[Diana] It's burning?

-It's burning.
-[Diana] It's burning?

I'm sweating.

[Diana] That means
it's working.

And I'm done.

-[Diana] Huh?
-I'm done.

-[Diana] Y'all done?
-Yeah. You ready to go?

[Diana] Yeah. That's a good
workout for today.

Oh, my ball's stuck.
My ball's stuck.

You did good.
You did a lot.

[Stephanie] It's true
what they say.

You feel better
after you do it.

And I know
how important it is.

I really want that surgery.

So that's what's
motivating me.

Not just for me,
but for my whole family.

Not just for me,
but for my whole family.

I really feel like I'm turning
over a new leaf this time.

That's going to be the thing
that makes the difference.

-This other one over?
-[Diana] Yeah.

-No, I don't need
that one today.
-Nope.

-You ready?
-Nope.

-Ready's over me.
-[Martin] Yeah.

[Stephanie] We're back
in Houston
for my next weigh in.

The travel was a little bit
easier this time,

but it was still
pretty painful.

I just hope that
all the hard work
I've been doing

is finally enough to pay off.

Stephanie.

[Stephanie]
At my last appointment,

I was 602 pounds.

Doctor now gave me
a goal of losing 50 pounds
in two months.

So, if I did that today,
I would be down
to 552 pounds.

[woman] You want to step up
on the scale?

Hmm.

Could have done better.

[Martin] I don't understand.
You've changed everything.

[woman] Okay, we're going
to room five.

Okay.

That's really disappointing.

I don't even know what to say.

I mean, sure, I lost weight,
so that's good.

But, you know, Doctor Now
is not gonna see it that way.

I just don't understand
because of how hard
I've been working.

It doesn't make sense.

It feels like
something must be wrong

because this doesn't add up.

I didn't lose
what I wanted to.

[Martin] I don't know,
why not? You tried it.

[Martin] I don't know,
why not? You tried it.

I guess it's not good enough.

You got to figure out
what I'm doing wrong.

-Hello.
-[Stephanie] Hello.

-How y'all doing?
-[Stephanie] Okay.

How was that trip down here?

It was long, exhausting.
Painful.

So, it was easier
than last time.

Ah, kind of.
It was shorter.

So, you fly?

[Stephanie] Yes, we flew.

[Stephanie] Yes, we flew.

[Nowzaradan] How long
a flight is that?

How long did we fly?
I think it was 4 hours.

[Martin] Four hours.

A little over
four hours, total.

Okay. All right.

So, what's going on with you
and your eating habit?

Um, I'm trying.

I've been trying new things,
new healthier options.

I think I'm still slipping up
a little bit,

but I've been trying.

[Nowzaradan] I mean,
you haven't lost much
weight this time, huh?

-No.
-I'm... I'm disappointed
in myself for that.

[Nowzaradan] So,
what's going on with that?

[Nowzaradan] So,
what's going on with that?

[Stephanie] I'm not sure.

I mean, I'm trying to do,
you know the best I can.

[Nowzaradan]
And we haven't done anything

to move down
to Houston either.

No, I'm working on that.

I have to make phone calls
and stuff.

At this point on right there
on this trip
you're making down here,

I feel like you really,
you know,

aren't serious about
changing your life.

So, you know, you need
to get your line of thinking
to the point that,

hey, I'm gonna do this,

hey, I'm gonna do this,

and it's my responsibility
to do that

and not to expect that
you come here and make
you lose weight.

All right.

And you know,
it really after all this time,

I think this is your really
last chance
to make the changes

and show your commitment
to your health
and your future.

What I want to do
is make arrangements for you

to see a local clinic
when you go there

and check your weight and see
what your progress is doing.

I'm gonna set you another goal
of losing 50 pounds
in the next two months,

I'm gonna set you another goal
of losing 50 pounds
in the next two months,

and if you make progress
in the future,

then we can consider it
moving to Houston.

But at this point, seems
like a far away
from weight loss surgery.

-Okay?
-[Stephanie] Yeah.

[Nowzaradan]
So, in the meantime,

if you need any help
or anything else,
give me a call.

-[Stephanie] Okay.
-[Nowzaradan] Okay?

-All right.
-[Stephanie] Bye.

[Nowzaradan] It is unfortunate
that it looks like
a dysfunctional cycle,

[Nowzaradan] It is unfortunate
that it looks like
a dysfunctional cycle,

which Stephanie has continued.

We are getting to a point

where it doesn't make much
sense to keep going like this.

If Stephanie is just going
to keep playing games.

So, she needs to start turning
things around this next time

or we're not gonna continue
with her.

