The Grim Reality Of Life At 800+ Pounds

[@peteypiranha3979]

I honestly can't believe there are people who think Mike is fatfobic. I rarely see people aproach this subject with so much sympathy and understanding.

[@jkl3090]

They know he’s not. It’s called deflection. If I protect my unhealthy behavior by attacking the person pointing it out I’m deflecting. As an recovering alcoholic I know this behavior well.

[@PROVOCATEURSK]

Phobia is an irrational fear. I don´t see anyone running away from a fat person.

[@biancasilva8172]

@@PROVOCATEURSK phobia is an irrational fear OR AVERSION. It's because of that last part that "phobia" is often used as a suffix to mean hate or fear of someone or something like in homophobia, fatphobia, xenophobia and so on.

[@GCT1990]

They donot actually believe he's fat phobic, what these types of parasites do is they're use any title possible to construct a negative narrative around the person in order to silence them so that they can once again control the narrative. That's why no one takes these parasites seriously

[@EmmaJohnsonShenanigans]

@@biancasilva8172 I think in this case, “fatphobia” is more of a discriminatory hate than a fear/aversion

[@marrinf332]

I’m tearing up watching Dr. Mike’s response to this. I’ve gained weight due to trauma. I wish every doctor was as empathetic and trauma informed as him.

[@buttnugget2900]

Please talk to a mental health professional and see if any trusted family or friends can help keep you motivated. Let them know how they can help and take things slow the road to recovery isn't a race. Your life is waiting for you to take control of it again and it'll always be waiting for you with open arms. It's your most precious treasure in this world so remember to keep it healthy and safe. :) I wish you the best going forward and hope you one day find yourself standing with pride and joy for your accomplishments!

[@liviutza08]

You are not alone, just know this! You matter and you are BEAUTIFUL! Now is important to also try and be/ stay healthy (as much as possible)… even if you might not find the doctors to resonate with just trust their knowledge and try to stick to the plan, I do hope you succeed in your endeavor friend! :)

[@paulneil2524]

Marrin, I hope you find a way out, a new way to live and to enjoy life... I wish I could do something to help you, but I know from my own experience, that the ball is in your court and when you are ready, I'm sure you'll knock it out of the park :) I don't know you... But I believe in you .... You can do it!!

[@alisearle1878]

I feel this, I'm the same way

[@Hclody95]

i have always wondered, how can you ever get to that point to grow so much that you cant move, i mean wouldnt somebody think that there is a problem that needs action already when you reach the 150kg mark? i'm not judging, im just curious because i feel like the point where you need treatment and help is far earlier than that point. marla could look for help 200kg ago for example, why did she wait til that point? for example even her daughter looks very unhealthy but she doesnt look like she is looking to improve, is she waiting to end up same as her mother or what? i mean i understand that gaining weight patologies are a thing, but why people keeps going way far beyond the limit before asking any help? for example you could see marla early in the video despite having the health issues, she was eating 5 or 6 cheese burgers and plenty of desserts, she cant obviously get those herself it was the daughter that was giving her, i cant believe that they realized it was a problem only once they reached the 350kg mark, maybe people cant control themselves but thats not an excuse for people around you imo, your family/friends MUST do something. if i had my mother come to that point for example i would just tell her "if you want a cheese burger you'd better get up and get it yourself, from me you are going to have only healthy food until you wont be better"

[@gayathribhukya3762]

as a therapist, i’d like to thank you for not shaming her. plus also talking about how a mental health specialist would’ve been useful in her case. you’re doing good work!!

[@FocusedFighter777]

If only they could go on carnivore and see if it helps.

[@androntaps6560]

That's exactly what I was thinking. I'm actually going back to finish my psychology degree, and I could tell she must have gone through immense trauma and used overeating as a coping mechanism since it gives immediate but fleeting reward, and, like Dr. Mike said, not everyone can afford important medical procedures. As I'm sure you're unfortunately aware in your practice, same goes for psychological treatment. I'd like to think that if she had gotten proper therapy after such a horrible experience, she might have felt less of a need to resort to self-medication that was cheap and easily-accessible, but ultimately terrible health-wise. But, unfortunately, the bad food was all that was likely realistically available to her. So many people say mental health is a problem in the United States, but I see precious little being done about it.

[@Joseph-ht4iw]

@gayathribhukya3762 As an absolute random person commenting on youtube, I approve this message

[@Cisco_24]

Actually, if she was shamed in the first place, this nonsense wouldnt have happened.

[@androntaps6560]

​@@Cisco_24 You realize you're judging a hostage situation survivor, yes? Somehow, I doubt saying, "OMG, stop eating so much junk food, fatass!" would have prevented it. People deal with trauma in various ways. The only "in the first place" treatment should have been counseling and/or therapy. She didn't get it, either because it was too expensive, didn't know about it, wasn't readily available, who knows? But dismissing the problem by saying if only someone shamed her is lazy, myopic, and just plain ignorant.

[@SharitCreations]

I was 350 pounds and had bariatric surgery for health reasons. I was born with a s shaped spine. My weight caused extra pain. It controlled how mobile I was. That surgery changed my life. I am 132. I stay between 120 to 132 I do not let myself get near 140. Thank you for being so kind towards obese people. You are NOT a fat phobic not even close. Your very kind & considerate towards overweight/obese people. I thank your for that and I admire you for that as well.

[@501057able]

Congratulations!

[@SharitCreations]

@501057able Thank you!

[@HarshathVenkatesan]

Isn't an s-shaped spine normal? Not trying to be rude, just curious.

[@SharitCreations]

@@HarshathVenkatesan A straight normal spine is like a capital I completely straight with no curve.

[@HarshathVenkatesan]

@ I just did a bit of research, a normal spine is a slight S shape. Do you mean your spine was much too curved or an S shape from a different angle?

[@brokenglassshimmerlikestar3407]

A year ago I joined the gym and I've been losing weight. When my doctor saw that I lost more than 5 kilos (I'm a little overweight) she was very happy and put the progress in her notes. Weight loss is as much mental as it is physical and having a kind doctor who gives good advice is super helpful

[@PsyChoCoyote]

I bet! I’m so happy for you :)

[@Villager-]

Good job keep going 💪💪💪

[@sherisehung4594]

I'm so happy for you, just another sign that nothing is impossible as long as you work for it 😊

[@kazlarkie7341]

😊

[@vitricewashington6510]

I've lost a decent amount of weight before, and it's amazing how much even 20lbs heavier puts strain on your body. I think I lost about that maybe 30, and I could get off the floor so much easier. I was shocked.

[@a777-q4w]

it is so sad that people are calling him “fatfobic” when he literally says don’t be quick to judge someone who is overweight. there is a deference between “being overweight is not healthy.” and calling people rude names and using put-downs.

[@vnkn0wn_vSeR-420]

Don't wanna be that person, but it's "fatphobic" , also completely agree! People seriously don't know what they're talking about sometimes...

[@adamridza977]

awdwad

[@mal-g]

@@adamridza977 dawdwa

[@johnlemon874]

literally no one is calling him that bro

[@lucas_puncas250]

@@johnlemon874 yeah there’s guys be fighting invisible comments

[@beew584]

This made me emotional. It’s like that hostage experience is still holding her hostage. I’m so glad she got the surgery, and maybe therapy would help her realize that the last experience doesn’t deserve her entire future.

[@BombshElle_7]

"The last experience doesn't deserve her entire future. " You should write a book. That was factual & beautiful!

[@zahraalhussein1912]

@@BombshElle_7 I agree.

[@xXscreamingkoalaXx]

Oh please. She's held hostage by her weight and her laziness.

[@spankbuda5760]

I don't like it when these individuals are able to afford in eating themselves into obesity but wanting society to coddle them for their dysfunctions all while demanding free help to correct the mistakes that they have done. Society is being sympathetic towards the pathetic which we should be apathetic.

[@daiissu]

@@xXscreamingkoalaXx no, if you looked at the video, you can’t judge someone like that. she went though situations which caused binge eating and binge eating and not getting the help she needed was causing more and more issues. a lot of this was triggered and a lot of her mental health deteriorated, it’s rude to just say someone’s lazy because their obese or overweight, you clearly are fat shaming

[@MarjolaineDaudrumez]

As a therapist I agree with everything you said about the way to deal with her behavior. They pushed her very hard and very fast without much compassion. I can see why she was resisting. Dr. Now is way to invested emotionally to continue treating her. You should never get to the point where you want to « win » against the patient.

[@PeteyWells]

I get what your saying but she was so manipulative dr now was the only person in her life that told her no. That’s why she hated him so much. I understand she had a traumatic experience but a lot of people have traumatic experiences and not everyone locks themselves inside and eats everything in sight.

[@junrobin9335]

@@PeteyWells The moment he said he wanted to win against the patient he stopped being a professional. As a professional your job is to inform your client of the consequences of their choices and guide them if they want to change a previous life choice. In this case if they want to lose the weight. By trying to win from a patient he made it a competition where he could potentially introduce more trauma to the patient, ending in even worse scars to deal with for a later therapist they visit if they bother to visit a new professional. It just opens the path to more and worse coping mechanisms than over eating. A patient like this lady would have benefitted a lot more by having someone listening to her properly. Yes her eating habits are a big problem, but why does she eat? Has anyone had a really in depth conversation about why she wants to eat. Can you work towards talking about specific events that are triggering. Once she's in a more stable headspace give tips and tricks to lower the amount of meals eaten get some portion control in. And add new ways for her to cope, healthy ways, in therapy. Trauma and strong emotions can have a really negative impact on your physical health. Doesn't even need over eating to be a pain in the ass. So this could have definitely been handled with a bit more tact.

[@jjbud3124]

Dr. Now refers almost every patient to therapists, either before or after surgery.

[@drishti609]

@MarjolaineDaudrumez

[@Thefinancegirlie]

@@PeteyWellsit’s almost like everyone is different with different tolerances and coping mechanisms 🙄. Bffr. She clearly got herself to an amazing point with the CORRECT HELP. Dr Now wasn’t it for her.

[@Meluvkatz]

I had a friend who was morbidly obese. She got that way after an abusive relationship decades previous. She was so traumatized by her situation, when she finally was out and safe, she overate. She didn't want to be attractive to a man fearing she would fall for the same type of man.

[@myheartwillstopinjoy8142]

Aw, that's so sad. To think she felt she had to repel men in order to not be abused... I hope she's doing better nowadays :(

[@RebeccaOre]

Not that uncommon.

[@keyairakelly1690]

This is an important story that needs to be told. Would your friend be open for an interview?

[@Lill2895]

This is the case (abuse) for a lot of the people on these shows unfortunately.

[@dwaynes5983]

Happened to a guy I know. Barely walk. After few yrs he was losing weight.

[@CrystaJoy]

As a Psychiatrist, I am really surprised that a Physiatrist and Psychiatrist were not called in on her outpatient rehab. We usually have to come in with a mixture of mental health counseling along with treatments for mental health challenges like dysthymia that influence eating habits. Plus, when we use confrontational therapy, there is a “flow chart” in the care process. We also have a really high POSITIVE therapeutic relationship. This was done all wrong and that is why she is thriving under a different physician.

