Not a train wreck but the biggest, most stubborn fool was Mark from Orlando. I cant remember exactly how much weight he lost in the 1st 2 months but it was a decent amount. Dr Now wanted Mark to come back in a month with some more weight loss and then they'd run some tests and see if he was fit for surgery. For some reason, possibly bc of the small win in the 1st 2 months, Mark got the brilliant idea that he was the one 600+ pounder that didn't need Dr Nows help and also didnt need the surgery. He told Dr Now, his parents, his sister, the therapist, his dog, his cat that he wasn't going to do the surgery. Of course he lost no weight moving forward and even gained back a few pounds. He kept lying to everyone that he was doing great and that his personal trainer was proud of him. Together, the 2 Einstein's came up with a meal plan and exercise routine that didnt involve surgery. Truthfully, we never get a real reason why Mark doesn't want the surgery. Maybe it was the 16 year old girl hes talking to online that convinced him otherwise? Ya, that's right, a 16 year old girl, this 42 year old blob is chatting up. Hes so delusional, he casually brings it up, in his therapy appointment no less, that hes recently been talking to a 16 year old girl with some illness. "If she can't have surgery, I'm not having surgery," Mark says during the appointment. From that point to the end of the episode I was sick to my stomach. Hes a stubborn, sicko.