Cue the P!nk and get this party started because Teretha Hollis-Neely is celebrating. The star of TLC's "My 600-lb Life" season 4 once weighed 800 pounds, but has halved herself and then some. After Dr. Younan Nowzaradan did bariatric surgery, the once morbidly obese woman was able to shed over 400 pounds. Teretha just reported on further pounds lost, which would bring her close to a quarter-ton weight loss. How did this remarkable lady do it?

Morbid obesity backstory

Do you find yourself asking after watching reality television shows like "My 600-lb Life" and "Biggest Loser" how people got so overweight? Funny thing, because the obese ask themselves that question too.

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It would be easy to blame, fault-find, and finger-point. The patients do that along with making excuses, living in denial, or giving up. But Dr. Nowzaradan explains that each person has to make the decision to lose weight by and for himself. The gastric bypass surgeon doesn't let the patient (nor family) blame. He calls out enabling and shaming and says the patient must accept his own role in obesity, and power to reverse it.

Patients must heal themselves

Every patient who seeks out "My 600-lb Life" and Dr.

Now wonders the same thing--where did all this weight come from? Some recognize how they got obese but won't accept responsibility for obesity. Some make excuses. Others seem mystified, as if this is another person. Most all say the hundreds of extra pounds snuck up on them. And as Teretha's story shows, that's exactly what they did.

Nobody starts life so heavy: it grows with time spent making poor food choices, overeating, not exercising and living sedentary lives. There may be mental health issues or past trauma. But ultimately only the patient can lose the weight. After Teretha did, she was able to walk again for the first time in years.

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Teretha's livin' on a prayer

Teretha Hollis-Neely posts regular updates on Facebook and she always credits her massive pound shedding to God and the good doc Now (in that order). She says she's alive thanks to them. "My 600-lb Life" teaches that a lot of hard work went into this major life change. The surgery is the easy part: it's the life after gastric bypass that's harder. But if patients prove that they can lose, they usually qualify for skin removal surgery (akin to plastic surgery) that helps shed more pounds.