[@Mama_Bear524]

True. They might’ve done that behind the scenes

[@PBMS123]

They usually do, after the first season of this show, years ago, it became pretty common

[@harlijohnson7080]

I feel like there needs to be more emphasis on the psychiatric side of these shows. At least then people will understand that it’s more than just “being lazy”. In my opinion these shows increase fat shaming because they do not go into enough detail about what lead to this. No one wakes up one day and says “ I think I’m going to eat until I become 800lbs” just like no one wakes up and chooses to become a drug addict. Something, somewhere in their life lead them down this path and with the disgusting lack of resources, particularly in low income, rural areas, people do not have the access to information and services that could quite literally save their lives.

[@CrystaJoy]

@@PBMS123 Ahh, that is good to know! I was gobsmacked as to why Dr. Now was handling her “motivational rehab”, because we have specialists that handle the transition from post-op to daily life. PT & OT would work wonders, with the team of doctors that I had mentioned.

[@CrystaJoy]

@@harlijohnson7080 Absolutely! If we find that socioeconomic situations impact a patient’s accessibility to certain impactful things such as “quality” food, better living conditions…etc., we will use our great partners in crime…The Social Worker Team, who can provide services that we are limited in and also provide checkups and care in the patient’s home and guide them further in the transitory process. There are many things that can be done for a patient, it just requires time and effort to dive in and get to the root of the issue!

[@daiissu]

i love how brave marla was and now after losing 500+ pounds, she’s telling people to seek help for their issues and overcome problems with others. i’m so happy marla finally could move around and do things she couldn’t do before, and so happy that her life has changed for the better

[@hammedutman3183]

Hot B T C Give away It’s an automatic trading platform Regulated by group of experts trades, Which mean you can only make huge profits and zero losses Once’s you have activated a plan in this trading platform all you have to do is sit back and watch your profits grow, The whole trading process are been done for you. Because this system of trading is automatic whereby your trades are been done by bots. You have no worries of loss because your profits are guaranteed and there are no record of loss. I will advice you to start up so your trading will commence immediately and you sit back and watch your profits grows!

[@Bobofatcat]

Agree

[@Sweet_Kiwiii]

110% true

[@krisbourne6396]

what do you mean she cheated her weight off at the expense of hard working taxpayers and now no doubt makes a fortune from interviews or books you American's are a joke

[@Jpnotmyname]

Talking about health and uttering the phrase, "Can they afford to do this?", to my european mind is nuts.

[@andrewcurtin7003]

Yea...sadly an ambulance ride can bankrupt a majority of americans. Even mlreso if surgery like this is required. Normally with shows like this they give them a deal that theyll cover the fancy surgery if they go on tv

[@StuffAndMoreyt]

I know right it’s incredible how they need to pay to go in to a hospital!

[@FPSBuzz]

In America, they're draining you r bank account before you even get to the hospital. A single ambulance ride is enough to bankrupt some people. Someone can be writhing in pain on the street and at the same time be begging a bystander not to call them an ambulance. This country is fucked up and disgusting.

[@phuckerpower]

I rode an ambulance after a car collision once, and the ride cost 600 dollars. I wasn't even in pain, the car that hit me only dented my rear license plate.

[@alaska4939]

@@StuffAndMoreytYes. stuff costs money. If your healthcare is free, who is picking up those bills? How are the doctors getting paid? The nurses, the assistants, all the hospital personnel who keeps those places running. Who is paying for the medicine? Who is paying the ambulance drivers? Yes I agree a lot about America's healthcare system is wrong and needs to be fixed. But you also can't compare our system to other countries systems where your countries are the size of our states.

[@joyfulinhope1210]

I’m completely floored by the level of compassion and understanding that Dr. Mike shows in these situations. My sister broke her leg recently (she’s about 400 lbs) and she kept going to this doctor after the break had healed, but she was still having trouble walking. He just told her it was because she was so overweight and told her to go on a diet. She finally went to a different doctor who ordered an MRI, and found out she has a broken hip and several torn tendons and ligaments. The accident she had was much more traumatic than the initial X-rays revealed and her pain was dismissed because of her weight.

[@vanilla1503]

Yes! I was thinking the same thing. I'm overweight and struggle with fears of being judged by doctors or having my health problems dismissed because of them. But Dr. Mike had such compassion and empathy that it just really spoke to me and made me feel so understood and cared for. Anyone that gets to be a patient of his is lucky.

[@katherineludwig5694]

I’m so sorry your sister went through that! I hope she’s doing well now.

[@NibblesTheNibbler]

Unless you're about 6'9" and are built like a football player, nobody should be anywhere near 400lbs, and those that are, are lazy and gluttonous.

[@SandraCat22]

Your sister should lose the weight

[@laurachapin204]

Medical gaslighting. Women are often seen as attention-seeking when they have pain. Add a second bias factor like race or obesity and your chances of getting a doctor to listen to you, believe what you say and treat you appropriately are about nil. A woman's pain is either all in her head or due to weight.

[@tervetuloasuomeek5892]

I’m glad that you brought the psychological aspect aswell. Often we judge people very quickly, even tho we don’t what the person has experienced before the weight started to fold.

[@Mama_Bear524]

It’s so tragic. I can’t even imagine getting to that point.

[@Peachy_kitten]

@Don't Read My Profile Photo okay😑

[@tervetuloasuomeek5892]

@@DarkestAngel2ndCh We are different from each other. Some people get more safety by eating food, some do not. So it is important to understand different people from different backgrounds.

[@daralic2255]

@@DarkestAngel2ndCh The same can be said of every meth and cocaine addict in existence. What are you trying to say?

[@Cj_the_great]

@@DarkestAngel2ndCh some people have mental problems in which that have to do something-like eating excessively-in order to feel a certain way. Don’t judge people just because they’re different from you.

[@zookie3737]

i love dr. mike's understanding and gentle approach towards those who are struggling with their weight. i also love how marla did advocate for herself. in this situation, where she was released from dr. now's care, i only saw a patient who was advocating for herself - rightfully so - and calling him out! him saying that out of all of his patients he'd never seen someone like her, that she wasn't able to walk because she wasn't making an effort. that's a blanket statement. not everyone is the same, and she doesn't have to be back at it at the same speed as everyone else. i'm glad she called him out on it and ended up getting in with a doctor who helped her, because it wasn't like she had the attitude of some people on the show, who really have a hard time finding the motivation. she was motivated, she was ready, she just needed time, and dr. now wasn't understanding that. good on her! she looks so wonderful now!

[@i.quit.lmaooooooo]

You couldn’t have said this any better, Zookie!

[@BIGJon23]

😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂yall funny

[@beccaboo74]

I was 271 pounds at one point and going through classes for Bariatric Surgery. During those classes they asked we try and lose at least 10% of weight. I ended up weighing in at 215 at the end of those classes. Now as of today, I weigh 195 and I am still losing weight. I chose not to get the surgery, although it was the motivation I needed to start my weight loss journey. I have now started running as a hobby. Slow start to that hobby, started walking 1 minute, running 1.5 minutes (in increments). I am now up to running 4.5 minutes, walking 2 minutes. My goal is to run a 5K by the end of this year, 2022 😊

[@booksaddict4611]

Good luck with your journey girl you can do it 👏👏❤️ I'm so happy for you

[@beccaboo74]

@@booksaddict4611 thank you 😊 I’m now at 194 and still going strong !

[@lukecohen9833]

@@beccaboo74 glad you are finding a way to lost and that you are healthy and healthy

[@colejosephalexanderkashay683]

@@beccaboo74 good for you girl best of luck

[@emilily6513]

What did you do to lose so much weight initially? :) congrats on your success

[@the_UF365]

Thank you for never shaming people who clearly just have an issue they need to deal with. The reason why most addictions, like food, drugs, or smoking, get more powerful over people over time is the fact that shaming people for it makes them feel like worse of a person and causes them to surrender to their addiction even more because the world has convinced them that they'll never change, despite the fact they have the power to.

[@bellboy666]

@Don't Read My Profile Photo ew spam bots, ya'll are annoying really.

[@sean9448]

You are correct when you say the human body is a river, not a statue. Check out Dr. Ekberg's KZbin videos on this matter.

[@CrimsonReaper189]

while i agree most the time shaming is not a gd thing i feel we have gone too far in a lot of ways to just accept people being overweight is healthy when its not. its the same as how being underweight is not healthy if ur that overweight or ur anorexic u are sick and u need help but we have gone to a point now where if someone says maybe u have these health issues because of ur weight people jump to saying ur fat shaming when its not

[@doctorcorgi3134]

@@CrimsonReaper189 I agree that we shouldn’t say that being at an unhealthy weight should be ok. It should be that you don’t have to look like a body builder to be healthy.

[@doctorcorgi3134]

Yeah, I hate that my dad shames people for smoking(his sister, girlfriend, or other relatives). Rather then helping and supporting them.

[@annacraig5297]

As someone with a history of ED’s, I think this subject was approached extremely thoughtfully and in an informative, non-judgemental way. Massive respect!

[@rachelatwater7576]

Anna Craig as a health care professional he has every obligation to educate and care for patients in that way.

[@teo2157]

Judgement is needed

[@unoriginalquote8132]

@@teo2157 why? I feel like judgment will only scare people and make them less likely to listen to you. Course, it does depend on the person, some people will only listen to a harsh push in the right direction, but opening with judgment doesn't seem like a great method for change. If you come from a place of understanding, an audience is more likely to take what you say into consideration because they can not mask it under the idea of you being judgmental and harsh, or not fully understanding the subject. From what I've seen of the video, he is using the most effective methods of argumentative speech. An audience will not respond to you if you judge them off the bat, an audience will respond when they feel heard.

[@teo2157]

@@unoriginalquote8132 you don’t have to be harsh, or mean to pass judgement, but to look at something from a blunt and critical angle, you have to be judgemental. You cannot coddle and save the feelings of someone who needs help, that how you get entitlement and anger.

[@adamridza977]

awdwad

[@jessicaa3641]

Thank you for treating her with dignity. The people on this show are so brave for not only changing their life, but also doing it on TV.

[@EKSXXII]

The fact that Dr Mike is called “Fatphobic” is a joke. You can tell how extremely passionate he is about the quality of life and the health. I feel like if I were to go to him for a cold I would come out with 10 other Illnesses, that I didn’t even know I had, absolutely cured 300/10 dr Mike

[@cosmicmuffin322]

But in the opinion of the fat acceptance cult, anyone who says anything critical about their unhealthy habits and addictions is fatphobic. They want enablers. Anyone who truly cares about their health WILL be called fatphobic. That's why it's so dangerous when they take over the public health conversation with manipulative words like fatphobia.

[@samimoon3806]

Honestly I want this man as my doctor he seems so sweet and I wouldn't mind going to appointments if he was the one I was going to

[@eduardosantana8300]

Fatphobia is a joke.

