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A man realizes he needs to make a change when his weight gain stops him from his job as a drama teacher, but his new lifestyle causes friction between him and his wife, who is also overweight and is not sure she can get on board
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00:00The mornings are the worst part of my day and I hate waking up because of how hard and painful it is being in this body now
00:06I can't really lay down anymore, you know
00:09I can't breathe if I do because my weight pushes the air out of my body
00:13Meet Nathan Prater a 35 year old from Palestine, Texas whose weight of
00:18607 pounds has put a pause on his entire life
00:20But the dogs if I don't let them out then they'll have accidents around the house
00:25I won't be able to clean it up
00:27So I push myself to let them do what they need, but after that I have to get to where I can rest as soon as possible
00:34Nothing is easy for Nathan at this point whether it's sitting down standing up or moving around everything tires him out
00:40So as much as I hate it because of how hard it is, I make myself shower every day
00:46It's just hard to do because of my size and sometimes I don't get as clean as I want to
00:51Even something as simple as taking a shower exhausts Nathan because his body just can't handle his weight
00:56There isn't a moment where I'm not craving something to eat
01:00No matter what I'm facing food will make it better
01:03Food is my relief and my comfort and it's what I constantly want
01:07And when I'm eating it's you for it
01:09It's like this feeling of relief from whatever negative emotion I have going on at that time
01:14But with all of this constantly affecting Nathan's life the one thing he manages to find comfort in is food
01:20Eating has always been a big part of my life starting when I was really young
01:24I think part of that is because my dad worked for a food company
01:28So we constantly had junk food around us food
01:32It was almost like a headache pill would be for a headache because it made me happy
01:36And Nathan doesn't play around when it comes to food for his first meal of the day
01:39He goes all out making sure that all of his cravings are satisfied by the time he's done eating
01:43But of course his unhealthy eating habits date all the way back to his childhood
01:48Which is why it's been so hard for him to get rid of them
01:50I was probably already in like a 1x 2x
01:52And I can remember trying out for basketball because I like watching basketball
01:56And I thought maybe I would be good at it
01:58They made us try out in front of the whole school in the morning
02:03Because what they did was they had the students assemble in the gym
02:07Before they went to their first period
02:08And people were laughing and pointing and the coach had to stop tryouts
02:12And he yelled at them saying at least he's down here trying
02:15You know
02:16Slowly Nathan began to depend on food emotionally
02:19And the slope was as slippery as it gets
02:22His life completely turned around when he started putting on pounds
02:25I still to this day think that my theater teacher in the high school level
02:30Was probably one of the ones that helped get me through
02:34It was around the same time when I found out my mom was diagnosed with cancer
02:37And by the time I graduated I was around 450 pounds
02:41However in high school he felt like things started turning around a bit
02:45When he had someone he could reach out to for help
02:47But things just seemed to get worse for Nathan as a young man
02:50No matter how hard he tried to stay on track
02:52From the first time I saw Nathan I could see what made him special
02:55He's a great person
02:57And that was one of the things that I was attracted to
03:02Was the idea that he would be a partner for me to keep focusing on my journey with
03:07Today Nathan barely has the energy to get up from his couch to do anything more than eating
03:12However his wife saw through his unhealthy eating habits
03:15And realized that outside of all that he was a kind and caring human being
03:19I guess I felt like I wasn't good enough
03:21And I know that disappointed Amber a lot
03:24Because she didn't have a disappointment in me at all when I started gaining again
03:28But despite his wife's support
03:29It's evident that Nathan has just given up on his health now
03:32After facing so many disappointments in the past
03:34I do worry about my dad's health
03:37I would like him to feel more confident in his body
03:39And lose some of the weight so we can do more activities together
03:42I always tell him that like
03:44Don't give up
03:45We got this
03:46I'm behind you no matter what
03:48Sometimes I feel like he's not gonna be okay
03:51But I really do believe in him
03:53But both Nathan and his loved ones know that things can't go on like this for any longer
03:57He needs to make a change
03:59If not for himself
04:00Then for his family
04:01I want to be off experiencing things with my family
04:06But I can't because of my size
04:09And now I feel like
04:11Grocery shopping is the only thing that me and Amber really have left together
04:14And it's the only thing we do together aside from eating
04:17Hey look they have croissants too
04:19Huh?
