0:00:01 > 0:00:06What would a doctor discover if they lived with you 24 hours a day?
0:00:06 > 0:00:08- Hello!- Hello.
0:00:08 > 0:00:10Come and meet the doctor.
0:00:10 > 0:00:13How much would you be willing to reveal?
0:00:13 > 0:00:17I'm scared that I may get bullied for how I look and my weight.
0:00:17 > 0:00:19I feel like I'm drugged.
0:00:19 > 0:00:21But, Nicola, you're right, you are drugged.
0:00:21 > 0:00:24Would they be shocked by what they find?
0:00:24 > 0:00:26Nobody's explained to her,
0:00:26 > 0:00:28in language that she understands,
0:00:28 > 0:00:31how to manage her condition.
0:00:31 > 0:00:33It's not acceptable.
0:00:33 > 0:00:37Most GPs only get about ten minutes with each patient.
0:00:37 > 0:00:40Dr Rangan Chatterjee wants to try a different approach.
0:00:41 > 0:00:44All the time in my consultation room,
0:00:44 > 0:00:46I'm seeing problems that are lifestyle problems,
0:00:46 > 0:00:49and they don't need a pill. They need a lifestyle change.
0:00:50 > 0:00:52He's about to spend time
0:00:52 > 0:00:54with families who struggle with their health.
0:00:54 > 0:00:57Everything we've tried has basically failed.
0:00:57 > 0:00:59SHE WAILS
0:00:59 > 0:01:03He'll gain insight into every aspect of his patients' lives.
0:01:03 > 0:01:05How do they eat? How do they sleep?
0:01:05 > 0:01:07How do they move and exercise?
0:01:07 > 0:01:09And how do they switch off and relax?
0:01:09 > 0:01:11He'll detect undiagnosed illnesses...
0:01:11 > 0:01:14It probably puts you at high risk of early death.
0:01:14 > 0:01:16..deliver some home truths...
0:01:16 > 0:01:19I think this fear is holding you back.
0:01:19 > 0:01:21Please, don't turn it into... this is a...
0:01:21 > 0:01:24This is because I'm mentally fearful.
0:01:24 > 0:01:29..and discover ways we could all live longer, healthier lives.
0:01:29 > 0:01:32It's amazing how many times, when you get those basics right,
0:01:32 > 0:01:35all of the other problems get so much better.
0:01:35 > 0:01:39Feeling good, energy up, I can even dance.
0:01:39 > 0:01:41Shall we have a dance?
0:01:51 > 0:01:54What is it doing, though? What's the purpose of it?
0:01:54 > 0:01:57This week, Rangan will attempt to help two families
0:01:57 > 0:02:00struggling with very different relationships with food.
0:02:00 > 0:02:01It's really hard.
0:02:01 > 0:02:04First is the Phillips family from north London.
0:02:04 > 0:02:06- Like this?- Yes.
0:02:06 > 0:02:0950-year-old mum Rebecca works part time in a cafe.
0:02:09 > 0:02:11That's how I dance.
0:02:11 > 0:02:1442-year-old dad Mark works in retail.
0:02:15 > 0:02:17And their sports-mad 11-year-old son Kiki
0:02:17 > 0:02:19is still at primary school.
0:02:20 > 0:02:25The first sport that I actually done was mixed martial arts
0:02:25 > 0:02:29and the second sport that I done was football,
0:02:29 > 0:02:31and then it was basketball.
0:02:31 > 0:02:33I think I'm good.
0:02:35 > 0:02:39Kiki is a very active child who's been overweight his whole life.
0:02:39 > 0:02:42His GP and his family have tried him on various diets,
0:02:42 > 0:02:44but nothing has worked.
0:02:45 > 0:02:47'He is active,
0:02:47 > 0:02:51'and I can't understand how he hasn't lost the weight.'
0:02:51 > 0:02:55But as he's developing, he's realising that he's a big kid,
0:02:55 > 0:02:57his body's different.
0:02:57 > 0:03:01I want him to feel confident in himself, so if we can get him
0:03:01 > 0:03:05sorted right now, that would be fabulous.
0:03:08 > 0:03:09For the next two months,
0:03:09 > 0:03:13Rangan will try to find the cause and cure for Kiki's obesity.
0:03:16 > 0:03:19- Hello.- Hello, hi. - How are you doing?
0:03:19 > 0:03:22Today he is meeting Mark, Rebecca and Kiki,
0:03:22 > 0:03:25as well as Kiki's 22-year-old brother Cesar.
0:03:25 > 0:03:28You've come to sort out our ailments?
0:03:28 > 0:03:31I've come to certainly try and sort out your ailments.
0:03:31 > 0:03:33It depends what the ailments are, I guess.
0:03:33 > 0:03:37- Kiki? - OK. So, with me, it's my weight.
0:03:37 > 0:03:40I was like this since I was a baby
0:03:40 > 0:03:43and all of a sudden, I'm trying to lose the weight,
0:03:43 > 0:03:47but it seems like I'm just gaining more weight, and it's really
0:03:47 > 0:03:51frustrating because I'm scared that when I'm in high school
0:03:51 > 0:03:55I may get bullied for how I look and my weight.
0:03:55 > 0:03:59So, if I could lose quite a lot of the weight, I'll be so happy,
0:03:59 > 0:04:04so that I may not get bullied about my weight and how I look,
0:04:04 > 0:04:06I may get bullied about other reasons.
0:04:06 > 0:04:08OTHERS LAUGH
0:04:08 > 0:04:10But at least...
0:04:10 > 0:04:13No, I'm just saying, at least the other reason would be
0:04:13 > 0:04:17because I'm smart or how I dress,
0:04:17 > 0:04:19because they may be jealous.
0:04:19 > 0:04:22OK. Have you been bullied so far because of your weight?
0:04:22 > 0:04:23- Um...- REBECCA:- Mm-hm.
0:04:23 > 0:04:26I want to say no, but, yeah.
0:04:26 > 0:04:29Kiki's now self-conscious about changing when he's at school
0:04:29 > 0:04:31because he has a bit of a belly.
0:04:31 > 0:04:35You know, being told that he's a fat kid isn't the nicest thing
0:04:35 > 0:04:39and, you know, kids nowadays aren't too nice with their insults.
0:04:39 > 0:04:41- REBECCA:- Kids in general... - Yeah.
0:04:41 > 0:04:44But it's not just Kiki who's battling health issues
0:04:44 > 0:04:46in this family.
0:04:46 > 0:04:49I have missed time off work due to a bad back,
0:04:49 > 0:04:52or I've gone to work with a bad back,
0:04:52 > 0:04:55to the point that I've had to go home or go to the hospital
0:04:55 > 0:04:57because the pain's been that bad.
0:04:57 > 0:04:58You've had to go to the hospital
0:04:58 > 0:05:01from work because the pain's been that bad?
0:05:01 > 0:05:03Yes. Obviously I've got a family to look after,
0:05:03 > 0:05:07I go to work anyway, and there's been odd times where my back's been
0:05:07 > 0:05:10so bad, I'm laying down in the office
0:05:10 > 0:05:14and if I hear customers come in, I roll up, serve a customer,
0:05:14 > 0:05:17wait till they're gone, then I'd roll back down onto the floor
0:05:17 > 0:05:18until the next time.
0:05:18 > 0:05:21Mark's back pain means he's losing days at work, and it's
0:05:21 > 0:05:24affecting the family's financial situation.
0:05:24 > 0:05:27I don't know nothing else apart from working
0:05:27 > 0:05:31and, financially, I still can't meet that demand
0:05:31 > 0:05:34- of trying to look after my family.- It's fine.
0:05:34 > 0:05:37It pisses me off, pardon my French.
0:05:37 > 0:05:40But it pisses me off. Get them well,
0:05:40 > 0:05:44and if you could get me partially healthy afterwards, that's fine.
0:05:44 > 0:05:47As you keep reminding us, you're the head of the family,
0:05:47 > 0:05:49so if you're not right then we're not right.
0:05:49 > 0:05:51OK, just stand in front of me.
0:05:51 > 0:05:55Rangan begins to investigate the cause of Mark's back pain
0:05:55 > 0:05:57by looking at the position of his feet.
0:05:57 > 0:06:01- The important thing, for me, is that it's not symmetrical.- Yeah.
0:06:01 > 0:06:04If they're not symmetrical, it's not going to be symmetrical further up.
0:06:04 > 0:06:07- Yeah.- Does that seem reasonable? - Mm-hm.- Is it OK?- I guess so.
0:06:07 > 0:06:10He then wants to look for any clues in their blood
0:06:10 > 0:06:12and test their saliva...
0:06:12 > 0:06:14Basically, it's a spit test.
0:06:14 > 0:06:17..as part of a thorough examination.
0:06:17 > 0:06:19It's 98 over 65,
0:06:19 > 0:06:24- which is well within what I would regard as normal.- OK.
0:06:24 > 0:06:28- So, no need to be concerned about that at all.- OK.
0:06:28 > 0:06:32But for Kiki, the most important thing is to measure his weight.
0:06:33 > 0:06:36So, your weight is 70.4kg,
0:06:36 > 0:06:39it's about 11st 1 lb.
0:06:39 > 0:06:41That is how much I weigh!
0:06:41 > 0:06:42That's a lot.
0:06:44 > 0:06:46That's really heavy for your age.
0:06:46 > 0:06:48His BMI was 33.
0:06:48 > 0:06:50What?!
0:06:51 > 0:06:54No. That's not good, babes.
0:06:54 > 0:06:55- OK?- Yes.
0:06:55 > 0:06:58Yeah? Do you know what the good thing is?
0:06:58 > 0:07:02The good thing is, now I'm coming in, I'm hearing what's going on,
0:07:02 > 0:07:03I've got a baseline measurement,
0:07:03 > 0:07:07now I've got something to work with and something to help you guys with.
0:07:07 > 0:07:09- Are you OK?- Yes.- Yeah?
0:07:10 > 0:07:14I was shocked. I actually was wondering, "Is that scale right?"
0:07:14 > 0:07:19because an 11-year-old kid being over 11 stone?
0:07:19 > 0:07:24If we don't get on top of this now, he's going to be an overweight adult
0:07:24 > 0:07:26and he's going to have all the health problems
0:07:26 > 0:07:28that is associated with that.
0:07:28 > 0:07:31It's dinner time, and it's the first chance for Rangan
0:07:31 > 0:07:35to see for himself exactly what Kiki's diet is like.
0:07:35 > 0:07:36Is this a typical meal?
