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Paul made a promise to his girlfriend that he intends to keep; to ask her to marry him within a year's time. Now he just has to lose about 300 pounds. Carrie needs surgery badly, but she prefers not to change her eating habits.
Mike has an unusually tough decision to make, when moving to Houston for weight loss surgery might mean forfeiting custody of his kids. Chrystal finally gets her surgery and makes a big leap towards being the mom her kids deserve.