You know I find it amazing that someone doesn't notice that they are getting that large. I in no way feel for these people. Shoving a ton of garbage down your throat is not the way to deal with this type of situation. My aunt 400 pounds attended Weight Watchers lost 230 pounds but again turned to food again as a crutch. It is possible to lose the weight and keep it off if you have the will power. Now my aunt, had the gastric bypass and is happier than ever. Thankfully she never made it to 1200 pounds. That's just ridiculous and sickening.