04:21You like croissants don't you?
04:22Uh huh
04:23But for Nathan
04:24His love for food comes before anything else
04:26While he knows that he doesn't spend enough time with his family
04:29He can't help but schedule all their activities around eating
04:32It's getting to where I'm having trouble doing what I need for myself
04:35I'm over 400 pounds now
04:37That's what living like this has done for me
04:40I have severe anxiety
04:43I have depression issues
04:46And I am always extremely exhausted
04:51And I just feel like Nathan's just let me down as a husband altogether
04:56But Nathan's eating habits aren't just affecting him
04:59They're also affecting his wife
05:00Who has also been trying to work on her relationship with food
05:03But when she constantly has to take care of her husband
05:05She can barely find the time for herself
05:07My appointment with Dr. Now is tomorrow
05:09So today I'm headed to Houston
05:11Are you ready?
05:14Ready as I'm gonna be
05:15It's only three hours there and three hours back
05:17Do you have your charger?
05:19Yes everything's in there
05:20Are you sure?
05:21Yes
05:21You can't use mine?
05:23I know
05:23It's the first month of Nathan's weight loss journey
05:25And he's getting ready to head to Houston and meet Dr. Now
05:28But of course, he's gonna need a lot of help to get there
05:30Despite the drive being relatively short
05:32I guess I'm a little shaky
05:34Because this may be the last chance to save what I can see as my family at this moment
05:42After Nathan is helped inside the car by his in-laws
05:45He finally sets off to meet Dr. Now
05:47But he knows that things aren't going to be easy
05:49I'm tired and a little sore
05:51But I'm in good spirits
05:55Because I get to see Dr. Now today
05:57And hopefully get his help
05:59I think overall
06:02I'm mostly just nervous about hearing what he says
06:05The next day, Nathan is tired from the journey
06:08But he's more than ready to go and see Dr. Now
06:10To see what steps he can take to lead a healthier life
06:13And whatever Dr. Now has for me to do
06:19I'm ready to do it
06:22If it means I can get a better life for me and my family
06:24And, of course
06:26The stakes are extremely high when Nathan is taken in to get weighed
06:29It's never fun seeing my weight on the scale
06:36Especially knowing other people are seeing it too
06:38It's embarrassing
06:40Safe to say that the 600-pound mark is not where Nathan was expecting to be
06:45It hurts to, like, when I'm at home
06:47If I go from the bathroom back to my living room
06:50I get winded
06:51So I can't walk very far without help
06:53And what makes it worse is that
06:54I have lymphedema
06:55And so there's issues with open sores on my legs
06:59My right leg
07:00So you're at a critical point now
07:03Where you have to change your eating habit
07:04Before things get worse for you
07:06I'm going to have to be 100% committed
07:09That's it
07:11It's either that
07:12I'm going to have to be as a figure of speech
07:14I will tell you that I am going to be 100% committed
07:20So you are ready to make the changes?