[@saltyfish7626]

@@eduardosantana8300 based

[@dayd6383]

He is fatphobic because he does not say health at every size and he acknowledges that there are health issues related to weight.

[@miramohammedhishamqattan7487]

I love how he talks gently, understanding the patient's wants and matching them with the needs to help with their conditions. You are a great role model, Doctor! Thank you for inspiring me to follow my dreams to become a doctor and help people in need! I hope one day I will be good as you are! Draw smiles on people's faces as you do!

[@Sandy_Marley]

Do you love me?

[@AA13494]

yule get in cz u r a muslim.( minority/oppression privilege) even when u rnt.

[@vsavatxr]

@@Sandy_Marley I do!!!🙋

[@drqgonfruit]

hey

[@jenzu4229]

thats called an online image if hes irrated by a patient hes not going to tell it on his social media lol

[@BranMuffin365]

I'm not overweight, but hearing this doctor explain the importance of being empathetic and understanding with patients got me all choked up. I spend most of my life with an undiagnosed chronic illness working with doctors like the surgeon from the show. It was so traumatic for me. We need more doctors like you in this world, who will be on your patients team👏

[@trinityblake2790]

@@Little_Talks STOP spamming the comments plz

[@trinityblake2790]

@@Little_Talks What does that even mean??

[@topperbopper4671]

@Rosa mko you don’t need to know… 💅

[@spadessongs]

@Rosa mko they said you don't need to know

[@spadessongs]

@Rosa mko you don't need to know

[@BecauseImGabbi]

so happy to hear another physician talk about how harsh Dr. Now can be! I think he's so unnecessarily nasty to his patients.

[@memberofthelambily1340]

Hence why he has a reality show

[@wolperwhopper]

I think some people need to hear how he says it though. It's their fault they got into that place in time, and thry absolutely do deserve help, which he is providing if they can prove they want to change. If not, they will just return to old habits and be worse off. If she had ate less, she wouldn't have gotten so big.

[@shroom4607]

@@wolperwhopperI get how things can seem that simple, but it’s really not. She went through an abusive relationship where she thought she was going to get killed. That can alter somebody’s brain chemistry and cause them to seek coping mechanisms- which can sometimes be food. I think we should be compassionate and empathetic towards people with mental health issues because we can never know what they’re going through.

[@wolperwhopper]

@@shroom4607 I can be compassionate to a point, but the reality is almost 42% of Americans are obese. A good majority do not have stories like that. Most are just lazy. We need to stop blaming everything, but the person for being fat in most cases. I'm not saying fat shame, but it also shouldn't be encouraged like it's some brave thing.

[@shroom4607]

@@wolperwhopper I definitely agree that it shouldn’t be encouraged. I’m not obese but I am overweight, and the fact of the matter is it’s unhealthy and decreases quality of life. That being said, I don’t think assuming someone is lazy because they’re overweight is the right way to go about not encouraging it. Yes, some people are just lazy- I can’t deny that- bet it’s better to approach the situation with understanding and empathy in case someone does have a medical condition or mental health disorder that makes it difficult to loose weight. I’m also a big advocate for people minding their own business, so I don’t think anyone should give advice or comment on overweight stranger’s health cuz it doesn’t really concern you.

[@kerisallee3976]

I think too often people look at people like this and think “they got themselves into this”, but it doesn’t really matter HOW they got there…it matters HOW can we get them out of it.

[@Mama_Bear524]

Well said. And it’s usually not self inflicted. It’s from a trauma and like someone else said, a runaway train

[@gilkyukim7354]

Hear hear!

[@masterball999gaming4]

But they do get themselves into these situations? Especially with food addictions, it takes no more energy to drive down to a McDonalds and order 10 Big Macs than it does to go to grab a light salad from the fridge. Dr. Now is able to cut the bullshit the patients like the one here give him, especially later into their treatment when the patient so often starts to play the blaming game. The patients need to realize its only them that can help themselves in the end, Dr. Now can only do so much.

[@daralic2255]

@@masterball999gaming4 same as when a person ‘get themselves into hospitals’ by playing rough sports for a long time. The way forward is to discard the seek for blame and instead seek to repair and prevent. When she got that trauma she should have gotten free mental treatment so she didn’t have to treat herself that lead to this outcome

[@saminabrar1264]

@@masterball999gaming4 im convinced you didnt watch the video lmao

[@SK-iq8wv]

I’ve never been obese, but I suffered a lot of bullying in my youth for being heavy. Dr. Mike’s compassion for people suffering from weight challenges (no matter the cause) makes me want to cry in gratitude. Is he accepting new patients? Because I need somebody to treat my whole person. 💜

[@smashmusique]

seems like what you need is a psychologist, your problems seems to have more to do with the mental side rather than the physical side.

[@SK-iq8wv]

@@smashmusique I appreciate the response, but I already have both a mental health professional and a GP in my life. Unfortunately, many GPs don’t have such a compassionate, inclusive, whole-person approach to health. Also, whether you intended it or not, please be aware that telling random strangers on the internet they need a shrink can sometimes be more damaging than helpful. Kinda like saying, “Hey dum-dum, have you ever considered you might be crazy? Maybe look into that.”

[@calewood1574]

He is a physician, so I would presume that he is still taking patients.

[@vantaestan7978]

Yeah he works down in Atlanta I believe as a Primary Care physician. Hope this helps.

[@Crowski]

My grandmother is obese (300+lbs) and so is my mom (250+). So I watch what I eat and stay under 140lbs. I never want to suffer like they do. :( People think fat is only in the outside. Its around your organs too and the health issues are terrifying.

[@SlyMeerkat]

The transition of Marla at the start and end is truly amazing, that is pure dedication and one that deserves a tremendous amount of respect

[@jamesbyrd3740]

She could still barely walk

[@Allthingsgrache]

@@jamesbyrd3740she was the one sat in the middle of the table in the end clip!! I’d say it’s a massive transformation

[@superpancake7690]

I feel the same here

[@lxmesoda]

​@@jamesbyrd3740i think literally anyone would rather be barely able to walk than be totally immobile. be serious

[@DasUhMAZIN]

@@jamesbyrd3740 bro she literally lost 266lbs… that’s the equivalent of 1 1/2 of you… and you’re going to just write that off like it’s nothing? That’s just plain ignorant to say when you’ve probably never had to lose, or tried to lose, 15 pounds. If you were to put in the amount if work she did to be able to lose *two hundred and sixty six* pounds, you’d be shredded with muscle and in the best shape of your life but I’d be willing to bet you’ve never had to lose any weight yourself so you have no clue what it takes to lose that much as she has lost and continues to lose. Probably due to a higher metabolism, the same reason I’ve personally never had to lose any weight despite eating whatever I want whenever I want and never having to maintain any type of diet, so if you haven’t had to put in the amount of work required to lose that much weight, don’t sit there and judge someone who has especially when it’s someone who recognizes they have a weight problem and are doing everything they can to lose it. As you said, she could barely get up, so how much harder do you think it would be to lose 266lbs when you can’t even stand? Not to mention it’s people like you with your ‘holier than thou’ fat shaming mentality that are part of the issue to begin with

[@Joeladgra]

Such a compassionate doctor. The kind of doctor you would want to have as primary doc. Love him!

[@girlpowerftw1]

I appreciate Dr. Mike calling out Dr. Now for how he speaks to her and escalating the situation based on assumptions. The man may be a good surgeon but kindness and understanding toward the patient matters a lot in this field.

[@Crimson_Shinderoh]

And people say Dr Mike’s fatphobic. Well Dr. Mike puts Dr. Now to shame with positivity

[@nationalinstituteofcheese3012]

He’s so rude to her. He’s not being understanding and empathetic with her and understanding why she went to food as a coping mechanism

[@marilynwillett804]

@@nationalinstituteofcheese3012 SHE WAS THE RUDE ONE. He continually tried to work with her.

[@adorzai]

@@marilynwillett804 definitely not, dr now was way too harsh

[@Rahn-ft6qo]

@@marilynwillett804 you are a idiot to think Dr now is the good guy

[@caziis13]

Also, I remember back in the early 2000s there was a show on mtv called fat camp, and it was for kids and I remember that ALL the kids, no exception, all of them had severe traumas in their life that led to them seeking food as a way to deal with it.

[@angnonymousj7721]

I remember that show!

[@tommymack3210]

Most of the times it traces back to trauma/bad experiences

[@barthslung]

That is why it is so hard for them to stop even when they know it is a problem.

[@MaiMai-ys4yg]

That’s was my show!

[@Mynsonanderson2]

Was it called "too fat for 15?"

[@seanodonnell429]

It is very frustrating how accusations of “fatphobia” are thrown around so recklessly. You cannot even have the conversation about the detrimental health effects of obesity without being labeled a fatphobic.

[@erjusik]

Same thoughts here!

[@TolerablyInterested]

As a fat person I agree, when I see people try to have an honest and frank discussion about obesity, there is always someone nearby to shout down the conversation.

[@oliviamann556]

Yeah people should listen before they slap on the fat phobic label

[@ByzantineDarkwraith]

as someone with a weight that is definitely unhealthy (I recently accidentally lost about 30 pounds, which puts me in an unhealthy weight range), I notice that I get treated very differently than other people with unhealthy weights (people who are over-weight)... everyone always gives the excuse of "it's for their own good, they're unhealthy!" to justify their behavior towards fat people, but for some reason nobody at all has gotten on my case, or harassed or insulted me, or even asked "how could you let this happen??" And I haven't faced any bias or mistreatment, or even confrontation from medical providers. So personally, I think fatphobia is very real and very prominent, both conscious and internalized, and something that should be talked about more. Dr. Mike just isn't fatphobic though, if that's what you're talking about. He's against fatphobia, like he said in the video.

[@zuckerrat8272]

It’s become so insane that veterinarians are even reticent to tell their clients that their pets are overweight!

[@Cranio76]

I love the empathetic approach of Dr Mike. It's like any doctor should approach patients

[@jobarry8227]

I 100‰ agree with you on the Bariatric surgery. It's life-saving when other weight-loss options have failed. It's definitely not the easy way out, but it's an incredible option to change her life.

[@SqueamishNerd]

‰ means permille, which means "per one thousand", so 100‰ is 10%, just thought you wanted to know what you just stated :P

[@miufke_]

Its a typical female

[@thomast7794]

Why don't you agree with him more than just 10%? 😡

[@SeauxNOLALady]

I was about 130lbs overweight in 2004. I was 24, otherwise healthy (which was more due to my youth than anything). I was starting to exhibit more negative health effects as time went on. My mom, an RN started to suggest seeing a bariatric surgeon. I was TOTALLY against it. My perception of weight loss surgery were the seriously and sometimes fatally problematic “stomach stapling.” Back then the Lap Band was new, but getting more popular. I ended up getting the Lap Band on June 24,2004, a little less than a month after my 24th bday. I had complications a year later that required surgery, but I’ve lost about 125lbs, and other than a 10-20lb occasional fluctuation, I’ve keep the weight off. Best decision I’ve ever made

[@carterrrrr-t4b]

How would you even do cpr on her?

