“A goal of losing 70 pounds in 2 months” — 600-lb Diaries with Dr. Now star helps Sam kick start his weight loss journey

Sam, one of the newest patients struggling with extreme obesity, was introduced to viewers when 600-lb Diaries with Dr. Now returned. With the help of his whole family at the table, Dr. Now gives a tough-love order in episode 8, detailing a rigorous yet transforming plan to lose 70 pounds in two months:

"So changing eating habits is going to be important for the whole family. I’m going to give you a goal of losing 70 pounds in 2 months," said the doctor in his signature no-nonsense manner.

The statement emphasizes how urgent and group change is needed in Sam's home.

Sam's physical transformation becomes a family matter as a result of this ambitious objective, which sets the stage for an emotionally fraught trip. His discipline, as well as the cooperation and desire of those around him, will be put to the test by the weight targets, which are almost a pound per day for 70 days.

As the episodes continue, viewers will witness a strict accountability path, drunken emotional breakdown, and doctor-designed meal plans, illustrating both the progress possibilities and raw emotional vulnerability that comes with losing weight so quickly. Sam’s all-too-relatable experience reflects the show's basis — the goal isn’t only to shed pounds, but to change your mentality and reclaim life one bite at a time.

Sam’s journey begins — Weight loss mission on 600-lb Diaries with Dr. Now

Meet Sam, a new participant on 600-lb Diaries with Dr. Now, whose life has reached a turning point. Sam has decided to change his health because his weight has risen above 600 pounds, and Dr. Now has given him a difficult task: Lose 70 pounds in two months. This beginning signifies a family-wide commitment to change in addition to a personal quest.

Sam’s struggle with food and emotional eating

Sam's unguarded Instagram introduction makes it obvious that he easily consumes 6,000 to 8,000 calories a day and turns to food for solace when he is depressed:

"I could easily put 6,000, 8,000 calories a day. Easy," said Sam on 600-lb Diaries with Dr. Now. "Everything you all do together is focused around the food," he added.

His dependence on food as a source of comfort reveals how deeply seated the problem goes, not only a struggle on a personal level, but also a culture within the home built on shared rituals, emotions, and habits. These revelations frame his journey and underscore how weight management is more than just about willpower, but also about maintaining family relationships and mental health.

Dr. Now’s bold two-month directive

During his appointment on 600-lb Diaries with Dr. Now, the expert confronts Sam and presents a strict family-oriented plan while delivering his trademark tough-love approach. The doctor said he will be setting him a goal of losing 70 pounds over 2 months. He also emphasized the importance of switching the eating habits of everybody at Sam's home.

The numbers aren’t symbolic — they are a daily-burning mission that demands strict meal planning, accountability, weekly weigh-ins, and emotional support from every family member:

"I'm willing to do exactly what your plan is," was Sam's resolute response. "No excuses."

This underscores his determination and sets the tone for a transformative, albeit grueling, journey.

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Tune into Lifetime to watch the latest episode of 600-lb Diaries with Dr. Now every Monday at 10/9c.

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