07:23Yes, sir
07:23The doctor patiently listens to what Nathan has to say
07:25Including his struggle with lymphedema
07:27However, now it's time for a classic Dr. Now reality check
07:31But that's not where the doctor stops
07:43Because he wants to know why Nathan's wife isn't with him
07:45Considering she is also severely overweight
07:47Nathan seems motivated
07:49Hopefully we see that translate into action with him
07:53To where he makes the changes he needs when he goes home
07:56But ultimately, no matter the situation
07:59This is all going to be up to Nathan
08:00To make the changes he needs to get healthy
08:03Nathan, this is something you have to do
08:06If you want to get your life back
08:08Before you run out of time
08:10So you have a lot of changes to make
08:11Yes, sir
08:12Now, the doctor believes that the couple
08:14Is enabling each other to keep their unhealthy addiction
08:17To food going strong
08:18But doctor now wants to break that cycle
08:20As soon as possible
08:21Finally make things right like I should
08:23So I'm happy about that
08:26And that I have this chance
08:28But I know it's not going to be easy
08:31And it's going to be a hard road ahead to do this
08:34But I'm ready for it
08:36And let's just say that as nervous as Nathan is
08:38He's also excited to make the most out of this chance
08:41And get healthier for himself and his family
08:43It's been three weeks
08:44Since my appointment with Dr. Now
08:45Whoa
08:46And since then
08:48Amber and I have been focusing
08:50On making all the changes I need
08:51With the diet and exercises
08:53There's just some things that I'm able to do physically
08:56That I couldn't do 20 days ago
08:58So I actually look forward to exercise now
09:01A few weeks into the beginning of his weight loss journey
09:04Ethan really has been trying hard to lead a healthier life
09:06And his wife has joined him in the process
09:08He jumped right in
09:10So I was really impressed
09:12And I would say overall he's doing great
09:15So I really expected him to struggle more than he has
09:20I don't even know how far we was
09:22About an eighth of a mile
09:24We can turn around if we need to
09:25No, don't stop son
09:26I'm good
09:28I just
09:28It hurts
09:30Through all of this
09:31Nathan has found a lot of support in his wife
09:34Whom he wasn't expecting to be this involved in his weight loss journey
09:37All in all, the couple is definitely in a better place
09:39As they follow Dr. Now's plan
09:41Try to stick to the 1200 calories or less
09:44Not allowing myself to just eat what I want to when I want to
09:49Going into it, I was like
09:50I'm going to have to eat all the stuff that I don't like
09:52Well, when I figured out that I could stay under the 1200
09:55And work hard and still lose the weight
09:58I was like, I'm going to do this
10:00It's not about what I would let you do
10:02What would you do if I went back to that?
10:06I don't know
10:07How do you feel?
10:10I mean, I've already told you
10:11Like, it's too much for me
10:12I'm your caregiver
10:14I'm not your wife, so
10:15However, there are a few moments in time
10:18When things between Nathan and his wife
10:19Reach a boiling point
10:21Hello
10:22I know where I'm going, kind of
10:24Amber and I are in Houston
10:27For my second appointment with Dr. Now
10:29I told her how important it was to me
10:31For her to be the one that brought me here
10:33It's on the corner right there
10:35See where that red car is?
10:38It's the third month of Nathan's journey
10:40And the tension between Amber and him is evident
10:43I want her to see the progress that I'm going to have
10:46So she made the time to do this with me today
10:48And that means a lot
10:49And I'm feeling better than I have in years
10:51After Nathan begged her
10:53She agreed to come to his appointment with him
10:55But clearly, she'd rather not be here
10:57So whatever the scale says
10:59I think it's going to be something
11:01I'm at least proud of
11:02But my ultimate goal is to get weight loss surgery
11:05And that's not going to happen if I didn't lose
11:08All that I was supposed to lose by today
11:10We're going to win you
11:12Just hold on one second
11:13Let me throw it out
11:14Finally, it's time for the moment of truth
11:17Has Nathan met the goal Dr. Now set for him?
11:23Wow
11:23I'm excited
11:25Good for you
11:26The doctor asked Nathan to lose 60 pounds
11:29And guess what?
11:30He's managed to do exactly that
11:31And then some
11:32So Nathan, you're down 72 pounds, huh?
11:35Yes, sir
11:35So tell me what changes you made
11:38The biggest change that I've made
11:40Is I've really stuck to that 1200 calories or less
11:43That's the ultimate bottom line for me
11:46Of course, the doctor is also pretty impressed with his progress
11:49Well, I'm proud of you
11:50But my concern right now
11:52Seeing both of you is
11:54Your wife has a weight problem too
11:55So it's very hard for one person in family
11:59To eat healthy while the other person is not
12:02So Amber, have you thought about getting healthy
12:05And doing this with Nathan?
12:07But that's when Dr. Now opens up about his concerns with Nathan's wife
12:10Me?
12:11Yeah
12:11I would say I was a success until I had my children
12:15Because I was very successful
12:17I lost over 360 pounds with my first surgery
12:22And the reason for that being that the underlying issues
12:25Driving you to eat were never fully addressed
12:28And in your case, your success was only short term
12:32And it's safe to say that Amber wants to blame her weight gain on her husband
12:35Leaving the doctor a little confused
12:37So I think the dynamic of household will be better
12:41If you both are working to get healthy together
12:43So that both of you are in the same situation with the eating habit
12:47And able to manage it together
12:50So is that something you're interested in?