0:07:36 > 0:07:40- Yeah, more or less. - Yeah? Great. Tasty and healthy.
0:07:40 > 0:07:42Thank you. This is why I don't understand
0:07:42 > 0:07:45why Kiki is so overweight.
0:07:45 > 0:07:47If we are having our five-a-day,
0:07:47 > 0:07:50- and some...- Yeah.- ..how does that work?
0:07:51 > 0:07:54With no real clues coming from his diet at home...
0:07:54 > 0:07:56All right, is that bedtime?
0:07:56 > 0:07:59..Rangan is keen to see what Kiki eats at school,
0:07:59 > 0:08:01away from Mum's watchful eye.
0:08:06 > 0:08:10I've come to Kiki's school to get an idea of what he actually does
0:08:10 > 0:08:13at lunchtime, because he spends a lot of time here at school,
0:08:13 > 0:08:16he's having five meals a week here at school.
0:08:16 > 0:08:19If his friends are having sweet things and fizzy drinks,
0:08:19 > 0:08:20and I tell him not to have it,
0:08:20 > 0:08:23it's pretty hard for an 11-year-old, I think.
0:08:23 > 0:08:26So I need to really tread carefully, I think.
0:08:26 > 0:08:29Hey, Kiki. How are you doing? Good to see you. Are you all right?
0:08:29 > 0:08:31- Yes.- Good. Very, very nice to see you again.
0:08:31 > 0:08:35You go in here? OK. Have you brought your lunch with you?
0:08:35 > 0:08:39- Yes.- Can I sit with you guys? Is that all right?- Yeah.
0:08:42 > 0:08:45What have you got with you today, Kiki?
0:08:45 > 0:08:47I've got plum, chicken and rice.
0:08:47 > 0:08:49Plum, chicken, rice and...?
0:08:49 > 0:08:52- Peas.- OK. What do you have to drink?
0:08:52 > 0:08:56Usually, I have water from the water fountain.
0:08:56 > 0:08:59OK. Do you ever bring anything else?
0:08:59 > 0:09:04- No?- No.- OK, so you had some cereal at 7.30?
0:09:04 > 0:09:07It's, you know, 1.20 now,
0:09:07 > 0:09:10and you didn't eat anything in the morning?
0:09:10 > 0:09:12Were you hungry in the morning?
0:09:12 > 0:09:15- Not really.- No?
0:09:15 > 0:09:18Wow, so that's a good five, five-and-a-half hours
0:09:18 > 0:09:21- you didn't eat for and you didn't feel that hungry?- Hmm.- OK.
0:09:21 > 0:09:25Oh, Kiki? He is my favourite, he always comes and says hello to me.
0:09:25 > 0:09:29- Does he? He's a nice...- Yeah, he used to be on school dinners.
0:09:29 > 0:09:31What would Kiki eat before?
0:09:31 > 0:09:34Oh, everything. He was a big fan of vegetables. He always ate...
0:09:34 > 0:09:37He often went for the vegetarian option.
0:09:37 > 0:09:39What do the kids drink here? Is it water, is it juice?
0:09:39 > 0:09:42It is milk or water, they have a choice of milk or water.
0:09:42 > 0:09:45With the kids on packed lunch, they can bring what they want?
0:09:45 > 0:09:47They're allowed to have a fruit juice or a milk,
0:09:47 > 0:09:50as long as it's not high sugar, nothing fizzy.
0:09:50 > 0:09:52- No glass bottles, obviously. - Yeah, sure.
0:09:54 > 0:09:57After a day at school, Rangan has drawn a blank.
0:09:57 > 0:09:59Kiki isn't a secret snacker
0:09:59 > 0:10:02and isn't gorging on sweets or fizzy drinks.
0:10:02 > 0:10:06His diet is... Frankly, it's not that bad. From what I've seen,
0:10:06 > 0:10:08it's actually looking pretty good.
0:10:08 > 0:10:11And it may not actually be his fault.
0:10:11 > 0:10:13There's kids who eat that way,
0:10:13 > 0:10:16and they're stick thin, no problem at all.
0:10:16 > 0:10:19But for Kiki, for some reason, he's not,
0:10:19 > 0:10:21and that's really, really hard.
0:10:24 > 0:10:25A few days later,
0:10:25 > 0:10:27Kiki's blood test results are back
0:10:27 > 0:10:31and they've given Rangan even more to worry about.
0:10:32 > 0:10:34Guys, can I sit there so you can...
0:10:34 > 0:10:36so you can see them?
0:10:36 > 0:10:40So, we did an insulin level with Kiki.
0:10:40 > 0:10:44You really want it under 15, some people say ideally under six.
0:10:44 > 0:10:47Kiki's insulin is 32.6.
0:10:47 > 0:10:50That's high.
0:10:50 > 0:10:54It's not just high, it's through-the-roof high, OK?
0:10:54 > 0:10:57- Hmm.- I don't tend to see them that high.
0:10:57 > 0:10:59You know, really,
0:10:59 > 0:11:01this is the sort of thing that, unless we get on top of,
0:11:01 > 0:11:05- at some point...- He'd be diabetic. - It can go to type 2 diabetes.
0:11:05 > 0:11:08I'm not saying that lightly, I'm not trying to scare you.
0:11:08 > 0:11:09- I know.- I'm just trying to be upfront.
0:11:09 > 0:11:11I can see the results there.
0:11:11 > 0:11:13- Are you a bit shocked by that?- Yes.
0:11:15 > 0:11:17I'm actually really worried about Kiki.
0:11:17 > 0:11:20He's got a condition called insulin resistance.
0:11:20 > 0:11:23Now, Kiki's body is needing about three to four times
0:11:23 > 0:11:27the amount of insulin that a regular kid's body would need
0:11:27 > 0:11:29just to keep his blood sugar under control.
0:11:29 > 0:11:32But, you know, I don't think that's the whole story here.
0:11:32 > 0:11:34There's many different causes of insulin resistance -
0:11:34 > 0:11:37poor sleep, stress, a problem inside your gut.
0:11:37 > 0:11:39There's so many different things
0:11:39 > 0:11:42that I need to keep looking for the root cause.
0:11:42 > 0:11:46So, I think that's where the key to Kiki's obesity lies.
0:11:46 > 0:11:51In the meantime, Rangan puts Kiki on a strict elimination diet.
0:11:51 > 0:11:54No...
0:11:54 > 0:11:55My bread...
0:11:55 > 0:11:58White bread raises your blood sugar significantly.
0:11:58 > 0:12:01The diet is not about restricting calories.
0:12:01 > 0:12:02No!
0:12:02 > 0:12:06It pinpoints food that Kiki might be sensitive or allergic to.
0:12:06 > 0:12:08But the good news is,
0:12:08 > 0:12:11there's plenty of great, yummy foods that you can eat.
0:12:11 > 0:12:13Meat and fish that look like meat and fish,
0:12:13 > 0:12:16fruit and veg that looks like fruit and veg,
0:12:16 > 0:12:19nuts that look like nuts, eggs that look like eggs.
0:12:20 > 0:12:22So, for Kiki and the family,
0:12:22 > 0:12:25staple foods like bread and pasta are off the list.
0:12:25 > 0:12:28It's essential that we get you sorted.
0:12:28 > 0:12:31You have just got to make a conscious effort,
0:12:31 > 0:12:33and you know if you pinkie promise, that's...
0:12:35 > 0:12:38..that's a bond that can't be broken.
0:12:38 > 0:12:40Come on, pinkie promise.
0:12:40 > 0:12:42Yeah?
0:12:42 > 0:12:43OK.
0:12:46 > 0:12:49Kiki's insulin result, his blood sugar result, it's really worrying.
0:12:49 > 0:12:53I think the softly-softly approach is not going to work any more.
0:12:53 > 0:12:56We need to really go hard at it,
0:12:56 > 0:12:59but there's still a big part of this picture that I'm missing.
0:12:59 > 0:13:02What is actually driving Kiki's insulin resistance?
0:13:02 > 0:13:04I don't know yet, but I need to figure it out.
0:13:08 > 0:13:10- Go on.- Have you got keys to get back in?
0:13:10 > 0:13:12With Kiki's diet plan under way,
0:13:12 > 0:13:15Rangan travels to meet his next family,
0:13:15 > 0:13:17the Garratts from the Wirral.
0:13:17 > 0:13:2144-year-old care home worker Lisa and her partner Adam
0:13:21 > 0:13:22have called in the doctor
0:13:22 > 0:13:25to help with their daughter Hoshi's eating disorder.
0:13:25 > 0:13:29I'm 16 now and I still eat like I'm a five-year-old.
0:13:29 > 0:13:31I'm scared of trying new foods.
0:13:31 > 0:13:33Would you not even like any egg? Scrambled egg?
0:13:33 > 0:13:35- Poached?- No, I just don't want it.
0:13:35 > 0:13:38When was the last time you even tried egg?
0:13:38 > 0:13:42I'm not sure if I've tried it or not, but, like, I wouldn't want to.
0:13:42 > 0:13:45Hoshi's mum began noticing her unusual eating habits
0:13:45 > 0:13:46when she started school.
0:13:46 > 0:13:49Half the things you're saying now you don't like,
0:13:49 > 0:13:50you don't even know why.
0:13:50 > 0:13:53It rules your life, Hosh, it rules ours.
0:13:53 > 0:13:56Can I have a grilled-cheese sandwich, please?
0:13:56 > 0:13:58- Yeah.- Without the salad.- Yeah.
0:13:58 > 0:14:00I do want to change, and change for the better,
0:14:00 > 0:14:03because I know I can't carry on the way I'm carrying on,
0:14:03 > 0:14:05with this inside me all the time.
0:14:05 > 0:14:07It's not so healthy.
0:14:11 > 0:14:13- Good morning.- Hi.- Hi.
0:14:13 > 0:14:15- How are you?- I'm fine, come on in.
0:14:15 > 0:14:18- I'm Dr Chatterjee, nice to meet you. - I'm Lisa.
0:14:18 > 0:14:20Morning, Hosh!
0:14:20 > 0:14:22- Hey! How are you doing?- Good. Hi.
0:14:22 > 0:14:24- Hi, I'm Rangan, nice to meet you. How are you?- Nice to meet you too.
0:14:24 > 0:14:27- Yeah, I'm good.- And what is it now? Is it breakfast time for you?
0:14:27 > 0:14:31- Yeah, I'm dying for breakfast. - Are you?- Yeah, I want my shake.
0:14:33 > 0:14:35Is this a special diet, or is it...?
