"Okay, big guy, it's time for some home truths. We've done a really thorough examination, and I think you know it's not good news. Everything is way up, man. Your cholesterol, your blood pressure, your waist, chest, legs, everything. Especially, of course, your weight. I warned you, didn't I? Look at me when I'm speaking to you. I know you're embarrassed by this conversation, but do not look away. Now I warned you six months ago, didn't I? You were standing on that scale crying your eyes out when I told you you weighed 389 lbs. I really thought that was a wake-up call for you, big guy. And yet here we are. In just six months you've gained nearly 100 lbs. My guess is you're gonna be tipping 500 lbs pretty damn soon. Doesn't that freak you out? Knowing you'll weigh a quarter ton just because you're so fucking greedy and weak that you can't stop eating? And where will you go from there? 700 lbs? 900? Just how much fatter are you going to get?"