12:53Yes, I think I'd like to do that
12:55Okay
12:56The doctor believes that both Nathan and Amber
12:58Have been influencing each other's eating habits without realizing it
13:01But Amber hates all the attention that she's being given
13:04But the doctor thinks that for this whole thing to really work
13:06Both of them need to start working together and follow the doctor's orders
13:10And thankfully, the two of them seem to agree to that
13:12Nathan is doing very well
13:15And I'm proud of the progress he's made over the last two months
13:18Some confident he's ready for weight loss surgery
13:21But my concern right now is Amber and her health
13:25And how that's going to affect both of them going forward
13:29However, the doctor is still concerned about Amber
13:31Since he seems to think that she might derail Nathan's progress as well
13:34Your weight is 5'2
13:37But the reality is that at her size, she's eating because she wants to eat
13:44And so she shares somewhat to blame for their dynamic as well
13:48Hopefully, she considers the option to change her unhealthy habits
13:53And ultimately get a revision to her previous weight loss surgery that she has failed
13:58But while Nathan is on the right track
14:00The doctor wants to make sure that Amber also starts living a healthier lifestyle
14:03And her journey begins today
14:05The fact that she responded to Dr. Now
14:07And told him she'd consider doing his program has me excited
14:11Because one of my big fears is how our relationship became about food
14:15And what losing the only thing we have to bond over could mean for us
14:19So if we have doing this to bond over now, that'd be incredible
14:23Now, Nathan is approved for weight loss surgery
14:26Amber enters the program, ready to follow the doctor's diet
14:29And things are looking pretty hopeful for the couple
14:31After the last appointment with Dr. Now
14:33Amber and I came back home to Palestine
14:35And after a day or two, Amber was able to think through Dr. Now's offer
14:40To do his program and try to get a revision to her weight loss surgery
14:44You know, when Dr. Now approached me when Nathan was there to be seen
14:47I was angry, I was really angry
14:51And I was hurt because I felt blindsided
14:54But once I had time to process, I was overjoyed
15:00Because just knowing that Dr. Now is willing to help me
15:06Just makes me blessed and makes me excited now
15:09It's the fourth month of the journey
15:11And Amber and Nathan both seem to be really giving it their all
15:14And being honest about the changes they need to make to their life
15:17What are you going to get, dude?
15:19I'm thinking the lunch swiss chicken, maybe
15:23Okay
15:24Um, but what do I want today?
15:27I love their potato soup
15:28Like any apatars today, mozzarella sticks, fries
15:35No
15:36I was nervous going to the restaurant
15:38Because that restaurant in particular
15:40I normally would get all the stuff that is insanely unhealthy
15:45That I went in there with the idea that I've got to make sure that I start making good choices
15:50Otherwise, what was the point of me going through the whole journey in the first place?
15:55While Amber and Nathan still go out and share their love for food
15:58They're both extremely careful about what they eat every single day
16:01I'm here at the hospital for my weight loss surgery
16:03And I'm excited to finally get something I've needed for years
16:08All right, Nathan, you ready for your big day today?
