That 600lb life show is some of the most meta Shitlording I've seen So basically the the show is about hamhams wanting to get stomach surgery because they weight more than a dressed cow carcass. The doctor is a no-bullshit kind of guy. He basically says "you have to work with the surgery, it's not a magic bullet," and sends them home for a month to follow a post-surgery diet to lost 30lbs in one month(edit: to prove that they won't get the surgery and then eat shit food and then gain more weight). After the surgery, the planets have to follow a post-surgery diet to lose 30 lbs a month. My point is that the eat beasts prove that they can lose 30lbs without the presence of a surgery and then go through with the surgery anyway. I'm sure you all can come up with some good reasons as to why, lol