The Grim Reality Of Life At 800+ Pounds

TLC continues to produce shows with titles that I am not a big fan of. Previously we reacted to Family By The Ton featuring Casey, a man who overcame being 800 pounds and continues to lose weight now into the 200s. Today we look at the very popular My 600 Pound Life with Dr. Now, specifically the story of Marla McCants, a fast food addict who weighed over 800 pounds. Marla drove to see Dr. Now in Houston and almost didn't survive the journey. Today we look at her medical experiences receiving bariatric surgery, battling blood clots, and finding the will to walk on her journey to actually losing over 600 pounds. I'm so proud of Marla for taking control of her health and improving her quality of life not just for herself, but her children and grandchildren as well. As always, please lead with empathy in the comments and recognize you should never judge a book by its cover or attribute value to a person based on their size. We're all a work in progress, myself included!
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-Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **

[@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"

[@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

[@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.

[@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!

[@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.

[@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

[@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

[@alichehab5804]

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!

[@lukasvanderwesthuizen7893]

The Surgeon left her because she was ungrateful and acted up for the cameras.

[@kyotherival7508]

@@lukasvanderwesthuizen7893 No. He wasn't listening to her at all. If someone wasn't listening to me I would get an attitude as well even if the cameras weren't there. Lol. She felt like she was being judged and put in a box. So naturally she acted out. Not saying that surgeon is a bad surgeon but he is super confrontational and kind of biased which is the opposite of what is needed in the situation and can cause the opposite effect on some people.

[@laurenskee2665]

It doesn't matter at the end of the day. We are responsible for our own decisions and actions.

[@gfergina27]

The confrontation scene might only be for TVs. For ratings, they are trying to spice it up

[@sunshine3914]

@@kyotherival7508 I wouldn’t argue with someone trying to save my life when I’m the one who got myself into to such a situation. And if I was making an effort to help someone & they didn’t like it, they could hit the road & find someone else that gave a sh*t.

[@user-mh1qd9zf5z]

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

[@meganheinley9507]

Dr. Now: "from what I can tell, you're not making much effort to get better" Marla: has literally lost 300 pounds. 💁🏻‍♀️🧐

[@lilscenechick1995]

Seriously! That really ticked me off

[@CST1992]

I think he was pissed it wasn't more.

[@mrsuzan533]

​@@CST1992 He should have worded it differently then. Cause there's a huge difference between "You're not making an effort to get better." and "You've made a lot of progress, but there's still room for more (or, in this case less)." Motivation in a journey as hard as this one is key

[@Andreas-gh6is]

He prescribed her a diet. She isn't following that diet, otherwise she would be losing a lot more. That's mostly just math. He could be nicer, at least from the interactions we see and those may be edited or reenacted or abbreviated. I can't believe he talks to these patients that little. Or at least someone else has to talk them through the diet.

[@roberts1711]

She lost 300 from 800 because he made it so she couldn't eat. Its not like she did it through diet. Like congratulating a dog for not biting when you strap a muzzle to its face

[@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.

[@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!

[@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.

[@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!!!!

[@justanotherhuman1239]

This Dr. Now reminds me horribly of an awful experience I had with a psychiatrist! It was the exact same, putting blame on me, speaking over me, disregarding what I was trying to explain. Very comforting to see a doctor calling out another doctor on this kind of treatment 😄 So proud of Marla for getting through it despite that doctor!

[@victoriamassey9830]

He speaks the truth though.. these people are in denial about their weight

[@chaliceflame1314]

@@victoriamassey9830 In denial?. Why else would these patients be seeking specialized care if in denial >

[@kirin1230]

​@@victoriamassey9830I think his methods with how he talks to people are warranted for some, but not everyone. Sometimes you do need to be direct to a person in denial, but sometimes kindness is best. Depends on the person.

[@gerganakoleva4137]

Despite the doctor is a bit too much. He saved her from the embolism, he performed the surgery. May be he was too demanding of her, but I see it as his win as much as hers. Even more so.

[@MeshMwah]

The last conversation Dr. Now had with this particular patient had nothing to do with denial. He did not use proper doctor-to-patient conflict resolution strategies. Nothing to do with denial.

[@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.

[@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

[@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

[@myradavis1139]

he is truly so respectful while talking about their conditions. still humanizing while analyzing the situation. dr mike is the opposite of fat phobic

[@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.

[@megan7292]

I’m surprised I don’t see more comments about Dr Now. He was awful! All he did was yell at her and get frustrated. She was clearly REALLY struggling and it wasn’t fair of him to treat her that way.

[@jamesmccurry6753]

I know it baffles me how many horrible ppl there are who love and support that awful man becuase they enjoy watching them being exploited and humiliated and they say there issues and struggles are excuses or BS which really annoys me! You don't go to someone for help and they tell you it's excuses they should understand it's a joke.