[@brittanyholtgreven4106]

I was working really hard for so many months to go from obese to the overweight category, only lost the weight of a turkey (around 13 pounds) I felt like that was nothing. Then my husband handed me a 13 pound turkey at the grocery store to really put that weight into perspective and wow that did the trick. Meant way more than numbers on a scale or a look in the mirror. I adore that man.

[@mister_silent6]

Great job! You go! On my own journey, too!

[@ahahahah9079]

It can be disheartening to not lose as much weight as u would want but any progress is good progress and I wish you luck in your journey !

[@FlabbyTabby]

You just need to lower insulin levels for fat loss, which you do by keeping your blood glucose low (but within a healthy range, too low is bad). The reason exercise helps is because it lowers blood glucose which lowers insulin levels. Diet is also important in the sense that sugar and carbs get digested and spike your blood glucose levels. So, less sugar, and consuming less carbs is important. Foods with fiber help, because fiber slows digestion, and hence slows digestion of carbs and sugar, thus reducing the rate at which your blood glucose increases.

[@katsuyafeather1309]

13 pounds is quite alot! It's a great goal you've already met. Some people don't even have the willpower to lose 5 pounds. You got this, keep going!!

[@anaditullio]

Great job! Keep going, don't give up. Rome wasnt build in a day. From "turkey to turkey" you're going to reach your goal. And your husband had a great idea to show you how much you've had achieved. Its so important to have a good support chain by our side in this situation, and he seems to be great. I wish you the best on your journey. ❤

[@alleycaaat]

I love that Marla advocated for herself and got herself a caring and compassionate medial team to help get her to the finish line! Also love how kind and empathetic Dr. Mike was, especially when Dr. Now wasn't.

[@KroseAskina]

Empathy doesn't work with addicts..

[@alleycaaat]

@@KroseAskina I just hope you never need addiction counseling, given your views.

[@KroseAskina]

​@@alleycaaatYou must be confused, cos Dr. Now's function isn't counseling but medicine. So I rather have a realistic surgeon/doc and that doctor decides that I need counseling there I have it.

[@ElpSmith]

@@KroseAskina It worked for Marla though

[@KroseAskina]

@@ElpSmith Even a broken clock is right twice a day.

[@riversong4997]

Thank you so much for not immediately blaming overweight people for their weight! I'm considered morbidly obese and really struggling to lose weight, but I have a WHOLE lot of problems, both emotionally and physically, that make it extremely difficult for me. I'm not trying to make excuses, but these things honestly might contribute a bit. But i know ultimately it's up to me.

[@32.simonebagaria62]

The fact that this woman didn't give up even after her surgeon left her is a true strength of character! Huge props to her!

[@mickeyspartan5157]

I think that was a huge push to her...the "I'm gonna show you" type of push :)

[@zeromailss]

@@mickeyspartan5157 intentionally or not, he did give her he last push she needs, good for her

[@kc-jm3cd]

@@mickeyspartan5157 right and I think he knew this if she had strength she wouldn’t be in this Predicament

[@thesavagecheshirecat3899]

@@mickeyspartan5157 yes I 👍

[@thesavagecheshirecat3899]

@@mickeyspartan5157 absolutely agreed

[@looloolilly]

I can’t believe that people are saying that Mike is fatphobic. All I see right now it’s respect and he’s giving a thorough explanation of everything that’s going on. He’s not judging anything about this person‘s quality of life. Good job Mike!!!

[@michaelmacindoe5487]

Who is saying that??

[@PhoenixMoth]

@WrongOpinion A bunch of hotdog pineapple heads.

[@michaelmacindoe5487]

@@PhoenixMoth Ah, I forget about the Reddit crowd.

[@dolantours3774]

"redditors" lol that explains it, those terminally online virgins cant get up in the morning without watching a teens reacting to life sentences compilation, of course they would call criticism of their laziness an act of discrimination. hell i would say the people who appear on 500 pound life have probably done a lot more with their lives than the average redditor lol

[@loganrogge]

Seems like its a very small minority saying that, most ppl think he has a great approach to weight and obesity

[@cheryllbrassfield-ressler5821]

My son Josh died in January '22 from his weight (611#) per the mortuary, high blood pressure and sleep apnea. I wish I could be some kind of advocate for young people who have extremely high weight. Josh was only 30, but he had Aspergers Syndrome and he was very picky about food & textures. He stayed at a relatively normal weight until he moved out on his own & he was very strong willed. I miss him so very much. I'm so glad to see you touching on this subject of extreme weight!

[@jessicagoodson7452]

I'm so sorry. That must have been really hard ❤️ 💙

[@treebles]

from one mother to another i send you my deepest sympathy. i. can. not. imagine. losing. a. child! my daughter is 32, she is my everything! so my heart truly aches for you. there are truly no words. but i do hope your heart can find some peace, although i can only image it could never heal. i have been an e.r. nurse for more than 2 decades. so my nurse heart says, if you ever need a cyber shoulder to lean on, reach out. 👩🏻‍⚕️❤️‍🩹

[@fondoflylya]

Ohh I’m so sorry I hope you feel better

[@Chettylover12]

My condolences to you my dear 🙏

[@andreamiles9325]

I'm so sorry to hear that, have a cwtch (a special Welsh hug)

[@thecodingchannel4972]

As a bariatric surgeon, I love how Dr. Mike doesn't say it's good or bad. I like how he says it has its risks but is very helpful when used correctly.

[@TheRealLeesyKate]

I clicked on this with a little apprehension, being clinically obese due to trauma and related depression and anxiety. But by the end I felt hope. Thank you.

[@vickieevans2600]

Same. Thankfully hes a good guy

[@Shebeast3]

🤗🤗🤗🤗🤗🤗🤗🤗

[@AwkwardAnxiousJennifer]

Same. I really had to think carefully before I decided whether or not to watch this episode. I'm glad I eventually did watch it.

[@FATHOLLYWOODB123]

I suffered similar problems not too long ago, one of the best ways of getting over it, is exercise, and constantly reminding yourself that the depression and anxiety is in your head.

[@satunbreeze]

You might want to watch the other videos hes made in this series! Theres a bunch of them :)

[@OlderThanTime09]

Seeing her get healthy was very great, but seeing her smile at the end and walking in the park... that is what moved me. She found the will to live. That can be so very hard to do. She is a warrior.

[@kadenfinexd8665]

@in desperate need of a scotch She literally couldn't move because of her weight......

[@paracame8162]

@in desperate need of a scotch if losing weight was that easy, everyone would be thin

[@paracame8162]

@in desperate need of a scotch eating less and exercising is different from starving a person who can't even move

[@thisisdavidvarela]

@in desperate need of a scotch Bro nobody's making excuses for not being healthy. Yes they shouldn't have enabled her unhealthy eating habits. But that's no longer a solution, and I'm amazed that you think you're qualified to give medical advice to solve her issue. Glad you're able to stay healthy, but I would expect a more empathetic response from someone who has undergone the same journey.

[@thisisdavidvarela]

@in desperate need of a scotch you must be bored out of your mind. Go do something productive.

[@peggyesquibel8353]

Cheers to Marla for advocating for herself and finding a care facility willing to LISTEN to her, HEAR her and work WITH her! So happy for her! Thank you Doctor Mike for your honesty when reviewing these videos. When going to see a doctor for the first time, we as patients are putting our trust (and in some cases our life) into the hands of a complete stranger and hoping to be given appropriate care which is freakin’ scary! A good doctor is one who is willing to take there time with me, listen to me and who does not just dismiss my feelings/concerns. There have been times where I have felt uncertain about the direction a doctor was going in treating me, but went along with it deferring to their knowledge, “expertise” and unfortunately feel had I been more assertive in airing my concerns I would have had a better outcome. Don’t get me wrong, I have also had some amazing doctors (my breast cancer team of doctors) who got me through a very hard, emotional time in my life and to whom I am forever grateful! Nine years this coming August since diagnosis and doing great! Apologies for the lengthy comment🥴.

[@lauragutierrez3218]

Exactly!!!

[@JuneCreat.r]

Keep going strong!

[@KendyJ929]

Congratulations for realizing you needed to stand up for yourself. It's a hard thing to do especially when it comes to the medical field. I suffer from a number of invisible chronic illnesses and it's awful trying to get proper help. Be proud of yourself.

[@katmandoot5941]

love this!

[@amplemedicallectures]

Subscribe this channel for Latest Medical Lectures.

[@TheridMegu]

Her journey is EXTREMELY impressive!

[@amelia5965]

As someone who have struggled with underweight all of her life I find both very sad and interesting how body shaming, either fat or skinny, never takes into consideration health, is all about looks.

[@jblyon2]

Agreed. Being enthusiastic about how thin someone is can be just as damaging as acting disgusted around a large person. You don't know why they are the way they are. That thin person you're enthusiastically complimenting may well be suffering from an eating disorder or some other condition.

[@HeidiLilley]

I agree fully. I have been obese all my life and my adult son has been underweight all his life.

[@skippy.9865]

My boyfriend has lost 30 pounds in two months (185 months to 155, we’re getting tests done to find out why) and the amount of people who have been skinny shaming him is RIDICULOUS. I wish people just wouldn’t comment about your size. Most of the time the person is already highly aware of it.

[@arisucheddar3097]

@@skippy.9865 I hope there's a cause found, with a solution in place 🙏 I think the most vulgar part is how some people will rush to compliment you on your weight loss, beg for tips, even if you were healthy before and are now facing a health scare or bad diagnosis.

[@Leonhart_93]

Just my experience, but keeping myself at around 10% body fat (basically no visible fat anywhere) feels really good so far and I don't see a problem with keeping this up forever. Then again, I am really not eating a lot and I was never a big eater. So it doesn't feel right to compare how healthy/unhealthy this with someone that is really overweight.

[@DuffyTheGander]

My mother is 5'2" and weighed nearly 300 lbs before her gastric bypass. While it wasn't as extreme as this she was suffering greatly. But she adhered to her diet and exercises now she only weighs 165! And has a goal of about 155, I'm so proud of her. She has struggled with her weight for about 20 years. I'm happy to see her healthy again.

[@candicefrost4561]

I feel like that’s what body positive should be- get as in charge of your health as you can, give your body care and compassion, and use your body to achieve new goals. Looking healthy is not much of a goal- taking charge of your health and doing what you can do make it better is much more worthwhile.

[@angeliasalah4271]

I'm 5'2 1/2" and use to be almost 400 lbs. I had the sleeve instead of the bypass and I agree, it saved my life. Mostly because my thyroid is more regulated now. I'm right around 120 lbs. ETA: tell your mom I'm proud of her!!

[@that1pretty.potprincess779]

tell your mom that raine from canada in the youtube comments is very proud of her!!

