"If the body is having to adapt to a lot of substances it doesn't like, then it's going to start hoarding fat in a survival mode, true?" Dr. Phil asks Dr. Goglia.
His colleague agrees. "Whenever the body has to adapt to something inappropriate that it would consider trauma or life-threatening " be it food, a stressful day " your body will start to hoard fat to protect itself," Dr. Goglia explains.
Dr. Goglia says that Sarah is fat- and protein-efficient. "The apple doesn't fall far from the tree," he says.
[AD]Dr. Phil explains the number two mistake that parents make in their child's weight gain: modeling. "You've got to model this properly. We've got to change this environment internally," he tells Gina and Enrique. "You two have to say, 'I'm going to become the picture of health. I'm going to exercise. I'm going to eat right. I'm going to tell myself no.'"
He points out that both parents sneak food in the house so Sarah doesn't see it. "What's she doing?" he asks rhetorically. "She's sneaking food around and hiding it."
Dr. Phil shows Gina and Enrique a computerized progression of their daughter once she loses weight and slims down to a normal size. "That is the size your daughter should be now," Dr. Phil says, pointing to a graphic. "You guys have to be willing to say, 'You know what? I'm the mother. I'm the father. I buy the food, I prepare the food, I present the food, so I am in control. I am the gatekeeper. It's like her drug of preference is food, and you're the dealers."
Dr. Phil revisits with his staff member Polly, who is wearing a fat suit. He asks her to sit in front of Sarah's parents.
Dr. Phil has a surprise for the parents. Bistro M.D., gourmet meals designed by doctors, will provide the family with a year of nutritious food delivered daily. Also, New Image Camps will give Sarah an eight-week stay at Camp Pocono Trails, a weight-loss camp for kids ages 7 to 19. The tween will have access to a climbing wall, tennis courts, basketball, dance, yoga and a workout room.
The parents thank Dr. Phil for his assistance.