0:14:35 > 0:14:37Yeah, I'm quite obsessed with weight,
0:14:37 > 0:14:41so then I think, if I have this of a morning,
0:14:41 > 0:14:44I'm not eating, like, a bacon butty,
0:14:44 > 0:14:48which could add to the ballooning feeling and, mentally,
0:14:48 > 0:14:51I think I've done something quite good.
0:14:51 > 0:14:52And that's breakfast.
0:14:52 > 0:14:56- Hoshi doesn't have breakfast at all.- Right.
0:14:56 > 0:14:59We tend just to let Hoshi have Hoshi-food, we call it.
0:14:59 > 0:15:01- What she likes. - I'd love to know what...
0:15:01 > 0:15:04- Hoshi-food is?- Yeah. Hoshi's list.
0:15:04 > 0:15:06So, the last two weeks, what have you eaten?
0:15:06 > 0:15:08- Chicken.- Chicken.
0:15:08 > 0:15:11What kind of chicken would you have?
0:15:11 > 0:15:14Plain chicken, that's not been seasoned or has stuffing in it.
0:15:14 > 0:15:16- Yeah.- Bread.
0:15:16 > 0:15:19- Bread.- Crisps, chocolate.
0:15:19 > 0:15:22All chocolate, or specific chocolates, again?
0:15:22 > 0:15:25Chocolate that doesn't have stuff in it, plain chocolate.
0:15:25 > 0:15:27Duck.
0:15:27 > 0:15:28Ham sandwiches.
0:15:28 > 0:15:31- Ham sandwich? OK.- Sausage rolls.
0:15:31 > 0:15:34- Sausage roll. One, two, three, four, five... Yeah, seven things.- Hmm.
0:15:34 > 0:15:38So, you're just having them over and over again, really, aren't you?
0:15:38 > 0:15:40Just cos they're safe and boring.
0:15:40 > 0:15:44And it is quite stark, because I probably have more than seven foods
0:15:44 > 0:15:45in one day.
0:15:45 > 0:15:46- Wow!- Yeah.
0:15:49 > 0:15:52Having seen Lisa's breakfast and investigated Hoshi's diet,
0:15:52 > 0:15:56Rangan brings the whole family together to talk about food.
0:15:56 > 0:15:59Why don't you just tell me what you feel
0:15:59 > 0:16:02I should know about? Then I'll add in what I need to.
0:16:02 > 0:16:05OK. Issues with food started when I was much younger,
0:16:05 > 0:16:07before having Hoshi,
0:16:07 > 0:16:13just a girl growing up thinking I should be a certain size.
0:16:13 > 0:16:15I was bulimic for a while.
0:16:15 > 0:16:17It's awful to say this in front of a teenage daughter
0:16:17 > 0:16:20because I probably try and hide it all from her,
0:16:20 > 0:16:23but I probably think happiness comes if you're littler,
0:16:23 > 0:16:28which is awful, to be 44 and still feel like that but, probably, I do.
0:16:28 > 0:16:30- Did you make yourself sick?- Yeah.
0:16:30 > 0:16:34- Sorry, Hosh.- Have you ever made yourself sick?- No, not at all.
0:16:36 > 0:16:38Ever been tempted? No?
0:16:38 > 0:16:41What do you think's causing your...
0:16:42 > 0:16:44..is it fair to say anxiety about food?
0:16:44 > 0:16:49Do you feel nervous about food, do you feel nervous before food time?
0:16:49 > 0:16:50What's up?
0:16:50 > 0:16:53Just that I'm anxious about food, that's all.
0:16:53 > 0:16:54It's all right. It's allowed.
0:16:54 > 0:16:56SHE SOBS
0:16:56 > 0:16:59What is it that makes you anxious, do you know?
0:17:00 > 0:17:03Do you remember when it started?
0:17:03 > 0:17:07I know it's upsetting talking about it.
0:17:07 > 0:17:09Do you think about it most days,
0:17:09 > 0:17:12in terms of how it makes you feel, or is it just your normal life now?
0:17:12 > 0:17:14No, I don't think about it until I have to talk about it,
0:17:14 > 0:17:17and then it makes me upset.
0:17:17 > 0:17:21Do you know, what are you scared of? What are you anxious about?
0:17:21 > 0:17:25It's stupid, just that I won't like it, which isn't a bad thing,
0:17:25 > 0:17:27- I know it's not.- Yeah.
0:17:27 > 0:17:29But when I actually have it in front of me, I think...
0:17:29 > 0:17:31- Yeah.- Yeah.
0:17:31 > 0:17:34This is a huge, huge problem.
0:17:34 > 0:17:40You know? You're saying you've got issues with eating.
0:17:40 > 0:17:42It's definitely not just you,
0:17:42 > 0:17:46but it's your age group, actually, that get most of these problems.
0:17:46 > 0:17:49So it is emotional, but don't feel bad.
0:17:49 > 0:17:51It helps.
0:17:51 > 0:17:52I think it does.
0:17:54 > 0:17:58You really don't want to see a teenager have to go through that.
0:17:58 > 0:18:00You don't want to see anyone go through that,
0:18:00 > 0:18:02but you wouldn't expect that.
0:18:02 > 0:18:06When I first met her, you know, she's quite smiley, quite chatty,
0:18:06 > 0:18:08but once you start probing...
0:18:09 > 0:18:13..she's struggling on the inside, and I don't think her family
0:18:13 > 0:18:15even knew how much she was struggling.
0:18:15 > 0:18:17I actually think it's a really, really good thing
0:18:17 > 0:18:19that we did it as a family,
0:18:19 > 0:18:24because it's going to be as a family that they get out of this.
0:18:27 > 0:18:31Hoshi's limited diet means she avoids eating out
0:18:31 > 0:18:35and she'll only buy her food from a handful of shops.
0:18:36 > 0:18:39Do you buy different things when you're here or is it the same thing?
0:18:39 > 0:18:41It's the same thing.
0:18:41 > 0:18:43- Every time?- Yeah.- OK, well, let's go and have a look.
0:18:43 > 0:18:45Two large sausage rolls, please.
0:18:45 > 0:18:49- Would you like me to warm them up a bit?- Just cold, please.- Cold? OK.
0:18:49 > 0:18:51I can taste them already.
0:18:51 > 0:18:54Sometimes, if they change it, I can, like, taste the difference.
0:18:54 > 0:18:57- Really?- Mm-hm.- So, when they last changed it, what happened?
0:18:57 > 0:19:01I kind of tried it and I was like, "Oh, that's not what I was expecting."
0:19:01 > 0:19:02- Did you get used to it?- Yeah, yeah.
0:19:02 > 0:19:04Then they changed it back and I was like,
0:19:04 > 0:19:06"I'm glad they've changed it back."
0:19:06 > 0:19:09If I knew it was different, I wouldn't buy it.
0:19:09 > 0:19:10Shall we sit here?
0:19:14 > 0:19:16SHE GIGGLES
0:19:16 > 0:19:17- Good?- Mm-hm.
0:19:17 > 0:19:19As always.
0:19:19 > 0:19:21Did you know that your mum had an eating disorder
0:19:21 > 0:19:23when she was a teenager?
0:19:23 > 0:19:28Yeah, but she never really spoke about it in much detail.
0:19:28 > 0:19:32It was just kind of, like, brushed aside.
0:19:32 > 0:19:34So, were you hearing stuff this morning from your mum
0:19:34 > 0:19:36- that you'd never heard before?- Mmm.
0:19:39 > 0:19:42Back at home, Rangan wants to know more about Lisa's own history
0:19:42 > 0:19:44of eating disorders.
0:19:44 > 0:19:47I see a lot of similarities between you and Hoshi.
0:19:47 > 0:19:49- Yeah.- I mean, it's amazing, actually.
0:19:49 > 0:19:52We were on our own for quite a bit, as well,
0:19:52 > 0:19:54because Adam's only been with us the past five years,
0:19:54 > 0:19:56so we are pretty close.
0:19:56 > 0:19:59So, it was a long time that you guys were together?
0:19:59 > 0:20:02Yeah, me and her. Her real father's never been in the picture.
0:20:02 > 0:20:05But it's remarkable for me that some of the patterns
0:20:05 > 0:20:08- you were probably showing... - She's showing in her.
0:20:08 > 0:20:10- She's showing.- Yeah.- And...
0:20:12 > 0:20:14Yeah. I'm trying to figure that out, because...
0:20:14 > 0:20:16Break the cycle, because I wouldn't want her to have that.
0:20:16 > 0:20:20- No.- That's probably the only thing I have never wanted her to have,
0:20:20 > 0:20:23yet she's ended up with that.
0:20:23 > 0:20:24Yeah.
0:20:24 > 0:20:28- It's bizarre.- How does that make you feel?- Awful.
0:20:29 > 0:20:31When you have children,
0:20:31 > 0:20:34you just want them to be happy inside,
0:20:34 > 0:20:37and feel good
0:20:37 > 0:20:39and enjoy life,
0:20:39 > 0:20:42where I feel... Obviously she's had that and dealt with it herself,
0:20:42 > 0:20:44- not really told me.- No.
0:20:44 > 0:20:46- That's remarkable, isn't it?- Yeah.
0:20:46 > 0:20:50Yeah. I've just probably shielded her.
0:20:50 > 0:20:53- Yeah.- Because I didn't know what else to do.
0:20:53 > 0:20:56- You never know as a parent, do you? - No, I'm just winging it. Yeah.
0:20:56 > 0:21:00- Don't know.- Everyone's trying to figure out what's the...
0:21:00 > 0:21:03- The best thing to do.- You never know if you've done the right thing.- No.
0:21:06 > 0:21:08Rangan gives Hoshi a full health check,
0:21:08 > 0:21:10as a lack of nutrition in her diet
0:21:10 > 0:21:13means she's at risk of suffering from fatigue,
0:21:13 > 0:21:16poor bone density and immune deficiencies.
0:21:16 > 0:21:19This will affect the whole of her life.
0:21:19 > 0:21:21We've got to tackle it now.
0:21:21 > 0:21:23In two years, she might go to university.
0:21:23 > 0:21:25How's it going to be then? She's sheltered here now.
0:21:25 > 0:21:27She's sheltered in school now.
0:21:27 > 0:21:31Wait till she gets out. And that's a lot of pressure, actually,
0:21:31 > 0:21:33because she's not really trying to tackle this
0:21:33 > 0:21:36and I don't want to botch this up.
0:21:36 > 0:21:38I really don't want to mess it up.
0:21:41 > 0:21:46Rangan researches to find an expert in Hoshi's type of eating disorder.