[@LeeLeeCRN]

Yay!! Good on her! That's awesome! Ppl don't realize that shorter ppl look n feel a lot heavier at lesser weights. I'm only 5ft n was sitting right around 197-205ish. I was an ER nurse at the time n on my feet hrs n hrs a day. It killed me!! I felt like I was about 450lbs n prob looked closer to 250lbs than 200. I recently lost a good amount n im about 127 with a goal of 120! Congrats to everyone else on WLJ as well😊

[@Bmoon8907]

I mother in law was 5’1” and roughly 300 pounds, supposed to be wheel chair bound because of a very rare bone disease. She was finally approved had a gastric bi-pass and was down to 110. After losing the weight and having the ability to be more mobile they discovered both of her hips were fractured and had to have a full replacement for each. She is no longer with us but I know that surgery dramatically improved the quality and most likely the length of her life even with as short as it was.

[@CurlyAndCurvy]

Oh my goodness, I started crying when I saw her at the weigh-in with the new doctor. Not just her physical appearance (proof that she CAN do the work, tyvm) but her mood. She felt supported. It makes such a difference!! 👏🏼👏🏼👏🏼💗💗💗

[@alxndra1772]

Yes, the improvement in her mood made me so happy for her. You could tell she was feeling much better mentally and physically

[@mcsparkkle6534]

I am currently in a health sciences class and in anatomy and physiology class. My teacher has taught me a lot about ethics in healthcare but I feel you have just brought so much to that subject. I’m so happy you take possible psychology situations into consideration, as a future psychology major I appreciate you not jumping to conclusions. What I’m trying to say is thank you for making these videos, they are so informational and help me better understand what I could be doing in the future while working in healthcare! ❤️

[@wizin2239]

This has given me a massive amount of motivation. I weigh almost 400 lbs and I feel like losing weight is almost impossible. Seeing her transformation has given me that push that I really needed. Thanks for sharing this with us.

[@SeekingMindfulness]

I'm here with you at 360. These stories really help remind me that I CAN.

[@kay-wj3jx]

you can get gastric sleeve, it works! i got gastric sleeve done at bmi 30 a few weeks ago and i’m already down to 25 bmi i got a gastric sleeve with a lapband (both together) it wasn’t painful and i’m so glad i got the surgery! check whether your insurance covers it or not!! it wasn’t too expensive for me, without insurance i got mine done at $5,200

[@tobennaokoli4450]

I’m here at 320 and it feels impossible. The second you start. The second you realize just how much you have to lose. The trick is to focus on changing your lifestyle instead on going on some crazy fad diet that is unrealistic and leaves you feeling crappier than when you started.

[@wizin2239]

@@tobennaokoli4450 I’ve got the diet down pat. I’ve lost 40 lbs with just diet alone. I’m having major back issues and can’t exercise, so it just makes it seem even more impossible. I’m trying to keep my head up as much as possible

[@wizin2239]

@@kay-wj3jx I’ve looked into it, but with my insurance, they make you jump through so many hoops that it’s ridiculous. By them time I’d get approval for it, I’ll already have lost all the weight lol

[@glitter1355]

Never thought Dr. Mike was fat phobic. He has said in many videos about how too many doctors will look at someone's weight and blame their weight on whatever problem instead of looking deeper. Dr. Mike has a lot of compassion for people, and I wish we had more doctors like him.

[@Bwri6565]

There’s people out there who believe if you use constructive criticism instead of completely agreeing and letting people be you’re putting that person down. It’s ridiculous.

[@nicholasselke5214]

@Blake Wright in a sense, technically speaking, it is a put down. Mostly putting down the behavior that led to it, but a put down nonetheless. However, if the statement is true, then it’s necessary. There’s no sense in getting upset over the truth no matter how harsh it might be I’ve said many times that while I understand the importance of being tactful, I will never compromise honesty to spare one’s feelings

[@oldarthurmorgan6319]

You can blame it on weight tho if you're 300 pounds with no diseases or syndromes then yeah it's your own fault for being overweight and that's fine aslong as you take action and do something about it, ( Ik this may come off as rude but I mean it) I used to be overweight 5'7 and 203 pounds roughly but after working out and changing my diet I was able to lose about 20 pounds and now I'm at 5'8 and 180ish which is still probably fat to yall but I'm proud of losing so much weight and Ik that one day I'll be looking like dr mike 😂 (This doesn't apply to people with disorders like eating disorders or people with actual disabilities only people like me who were very lazy and dint care what I ate)

[@youtubeuserandchef471]

How about caring and interested in sports So that you don't become fat in the first place?

[@NinjaFlibble]

I think it comes from videos where I believe he has said in one way or another that he doesn't go along with the "healthy at any weight" belief.

[@lovelandtales527]

I particularly value a lot how she didn't take her first doctor's bs anymore, particularly seeing how she had had an abusive relationship with at least one other man in the past. I think it must have been a great step forwards for her to have that attitude towards him in the end. Her saying "you're not treating me fairly" is her saying "I deserve better, I deserve to be treated with basic human respect and care" which I can't stress enough how important of an accomplishment it is. Maybe that's one of the moment in her process where she clicked and made a huge step forwards internally which then manifested further in her great physical recovery.

[@AsifLicious]

His bs? You mean the truth? Marla was being a stuck up bimbo and Dr. Now was telling her what she needs to do to be healthy

[@emoticonfeliz2129]

@@AyaanKhan-tb2ot Still. No matter how little effort she made, he shouldn't be getting mad at her, also as Dr.Mike said this man didn't even try to resolve the conflict, he kept pushing it further (like comparing her to other patients what a terrible thing to do), and I understand she may have not been an angel but she's a patient with mental and physical problems and its pretty common to get irritated easily when you're sick. + she seem to be doing much better when she changed her doctor which tells you that the change of doctor was actually good for her

[@lovelandtales527]

@@AyaanKhan-tb2ot I see what you're saying, I truly didn't mean to paint him as a villain, but rather, as a morally complex person just as any other human being is. He was, after all, a person who changed her life for the better in a huge way, thanks to the treatment he offered her. I just wanted to highlight that moment of her standing for herself to give her the credit she deserves. I absolutely think there are no black and white cases where one person is 100% right and the other is 100% wrong, it's all complex and complicated. Thanks a lot for working in the medical field, please strive to be a good doctor as well as a good human being 🙏

[@XcRunner1031]

@@AyaanKhan-tb2ot while there are many patients who are disasters and awful people...I gotta say I have not been impressed with Dr. Now in any show I've seen him. He has a lot of knowledge and skill, but his bedside manner is SO bad. I'd fire him, too.

[@tabbyreed8925]

@@AyaanKhan-tb2ot Now is an empty heartless, compassionless piece of inhuman garbage. He puts them on a nigh impossible diet, 1200 calories or less, no carb that would even test a thin person and expects perfection when they have been eating however they like sometimes for decades. Considering their size they could eat a normal 2000 calorie diet and still lose. He is disrespectful and uncaring. Not to mention the other stories about how he abuses his wife. It's obvious he is nothing but a monster. BTW, I used to watch the show somewhat regularly.

[@caymens604]

I wish more doctors were like you. Having been a nurse for several years, I can tell you doctors are some of the most toxic, rude people to work with. The way your talk about and treat patients is like a breath of fresh air.

[@forbezr3581]

People always say "how does someone let that happen?" but it's so slow you don't realise how bad it is until it's already a problem. I got sick and a symptoms was to put on weight and then the pandemic, I definitely ate my feelings and now I am finally seeing a personal trainer to start the long road to being healthier

[@existingthinking7771]

I agree. Gaining weight can sneak up on a person. I gained almost 15 pounds before I realized it. I was stress eating after a life-altering incident and my thinking was not on a good path. I am now seeing a therapist and working with a dietitian/trainer. God Bless!

[@73Stargazer]

when I was younger I had a period of my life where I was really a mess, and spent my time ignoring my life, eventually a friend shook me out of it. by that point I'd gained 30 pounds. i was horrified, that my body had changed so much without me noticing the progress. I was able to lose it and get back to a weight my body seems more comfortable with.

[@ilenastarbreeze4978]

Honestly i gainwd 80 pounds and i dont really look any dif so it definatwly snuck uo on me too

[@rosenars6665]

You’re so right. I gained 100lbs within 4-5 years and didn’t realize it or was self aware the things I was eating and zero exercise was doing to my body. I have started my journey the beginning of this year and so far I have lost 30lbs. It’s hard but it can be done.

[@jarbincks6715]

i gained 22 pounds and never even noticed. i used to be 125 lbs and now i'm 150!

[@corpseflower07]

I feel really bad for Marla. She seemed like she was in so much pain, (physically, emotionally and mentally), and i'm glad that she's on the road to living a happier and healthier life. We as a society really need to start looking at cases like hers with less judgement and instead do our best to offer as much help and support as they may want or need.

[@cloudyedits299]

Same, she was suffering of her thickness and now she is on the road and is happier I 100% agree

[@vallano8970]

@@cloudyedits299 It's ok to say she's fat. You don't need to say "thickness" to give it a more positive connotation

[@zanemain9951]

Do you feel similar compassion for a drug addict overdosed on the side of the road?

[@Pax_Mayn3]

@@zanemain9951 Drug addicts suffer actual withdrawal, it's understandable that they have trouble quitting. All that happens when you stop stuffing your face is you lose weight and feel better. Not a good comparison.

[@zanemain9951]

@Samara Hamilton They absolutely do. The issue is someone that becomes 800 pounds doesn't have the self control and the mentality to accept that they are the source of their condition and that they can fix it. If they could do that they wouldn't be 800 lbs.

[@Alex-kd5xc]

Love the level of sympathy and understanding Dr. Mike has for people suffering from morbid obesity. I see too many people who seem completely lose their humanity and ability to empathize simply because they assume these people did this to themselves. And even if they did, doesn’t mean they’re unworthy of empathy.

[@cpaigemcd]

Absolutely! It’s almost like those that judge on sight alone, have dehumanized the person to the point where it’s OK to belittle them and their character or motivations, and then they feel no regret or guilt over doing so, because they did not consider that individual as a whole human being… my two cents 🙏

[@praptishukla6012]

I loved this ❤, as human understanding another human condition, having empathy but still being realistic , seeing her at the end I literally teared up ❤ she looks so confident and content

[@VegetaSoup]

Dr Mike handles this with the best care I’ve seen in a doctor. I’m overweight now due to depression, and trying to get back to a healthy weight, and his understanding and kindness and giving me faith that I can do it.

[@Nothing-kv5om]

I trust you. You can do it and i wish you the best

[@leas7830]

You can do it, all the best 🤗

[@scys3k]

Strength and courage to you!

[@Reticence9zen924]

I hope you're doing well.

