There are too many episodes where the people wanting to lose weight become confrontational with the doctor. I watch the show to see how they progress and lose the weight, not to see them being disrespectful and argumentative with the doctor. I don't know if they are encouraged to do so, by the producers and directors, but if they are, I think it is a big mistake, because it's a turn off, and I end up switching the channel to watch something else.
Review of My 600-lb Life