0:21:47 > 0:21:51I'm actually going to take her this morning to see a specialist
0:21:51 > 0:21:53to see, can we get a diagnosis,
0:21:53 > 0:21:56and can we get some more specific guidance
0:21:56 > 0:21:59in terms of how I can help her going forward?
0:21:59 > 0:22:01She's a clinical psychologist.
0:22:01 > 0:22:03She's used to seeing loads of patients
0:22:03 > 0:22:07who've got anxiety around food like you do. Nerve-racking?
0:22:07 > 0:22:10- A little bit.- Yeah. I thought she looks a little bit nervous.
0:22:10 > 0:22:13- But I'll be OK.- Yeah. - I've got thick skin.
0:22:13 > 0:22:16Rangan has brought her to see Dr Liz Shea.
0:22:16 > 0:22:19So, I heard you might have brought some of your foods with you?
0:22:19 > 0:22:22Can we put them out on the table and I can have a look at them?
0:22:22 > 0:22:24Anything else that you would normally have for your tea?
0:22:24 > 0:22:27- Like, chicken nuggets.- Yeah.
0:22:27 > 0:22:29Which sounds, like, really boring,
0:22:29 > 0:22:31but I know I'll always enjoy it, so...
0:22:31 > 0:22:34- Yeah. Is it boring to you? - Yeah.- Is it?
0:22:34 > 0:22:36OK. Do you get bored of your foods?
0:22:36 > 0:22:38- Really bored of them.- Yeah.
0:22:38 > 0:22:41OK. That's really common with people. You're doing really well.
0:22:41 > 0:22:43That's really common with people I see, Hoshi, OK?
0:22:43 > 0:22:46Almost everyone I talk to says the same thing.
0:22:46 > 0:22:47This is the sort of foods
0:22:47 > 0:22:50that people bring to show me all the time.
0:22:50 > 0:22:52I'm going to show you something else.
0:22:52 > 0:22:53These are the sorts of categories
0:22:53 > 0:22:56that we see in the pattern of eating that Hoshi has, OK?
0:22:56 > 0:22:57There is your carbohydrates.
0:22:57 > 0:22:59- This is so weird.- LISA:- Isn't it!
0:22:59 > 0:23:00I'm just speechless.
0:23:00 > 0:23:03- That's, like, all the foods that I could eat.- Hmm.
0:23:05 > 0:23:09Yeah. I hope that makes you feel like you're not on your own with it,
0:23:09 > 0:23:11Hoshi, yeah? OK? Yeah, OK.
0:23:11 > 0:23:12Yeah. All right.
0:23:12 > 0:23:15- So...- These are happy tears now.
0:23:15 > 0:23:17- Good.- We're going through all types of tears.
0:23:17 > 0:23:19I'm going to show you this as well.
0:23:19 > 0:23:23A new label that we have for the pattern of eating that Hoshi has.
0:23:23 > 0:23:27It's called avoidant and restrictive food intake disorder.
0:23:27 > 0:23:28We call it ARFID for short.
0:23:28 > 0:23:30It's a lot easier to say that.
0:23:30 > 0:23:34OK. So, at what point did this range of foods start to get smaller?
0:23:34 > 0:23:36- LISA:- Starting school.
0:23:36 > 0:23:37OK.
0:23:37 > 0:23:40I let her have packed lunch.
0:23:40 > 0:23:42Hmm. Brilliant.
0:23:42 > 0:23:44See, now I don't know if that was brilliant or not,
0:23:44 > 0:23:46because it was maybe...
0:23:46 > 0:23:49Cos I know the dinner ladies knew that Hoshi wouldn't really
0:23:49 > 0:23:52- eat these dinners and...- I think what you're actually asking me,
0:23:52 > 0:23:55- is, "Did I do anything wrong and could I have stopped...?"- Yeah.
0:23:55 > 0:23:58Yeah. I don't think there's anything you could have done to prevent it.
0:23:58 > 0:24:00Right, OK.
0:24:00 > 0:24:03- RANGAN:- It would be really good to have a clear understanding
0:24:03 > 0:24:07of what we can all do to start moving on.
0:24:07 > 0:24:10Choose two new foods. For babies, very small babies,
0:24:10 > 0:24:13they only need to try a food once or twice and they'll learn to like it.
0:24:13 > 0:24:15When you're 16 or over,
0:24:15 > 0:24:18you might have to try it as many as ten to 14 times.
0:24:18 > 0:24:21It's the second taste that's the hardest, not the first one.
0:24:21 > 0:24:22Because the second one,
0:24:22 > 0:24:25you've got a bit of a sense of what it's going to be like
0:24:25 > 0:24:27and you might have to work a bit harder.
0:24:27 > 0:24:29Yeah, take the foods.
0:24:29 > 0:24:30See you now, bye-bye.
0:24:30 > 0:24:33I feel like we've got so much more, like,
0:24:33 > 0:24:35to work with and know what we're doing
0:24:35 > 0:24:37- and where to go with it and stuff. - Yeah.
0:24:37 > 0:24:39How do you feel, Hoshi?
0:24:39 > 0:24:41Yeah, exactly the same.
0:24:41 > 0:24:44It's nice to actually know that there's people out there like me.
0:24:46 > 0:24:50I think Hoshi now has got a few days just to let it settle in.
0:24:50 > 0:24:52I hope she comes up with these two foods.
0:24:52 > 0:24:57Can we try a new food not once, but maybe three, four, five times?
0:24:57 > 0:24:59And maybe get to that magic ten to 14 times,
0:24:59 > 0:25:03where it actually goes from being a novelty food
0:25:03 > 0:25:05to actually being in her diet.
0:25:05 > 0:25:07Yeah, I'm very hopeful at the moment. Very hopeful.
0:25:13 > 0:25:17It's been a week since Kiki began his elimination diet,
0:25:17 > 0:25:19and he's starting to get used to it.
0:25:19 > 0:25:25So the doctor said I should eliminate wheat and dairy.
0:25:25 > 0:25:28So I'm going to make a chorizo omelette.
0:25:30 > 0:25:32I'm being good.
0:25:32 > 0:25:34But he's still not losing much weight.
0:25:36 > 0:25:39Rangan is researching possible causes of Kiki's obesity.
0:25:39 > 0:25:40Hi, Professor Spector?
0:25:40 > 0:25:44- 'Hi, there.'- I'm looking after an 11-year-old.
0:25:44 > 0:25:46He's been exploring the latest research
0:25:46 > 0:25:50about the bacteria that lives in our gut, known as the microbiome.
0:25:50 > 0:25:53A sense that there is something more at play here
0:25:53 > 0:25:54than just diet and exercise.
0:26:05 > 0:26:07Hey. How are you doing?
0:26:07 > 0:26:10But to test this theory,
0:26:10 > 0:26:13Rangan needs to ask Kiki for another more intimate sample.
0:26:13 > 0:26:16The composition of the bugs in here...
0:26:16 > 0:26:20in your gut, in my gut, in your gut, in everyone's gut,
0:26:20 > 0:26:23can have a big impact on someone's weight.
0:26:23 > 0:26:28I want to get an analysis done of Kiki's gut.
0:26:28 > 0:26:31Basically, it's a stool test.
0:26:31 > 0:26:33- Mm-hm.- And see if it gives us some answers.
0:26:33 > 0:26:36That would be so great, if you can help him.
0:26:36 > 0:26:41Kiki will need to collect a stool sample once a day for three days.
0:26:42 > 0:26:44Eight o'clock in the morning.
0:26:44 > 0:26:46Yeah. So first test done.
0:26:47 > 0:26:49Kiki's.
0:26:51 > 0:26:53- Felt weird.- Yeah.
0:26:53 > 0:26:57- I don't think that's a profession we want to take up.- No.
0:27:00 > 0:27:03While Rangan waits to find out Kiki's gut bacteria results,
0:27:03 > 0:27:08he turns his attention to dad Mark and his chronic back pain.
0:27:08 > 0:27:09Hi, James.
0:27:09 > 0:27:11Rangan has brought Mark
0:27:11 > 0:27:14to see movement and back specialist James Jowsey.
0:27:14 > 0:27:15James, this is Mark. Mark, James.
0:27:15 > 0:27:18First of all, we're going to go through your sporting history.
0:27:18 > 0:27:20I was doing a lot of athletics.
0:27:20 > 0:27:22I eventually went on a school trip
0:27:22 > 0:27:25and popped my right knee out of socket.
0:27:25 > 0:27:27Right, OK. Let me write that.
0:27:27 > 0:27:29Yeah. I couldn't bend my knee properly.
0:27:29 > 0:27:32I think at one stage, it could only go that far.
0:27:32 > 0:27:35A broken leg when he was just five
0:27:35 > 0:27:39and a damaged right knee could be the cause of Mark's back pain.
0:27:41 > 0:27:44He's lost a range of motion in that leg.
0:27:44 > 0:27:46As soon as we stand him on the right leg, he's...
0:27:46 > 0:27:49- He's just like that. - Your pain's down the left,
0:27:49 > 0:27:51but your left is being used more.
0:27:51 > 0:27:55You've got two legs, you need to have two players rather than...
0:27:55 > 0:27:56- OK.- ..rather than one player.
0:27:56 > 0:27:59Right, first exercise of the day.
0:27:59 > 0:28:02What we want to do is, I want you to get to your point
0:28:02 > 0:28:05- where your hip has this range.- Yeah.
0:28:05 > 0:28:07Through targeted repetitive exercises,
0:28:07 > 0:28:10it's possible to retrain our muscles and limbs
0:28:10 > 0:28:14and change years of bad habits and alleviate pain.
0:28:15 > 0:28:18- His foot's better, but... - It's much... It's definitely better.
0:28:18 > 0:28:21- Yeah.- Appreciate it. - Down to you now, mate.- Definitely.
0:28:21 > 0:28:23- Definitely.- Down to you.
0:28:23 > 0:28:27But treating Mark's back pain is only part of the solution.
0:28:27 > 0:28:31Rangan has discovered worrying results from the saliva sample which
0:28:31 > 0:28:33measured Mark's stress levels.
0:28:33 > 0:28:36So, if you remember, when you did the saliva test,
0:28:36 > 0:28:39you did it at four times during the day.
0:28:39 > 0:28:41- Yeah.- The idea is to give me a snapshot of what
0:28:41 > 0:28:44your stress hormone cortisol is doing.
0:28:44 > 0:28:47I want to see it at around 20 in the morning.
0:28:49 > 0:28:51Yours is 43.
