I love the formula:  first is a humiliating shot of fatty bathing, or being hosed off on the porch interview with the hamily scenes of ginormous portions being brought in by the enabler fatty sitting on a tarp on the floor of a van being driven to texas last stop at a fast food drive through, cut to fatty stuffing face weigh in, Dr Now giving them the diet plan Fatty eating garbage and making up excuses first weight in, Dr Now is dissapointed and wants them to try again <various levels of failure>