16:12I am
16:13All right
16:14So far you have done a good job on losing weight
16:17And that make surgery and risk much less
16:19So you're doing good
16:21And you're ready for this
16:22In the fifth month, the morning when Nathan's surgery is scheduled
16:25He reports to the hospital for a weight check
16:27He weighed in at 521 pounds with a 14-pound loss
16:30And now it's time for him to go through the weight loss surgery
16:33So far, he's done a great job
16:36And he's continued to lose weight
16:37And lost another 14 pounds this past month
16:40He's down to 521
16:42So he's motivated and he's working hard
16:44Then started doing what he needs
16:46So I think he's ready for his weight loss surgery
16:49All right, let me know
16:51Okay, starting the first incision
16:54Because all that weight is putting a significant amount of strain on his body
16:59To where any number of small things can push his body to the limit
17:03Now the procedure obviously isn't easy
17:05Considering that Nathan's weight makes it hard for the doctor to perform surgery on him
17:08Nathan's surgery went very well
17:10We were able to complete his sleeve gastrectomy
17:13And he's doing very well
17:15Nathan had a very long stomach and a big stomach
17:19Like we were able to remove 80 to 85% of his stomach
17:23So he's going to be able to lose weight much easier after surgery
17:27Because he's going to be able to eat smart amount, get food real quick
17:31And not be as hungry
17:32And operation is going to give Nathan a better chance to control his eating habit
17:37And lose more weight and get closer to his ideal body weight
17:41So this surgery will help keep Nathan on track
17:44While we want to address the underlying issues
17:47And the dynamic behind all this unhealthy eating
17:50But I think he's going to do very well
17:52Back in the operation theater
17:53The doctor is really struggling to make sure he's able to get rid of enough fat
17:56While making sure that no harm comes to Nathan's body
17:59And now, it's time to see whether Nathan manages to recover well from this intense procedure
18:03A few weeks, Nathan is back home and recovering
18:22And the relationship between him and Amber seems to be pretty good
18:25So I just eat what I eat
18:26And if it tempts him, you know, hey
18:28If he's going to do it, he's going to do it
18:30And he's going to have to see for himself
18:33By next month, if she doesn't make it to her weight loss goal
18:37I'm scared she won't get the surgery
18:38And it's important to me that she does that
18:40So we're able to keep doing this together
18:42You done?
18:44I don't know, I think so
18:45The only problem is that Nathan is supposed to be on a liquid-only diet for now
18:49However, when he sees his wife eating something
18:52He can rarely ever resist the temptation
18:54Amber and I are back in Houston to go to our next appointment with Dr. Now
18:58And I'm nervous
18:59Because I don't know what the scale is going to show for either of us
19:02I know I've been losing because of the weight loss surgery
19:06And how little it lets me eat
19:07And I know Amber's been working hard
19:10So I'm just hoping that we both have some good progress today
19:13In the sixth month, the couple is headed back to Houston for their follow-up with Dr. Now
19:17You first?
19:18You first
19:19So to be on track, I should be down to 481 today
19:23I'm a bit speechless because I don't see how I lost so little
19:30While Nathan thought he would be doing okay
19:32He hasn't hit the mark he was supposed to
19:34And now it's time for Amber
19:36I had a feeling this was going to happen
19:38I tried to tell him
19:40But all I could do is control me
19:42At my last appointment, I was at 502
19:44And Dr. Now told me to lose 50 pounds
19:46In order to get approved for my revision
19:49That's disappointing to say the least
19:55And sadly, even she hasn't met the goal that would qualify her for another weight loss surgery
20:00Like the doctor suggested
20:01Walking into Dr. Now's office, the couple is nervous
20:04Knowing that he will call them out on their mistakes
20:07I don't think today is going to go like I hoped
20:09So that's disappointing, but we both have no one to blame but ourselves
20:13Well, Nathan, starting with you
20:16This is about a month after the surgery
20:18And you have lost the whole six pounds instead of 40
20:25So what's going on that you only lost six pounds in one month after we got surgery?
20:29I honestly, the only thing I can think of is that I probably have eaten stuff that I shouldn't have
20:35Once the doctor walks in, it's obvious that Dr. Now isn't impressed
20:39You go through all these things and you work hard
20:42And got a second chance to get your life back
20:45But now you throw it away and going back to killing yourself with food
20:48What are we going to do to change that?
20:50Uh, not make those choices anymore, work harder
20:53Why should I believe you're going to follow through this time?
20:57He immediately starts asking Nathan why he's taking his life for granted
21:00And once the doctor starts going off, there's nothing Nathan can say to defend himself
21:04Amber
21:05I did horrible, sir, horrible
21:07Wait a minute, you, instead of losing weight, we gave you all the tools
21:11You already had one weight loss surgery and you gained three pounds
21:16Yes
21:16So what is going on in this household?