0:28:51 > 0:28:54OK. That's really, really high.
0:28:54 > 0:28:58And to put it in context for you, this graph only goes up to 35.
0:28:58 > 0:29:01So this is actually up here, but the graph's got no room for it.
0:29:01 > 0:29:04I haven't actually seen one in the last few years
0:29:04 > 0:29:08- where every single level is high. - Really?- And I do this test a lot.
0:29:08 > 0:29:09Yay...
0:29:09 > 0:29:12OK. All right.
0:29:12 > 0:29:15- Do you understand that?- Yeah.
0:29:15 > 0:29:20Yeah? So, I'm saying to you that your body is chronically stressed.
0:29:20 > 0:29:22OK.
0:29:22 > 0:29:25I don't pay attention to me in that way.
0:29:25 > 0:29:27I don't... I don't care.
0:29:27 > 0:29:31I know it's a negative thing to say, but I don't care about how I feel.
0:29:31 > 0:29:35As long as my wife, my kids are cool, I'm not bothered.
0:29:35 > 0:29:38So I can't really say I really pay that much attention.
0:29:38 > 0:29:41I know there's times that I'm unhappy,
0:29:41 > 0:29:43or there's times that I feel slightly depressed,
0:29:43 > 0:29:47but I have to get on with it because it's all about my family.
0:29:47 > 0:29:50You say you need to work for your family, I get that.
0:29:50 > 0:29:53I need to work for my family, I understand that.
0:29:53 > 0:29:55But if this keeps going,
0:29:55 > 0:29:57I'm foreseeing a time in the not-too-distant future
0:29:57 > 0:30:01where you won't be able to work for your family.
0:30:01 > 0:30:03And then who looks after them then?
0:30:08 > 0:30:11- Sorry. Are you OK?- No.
0:30:13 > 0:30:15No.
0:30:15 > 0:30:17I don't know what more to do.
0:30:18 > 0:30:21It is stress of the family, it is the stress of money.
0:30:21 > 0:30:24You know, it is stress.
0:30:25 > 0:30:27I don't know.
0:30:27 > 0:30:30I'm not saying everything's going to magically disappear.
0:30:30 > 0:30:33- I can't remove...- Yeah. - ..your anxiety.
0:30:33 > 0:30:36- I can't remove your financial situation.- Hmm.
0:30:36 > 0:30:40I can't do that. But what I can do is help you manage it,
0:30:40 > 0:30:42help you switch off from it,
0:30:42 > 0:30:45help you do things around it, so that you've got more energy,
0:30:45 > 0:30:47you're sleeping better, maybe even get you out of pain.
0:30:47 > 0:30:50- Are you OK? - Yeah, my head's spinning.- Is it?
0:30:50 > 0:30:52Mm-hm.
0:30:52 > 0:30:54Yeah, my head's spinning.
0:30:54 > 0:30:57Actually giving yourself time can actually help you give others time.
0:30:57 > 0:30:59And I really see that with you.
0:30:59 > 0:31:02You need to give yourself something, something you love.
0:31:02 > 0:31:05You need to carve out some time for you.
0:31:05 > 0:31:08And I think that will allow you to give more to your family.
0:31:10 > 0:31:11To tackle Mark's stress,
0:31:11 > 0:31:15Rangan wants him to try a relaxation technique that combines
0:31:15 > 0:31:18controlled breathing with his love of martial arts.
0:31:21 > 0:31:23OK. Follow me.
0:31:24 > 0:31:29T'ai chi is a martial art originating in China over 700 years ago.
0:31:29 > 0:31:33It's sometimes called moving meditation, as it focuses on
0:31:33 > 0:31:37gentle, flowing physical movements and the control of the breath,
0:31:37 > 0:31:39both of which are proven to help stress.
0:31:41 > 0:31:43I'm going to look at your feet
0:31:43 > 0:31:45and check...
0:31:46 > 0:31:48Relax here. Feel stronger.
0:31:48 > 0:31:50There's a yin...yang.
0:31:50 > 0:31:54We'll use the yin-yang service.
0:31:54 > 0:31:55Yes. That's OK.
0:31:57 > 0:32:00Relax. That's very important.
0:32:06 > 0:32:08- I thoroughly enjoyed that. - Oh, fantastic.
0:32:08 > 0:32:11I understand how it can be very relaxing,
0:32:11 > 0:32:14even though you're trying to concentrate,
0:32:14 > 0:32:16but you still feel quite relaxed,
0:32:16 > 0:32:19knowing that you're going through a very slow motion
0:32:19 > 0:32:23and it's very controlled, and I really enjoyed that.
0:32:23 > 0:32:27Let's see if we can come up with a plan for a daily practice.
0:32:30 > 0:32:34In the Wirral, Rangan is tackling Hoshi's eating disorder.
0:32:34 > 0:32:36He's following the advice of the psychologist
0:32:36 > 0:32:40and trying to move Hoshi away from sausage rolls and chicken.
0:32:40 > 0:32:43When was the last time you were in a fruit and veg shop?
0:32:43 > 0:32:45I don't think I've ever been in a fruit and veg shop.
0:32:45 > 0:32:47- Really?- I don't really go food shopping
0:32:47 > 0:32:51with my family, they kind of just go and then bring stuff back.
0:32:51 > 0:32:53So they bring back stuff...
0:32:53 > 0:32:54Hoshi-food.
0:32:54 > 0:32:56Yeah.
0:32:56 > 0:32:59One of the first steps the psychologist suggested
0:32:59 > 0:33:02is to touch and smell different foods.
0:33:02 > 0:33:05Is there anything in particular you think, "Do you know what,
0:33:05 > 0:33:07"I wonder what that tastes like"?
0:33:07 > 0:33:09- Watermelon.- Watermelon.- Hmm.
0:33:09 > 0:33:11- Right, so pick it...- Shall I get it?
0:33:11 > 0:33:13Yeah, yeah, get it, absolutely.
0:33:13 > 0:33:17- What is it about it?- I think it's the fact it smells really sweet.
0:33:17 > 0:33:19- It smells sweet?- Yeah.
0:33:19 > 0:33:22Or like, I wouldn't really like those. They just look dirty.
0:33:22 > 0:33:23Is that me being...?
0:33:23 > 0:33:26Like, I do wash them, but they just look gross.
0:33:26 > 0:33:28OK, so, I think you're right.
0:33:28 > 0:33:30That is crazy, in front of me, isn't it?
0:33:30 > 0:33:33Like, it looks cool, but I don't know how you'd eat it.
0:33:33 > 0:33:35After an hour in the market,
0:33:35 > 0:33:39Hoshi has chosen a bag full of new foods that she wants to try.
0:33:39 > 0:33:42I never thought we'd come out with one, two...
0:33:42 > 0:33:45seven new foods.
0:33:45 > 0:33:47Me neither.
0:33:47 > 0:33:49Hoshi may be trying to please me.
0:33:49 > 0:33:52Hoshi may be aware that this doctor's here,
0:33:52 > 0:33:54he's trying to help me,
0:33:54 > 0:33:57I'm going to say all the right things.
0:33:57 > 0:33:59I don't think that's happening here.
0:33:59 > 0:34:03But I've got to be aware and alert to that possibility.
0:34:03 > 0:34:06But I don't know, it gives me a lot of hope, actually.
0:34:06 > 0:34:09I reckon I can get her eating this week.
0:34:09 > 0:34:11I really do.
0:34:12 > 0:34:15Why don't you see if, at least once this week,
0:34:15 > 0:34:18you can have one of those foods?
0:34:18 > 0:34:21Maybe once or twice or three... You know, as many times as you can.
0:34:21 > 0:34:24- Yeah.- I don't mind if I come back in seven days and you say,
0:34:24 > 0:34:27"I just couldn't do it." That's OK.
0:34:27 > 0:34:29- OK.- That's cool.
0:34:29 > 0:34:31I don't want you to do it out of an obligation to me.
0:34:31 > 0:34:34- Do it if you want to do it, if you feel it.- Yeah, I think I do,
0:34:34 > 0:34:36cos I've actually gone out and picked them myself.
0:34:36 > 0:34:38It kind of feels exciting to try them.
0:34:38 > 0:34:41- Yeah.- I don't know why, but... - I really do think you can do it.
0:34:41 > 0:34:43I think I can, too.
0:34:43 > 0:34:46Yeah. I think you're stronger than you think and I think you can do it.
0:34:46 > 0:34:48This is the chance to do it.
0:34:50 > 0:34:52If I'm going to help Hoshi,
0:34:52 > 0:34:56I need to look at the whole household, because Hoshi's mum Lisa,
0:34:56 > 0:35:00she's had bulimia, she has diet shakes for breakfast and, actually,
0:35:00 > 0:35:04she's always had a really difficult relationship with food.
0:35:04 > 0:35:09At the moment, in this house, food is surrounded by anxiety and stress.
0:35:09 > 0:35:11If I can make it a pleasurable experience,
0:35:11 > 0:35:15it's going to help all of them, not just Lisa but Hoshi as well.
0:35:15 > 0:35:18So, I've brought a book for you to help you,
0:35:18 > 0:35:20just to give you a bit of guidance, OK,
0:35:20 > 0:35:22in terms of recipes and things like that.
0:35:22 > 0:35:26What you can have as much as you want is sort of good-quality meats,
0:35:26 > 0:35:30- good-quality fish, good-quality eggs, OK?- Yeah.
0:35:30 > 0:35:33Fruit, vegetables, nuts, seeds,
0:35:33 > 0:35:36- and there's no calorie control on this.- OK.- At all.
0:35:36 > 0:35:39OK? Cos I know you've had issues with food and weight
0:35:39 > 0:35:41- and all that kind of stuff before. - Yeah.
0:35:41 > 0:35:44- You can eat as much of this as you want.- OK, yeah.- OK?
0:35:44 > 0:35:46And you won't put weight on.
0:35:46 > 0:35:49- All right.- Right? Because it's about the quality of the food
0:35:49 > 0:35:53that you're having, rather than what calories.
0:35:53 > 0:35:56Probably where I've only just ever looked at food as,
0:35:56 > 0:35:58- will it make me fat or will it make me thin?- Yeah.
0:35:58 > 0:36:01Never beneficial.
0:36:01 > 0:36:04Ideally, I'd love you guys to sit here and eat together.
0:36:04 > 0:36:06- Yeah.- Ideally, not eating in front of the telly.
0:36:06 > 0:36:09That can really help get you back into food,
0:36:09 > 0:36:10really nourishing your body.
0:36:10 > 0:36:13Maybe Hoshi might join you the odd time? Maybe.