[@mario8833]

Hey! Hope everything is going well❤💪🏻

[@Archanaaaahhhhhh]

Imagine had Dr.Mike been her Doctor she could have recovered so well not just physically but mentally. I loved when Dr.Mike said "the safer option" might not be the "affordable option". And being a Doctor he could already sense that the doctor was not having a healthy approach to towards the patience. Man his patients are so lucky. We Love You Dr.Mike please be the same. ❤

[@joyandknitting]

As a registered dietitian, we would neverrrrrrr restrict a patient that much calorically. We use an adjusted body weight formula that is realistic for that specific patient. Ugh, this show makes me so frustrated. Thank you Dr. Mike for showing empathy and spreading accurate knowledge on obesity.

[@Feimicha]

I haven’t even graduated high school yet (Going into my second-to-last year currently) but I remember a history lesson (Context: some famine from AP Global Modern History) mentioning that 1,000 is the absolute MINIMUM caloric intake level for the average person to live (Assuming that there’s 200 calories per day), and I read the description and I swear, the color in my face drained from how much they’ve restricted Marla to-way too harsh, even from my very basic understanding

[@charliefen]

⁠@@Feimichaas someone who has had bariatric surgery myself, although I was a lot smaller than people on this show, there is another reason why it is so drastic that isn’t communicated very well here. The liver. If they go on a low calorie diet and only eat certain things (mainly protein) their liver will shrink somewhat. They need it to shrink as much as possible prior to surgery, as it has to be physically moved and can be dangerous if it is enlarged. I had to do that but for a much shorter period of time and was warned that, if they opened me up and found it was still too big, they would close me up again and not do the surgery.

[@minacakes2]

But this wasn't supposed to be realistic in terms of behavior. They were not trying to treat her addiction, they were treating her body. The lady had some dire health issues and removing as much weight as possible as quickly as possible for a person with almost zero mobility was the only way to try and stabilize her. For her, a long car ride was nearly fatal so I understand doctors wanting to be aggressive in trying to reduce her weight. Plus after she had bariatric surgery she prob couldn't consume that much anyway. Often patients are on liquid and/or soft food diets for several weeks after and sometimes before surgery. I think people just see the number 1000 calories and are automatically triggered to think it's bad b/c it seems so insufficient but there are plenty of situations where it's fine. One of the purposes of body fat is to sustain you when you don't have enough food. It's okay sometimes to not have enough food, our bodies are well equipped to deal with this.

[@Hank..]

Caloric restriction makes sense, but you're right, it shouldn't be done to an extreme. You can't quick-fix being 600-800lb. A measured, structured plan that spans a couple years is a smarter option. It will not only be safer, but a long term plan will also provide the structure needed to move forward and keep weight off successfully.

[@charliefen]

@@Hank.. but they need a quick fix so surgery is safer, this is basically the classic liver reducing diet done before all bariatric surgeries, just for longer.

[@Slytherin_101]

Mike, your one of the best doctors I’ve ever seen. You care about the patients and make sure everything is ok for them before anything else, you super kind and understanding. Your the best.

[@jewelaloo7831]

Amazing video, but goddamn just have to appreciate Marla for a sec. The fact she was able to lose all of that weight and overcome those issues is insane. That's not strength or willpower everyone has, big kudos to her.

[@Lunatful]

Not to get such weight. All that kilo's appeared after yummy food, that she ate for years, each day, week by week! Her body is a sign of her wrong choices, ok?

[@jewelaloo7831]

@@Lunatful I dont exactly get what youre trying to say. Yeah she made wrong choices, but they were due to unchecked trauma which she overcame. Thats not easy to do, no matter how obvious it may be.

[@informationyes]

​@@Lunatful ahh so your one of those super pessimist people thats like its well and good getting over all that trauma and over eating but your still a failure by it happening the first place, It so easy to judge but what's actually hard is to be someone else's shoes

[@noorbohamad5796]

@@Lunatfulher body’s a sign proof evidence that she’s a traumatized suffering human being

[@noorbohamad5796]

@@Lunatful”wrong choices” my ass nobody in the real world “chooses” to be sick and suffering for years

[@AskAwayHealth]

Thank you for highlighting this story and showing that Fat shaming is NOT the way to support overweight people. Often the backstory or challenges they are going through are significant and we do not know what they are just by looking at them.

[@arsipantsu]

@@paulwaltersheherfeministvl521 get a job

[@russianvalkyrie2358]

The vast majority of people dont have some sob story backstory. Its an addiction like drugs or an eating disorder like BED. There is personal responsibility involved. You DO NOT get to that kind of weight without it being your own fault.

[@FallenAngel9979]

There’s no such thing as “ fat shaming”. If you’re fat, you’re fat. It’s FACT.

[@AryanSharma-qj4eu]

@@russianvalkyrie2358 I wrote a full parah about what is wrong about your statement but I realised that no amount of arguments would convince you. Just gonna leave it the point that you can say "its your fault" only when you walked in their shoes.

[@TheSwauzz]

@@russianvalkyrie2358 What a pedantic thing to point out though. Personal responsibility can be applied to anyone in ANY situation that involves making choices. Pointing that out doesn't help, which is the entire point.

[@EmilyB363]

These shows are really difficult to watch as a person who empathises with the patient. You providing your commentary has made it bearable. You’ve filled my heart with so much love, thank you Dr Mike

[@jarronwilliams7227]

One thing that made me change the view on the show is that it is all realistically to expensive for the patients. And the show basically allows for these patients to get the service without relying on donations that probably wouldnt come or not be enough

[@shiko-hirosuki]

My partner has binge ate and became overweight because of similar drama to this. It's nice to see someone that can not only empathize, but also EXPLAIN WHY you should think about someone's past life experiences when you judge them for being obese or overweight. Thank you ♥

[@P-196hdub]

I love how careful with his words he was being, it truly shows that he cares for his patients ❤

[@marilynwillett804]

how careful were her words?????? you get what you give in this life.

[@evelym_here]

Not saying he doesn't care about the patients, tho. But he does it so as not to be criticized or censored.

[@fp8901]

​@@evelym_here censorship does not happen on KZbin. He's articulate and understands the power of evolving language.

[@evelym_here]

@@fp8901 Lol "censorship does not happen on KZbin" I hope you're being sarcastic; because I have followed channels and KZbin has closed, they have had to open another one due to censorship.🙄

[@yannikakapralli]

Careful words? They are fat and so fat that they gonna die soon.

[@ashercorndorf2137]

It really sucks to see how people live like this and the media takes advantage of them.

[@KylieMCclips]

Then I feel like people feel like they don’t have to take care of themselves for attention. The media is so toxic

[@ducksauce0074]

You mean advantage? Not all are hopeless cases. Theres a couple of them who lost a lot of weight and became health advocates. They have access to doctors and dieticians. And they get paid to be on the show.

[@ducksauce0074]

Participants are free to leave. Look it up.

[@Marco_1667]

I know it sucks for people like this

[@KylieMCclips]

@@ducksauce0074 bro she said the media takes advantage of people like this. Because they make a lot more money than she does

[@MitchBurns]

I love how you called that doctor out for his extreme lack of bedside manner. Bedside manner is very important as a doctor, and that’s something you understand. From what you present here on KZbin I’d imagine it’s one of your greatest strengths.

[@lokithecat7225]

The Doctor seemed to be a Surgeon, who was just assigned to her when she came in... he is probably responsible for Many people already, plus all the "Emergencies"... she is almost at the point where you need a Full Time person.

[@suzannedavila1446]

Well this is just a clip. If you watch the whole episode, she was horrible. She was lazy and didn't want to even try.

[@JohnWilliams-cr2sz]

How much of that though was carefully edited to make better TV though? There must have been hours upon hours of interactions between them that will never be seen that led to that moment. I am not gonna condemn either of them because we do not have the full story.

[@goonerOZZ]

Knowing TLC, it wouldn't surprise me if it's just because of dramatic editing.

[@msmiami212]

@@suzannedavila1446 Lazy?? Recovering from surgery with almost 600 excess pounds strapped to her? You saw the excruciating pain and you literally saw her heart stop. And still wrote such a disgusting comment. Shame on you.

[@ShootingStarStudio]

This was genuinely inspiring to watch! I came close to having an ED in junior high, when I was in the thick of my mental health journey. I’m in college now-I’ll be 21 in June-and I still kinda struggle with keeping a healthy body image. I ended up snacking my way through midterms last month, so I’m restarting a Mediterranean diet to make my jeans more comfortable. I’m in the first week, so it’s tough to let go of some of my favorite foods, but I’m already feeling better. Taking that first step is always the hardest, but every step you take gets easier! I will have to break my diet tomorrow because I’m getting bubble tea with my friend, but it just means I’m going to do a little extra walking so I can earn that bubble tea. (And I always get half sugar anyway.)

[@leeya2103]

I did the surgery last year. It is a huge life-changing situation for me. I'm glad I did it. It changes my relationship with food. Thank you for addressing this topic.

[@jodil1209]

I'm so happy for you!! I am so bummed our insurance won't cover anything weight related.

[@nothingtoit142]

I'm glad you're feeling better. Stay strong! 💪 😊

[@MrPC1121]

I had the surge about 5 years ago. It's easy the fall into old traps, especially snacking. I've put about half the weight back on. I wish you continued success. Be better than me.

[@jodil1209]

@A. Brown Ours did for a short while, but then my husband's insurance changed to a different BC/BS plan. (We were able to get our daughters weight loss surgery done, at least. She was the most important one at the time). I wonder if I could get my doctor to write something up to see if they might cover it considering it could help with medical issues that I have tremendously. I wasn't that big before, but I had a knee replacement (when I was 36) that got infected and 5 surgeries later, I have terrible pain.

[@jodil1209]

@A. Brown ❤️ thank you!

[@coin5207]

When she appeared on that talk show I didn't even recognize her until she started talking. That's some huge leap she made. A lot of people wouldn't have managed to complete this journey. Probs to her!

[@jj88jj65]

Ya she really worked hard having an ambulance carry her to get surgery to lose weight. What an inspiration, write a book

[@333x_oneandonlyme_hope]

@@jj88jj65 what the surgery was just one part of it.

[@rp6584]

Just the fact that he shows how much he really knows about all of these issues people go through and different ways to treat things makes me feel so much comfortable and trustworthy of watching him, a lot of KZbinrs act like they know how to treat certain things when in reality they don't. As a 13 year old I've learned a lot by watching some of your videos, not only are they entertaining but they help me learn a lot which will help me in the future.

[@amyprada5567]

GRRR

[@ColaKitty9595]

You should look into the vlog Brothers I started watching them around your age and the community has done cool things, they genuinely helped me be a kinder person

[@JL-vx4jl]

Me too! I'm 13 too btw Will be 14 this year

[@Alyss93]

Always remember that there is always more to learn, and you will find that the world has a lot more to offer. It's uncomfortable, but important.

[@rp6584]

@@JL-vx4jl Cool!

[@SupaLonelyDino]

I love how you make it so understandable that it’s not always their fault and that could be an underlying issue that others don’t know about it. It Helped me understand that people may not always have the resources they need to get help.

[@chaliceflame1314]

Something I truly appreciate being inserted into this conversation is the costs. Too often doctors don't take these issues into consideration at all.

