The story of a 625lb mother-of-six who died as a result of her weight is documented in a new TLC show.
Dominique Lanoise, 40, from Miami, Florida, was virtually housebound for almost two decades with her daughters washing, feeding and caring for her.
She died in March, after being given less than a year to live by doctor's who had been waiting to give her potentially life-saving stomach surgery.
Commenting on her situation, Dr Oscar Hernandez from the Southern Bariatric Center in Miami, said:
'She’s gone to town eating, there is no operation at these numbers.'It wasn’t a one time slip-up it was a systematic assassination of her weight loss program.'Watch her video and pics after the cut:
During the TLC special, 600-Pound Mom: Race Against Time, he is seen visiting Lanoise at home telling her: 'You are going to die in this bed; this bed is your coffin.'
Dr Jorge Rabaza the bariatric surgeon in charge of giving her life-saving surgery agreed that operating at that point would be too risky.
'I'm willing to be reasonable with that number. Dominique is 625 I will not do the surgery,' he said.
'There is a high mortality rate for morbidly obese patients, where they get blood clots in their legs and the blood clots go up to their lungs. A large blood clot will kill a patient instantaneously.'
He said the eventual goal was to reduce her stomach by 90per cent.
Lanoise, born in Haiti, started gaining weight aged 16, following the birth of her first daughter, Witelane.
'I used to be skinny but after I had my first baby I got so big.' she told Asiantown.net.
As her weight skyrocketed to more than 600 lbs, she spent her days sitting in bed wrapped in sheets as she couldn't find clothes to fit.
She first came to the media's attention in 2010 when she was forced to stay in Haiti for three months after the earthquake, because she was too heavy for commercial airlines.
What a life! What went wrong with such a pretty lady? Feel so sad for her daughters.