0:36:13 > 0:36:17- Yeah.- I think, with Hoshi, we've got a very individual case
0:36:17 > 0:36:23and although my instinct is to throw you into something all together,
0:36:23 > 0:36:27I think I've just got to make sure I'm careful with Hoshi.
0:36:27 > 0:36:31- It's not too uncomfortable for her all in one go?- Yeah.
0:36:34 > 0:36:38Over the next week, Lisa leaps headfirst into her new diet.
0:36:38 > 0:36:40I'm really getting into it now.
0:36:40 > 0:36:41I'm making a chilli.
0:36:41 > 0:36:44This morning, I was up quite early.
0:36:44 > 0:36:47I made some breakfast muffins and then, after I've done this,
0:36:47 > 0:36:49I'm going to be making a chicken dish.
0:36:49 > 0:36:51We've been having fresh fruit.
0:36:51 > 0:36:54- All good!- Are you done, Nigella(?)
0:36:54 > 0:36:56Done, Nigella.
0:36:56 > 0:36:58Hi, I just thought I'd check in.
0:36:58 > 0:37:01I'm actually going to put some dinner in.
0:37:01 > 0:37:03Hoshi is sticking to what she knows best.
0:37:03 > 0:37:06It's just a load of chicken nuggets, which is boring,
0:37:06 > 0:37:08but I know I'll enjoy it, so...
0:37:08 > 0:37:10Yeah.
0:37:10 > 0:37:13But Lisa keeps on trying to tempt her.
0:37:13 > 0:37:15We've got the cucumber, in case you want to try.
0:37:15 > 0:37:18We've got some plums, got a pomegranate.
0:37:18 > 0:37:22In that top one, there will be loads of mixed fruit already done,
0:37:22 > 0:37:23cut up ready.
0:37:23 > 0:37:26So have you thought about trying anything new?
0:37:26 > 0:37:28You've not tried anything yet.
0:37:28 > 0:37:30Erm... No.
0:37:30 > 0:37:32It's just not really come up.
0:37:32 > 0:37:35When I've asked you, you've been quite short about it,
0:37:35 > 0:37:39- as if...- It feels like you keep getting on me and it just makes me
0:37:39 > 0:37:41- not want to.- I've only asked a few times.
0:37:41 > 0:37:43You've not! You've not.
0:37:43 > 0:37:46I just say, when I'm out shopping, "Do you want to think about stuff?"
0:37:46 > 0:37:48No, it'll be like, we're in the car
0:37:48 > 0:37:50coming home from school, I'll be tired and you'll be like,
0:37:50 > 0:37:53"What have you been thinking about this?"
0:37:53 > 0:37:55and it makes me not want to do it.
0:37:55 > 0:37:58OK. Probably the best plan is, now, the agreement between me and you,
0:37:58 > 0:37:59I won't mention it...
0:37:59 > 0:38:02- Yeah.- You say to me, "Oh, Mum, I might have..."
0:38:02 > 0:38:05You know, "I think I might want to try..."
0:38:05 > 0:38:07Whatever it is, X, Y or Z,
0:38:07 > 0:38:09then you can tell me if you either want me to pick it up
0:38:09 > 0:38:12or you want me to take you to go and pick it yourself.
0:38:12 > 0:38:15- That's what I wanted.- You're totally in control of it, then, now,
0:38:15 > 0:38:17and I'll just do what you kind of say.
0:38:17 > 0:38:19- Thank you.- It's all right.
0:38:19 > 0:38:21Do you want a bit of chicken?
0:38:21 > 0:38:22- No.- No?
0:38:22 > 0:38:25PHONE RINGS
0:38:27 > 0:38:30- Hi!- 'Hey, guys. So, how are you guys getting on?'
0:38:30 > 0:38:32- Really good.- 'Oh, brill.'
0:38:32 > 0:38:35Absolutely love cooking.
0:38:35 > 0:38:37- Like...- 'Oh, fantastic.'
0:38:37 > 0:38:39- Yeah.- Hey, Rangan.
0:38:39 > 0:38:41'So, have you managed to try any yet or not yet?'
0:38:41 > 0:38:44- No, not yet.- 'No? OK.'
0:38:44 > 0:38:47I've not really been thinking about it too much.
0:38:47 > 0:38:49We've had this discussion with my mum, like...
0:38:49 > 0:38:51- 'Have you?'- The fact...
0:38:51 > 0:38:54I've kind of felt like she's been pressuring me.
0:38:54 > 0:38:56'Oh, really?'
0:38:56 > 0:38:59I think Lisa's putting a lot of pressure on Hoshi
0:38:59 > 0:39:00without realising it.
0:39:01 > 0:39:04And, actually, it's stopping Hoshi from trying new foods,
0:39:04 > 0:39:08so I've got an idea that may just help.
0:39:08 > 0:39:09Hey, guys. How are you doing?
0:39:09 > 0:39:11Hi.
0:39:11 > 0:39:15I'd like you guys to close your eyes.
0:39:15 > 0:39:16OK.
0:39:21 > 0:39:24OK, you can open your eyes now.
0:39:24 > 0:39:28- Oh, my God.- Oh!- Do you know what these are?- No.
0:39:28 > 0:39:31Crickets, edible bugs, insects.
0:39:31 > 0:39:33Are you OK? You look a bit sort of...
0:39:33 > 0:39:36- It's just disgusting, really. - So you wouldn't eat it?
0:39:36 > 0:39:40- No, never.- It's amazing, the body language in many of you has changed.
0:39:40 > 0:39:42You've closed up a bit,
0:39:42 > 0:39:45you've sat back and you're just really looking uncomfortable.
0:39:45 > 0:39:50- Is that the sort of thing you would eat?- No.- Why not?
0:39:50 > 0:39:52- Because it's unknown. - Yeah, I backed away.
0:39:52 > 0:39:54- Yeah.- Cos it's unknown?
0:39:54 > 0:39:56- Yeah.- Yeah!
0:39:56 > 0:39:57Yeah, yeah!
0:39:57 > 0:40:01Hoshi, is that a fair reflection of how you feel?
0:40:01 > 0:40:03Yeah, exactly how I feel.
0:40:03 > 0:40:07But it's about normal foods, not... maggots.
0:40:07 > 0:40:11A lot of people would freak out when they saw this food, right?
0:40:11 > 0:40:15- Yeah.- But Hoshi feels similar to that with everyday foods.
0:40:15 > 0:40:18And when we say, "Just put it in your mouth,
0:40:18 > 0:40:20- "just try it..."- It would be like...
0:40:20 > 0:40:23Yeah, it's just like saying, "Go on, pick that up,
0:40:23 > 0:40:25"put it in your mouth," but then the thought of me
0:40:25 > 0:40:27putting that in my mouth...
0:40:27 > 0:40:30But maybe I should because I'm asking my daughter to do something.
0:40:30 > 0:40:32Yeah.
0:40:32 > 0:40:34Go on, have one. Do it.
0:40:34 > 0:40:35Delicious(!)
0:40:37 > 0:40:41See, now... I'm doing what I say to Hosh don't do.
0:40:41 > 0:40:43"Why are you smelling it? Why...?"
0:40:43 > 0:40:45But in my head, I'm thinking...
0:40:45 > 0:40:47I'm not mentally prepared to put that in my mouth.
0:40:47 > 0:40:50And I get it now, because my heart is...
0:40:50 > 0:40:54Although I'm trying to be dead calm and be, like, a role model,
0:40:54 > 0:40:55my heart's beating.
0:40:55 > 0:40:58- It's horrible, isn't it? - Yeah, it's awful.
0:40:58 > 0:41:00How you do it is beyond me.
0:41:02 > 0:41:04Would you like me to eat this so I know?
0:41:04 > 0:41:07Not particularly. It's all right.
0:41:07 > 0:41:10If you want to experience what it's like, yeah, go. I think...
0:41:10 > 0:41:12You're, like, shaking.
0:41:12 > 0:41:15CRUNCHING
0:41:19 > 0:41:22- Can you not even look? No? - It's disgusting.
0:41:24 > 0:41:30- What's it like?- I can honestly say it's not as bad as holding it.
0:41:30 > 0:41:33Exactly. That's... Whenever, like...
0:41:33 > 0:41:35It's that step of...
0:41:35 > 0:41:38Completely, because I'll try foods and I'll like them,
0:41:38 > 0:41:42it's just actually having it in my hand and, like,
0:41:42 > 0:41:44seeing it on my plate and having to actually do that...
0:41:44 > 0:41:47- And the build-up.- Yep.- But I felt that
0:41:47 > 0:41:51and to know that you do that every day, hats off to you, kid.
0:41:51 > 0:41:53- Ta.- No, it is. It's brave.
0:41:53 > 0:41:55It's brave, Hosh.
0:41:56 > 0:41:58I'm not putting you guys on the spot,
0:41:58 > 0:42:02- but would any of you two have any of this?- No.
0:42:02 > 0:42:04No way?
0:42:04 > 0:42:07I'm actually a bit nervous about how pale you're looking
0:42:07 > 0:42:09with this in front of you. Honestly.
0:42:09 > 0:42:12Is this the first time that people around you have actually...?
0:42:12 > 0:42:13Understood properly.
0:42:13 > 0:42:15- Yeah.- Yeah. Because they can be like,
0:42:15 > 0:42:18"Oh, yeah, you're just nervous about trying it."
0:42:18 > 0:42:20But it's more than that.
0:42:20 > 0:42:23It's like having that on my plate every day.
0:42:23 > 0:42:25I couldn't put it any better myself.
0:42:28 > 0:42:31That was critical, for her mum to see that.
0:42:31 > 0:42:33I think that's quite hard for a mum, you know?
0:42:33 > 0:42:35I think there's a bit of guilt there.
0:42:35 > 0:42:38There doesn't need to be guilt there but I think there is guilt there.
0:42:38 > 0:42:39She was welling up
0:42:39 > 0:42:42because that's what her daughter has been going through
0:42:42 > 0:42:44for over ten years.
0:42:44 > 0:42:46Rangan has worked hard with Hoshi,
0:42:46 > 0:42:49teaching her to pick up and smell different food
0:42:49 > 0:42:52and helping her friends and family understand her condition.
0:42:52 > 0:42:55But he's still struggling to get her to eat something new,
0:42:55 > 0:42:58so he's asked her to return to see Dr Liz Shea.
0:42:58 > 0:43:02The thing to remember is that ARFID
0:43:02 > 0:43:06is caused by these sensory hypersensitivities, you know?
