"Please don't give up on me"— The 6000-lb Diaries with Dr. Now's Trista pleads to stay in the program after minimal weight loss

In episode 5 of The 6000-lb Diaries with Dr. Now, which aired June 9, 2025, Trista’s progress reached a critical moment after five months of following the weight loss program. Despite her participation, she had only lost 35 pounds, far below the expected benchmark. During her follow-up consultation, hoping to continue under Dr. Now’s care, Trista said:

“Please don't give up on me."

However, Dr. Now outlined the situation clearly, stating that the program could not move forward without a stronger commitment. Although she was officially removed from the surgical program, therapy and nutritionist support would remain available if she continued losing weight.

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Dr. Now sets firm conditions as Trista struggles to meet weight loss goals on The 6000-lb Diaries with Dr. Now

Trista reflects on her past and need for help

Trista entered the program after experiencing personal loss, including the death of her son and the breakdown of her marriage. These events led her to use food as a coping mechanism, contributing to her reaching over 6000 pounds.

Seeking change, she turned to Dr. Now’s program to regain control of her health and begin recovery.

Throughout the episode, The 6000-lb Diaries with Dr. Now star spoke openly about her emotional challenges. She expressed a desire to recover and improve, saying,

“It's not because I haven't been trying, because I really have.”

Her words reflected her awareness of the work still required, even as she appealed to stay in the program. Dr. Now responded with a realistic summary of her progress, noting,

“In five months, you have lost 35 pounds, and that is how much you should have lost in one week if you stick to [a] 1200-calorie-a-day diet.”

He explained that the issue was not simply about trying but about measurable outcomes.

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Dr. Now evaluates progress and sets expectations

Dr. Now provided a clear assessment of the situation, explaining that Trista had remained at the same progress level for some time and was now "slowing down."

While acknowledging The 6000-lb Diaries with Dr. Now star’s partial effort, he emphasized that the current rate of weight loss was not consistent with the program’s expectations for surgical consideration. He added:

“I know you've made some changes, and you're hoping to convince me and convince yourself that you're doing all the changes you need.”

However, the results did not meet the medical criteria needed for continued eligibility in the surgery path. Despite removing her from the program, Dr. Now offered an opportunity for reentry.

“If you decided to wake up and take responsibility for your life and lose 40 pounds in two months, then you can come back here and we’ll consider moving forward with you.”

He outlined the condition clearly, leaving the next steps in Trista’s control.

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Support continues under conditional terms

Although The 6000-lb Diaries with Dr. Now star was no longer an active candidate for surgery, Dr. Now offered continued support in other areas.

“I'm gonna keep therapy and nutritionist available to you as long as you keep losing,” he explains.

He emphasized that these services were intended to support her if she continued to make progress on her own. He clarified that once she stopped losing weight, it would indicate that her efforts had ended.

The option for future re-entry remained, but only through demonstrated progress. Dr. Now closed the conversation with a reminder:

“You can have [a] happy and healthy life, but you have to do the work to make that happen.”

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Catch The 6000-lb Diaries with Dr. Now every Monday at 10 PM ET on Lifetime.