-You...
-No.

I won't.

Drag it.

[Stephanie] After
my last appointment
with Doctor Now,

[Stephanie] After
my last appointment
with Doctor Now,

I got really discouraged.

It just doesn't make sense

because I've been doing
everything to a tee.

It's hard to do all the work
and someone tells you

it's not enough.

It's just discouraging.

So, it really feels like
I've been treated unfairly.

I'm trying to stay motivated
and do everything
I'm supposed to.

Even though it's hard.

Sweet.

I'm coming.

So, at this point,
I don't even know
what I'm going to do.

[Diana giggles]

[laughs]

[Stephanie] I'm supposed
to go to the local clinic

to get my weight checked.

I don't want to do that,
but I'm scared.

If I don't do that,

then Doctor Now is not going
to work with me anymore.

And I really don't know
what to do about it.

You guys enjoy
your sandwiches?

Mm-hmm.

Mm-hmm.

[Nowzaradan]
For the last few months,

I haven't heard
from Stephanie.

She seemed to block me,
so I am unable to call her.

She missed the appointment

that we set up
at a local clinic,

so she likely didn't lose
any more weight.

So, at this point,
there is nothing more
we can do for her.

So, at this point,
there is nothing more
we can do for her.

I think the reality is that
Stephanie never intended to do
what she needed.

Her plan was to put
forth minimal effort

and then tried
to make excuses
and manipulate me

to get what she wants like
she does with her family.

And now she's realizing
it's not gonna work,

so she's quitting.

It is unfortunate because
we have given her the tools

and opportunity
to turn her life around,

but in the end, she is just
looking for someone to come in

and solve her problem
and do the work for her

by giving her
weight loss surgery.

And that's not gonna happen.

But if she decides
at some point

to put forth the effort
she needs

and lose the weight to show me
she's serious,

we consider some options
for her then.

But at this point,
I don't think
that is very likely

unless something happens
to wake her up.

unless something happens
to wake her up.

So, I hope I'm wrong.

But from what I have seen
from her...

I think the words are that
things are not gonna
end up for her.

-Lunch time.
-Yeah.

[Stephanie] This past year
hasn't been
how I wanted it to be.

I feel like it's been
a raw deal from the start.

I feel like Doctor Now
never saw the good in me

and he never wanted
to acknowledge the progress
I made in my behavior.

And today's walk day.

[Stephanie] Just because
it didn't show up on the scale

[Stephanie] Just because
it didn't show up on the scale

doesn't mean that
I wasn't changing things
for the better.

We're still trying
to lose weight.

And I want my family
to be healthy along with me.

Don't starve.

I'm sorry.

[Martin] I am extremely proud
of her right now.

-Okay.
-Okay.

I can't help.
I can't help.

I'll be right back, kids.
I'm gonna go for a walk
with Grandpa.

Okay.

Don't... Try not to kill
each other.

Don't... Try not to kill
each other.

They're gonna kill each other,
aren't they?

Most likely.

I don't know.

We've been fighting this
for years,

and no matter what she tried

or what we did
or pretend to try,
nothing worked.

And we do the best we can.

She does a lot more
than what she used to do.

She's lost weight.

Don't be taking shortcuts.
Blacktop.

-No, no.
-Blacktop.

Shortcuts.
That's my way to go.

Shortcuts.
That's my way to go.

[Martin] Before she just used
to sit there

and whatever her arms
can reach.

Now she actually gets up
and helps me out.

She goes to the kitchen
and helps.

Or at least keeps me company
while I try.

This must be helping, Martin.

I am.
That's why we're walking.

-No, that's not.
-Come on.

[Martin] And I'm gonna do
everything I can to help her
get to her goal.

Um, I think
she'll get there, hopefully.

I have to be able
to make it back.

I know. Just probably more.

-Okay.
-You ready?

Oh.

That's further
than the last time.

That's further
than the last time.

I see trees.

I don't like trees.

So, I decided I'm not going
to be doing the program.

In the end, it wasn't for me

because nothing I did
was good enough.

I will find a way
to lose weight
some other way.

I'm just not sure
what's gonna be
the best way yet.

But the heat could be
your friend right now.

-It is not.
-Yeah, it is.

-It's making me sweat.
-That's why he's your friend.

[Stephanie] But I am going
to figure something out.

I can do it.

I can do it.

I'm not giving up on myself

just because Doctor Now
is giving up on me.

You're coming?

I'm coming.
[panting]

Your kids
and their tripping hazards.

[Heavy panting]

Oh. I survived.

I went to the sign over there.