0:43:06 > 0:43:09And those are things that Hoshi has had her whole life
0:43:09 > 0:43:11and they probably won't go away, OK?
0:43:11 > 0:43:13Because that's just you and your make-up.
0:43:13 > 0:43:15So it's finding a way round those,
0:43:15 > 0:43:18and that's why, you know, it doesn't just disappear.
0:43:18 > 0:43:20- OK.- Yeah. So I'm going to put my finger really high.
0:43:20 > 0:43:22So what you have to do...
0:43:22 > 0:43:26Dr Shea is teaching Hoshi a technique called food visualisation,
0:43:26 > 0:43:30where imagining food brings you one step closer to eating it.
0:43:30 > 0:43:37And in this room, because you're feeling safe and calm and relaxed,
0:43:37 > 0:43:39you'll be able to eat if you want to
0:43:39 > 0:43:43and perhaps you've brought some foods with you.
0:43:43 > 0:43:47Maybe they're foods that you eat and enjoy.
0:43:47 > 0:43:50Maybe there's even one or two foods that you haven't tried before.
0:43:50 > 0:43:53Three, two,
0:43:53 > 0:43:54one.
0:43:57 > 0:43:58So, did you eat something?
0:43:58 > 0:44:00I did, and it wasn't yellow.
0:44:00 > 0:44:02- Ah! What was it?- It was an egg.
0:44:02 > 0:44:04- An egg?- A fried egg.
0:44:04 > 0:44:07A fried egg. I wasn't expecting that.
0:44:07 > 0:44:08I wasn't either!
0:44:10 > 0:44:14We went in my dream world and I, like, tried an egg.
0:44:14 > 0:44:17It'll help me try stuff in real life.
0:44:17 > 0:44:18Wow.
0:44:22 > 0:44:25Rangan has the result of Kiki's gut bacteria test.
0:44:25 > 0:44:28He hopes it holds the secret to why Kiki is obese
0:44:28 > 0:44:31and his insulin levels are so dangerously high.
0:44:33 > 0:44:36- How are you doing, Doc? - Hey, good to see you.
0:44:36 > 0:44:39I've got some new information for you, some results for you.
0:44:39 > 0:44:42We know about our liver, our heart, kidneys, our brain.
0:44:42 > 0:44:44- Our skin.- Our skin.
0:44:44 > 0:44:48Exactly. But not many people think about our gut bugs.
0:44:48 > 0:44:52Inside us, inside our guts, live trillions of bugs.
0:44:52 > 0:44:54- Yeah.- And actually they've evolved with us
0:44:54 > 0:44:57over millions of years, and the balance of those bugs
0:44:57 > 0:45:01is critical for many things in our body - our mood,
0:45:01 > 0:45:04how our gut is, maybe our skin.
0:45:04 > 0:45:06- OK.- But also our weight.
0:45:06 > 0:45:11Rangan believes these gut bugs may help decide how much of our food is
0:45:11 > 0:45:15turned into fat and how much is used as energy.
0:45:15 > 0:45:18And the more varied bugs, the better.
0:45:18 > 0:45:20These beans inside
0:45:20 > 0:45:23represent your gut bugs.
0:45:23 > 0:45:25What I want to see...
0:45:26 > 0:45:29- ..is a gut that looks like this. - REBECCA:- Mm-hm.
0:45:29 > 0:45:34We want to see it all the way up here, with lots of diversity.
0:45:34 > 0:45:36Kiki, your results are down here.
0:45:36 > 0:45:39That's crazy. How come he has no bugs?
0:45:39 > 0:45:43In some people, a single course of antibiotics can cause this.
0:45:43 > 0:45:44- In some people.- OK.
0:45:44 > 0:45:47The diet impacts this. There's all kinds of things.
0:45:47 > 0:45:49Stress levels impact this.
0:45:49 > 0:45:53Rangan thinks that having a smaller variety of gut bugs may mean
0:45:53 > 0:45:56Kiki's body is less efficient at processing fat.
0:45:56 > 0:46:00The fastest way you can get from that to that...
0:46:01 > 0:46:03..is with food.
0:46:03 > 0:46:06The more diverse the food you're eating,
0:46:06 > 0:46:09the more diverse your gut bugs.
0:46:09 > 0:46:11So look at these red foods that you've got here...
0:46:11 > 0:46:14Rangan wants Kiki to grow a variety of gut bugs
0:46:14 > 0:46:17through a daily rainbow diet of colourful fruit and veg.
0:46:17 > 0:46:21Strawberries, beetroots, cherries, cranberries, guava, red peppers.
0:46:21 > 0:46:24- Guava?- Tomatoes, watermelon,
0:46:24 > 0:46:26guava, carrot.
0:46:26 > 0:46:29Every day, can you get every colour of the rainbow in?
0:46:29 > 0:46:34In addition to the rainbow, he wants Kiki to focus on specific foods.
0:46:34 > 0:46:38There's a study which shows that two apples a day in two weeks
0:46:38 > 0:46:41change the composition of your gut dramatically.
0:46:41 > 0:46:43But there's a way of actually cooking it.
0:46:43 > 0:46:45I'm going to show you now.
0:46:45 > 0:46:47- Oh, you need to cook it?- Yeah, and you can have it every day
0:46:47 > 0:46:50- and that in itself will start to make these changes.- OK.
0:46:50 > 0:46:53Increasing the fibre from fruit and veg
0:46:53 > 0:46:55may enable Kiki's gut bacteria
0:46:55 > 0:46:58to produce beneficial compounds that could help him lose weight.
0:46:58 > 0:47:01- So it's not one apple a day. - It's two apples a day.
0:47:01 > 0:47:02It's two apples a day!
0:47:02 > 0:47:05- Exactly!- Keeps the doctor away, hopefully.
0:47:08 > 0:47:10You can add raisins or sultanas.
0:47:10 > 0:47:14And then these and apples can spike your blood sugar a bit,
0:47:14 > 0:47:19so that's why we give cinnamon, because cinnamon helps reduce that.
0:47:19 > 0:47:20- Oh, really?- Yeah.
0:47:20 > 0:47:23And you can just eat an apple, right?
0:47:23 > 0:47:26But actually, we find that when you heat it,
0:47:26 > 0:47:28it releases a lot of these compounds quicker.
0:47:28 > 0:47:31- Oh, OK.- And that's the point, really, of heating it.
0:47:31 > 0:47:34Rangan is also using targeted nutritional supplements
0:47:34 > 0:47:38to supercharge the process.
0:47:38 > 0:47:40You can put the skin to the side.
0:47:42 > 0:47:44- Good?- Doc, are you going to try some?
0:47:44 > 0:47:48- Yeah, I'd love some.- This is good. Just tastes like baked apples.
0:47:48 > 0:47:52- Next time, do you reckon I can see that all filled in?- Yeah!
0:47:52 > 0:47:55It's going to be very competitive and very difficult
0:47:55 > 0:48:00but just a little bit of encouragement and I'll be there.
0:48:00 > 0:48:03I think that went really well. Kiki's up for it, you know?
0:48:03 > 0:48:05I think he's seeing it as a bit of a competition,
0:48:05 > 0:48:10and if that's what it needs to get him to do it, I'm OK with that.
0:48:16 > 0:48:20Two months ago, the Garratt family were struggling with their food.
0:48:20 > 0:48:23Lisa lived off diet shakes for breakfast,
0:48:23 > 0:48:26and 16-year-old Hoshi was limited to just seven foods.
0:48:26 > 0:48:30- Do you want me to get up extra early and make you a bacon roll?- No.
0:48:33 > 0:48:36- Hi!- Hey!- How are you doing? - I'm good.
0:48:36 > 0:48:39- How are you doing?- Some breakfast? - Breakfast sounds good, yeah.
0:48:39 > 0:48:41- Brilliant.- Banana pancakes?
0:48:41 > 0:48:44Yeah... Not the diet shake any more?
0:48:44 > 0:48:45- No, no.- No?
0:48:45 > 0:48:49Pancakes made with just banana, and fresh eggs from the farmers' market.
0:48:49 > 0:48:51- That's it.- Let's do it. - The only ingredients.
0:48:51 > 0:48:52Let's go.
0:48:52 > 0:48:55- It's proper food with proper nutrients.- I like breakfast.
0:48:55 > 0:48:58I can't tell you how happy I am to hear you say that.
0:48:58 > 0:49:01- I know.- You like breakfast. - I like breakfast.
0:49:01 > 0:49:03It's probably my favourite meal.
0:49:03 > 0:49:04That is so great.
0:49:04 > 0:49:08I just think I'm getting up and I'm ready for something.
0:49:08 > 0:49:09What a turnaround.
0:49:09 > 0:49:12I know. Breakfast in a tin - we don't think like that now.
0:49:12 > 0:49:16We just think, "It's time to give your body something good."
0:49:16 > 0:49:18It's just about food and nutrition
0:49:18 > 0:49:21and it doesn't matter how you eat it or when you eat it,
0:49:21 > 0:49:24- as long as it's doing you good. - Yeah.- It's like...
0:49:24 > 0:49:27There's such a big change from a few weeks ago,
0:49:27 > 0:49:28- what you're telling me.- Yeah.
0:49:30 > 0:49:33Rangan wants to know if Hoshi has introduced any new foods
0:49:33 > 0:49:35into her diet.
0:49:35 > 0:49:38So, Hoshi, I thought we might try and see if we can piece together
0:49:38 > 0:49:42- what's in your diet now...- OK. - ..compared to the start.
0:49:43 > 0:49:45I can't think.
0:49:45 > 0:49:47- I can help.- You can help.
0:49:47 > 0:49:48Yeah, yeah.
0:49:48 > 0:49:53- Yeah.- So she has Southern fried spicy chicken.
0:49:53 > 0:49:56And then that's on the bone and then I have it off the bone as well.
0:49:56 > 0:49:59Yeah. She has different bread rolls and croissants.
0:49:59 > 0:50:03- Yeah, there's that kind of... - Yeah, brioche, normal bread rolls,
0:50:03 > 0:50:04like a sub roll.
0:50:04 > 0:50:06Chapatis. She's had a pancake.
0:50:08 > 0:50:11- Didn't you, that Adam done? - Yeah.- That's a new food, isn't it?
0:50:11 > 0:50:13- Yeah.- Different duck.
0:50:13 > 0:50:15We used to only have one type of duck
0:50:15 > 0:50:19but now she'll have a different duck, won't you, with pancakes?
0:50:19 > 0:50:21You've had watermelon.
