Dottie on "My 600 Lb. Life"

‘My 600 Lb. Life Where Are They Now?’ Dottie’s Tragic Story Part Of Second Year on Program

Tonight on My 600 Lb. Life: Where Are They Now?” we’ll follow Dottie’s second year of treatment by Dr. Now for morbid obesity. Dottie was not a compliant patient for most of the first year we followed her.  RECAP of episode posted below.

She resisted following the eating program for seven months, making excuses related to the need to care for her two children. What we learn early on in the episode of “Where Are They Now?” is that one of her son’s died suddenly, changing everything.

Dottie’s first year was marked by older son’s medical emergency. He lived with Cerebral Palsy, and when he was hospitalized she never left his side. That wasn’t the only thing that hampered her attempts to lose weight. She substituted her judgement for that of the doctor.

Dottie developed abandonment issues as a child after her mom turned away from her and lived in constant fear that she would do the same to her two children because of her physical condition. Instead of making that the reason to live and get healthy, it further complicated her life. She couldn’t fathom how to fit in a strict diet during busy days of childcare.

As he usually does on “My 600 Lb. Life”, Dr. Now told her to lose at least than 40 lbs. the first month of the program, but Dottie lost only six. She made excuses and of course lied to the doctor about what she ate. She essentially made up her own eating plan ans substituted her judgement for the doctor’s.

She was stunned that her plan didn’t work. Nowzaradan took the extreme measure of ordering a month-long hospitalization to force her into limiting her food intake. She agreed, despite the fear of leaving her boys, and then her older son had a medical emergency that required he be hospitalized.

Nowzaradan got stood up and Dottie rarely left the child’s side for weeks on end. When it was all said and done, she agreed to try it Nowzaradan’s way, but by that time she gained more weight, so she was 669 lbs. when she returned. Only in the eighth month of treatment did Dottie get serious. It was after she was forced to attend therapy sessions, something she put off for years. By the end of her first year she was 150 lbs. lighter

How will Dottie handle the loss of her son? Head on back here tomorrow for a recap.


When we left Dottie at the end of “Where Are They Now?” she was “back on track” as everyone in the show likes to say, but it was a monumental struggle. We watched her lose all sense of who she was as a person after her son died.

In her own words, Dottie told us that she created a career for herself filled with childcare and homemaking, that left little time for herself. She was taken out of that environment for a short time in year one, when Dr. Now hospitalized her. In year two, she had nowhere to escape her troubles.

Her younger son wasn’t speaking much, if at all, despite him being of the age. A visit to a speech therapist made Dottie realize that she left the boy with his older brother a lot, who didn’t speak, and wasn’t paying enough attention to the speech development of her little boy.

Dr. Now gave her a pass on the diet until she worked out her emotional issues with a therapist. That helped a bit, but even after some treatment and months after her son passed, Dottie couldn’t lose weight. She had to lean in, as the saying goes to her grief and depression. She began to journal, visit her son’s grave and plant flowers and speak of him, and what he would want for his mom.

Once the therapist suggested that she and her husband leave the house and do something fun like parents of a young child do, it changed things for both mother and child. That was the saddest part of the story, because you could see that Dottie was totally housebound, by choice, while caring for her son with CP.

What did you think of how Dr. Now handled her situation and Dottie’s struggle?

“My 600 Lb. Life: Where Are They Now?” airs Wednesdays on TLC, beginning at 8 p.m. ET/PT  Image credit: TLC: used with permission 

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