[@lilscenechick1995]

He has horrible bed side manner. I really dislike him for that.

[@JuicyPeanuts]

I think he might be racist in genuine fashion. He just tries to not show it in front of the public or else he would get exposed.

[@inthebooks3947]

Dr now at the end of the day performed a highly complicated surgery on her successfully. He deserves credit for that. Not a easy surgery

[@jamesmccurry6753]

@@inthebooks3947 No that's completely irrelevant to his bedside manner and appalling lack of compassion! Plus he's left tubing and steel in patients in surgery so he clearly has a mental illness or has an evil intent.

[@carolhowley7158]

I am a recovering binge eater who used to eat 20,000 calories a day or more. At one time, I was close to 400 pounds and thought I would not live to see 40. I am so lucky to have received support from a close friend who gave me life changing advice, and from my mom who went to Weight Watchers meetings with me (and I also attended OA by myself). I think that what happens is that people reach a tipping point where they decide that they won't have a long lifespan, or they decide they will have a transformation in their life. Sometimes the transformation is prompted by medical issues that may or may not be immediately life threatening. I pray for all those suffering from binge eating issues, and happy to help in any way I can. I had such a strong addiction to refined sugar and flour that I thought it was not possible for me to stop eating those things. But I did, and I went from 380 pounds to 230, quit sugar and flour, which are strongly addictive for some people, and got my life back. It cost me all of my 20's and about half of my 30's, and also caused me to drop out of law school. But I got my life back, and I am lucky not to have relapsed since quitting sugar and flour at the start of 2006. If my partner and I can do anything to help someone in need we are happy to, reflecting our belief that everyone in the world is our family. Most Sincerely, Chris and Pie, Norwell Thai Spa, Norwell, MA

[@gauloiseguy]

Just stay strong and keep helping yourself. You seem like someone who will cross paths with a soul in need of help somewhere in time when it's needed. Take care of yourself and you'll be able to rise to the occasion.

[@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.

[@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.

[@jadedangyle]

This lady is an absolute rock star! On top of everything she has to deal with and overcome she still has the strength to advocate for herself? Rock on, Ma'am, Rock on!

[@raftai665]

"Can they afford to do this?" The expensive health care system in the United States never ceases to provoke me. And how doctors and hospitals think business above all.

[@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

[@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

[@beesquestionmark]

My mom had a gastric bypass surgery in like 2015 and she was 400 lbs before it. Now we’re on weight watchers together and she’s down to under 250 lbs, so proud of her :)

[@heatherwanamaker7904]

EXCELLENT! Tell her to keep up the great work :)

[@user-lx7sr]

Tell her I'm proud of her!

[@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

[@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

[@narcsisus]

@Don't Read My Profile Photo this is not the right time mr dont read my profile photo

[@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.

[@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!

[@melanianderson4471]

Was it called "too fat for 15?"

[@braden2233]

I really appreciate just how understanding and helpful Mike is, the fact that he isn’t judging and is helping us understand what she’s going through and just treating her as a human being is amazing, I really appreciate how he isn’t shaming her or anything like that. 🙌🙌

[@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!

[@allabout_mee.]

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

[@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.

[@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

[@maggielong7070]

Some of these people are shedding more than double my whole body weight. The determination that takes is unspeakable, and I don't think I can truly wrap my mind around how much fortitude these people have.

[@nix_myrnie_cello]

This was my first time on this channel and I now love and appreciate you, Dr. Mike. Your compassion warmed my heart.

[@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!

[@vincentgallagher_]

Do you love me?

[@AA13494]

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

[@vsavatxr]

@@vincentgallagher_ 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

[@CrazyJamaicanCook]

I love how you dealt with this. Thank you for being so empathetic.

[@lu546]

I've never seen anyone speak about this topic so kindly. Thank you so much for this video

[@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

[@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

[@rigcun]

Its a typical female

[@thomast7794]

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

[@ValkyrieofNOLA]

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

[@carterboytv1203]

How would you even do cpr on her?

[@readles9293]

respect, she lost 560 lbs+, great job to her, also well done Mike for being sympathetic and understanding👍

[@Cornishpixxie]

Thank you dr mike for treating this. person as a person, many people struggle to see the other side of the person and you understood really well, this is incredibly wholesome and motivating for people who are suffering this, my deepest condolences to anyone who is going through this, this shows how us humans with the correct mindset can become our best self again

[@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. ❤

[@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 :)

[@firafifi19988926]

Dr. Mike , you’re amazing. Such a smart , considerate and compassionate person.

[@examichelle]

Thank you for making a statement about fat shaming. It's so important to talk about the obesity subject with empathy and understanding, and not judgement. There is so much we don't know behind a person with an ED.