[@drewtyler4974]

I always think this because when I watch this programme a lot of the patients can’t afford the care they actually need, hence why going on the show is their only option! But sometimes the patients don’t seem to get continued care in the long term

[@JDMimeTHEFIRST]

They actually do. They argue with insurance companies and counsel patients (send them to financial counseling) and try to go by what’s covered as much as possible. They’ll also tell you if something is not covered

[@archmage7813]

​@@JDMimeTHEFIRSTI agree. I've seen doctors screaming on the phone at insurance companies because they won't pay for something when the patient desperately needs it. They absolutely fight for your financial ability to pay for your health care

[@archmage7813]

First of all they do. Second of all, if you're dying the doctor's going to care about making sure you're not dying. A doctor is there to present you with healthcare that will stop you from dying. If you can't afford it then you die. What's the doctor supposed to do?

[@the_lunar_system8914]

I'm on a downfall on my weight for my age, and I'm only in my mid-teens. I'm already on the obesity scale. Dr. Mike just motivated me to get up and do something about it. Thank you so much.

[@orelliaorellia142]

You can do it! I wish you all the best in the world!

[@thatone.artistic_dragon698]

I believe in you :)

[@honestdystopia]

You can do it!

[@bonelessmice6828]

good luck ❤️

[@uglycreature4701]

try getting guinea pigs and making sure they know every time you open the fridge they get food, you will be forced to eat less because of the sheer loudness of their begging forcing you to either open the fridge and get both you and them food, or don't open the fridge and save your dear eardrums the agonizing torture of guinea pig begging sounds

[@graham.crackers]

I genuinely smiled when I saw her transformation. She seems like such a strong woman and Im glad that she overcame her struggles.

[@soniccookie655]

She looked so happy!

[@powerhouse884]

SHE IS a strong Woman, there is no other way her body could have survive like that if she wasn’t strong.

[@anime.geek330]

The second I saw her stand up I started clapping and I am so proud of her and how far she’s come. Her determination helps motivate me to take care of myself and work to improve my life❤❤

[@chilldays-u2j]

2:50 as a formerly obese person i cried hearing this. People never know what i used to look like but under my clothes are flaps of spare skin from over 100lbs of weight loss. The things people say to me now about other obese people without them knowing i used to be obese myself, makes me sick. They probably talked about me the same way when my back was turned. I struggled immensely with mental health and all shame did was make me eat more. Being bullied and shamed started my eating problems in the first place, why the hell would more of it help me?

[@monicabmnlg]

"fatphobic"? he is a LICENSED MEDICAL PROFESSIONAL! he has done years of medical school and has studied the human body thoroughly.. i don't understand how him giving advice to people about keeping themselves healthy is equivalent to being considered fatphobic. it's his job.

[@wir3tr079]

Honestly people are just DUMB nowdays omg

[@yeetusdeletus3072]

those who call him fatphobic are the very people who just want an excuse not to choose a healthy lifestyle. He already explained it well and not everyone has that capability, but if they had a choice i doubt they'd go over this. This is why he is a medical professional, he also empathizes with the people and treat their own individual cases different from one another. There is nothing wrong with being plus sized. But if it compromises health and issues start to arise, don't go telling others that it's fatphobic when you tell them to lose weight. Because for some people losing weight is actually life saving.

[@Aidy_tude7.16]

Today's environment is that intelligent and knowledgeable people are silenced so that fools don't get offended. It often happens that people create some excuses in their minds to justify their shortcomings or behavior, and in those excuses they try to convince themselves that they are the least blamed for their condition. It's kinda like a coping mechanism coz they don't want to face the truth, and when someone who's highly educated in said field, indicates the actual reasons responsible for their condition, they feel attacked and they get defensive and triggered because professional's opinion does not matches with the excuses they have made in their mind.

[@syednaqvi2740]

@@yeetusdeletus3072 I’m almost all cases (in relation to health) excess weight is bad.

[@judyh3707]

There are lots of doctors who admit that their overweight patients disgust them. Tons of fatphobic nurses. Being a licensed health professional doesn't mean squat in terms of whether they have prejudice or not. Dr Mike is obviously not a fatphobic person but its not because of him being a doctor.

[@mrrazorblade1797]

Mike just explaining this, pointing out bad things about the doctor, being so mindful and gentle and he does everything a doctor should do as advice over the internet makes me so happy

[@hammedutman3183]

Hot B T C Give away It’s an automatic trading platform Regulated by group of experts trades, Which mean you can only make huge profits and zero losses Once’s you have activated a plan in this trading platform all you have to do is sit back and watch your profits grow, The whole trading process are been done for you. Because this system of trading is automatic whereby your trades are been done by bots. You have no worries of loss because your profits are guaranteed and there are no record of loss. I will advice you to start up so your trading will commence immediately and you sit back and watch your profits grows!

[@BhBc8f8]

There is no one right way to be a Doctor. That Doctor may not have been compatible with her but it doesn't mean he's wrong. Everyone's different and responds differently.

[@chrisyuri4187]

sounds like a scam artist taking advantage of emotional people, let me just pause it here, and let me tell you sofly, as I whisper into your ear and stroke your chin and tell you "it's not your fault, you can do it champ"... prrrrfff get real

[@amith840]

Bs

[@jamied931]

Dr Now is a miracle worker. Dr Mike is a hot youtube doctor who doesnt know anything about these patients or this doctor

[@MeowOnTheInternet]

im tearing up because it makes me so happy to finally see someone GET BETTER and not worse, she seems like such a amazing person and the type of woman i would love to just talk for hours to know her deeper because she is and seems like someone that went through so much and was able to get better even when her own doctor was so bad, she is so amazing and i hope she feels proud of herself completely and is going to therapy

[@vibrantglitch5722]

This made me tear up. Nobody should be restricted of being able to live a normal life and I’m glad we put in the effort to make these recoveries. On a physical level, I am slightly overweight and this video made me feel motivated to go out and exercise because you really never know if something awful may happen to you and cause a negative impact as severe as this. I appreciate Dr.Mike for being so open-minded and understanding. Sending love 💖

[@Alexandra-rb7ju]

Hey, absolutely nothing wrong with being slightly overweight, especially if you take care of yourself in order to try to maintain a healthy weight and lifestyle. And if anyone bullies you over something you have no control over while you are trying to take care of yourself, then they can just go to hell. Is there something wrong with being 500 pounds overweight on purpose? Yes. Is there something wrong with being 10-20 pounds overweight while attempting to stay healthy? Absolutely not. Everyone's body type is different and frankly these "recommended bod types" are just flat out insulting. Ex; I have larger sized breasts and naturally bigger thighs, but no stomach fat. Apparently though, my breasts and thighs make me "overweight" for my 5'2 height. lol like I can actually help any of that!

[@DARKENINGTIMES]

definitely, with my height, im supposed to be about 10-20 lighter than I am now. dont get me wrong, im pretty muscular too because i love to be active, but this video definitely made me wanna change those eating habits and become even more active to prevent having to live through something as difficult as this. this woman is her own hero ( with lots of credit to the people who helped her as well ofc)

[@BeanSprouts02]

I wish you luck in your fitness journey!!! Keep working 💪 But be sure to take it easy on yourself sometimes! You're gonna need that rest so your muscles have time to recover.

[@demoniack81]

@@zyncwargaming179 No it's not. Even just being 30kg (65lb) overweight makes you obese unless you're like 2m+ tall, with increased chances of a myriad of cardiovascular and metabolic diseases.

[@demoniack81]

@@Alexandra-rb7ju "over something you have no control over" You have FULL control over your weight. There are no ninja squads coming to your home at night to inject your salad with butter. If you don't want to put in the extra effort to lose those last 5-10kg to get to your ideal weight because your current one is fine then fine, you don't HAVE to. I could stand to lose 5kg myself. But stop pretending it's somehow impossible.

[@TheFroog-eu1sv]

I love how she went from talking like " I have no life... " to seeing a doctor getting proper help standing up to a terrible doctor and getting her life back! WE LOVE YOU MARLA FOR EVEYTHING YOU WENT THROUGH AND STILL BOUNCED BACK!!!!

[@mzpanik]

I’m really proud of Marla after watching this and I’m glad she was able to find a physician who was less confrontational and treated her with respect.

[@AnimeMovement]

Dr. Now was just calling her on her BS.

[@AntediluvianRomance]

Sometimes, even with good doctors, personalities just don't mesh. It's commendable that she could go all the way through her journey.

[@myrianrose3619]

@@AnimeMovement Dr. Now needs to get called on his BS too. His attitude towards his patients is poor and often counter productive.

[@AnimeMovement]

@@myrianrose3619 Funny how it’s only counterproductive for the ones who don’t have the will or want to change anyway. It’s got everything to do with personal responsibility. Blaming the doctor here makes no sense.

[@reiayakame3045]

@@AnimeMovement I mean, didn't she end up losing the rest of the wait and getting the surgery anyways, even after calling out Dr. Now and finding a physician that was better for her? What's the point in your argument here

[@SylvieGrimalkin]

Anyone else kind of impressed that she could hold her leg up so high? She was doing a full on cheer split.

[@rosenars6665]

I was looking for this comment!

[@VENTlLATION]

I think i'm a healthy weight and I cant even do that.

[@tf2sushi]

Casey is a very good example of someone who through hard work achieved a healthier and better way of living.

[@LYNN-id9rb]

He was a champ

[@NaNaydo]

Really though!

[@Peachy_kitten]

@Don't Read My Profile Photo okay😁

[@honorablecnotes]

lol

[@pratyushvn5964]

What was his full name?

[@Lockz1111]

I'm glad that she got to see a doctor that was clearly a better influence on her, the surgeon is likely under severe pressures to get results for the show which may be why he constantly gets frustrated at patients on camera from what I've seen, but when taken out of a more public setting she seemed to do a hell of a lot better and I think that just goes to show how potentially harmful these types of shows can be

[@Drnaynay]

Absolutely! I wouldn't be surprised if the producers initially wanted him to play up the tough side.

[@dottiefarmer5547]

If she wants free weight loss surgery and medical care then she can follow what the doctor says. She's lucky to get the help at all when it's all self inflicted.

[@Silver_wind_1987_]

@@dottiefarmer5547 the doctor was a cold hearted twit. She did try but he was being mean...and just seemed to want her gone as well.

[@Lockz1111]

@@dottiefarmer5547 Your comment shows a severe lack of empathy, the root cause of her condition started with severe trauma which lead to extreme paranoia and likely some form of eating disorder, this continued with a cycle of suffering where they didn't like what they were doing with their body and wanted to get out and change but were afraid to go out which likely caused another round of stress eating which brought back the depression etc. You're likely one of those people who look at anyone who's overweight and immediately think that they're the sole cause of their problem

[@inesdreedy]

@@dottiefarmer5547 how can you watch a whole almost 17 mins video where dr mike literally mention people like you who are extremely judgmental and automatically call people in this situation lazy when it was clearly shown and explained that it’s the result of an extreme traumatic situation that modifies their behavior to survive mentally, and still not question yourself? very weird comment, you lack immense empathy

[@Sapphire3759]

I love how Dr. Mike said it was an aggressive diet. I personally feel like these patients would have an easier time adjusting to a new diet in steps, like slowly weening things in or out.