21:19So, for me, I panicked and I literally did not get out of bed
21:27I didn't count my calories or anything for two weeks, which is, the proof is right there
21:35I just gave up
21:36Then, it's time for Amber
21:37And now, the doctor really wants to know what it is that Amber and Nathan are doing
21:41To be affecting each other's journeys like this
21:43Well, I know I can do it
21:45I haven't, but I know I can't
21:47Well, you know, I know I can go to moon, too
21:49But, what is the practical reality of that?
21:53That's going to happen?
21:55Yeah, I can go
21:55Right
21:56You get me a rocket, I will go
21:57But, that's going to be a reality?
22:00No, it's not
22:01And, figure of speech isn't going to change anything
22:04Amber, what's the solution for you?
22:06I just have to get back at it and prove to you that
22:09That I was on the right track to begin with
22:11And that I'm not going to fail you again
22:13Well, I can't believe any word you saying or Nathan saying
22:17Until I see some action
22:19Right
22:19The doctor lays down all his concerns with the way the couple has been treating this journey as a joke
22:24However, Nathan claims that he knows he can hit the goal the doctor wants him to
22:28But the doctor needs him to be realistic
22:30And, Nathan, you went off the rail quicker after surgery than anybody I have ever seen
22:36So, at this point, I'm disappointed for both of you
22:40So, I'm going to give you both two months to get back on track, okay?
22:44So, you know, this is your life
22:47And the only wealth in this world you got is your health
22:51And you turn it away by overeating and killing yourself from the food
22:55And making excuses that are acceptable to yourself, not to anybody else
23:01If you keep this up, I guarantee you, neither of you will be here five years from now
23:06He also confronts Ethan for gaining weight after the weight loss surgery
23:09Which is baffling to say the least
23:11Considering none of the doctor's other patients have experienced this
23:14We have a very unfortunate situation with Nathan and Amber
23:18For Nathan, I've never seen someone work against weight loss surgery
23:22Like he especially in such a dangerous way
23:25So soon after the operation
23:27And I think Amber's influence on both her and Nathan's eating habits
23:32Is much greater than they both realize and she admits
23:35So, the dynamic between them is looking like
23:39It is a more intricate issue that is going to be more difficult to address
23:43Hopefully, therapy will help with that
23:46Because they both are in a very dangerous place
23:49Where they are about to self-destruct
23:51At the same time, he wants the couple to go to therapy
23:53To figure out how they might be affecting each other's actions and opinions
23:57Amber and I are headed to the couple's therapy
23:59That Dr. Now wanted us to go to
24:01And if it's something that will help us, I'm ready to do it
24:04Thank you
24:06But it's definitely a little scary
24:09Welcome
24:11Glad to see you guys
24:13What made you attracted to each other?
24:15I think she's strong
24:16The strength that I wish I had
24:19I've seen her
24:20What did you see in him?
24:22He's very level-headed
24:23Very grounded
24:24It's month eight
24:25And Amber and Nathan are finally ready to go to couples therapy
24:28Since they want to make this work
24:29Does she respect you?
24:36No
24:36Probably not
24:37Wow
24:38I didn't want to answer that
24:40Because I didn't want to upset her
24:41No
24:41Probably not
24:42Not
24:42No
24:43No
24:44So, Nathan
24:46You're a great guy
24:49But I haven't seen you stick up for yourself
24:52If you don't stick up for yourself
24:54It's hard for people, even your wife
24:57To respect you
24:58And so we've got to get you sticking up for yourself
25:00And that may involve sticking up to her
25:03Because sometimes a partner will undermine somebody's weight loss
25:06I need her to be more forceful when it comes to that
25:09But I'm not going to do that
25:10You don't need her to do anything
25:11You've got to leave her out of it
25:12You start advocating for yourself
25:14It's going to make her respect you more
25:16And the number one thing you can do for yourself now is what?