[@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.

[@ashercorndorf2137]

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

[@kyliethehuman326]

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.

[@_kyle_5722]

I know it sucks for people like this

[@kyliethehuman326]

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

[@andyandrade8451]

I love how inspiring this video is! Dr Mike is very kind in all his explanations! Marla did an amazing job taking her life back! 👏🏻👏🏻

[@reneebarrette4514]

I'm in awe when I watch your videos. Thank you for educating us all!

[@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.

[@milfsarehotaf]

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

[@Rahn-ft6qo]

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

[@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.

[@bleha2827]

I am extremely proud of Marla. She was beautiful before and after losing the weight. She is a role model. Stay strong!

[@enk335]

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

[@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

[@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.

[@minab8777]

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.

[@tarathomas4404]

I have to brag about you, Dr. Mike. I am so very impressed with your ability to mentally understand multiple sides of a story. My experience has shown me that there are very few individuals in this world, especially in the role of a physician, that are empathetic enough to function on this level. You should be very proud of yourself and I pray you hold onto that gift.

[@KrinchCraftHD]

Her journey is EXTREMELY impressive!

[@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. 👩🏻‍⚕️❤️‍🩹

[@lenalo123]

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)

[@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.

[@peachiepoopsie9598]

You’re so respectful and kind. Your patients are lucky! ☺️

[@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

[@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

[@naomiarram5187]

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

[@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.

[@thecharlieproblem]

THIS MADE CRY THIS IS SO GOOD! THE PROGRESS AND ALL OH MY GOD IM SO PROUD OF HER!❤

[@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.

[@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

[@davidvarela3449]

@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.

[@davidvarela3449]

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

[@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.

[@Angelica_04]

I almost broke out into tears hearing her back story. I hope she is doing better and hope she is getting the help she needs. God bless her and her family. ❤😢

[@existential.crisis.personified]

thank you so much for your kindness in this video. i gained a large amount of weight as a child due to trauma. I was being physically abused and subconsciously i figured that the bigger i was the harder it would be to hurt me. when i was sexually assaulted it got even worse, because i believed that the heavier i was the safer i would be. people were awful to me about my weight and i developed a severe eating disorder with cycles of binging and starving. i likely did irreparable damage to my body. i’m in recovery now, but i’m still 300 lbs at 5’8” and weight loss is still incredibly hard because i struggle to find ways to lose weight without spiraling into the restrictive, starving part of my ED and starting the cycle again. also, because of PCOS and metabolic effects from my eating disorder, it’s much harder for me to lose weight than it is for most people. weight can be so much more complicated than people realize. thank you for recognizing that there is typically so much more going on than laziness.

[@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.

[@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?

[@s133p3r0]

@@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.

[@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❤❤

[@lindsayfrei6852]

We all have weaknesses. Some issues are easier to hide then others. Obese individuals are forced to wear their struggles. Thank you for recognizing their dignity and being willing to help. It's refreshing to see Honesty and compassion working together.

[@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

[@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 :)

[@honestreactions8115]

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

[@Grimlock987]

I’m proud of the progress she made. I hope she’s still going strong.

[@yamidelacroix6729]

She really pushed herself and you can see the difference not just physically but also mentally. She became much more happier and wanted to really go out there and do more. Great stuff.

[@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

[@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!

[@franciscorafael7349]

thank you so much for your content, i love the way you talk about this topic

[@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 🙏

[@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.

[@Neon_Stanley]

Thank you for being so kind and caring about this subject. As a young adult who also is overweight, I’ve really struggled. I am a dancer and I am also follow a mostly vegetarian diet. It makes it hard to live a happy life when others judge you even when you are healthier than most of them. Sometimes it is a case of overeating and lack of exercise but other times (like in me and my family’s case) people can have Cushing's syndrome. So thankyou for taking the time to show that it isn’t completely our faults and we are humans too

[@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.

[@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.

[@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!

[@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.

[@Joeladgra]

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

[@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

[@zrrs2816]

My mother is overweight and I appreciate how you address the issue in an educational manner

[@jennifergraceh]

Marla is a an absolute rockstar. She is amazing! I am so proud of her success and achievements and how she stood up for herself and didn’t give up when the first doctor gave up on her.

[@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

[@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

[@RoadtoStick]

Really though!

[@Peachy_kitten]

@Don't Read My Profile Photo okay😁

[@honorablecnotes]

lol

[@pratyushvn5964]

What was his full name?

[@tas.mila.s]

I admire how compationately you speak about everyone including people theough the internet you've never known. Do you have a video more on blood thinners? Something I really want to know more on since my entire family is prescribed them for various reasons above my head

[@tj921able]

This was a great video. TY for sharing it. God Bless You & stay safe. Congratulations to Marla on her weight loss.