0:50:21 > 0:50:23You had cucumber.
0:50:23 > 0:50:25You don't know about this, but with Gem,
0:50:25 > 0:50:27like, dried cranberries.
0:50:27 > 0:50:29- Have you?- Yeah.
0:50:29 > 0:50:31- Wow. How was that?- Really nice.
0:50:31 > 0:50:34- Was that at school?- Yeah. - Pomegranate. You've had pomegranate.
0:50:34 > 0:50:37Yeah. This is more than seven.
0:50:38 > 0:50:40This is a lot more than seven.
0:50:40 > 0:50:41I suspect there's more there.
0:50:41 > 0:50:44- Yeah. I'm trying to think. - I just can't remember.
0:50:44 > 0:50:48Just in your first pass, I've put 12 different things down.
0:50:48 > 0:50:52So add that on to the seven of last time, you know,
0:50:52 > 0:50:56you're pretty much 19, 20 foods, compared to seven at the start.
0:50:56 > 0:50:58I'm kind of proud of myself.
0:50:58 > 0:51:01Yeah, it's a big, big change, that.
0:51:01 > 0:51:05I'm pretty sure soon that, you know, we'll...
0:51:05 > 0:51:07- We'll fill a whole book. - Fill a whole book, exactly!
0:51:07 > 0:51:09Fill a whole book.
0:51:09 > 0:51:13To celebrate Hoshi's growing appetite for new foods,
0:51:13 > 0:51:15everyone heads out for lunch.
0:51:15 > 0:51:18I'm going to get the all-American chicken burger.
0:51:18 > 0:51:19That's quite a quick decision.
0:51:19 > 0:51:23Yeah, I saw it and I instantly thought that.
0:51:23 > 0:51:25- That's really good, isn't it? - Yeah, it's fantastic.
0:51:25 > 0:51:27We're not saying,
0:51:27 > 0:51:30"Can we have a side order of goujons to make it, like, a meal?"
0:51:30 > 0:51:33- Cheers.- And then another medium with salad.
0:51:33 > 0:51:34That'll be for me, yeah.
0:51:34 > 0:51:37You're ploughing through that.
0:51:37 > 0:51:40- Is it that good?- Yeah, it's amazing.
0:51:40 > 0:51:43- Do you like it?- Isn't it?- Amazing.
0:51:43 > 0:51:45Can you remember the last time you guys went out
0:51:45 > 0:51:48- and it was a stress-free experience?- Never.
0:51:48 > 0:51:50- It's never happened?- No.
0:51:50 > 0:51:52- This is the first time? - Yeah, first time.
0:51:52 > 0:51:54- Brilliant.- Yeah, it is, it's fab.
0:51:54 > 0:51:56I can see the smile coming out...
0:51:56 > 0:51:58- Yeah.- Not from your mouth, it's coming out from everywhere.
0:51:58 > 0:52:00I'm trying to contain it. I'm trying to be
0:52:00 > 0:52:03cool and laid-back about it but, yeah, it's amazing.
0:52:03 > 0:52:05Really, really good.
0:52:05 > 0:52:07So proud of her.
0:52:08 > 0:52:12I think Lisa and Hoshi are on the right road now.
0:52:12 > 0:52:15Yeah, Hoshi's done a lot of hard work
0:52:15 > 0:52:18but at the same time, I think Lisa changing her relationship with food
0:52:18 > 0:52:20is actually impacting Hoshi.
0:52:20 > 0:52:23And that's what I always say to people,
0:52:23 > 0:52:25you've got to make changes as a family.
0:52:25 > 0:52:28Try and do these things in isolation, no chance.
0:52:28 > 0:52:31You've got to all get on board, all do it together.
0:52:31 > 0:52:33You can see you get results like this.
0:52:36 > 0:52:40Eight weeks ago, when Rangan first met the Phillips family,
0:52:40 > 0:52:43they were struggling with their diet and lifestyle.
0:52:43 > 0:52:44Two.
0:52:46 > 0:52:47Three.
0:52:47 > 0:52:49Four.
0:52:50 > 0:52:53- What's it like, watching these guys again?- I love it.
0:52:53 > 0:52:56I love seeing them doing stuff together.
0:52:56 > 0:52:58They look like different people.
0:52:58 > 0:52:59Definitely.
0:52:59 > 0:53:01It's pretty...
0:53:01 > 0:53:04I'm hoping that the scales will tell us the truth later.
0:53:04 > 0:53:06Yeah, we'll see.
0:53:07 > 0:53:10Mark's back pain is feeling significantly better
0:53:10 > 0:53:13and he's able to start doing mixed martial arts with Kiki again.
0:53:15 > 0:53:18Yeah, look at the smiles on their faces.
0:53:18 > 0:53:20It's just so nice to see, isn't it?
0:53:20 > 0:53:21I love you.
0:53:21 > 0:53:25But the bigger issue is Kiki and his weight.
0:53:25 > 0:53:28Rangan first met him when he was over 11 stone.
0:53:29 > 0:53:31What do you reckon? Shall we do the weight?
0:53:31 > 0:53:33Yes, please.
0:53:33 > 0:53:35Time to get on there.
0:53:38 > 0:53:40I need to see if it says fat or not.
0:53:40 > 0:53:42Last time you were 11st 1 lb.
0:53:42 > 0:53:45Everyone was really worried how much that was.
0:53:45 > 0:53:47It was pretty much the same weight as your mum.
0:53:47 > 0:53:49And I think that alarmed all of you.
0:53:49 > 0:53:52- Yeah.- Your new weight...
0:53:53 > 0:53:54..is 9st 7lb.
0:53:54 > 0:53:58- No!- What?!- What?- So that's pretty much a stone-and-a-half.
0:53:58 > 0:54:01- Well done, Kiki. - Get out of here, Doc.
0:54:01 > 0:54:03I'm not kidding you.
0:54:03 > 0:54:05Are you serious?
0:54:05 > 0:54:08Deadly serious. Same machine as last time.
0:54:08 > 0:54:10You can visually see a change.
0:54:10 > 0:54:12That's good.
0:54:12 > 0:54:15It's not good, that is just fantastic.
0:54:15 > 0:54:18I've rarely seen stuff like that.
0:54:18 > 0:54:21- That's amazing.- Kiki, seriously, come on.
0:54:21 > 0:54:23That is just super good.
0:54:23 > 0:54:25That's good.
0:54:25 > 0:54:27We're close together!
0:54:27 > 0:54:29ALL LAUGH
0:54:29 > 0:54:31Kiki's weight is down,
0:54:31 > 0:54:35but it's his insulin level that's most important for his health.
0:54:35 > 0:54:38- What do you think? Do you think it'll be good?- Yes.
0:54:38 > 0:54:40- Sure?- Yes.
0:54:40 > 0:54:42All right, I'll tell you what they are.
0:54:42 > 0:54:46So your initial insulin was 32.6.
0:54:46 > 0:54:48OK?
0:54:48 > 0:54:50Your new insulin is 10.
0:54:50 > 0:54:52What?! High-five.
0:54:52 > 0:54:53MARK LAUGHS
0:54:56 > 0:54:59- OK.- Do you know how good that is? - That's so good.
0:54:59 > 0:55:01That's pretty much normal.
0:55:01 > 0:55:03Oh, my gosh, that's fabulous.
0:55:03 > 0:55:06That means your body is needing just a little bit of insulin
0:55:06 > 0:55:09to do basic functions. That's the way it should be.
0:55:09 > 0:55:11- MARK:- That's good. - Put it there, son.
0:55:13 > 0:55:15- Hey! Feel good?- Yes!
0:55:15 > 0:55:19- Cos he was an active kid, right? - Yeah.- He was already an active kid.
0:55:19 > 0:55:23So I was thinking, "Hold on, he's active, what's going on here?"
0:55:23 > 0:55:25- Yeah.- And the diet...
0:55:25 > 0:55:28- REBECCA:- Football, swimming... - MARK:- Basketball.
0:55:28 > 0:55:30Are you OK?
0:55:30 > 0:55:33- REBECCA:- Basketball. Even just walking with me to work.- Hmm.
0:55:33 > 0:55:36Walking to Harlesden, not taking the bus.
0:55:36 > 0:55:38Walking back. Cos we walk a lot.
0:55:40 > 0:55:42If we didn't have Doc, can you imagine?
0:55:42 > 0:55:46- We would have just gone on... - I would have been diabetic.
0:55:46 > 0:55:47That's just crazy.
0:55:49 > 0:55:52- Do you want some tissue?- No, I'm good.- Are you OK?
0:55:55 > 0:55:57We did it.
0:55:58 > 0:56:00But we did it as a family, which is good.
0:56:04 > 0:56:08I'm chuffed. I'm really, really pleased.
0:56:08 > 0:56:13What Kiki has done in under two months is frankly phenomenal.
0:56:13 > 0:56:16I didn't think I've had that kind of response from a child before.
0:56:16 > 0:56:19And, yeah, really...
0:56:19 > 0:56:21It makes you feel good, you know?
0:56:21 > 0:56:23It makes you feel good as a doctor, as a person.
0:56:23 > 0:56:26But as a dad myself, that feels fantastic.
0:56:26 > 0:56:28You know, everyone's excited about the weight,
0:56:28 > 0:56:31I get that, because that's the headline news, isn't it?
0:56:31 > 0:56:36But, actually, what makes me happier,
0:56:36 > 0:56:39he was on the road to getting type 2 diabetes
0:56:39 > 0:56:42and he's not any more.
0:56:42 > 0:56:44It's really that stark.
0:56:44 > 0:56:46And that's not going to have just consequences for now,
0:56:46 > 0:56:50the way he feels today, and what happens at secondary school.
0:56:50 > 0:56:51If he can keep it up,
0:56:51 > 0:56:55this is going to have consequences for the rest of his life.
0:56:55 > 0:56:56- Hello.- Hello!
0:56:56 > 0:57:00Next time, Rangan tries to help a mother and daughter...
0:57:00 > 0:57:02I obviously can't go on like this, can I?
0:57:02 > 0:57:05..who are battling the same life-threatening issue.
0:57:05 > 0:57:08It probably puts you at high risk of early death.
0:57:08 > 0:57:12Hellish, hellish, hellish, hellish.
0:57:12 > 0:57:13And he tries to help a lady
0:57:13 > 0:57:15who lives with extreme pain and exhaustion.
0:57:15 > 0:57:18I think this fear is holding you back.
0:57:18 > 0:57:20Please don't turn it into, this is a...
0:57:20 > 0:57:23This is because I'm mentally fearful.