[@xxan84]

I question if she had enough time for a slower diet (her health was a mess) and that doctor probably had other patients coming. Resources are limited, better a more agressive aproach if that translate into more people having the oportunity to get a chance at a hospital bed.

[@berryquick6224]

I was shocked to see she was put on a 1000 calories diet. I take 1800-2300, only having 1 meal a day will make me non-functional

[@gillifish]

Yes! I think the best option is teaching them intuitive eating. It saved my life from multiple eating disorders, one extreme and the other.

[@trullyfreak]

@@gillifish if you let people who have been overindulging in food for years without end so intuitive eating, you’ll end up with them or loosing the weight at all. I respect that the doctor doesn’t take bullshit from patients - he puts them on these diets to see if they can actually commit and loose the weight. Is it drastic? Maybe. But life is drastic and they should be thankful they get another chance at life, a lot of people with real illnesses don’t get that.

[@Sapphire3759]

@@gillifish congratulations on the progress you've made!

[@Cruzing_Snoozing]

This video made me so happy, Marla's story is really inspirational and I thank you for sharing it with us. Also, your empathy and insights into what Marla was thinking and how the doctors could help Marla get better were excellent. It's easy to read/watch a few things online and think that all overweight people are lazy, unmotivated, or in denial, but they aren't! A lot of them want to get better but they can't/struggle because of past life experiences or medical conditions.

[@sanamkalantari]

Exactly, people must start supporting these types of cases!!

[@TJGAMINGSCOTLAND]

It’s an addiction that comes from trauma. I can relate to this and I started making myself sick to purge and eventually went to alcohol.. I was miserable and I really want anyone with any addiction or people who suffer with anything like this or this addiction itself to remember you’re not alone. We love you ❤ I wish this doctor would have been mine during my issues, he cares. I’d just be the same as him with any patients I would have. A genuine heart of gold

[@ElpSmith]

I hope you’re doing better now because the world is better with you in it ❤

[@Guineapigs_181]

I like how you are against fat-shaming, while still encouraging others to be a healthy weight

[@FireFoxie1345]

He is encouraging. Shaming can feel forceful

[@gamerboy3517]

My grandmother has almost the same problem, she is overweight to the point that walking down the hall is like running a marathon to her. We tried doctors and diets, but what my family and I conclude is that she doesn't want to be helped. We conclude that she wants everyone around her to do her tasks for her, and that's...that's just sad.

[@russianvalkyrie2358]

Thats the way most people at that type of weight are it seems. Its sad.

[@whimsicalgolde]

I do not like how people say it is sad. (As an added note, I have a thyroid problem. This kept me from losing weight. I went down a bit and stayed there. I need to get checked again. I am aware other things affect losing weight. I just focused on mental health.) Let me explain. Yes that is how people at that weight are. But it is due to something psychologically going on with them. Think if I was overweight how would I feel if someone was doing what I am doing to them. It makes us feel not equal or a person. Being treated as a human is the goal to help. Mentally those with more weight think badly. Find out why. I am obese myself, I have gone through and yes it makes it worse when people say and we know they think it is sad. We give up or just think there is nothing we can do. Look into your grandma psychologically. Her mental health. How what you do has an effect. I suggest to avoid negative speech, actions etc. Body language too. Note: everyone has their different things that makes them not try anymore being overweight. If you see this I recommend Psychology. There are medical people who help people who are over weight. I know there is obese and morbidly obese therapists and psychiatrists. Obese and morbidly obese each have their own mental health specialists. To help with their mental health. I know for I am obese but was able to get progress on my own. It was offered to me to help. But my doctor saw I went down in a good way on my own. Those overweight are asked questions to see how they are. Nothing about our diet, but it is a way to see if I need therapy for my mental health on my weight. If the doctor does not do that and blames diet, look for one that does.

[@bekahsierra7313]

We’ve been in the same situation with my grandma my entire life (almost 30 years). I gave up years ago, but it’s hard seeing everyone else try to accommodate and give her help. All I can do is make sure I keep my own weight in check (not hard for me) and help my mom with her weight issue.

[@Thehouseoffail]

Has she seen a Psychologist? Because that sounds like a severe case of depression or a psychological disorder to me.

[@The-Determined-Ninja]

@@whimsicalgolde @8:41 _this_ was said, and with that in mind I absolutely aggree, we shouldn't just pass it off as "sad." You have to _help_ that person not just changé their mindset, but adapt to being self-sufficient again. People like that needs something to _push_ them, someone to _help_ in one final *truly **_meaningful_* way...! (ò‸ó;)

[@Maco18-YT]

honestly im shocked on how Mike can be a KZbinr AND an amazing doctor AT THE SAME TIME!! Great job Doctor!

[@ruthiemorton873]

As someone who is overweight: there is a balance to found between fat-shaming and true, objective medical care for those who are overweight. Ignoring medical conditions like diabetes or quality of life detriments like literally being unable to walk is not medical care. I really think you do a great job of respecting the patients from an empathetic viewpoint while still acknowledging the facts of their health and what needs to happen to help them.

[@ByzantineDarkwraith]

There's no balance to be found... it should be 100% true, objective medical care for those who are overweight (taking into account all conditions and quality of life), and 0% fat-shaming... why would you want to find a balance between those two things??

[@katinaflat9393]

I'd agree

[@ladyfirefighter222]

@@ByzantineDarkwraith I think they may have meant that there is a fine line to be careful of, rather than a balance to be found.

[@spongebobssponge1224]

EXACTLY

[@alinaschmidt7330]

@@ByzantineDarkwraith fatshaming exists wtf??

[@ashleygrazutis4203]

I am so glad you finally did a reaction of my 600 ib life. It makes you appreciate all the things you take for granted in life. Thank you Dr. Mike for another great video 😊

[@Lemon-uz1br]

@Don't Read My Profile Photo idc

[@bream1755]

My???????????????? Your not her man

[@khalilahd.]

Same!

[@DignityDC]

True

[@bundll]

@@bream1755 The title of the documentary is “My 600lb Life”

[@fridaaa0]

I didn't realize it was actually possible to reverse it once you got to that weight. I'm in awe and so happy for her.

[@7svn.]

it is possible but it also different than what you see on the show, the show may have helped with the budget on her to get these surgeries, sadly most people just cant afford to get it reversed

[@enk335]

So glad to see her progress, so happy to hear your level-headed, compassionate input.

[@coinwater8511]

I'm trying to lose 50lbs to get back to healthy weight and it feels impossible. I'm genuinely proud and impressed by this woman physically and mentally.

[@gesudinazaret9259]

Research psylocibin combined with fasting,it can do wonders

[@pointerish]

You can do it. I'm on the same boat. I started to exercise and eating better. I've lost 14 out of the ~60lbs I need to shed in order to reach a healthy weight. I can do it. You can do it!

[@megorex630]

I have confidence you’ll get there… don’t compare your progress to anyone else’s. That was my big issue, and dr mike is right about motivation coming second. I hadn’t thought of it like that before but it’s so true. 💗

[@alexodonnell]

You got this. Keep at it

[@thelionprince4530]

Cut out all sugars (processed/refined/excess carbs) from your diet and do light exercises like walking 15 to 30 mins daily. You'll be surprised. Good luck, I believe in you.

[@NuKeRGG]

You can tell how much Dr.Mike really loves helping people, and watch patients change their life for the better!! 16:03 That's a face of real happiness and empathy knowing how much better she looks

[@aiiiia9971]

I noticed it right away It was beautiful to see his reaction

[@chrisyuri4187]

He really knows how to package and sell empathy

[@tawnybees9973]

@@chrisyuri4187 yes

[@heaven77ish]

I always find it hard to understand how, here in the UK and over in the US, this type of illness does not have a multi discipline approach. Right from the start her story told me this was self medicating with food at the onset of her ptsd, caused by being held at gun point. Moreover, the the surgeon had absolutely zero understanding of the fear concept. She refused to try to walk, we all put off scary things, for this lady, she had come to rely on others to live her life for her, the fear of putting herself ina bad situation had caused that. To suddenly change and take responsibility must have been as scary as hell. Refusing to walk was her self protection against opening that door she had locked after her assault. Furthermore, the fear of failure would have been feeding her mental health. I am right there with @doctormike, his combative attitude to a closed patient was quite awful. If patients like this lady saw things simply as don't his or that, they wouldn't have been in this position to start with. She needed mental health support from the start, she needed ptsd support from the start. Whether it is drugs, alcohol or food, a lot of medical professionals fail to link self medicating and simply put these patients in to a negative category of 'Lazy, greedy, weak willed, addictrd'. So proud to see she found the right people, the right attitude. Great video to share Doctor. Hope others seeing this get the support for their journey.

[@tashlan4164]

In the UK it is a multi-disciplinary approach. I have a team of people who are guiding my journey currently. I have access to a mental health team, a team of dieticians who truly have revolutionised my thinking about food, a diabetes team who speak to me regularly and explain my treatment thoroughly to me and I even have my dog thanks to the physical therapy team who asked me one simple question: "what will motivate you to walk?" And it has worked! I went from being housebound to going out with my dog, rain or shine every day. My mood has improved and my health is better. I still have a long road ahead, but when you have a supportive team around you, it is amazing how much that helps. So yes, I am extremely grateful to the multi-disciplinary team that are working to help me and many other folks just like me.

[@oceaneo4603]

Actually Dr now (that's how some of his patients call him) work with a team of other specialist. And like any doctor his speciality is to work with very over weight people ( starting around 300 lb, if I recall proprely). People whom are so overweight don't become overweight over night. It takes years, 1 or 3 lb every years, slowly but surely.

[@simonO712]

THANK YOU!

[@ieattofu68]

@@tashlan4164 Thank you for your encouraging testimony. I wish you all the happiness you can handle!

[@Khopper224]

I have a genetic disability where my bones break super easy. I can understand how someone can have a fear of falling thus walking and standing can sometimes feel impossible. It’s not necessarily that the person doesn’t want to try, but the fear of injury and significant pain are real, especially in an early rehabilitation stage where there is a greater likelihood that you can get hurt. But even small steps like leg lifts standing for a second, or standing in a pool can lead to better and better outcomes. Good on Dr. Mike understanding that it helps to empathize with the patient and that a patient isn’t intentionally being difficult if they’re slow to improve.

[@Hallielala]

Round of applause for doctor Mike not being mean to people 🎉

[@stephanie1874]

Dr. Mike, don't ever lose your humility and empathy. You recognize, that regardless of a situation, patients are people. Human beings like you and me. You seek to understand, not judge. THIS is what sets you apart from so many of your colleagues. Thank you.