25:21Lose the weight
25:22Oh, okay
25:23Things take a drastic turn when Amber claims
25:25That she doesn't respect Nathan
25:27And he fails to understand why he doesn't have his wife's approval
25:30And while there's still a lot of work for these two to do
25:32At least this is a start
25:34It's been a few weeks since we had our appointment with Dr. Paradise
25:36And since then Amber and I have been focusing on the things that he told us to do
25:41But I will say
25:42I've been proud of myself for how much I've been doing on my own
25:45And how well I'm doing at it
25:47But I joined the gym
25:49And I got a trainer
25:50So I can push myself to do even more with my exercises
25:53But at the same time when I'm here and I hit a new goal
25:56What I want to do is turn and tell Amber
25:58And then I wish she was here
26:00A few weeks later
26:01Nathan has started taking his health more seriously than ever
26:03However, no matter how hard he's trying
26:05Nathan feels like his relationship is constantly rocky
26:08And he has completely lost his wife's love
26:10I'm in Houston for the appointment with Dr. Now
26:13Amber couldn't make it today because she had to work
26:16She got a new job this past month
26:18And she wasn't expecting to have to work today
26:22So she thought she was going to be free today
26:25But I know that he's going to think that she's trying to avoid him or avoid the scale
26:29But that's not what's going on
26:31In the eighth month, it's time for Nathan to head over to the doctor for his appointment
26:35Sadly though, Amber doesn't make it
26:37At the last appointment two months ago, I was at 5.15
26:39And Dr. Nash says I should be losing at least 20 pounds a month
26:43So that means I need to have lost 40 pounds by today to be under 4.75
26:48Now, after making all these lifestyle changes
26:51Working out and going to therapy
26:52Nathan wants to know if any of it has worked
26:54We're going to be going to room 5, please
27:01And while he hasn't hit the exact mark, it's definitely almost there
27:07But will that be enough for the doctor?
27:09So it looks like you're losing about 14 pounds a month
27:12Which is closer to what you should be losing 2-3 months after weight loss surgery
27:18But you still have a little ways to go
27:20To be losing 20 pounds a month like you should be
27:23But Amber, she didn't give that appointment either
27:26You know Amber's going to be here next time
27:28Alright, no one's going to say that she's going to make it
27:31I know that she wants to do this
27:32She'll be here next time
27:33We're both in this 100%
27:36Okay, keep up the good work
27:38And I'll see you in two months
27:39More than Nathan though, the doctor is concerned about Amber
27:42Surprisingly, the doctor is happy with Nathan's progress
27:46But he definitely thinks that it can be better
27:48While going hand in hand with his therapy
27:50Amber and I are back at Dr. Now's for our next appointment
27:53And we're both a little nervous
27:55But we're both expecting to see progress today
27:58But I've been trusting that all we're doing
28:00Is going to move us in the right direction
28:02So I'm hoping that trust and faith pays off for us today
28:05It's the 10th month
28:07And it's already time for the next appointment
28:08This time around, Amber is also here to see if she's made any progress
28:12So I can show him I'm ready to do what I need to get healthy
28:15And hopefully get my revision surgery soon
28:18The last time my weight was at 505
28:21And my goal has been to lose 50 pounds
28:25So that would put me at 455 today
28:28That's close
28:32And it's a lot of weight loss
28:34Again, while Amber hasn't hit the exact goal
28:37She's pretty near to it
28:38And in this case, all progress is good progress
28:40To be on track, I should have lost 40 pounds to be under 447 today
28:44I'm proud of us
28:50I think we both did great
28:51So I'm really happy right now
28:52Then it's time for Nathan
28:54And well, him and Amber are pretty much making the same amount of progress
28:57Amber, I'm glad that you could make it this time
29:00Sorry I missed the last appointment
29:02It won't happen again
29:03Alright, I'm glad to hear that
29:05And I'm glad to see that you're making some progress
29:08Thank you
29:09You both have been making progress
29:11So that's good
29:12The dynamic for us is different than a lot of people
29:15So it was hard
29:16But it was really good
29:17It made us really look at how we are as a couple
29:20And work on that
29:21We started putting those in place
29:22Alright, so the key issue will be to continue that for long term
29:28Yes
29:28Alright, I'm glad to hear that
29:31It's finally time for the couple to meet the doctor
29:33And he acknowledges their constant progress
29:35We'll do an endoscopy on you to see how things are with your first weight loss surgery
29:40You had when you were younger
29:41To see if a revision is possible
29:44There could be scar tissue or other reasons preventing a revision
29:48Or another weight loss surgery
29:50If everything looks good, I will schedule you for a weight loss surgery revision in two months
29:56Okay
29:57We'll set that up and we'll go from there
30:00But I'm proud of both of your progress
30:01So keep up the good work
30:03I'm very happy to see the improved progress with both Nathan and Amber
30:08I was initially concerned about Amber
30:11Because of the fact she has already failed one weight loss surgery
30:14And because of the pattern I've seen from her
30:17Where she seems to avoid responsibility for her part
30:20With the negative dynamic between her and Nathan
30:24But I'm glad to see that's not the case
30:26And that she's starting to make the changes she needs
30:29And while the doctor can't give Amber her weight loss surgery just yet
30:32He's more than happy to do an endoscopy
30:34To see whether a revision on her previous weight loss surgery will even be possible
30:37All in all, the doctor is pretty supportive of the couple
30:40Commending them for their good job
30:42I'm here at the hospital for my endoscopy
30:45But I'm getting my weight check done first
30:47To see how I've been doing the past month
30:50454.2
30:54Yeah, it works
30:57I'm still moving along and I'm getting there
31:01I'm a little nervous because I really want to have the surgery
31:06But at the same time, you know
31:07This part is out of my hands
31:09So it'll just be what it is
31:11But I'm confident that if there's a way to do it
31:14Doctor Now will figure it out
31:16In the 11th month, Amber is gearing up for her endoscopy
31:19To see what Doctor Now can do with the revision of her weight loss surgery
31:22Amber has a very difficult situation
31:25She has a previous gastroplasty
31:27Which is a staple line
31:29Which is a very narrow staple line
31:31And leaving a very small stomach on one side
31:34That makes it very difficult to work without
31:36There is practically no way to do a severe gastrectomy in here
31:40Because staple line makes it so narrow that she won't be able to swallow
31:43So the only potential for revision will be gastric bypass
31:48Which is more complex operation than stiff gastrectomy
31:51But that option is still going to be difficult
31:54Because of those scar tissue she had
31:56But we can work with it to do a bypass
31:59If Amber is going to stay committed to doing what she needs
32:02To make the second weight loss surgery successful this time
32:06Sadly though, right now, it's a little difficult for the doctor to revise Amber's surgery
32:10However, the option she does have is to get a gastric bypass
32:13Which is still going to be hard because of her scar tissue
32:15Well, we did the endoscopy
32:17You do have a very difficult situation
32:20Because you get a narrow staple line
32:22Which is about seven inches long
32:24And that is making it very, very difficult
32:28To be able to correct that to sleeve
32:30The only possible way is to convert that to gastric bypass
32:34Okay
32:35So we'll schedule that for two months from now
32:38All right, sounds great
32:40I'll see you later
32:41See you later
32:42Okay
32:42Right now, I'm encouraged by Amber's progress
32:45And I'm happy to see Amber lost seven pounds over the last month
32:50So hopefully she sticks to it
32:52And we are able to move ahead with her weight loss surgery soon
32:56However, Amber really needs to show a lot of dedication
32:58Ensuring that she doesn't let go of herself like she did back with her first surgery
33:02Amber and I had another appointment with Dr. Now today and it went well
33:05He says we're on track
33:07And the really good news is that he scheduled Amber's surgery for next month
33:11So we're both excited about that
33:13When Nathan told me his idea to stay in Houston and go out
33:17I wasn't sure if it was a good idea
33:19Because I didn't know if this was going to lead to any sort of temptation
33:22Because that's what we've always done together
33:24But I decided I was going to keep an open mind
33:27I do think Nathan is on the right track to him
33:31Kind of going back to being my husband
33:33Back like it was originally
33:35But it's a work in progress
33:36It's the final month of Nathan and Amber's weight loss journey
33:39Through all of this, Nathan has lost a total of 193 pounds
33:44While Amber has lost 47 pounds
33:46The two are still on track for their weight loss
33:48With Amber's surgery being scheduled as well
33:50Through all their struggles
33:51Amber and Nathan seem to have finally found their groove again
33:54With the help of Dr. Now and with each other's support
33:57Thank you so much for listening to me
34:10We'll see you next time
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