A morbidly obese woman who made headlines last year has been refused life-saving surgery after putting on yet more weight.
Dominique Lanoise decided to turn her life around at 270kg and lose weight to have the surgery that would save her life.
But when her surgeon weighed her after 10 months of dieting, she had put on another 30kg.
Despite being given appetite suppressants, Lanoise was forced to admit she fell off the wagon and constantly craves fatty Haitian food.
"I don’t want to lie, I cheat, but sometimes I feel so hungry," she said.
A documentary to air today on US network TLC, 600 Pound Mom: Race For Time, follows Lanoise's struggle with food addiction and the life she lives with her six children, who are also her carers.
In a clip released before the show goes to air, the 40-year-old is taken to hospital hoping to receive surgery to reduce her stomach size, but her surgeon assesses her condition with disbelief.
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Dr Oscar Hernandez said the goal of the surgery was to reduce her stomach by 90 percent, but the risk was too high at that weight.
"This is a very dark day for me, she's gone to town eating despite telling me the contrary," Dr Hernandez said.
"There is no operation at these numbers."
The documentary follows her second attempt to drop enough weight to have surgery and allow her to finally leave her room and ultimately walk again.
A single mother, she has been housebound and cared for by her children, aged 14 to 24, for 17 years.
Lanoise told media last year that her weight gain began after having her first child at age 16.
"I used to be skinny but after I had my first baby I got so big," she told TLC.
Author: Philippa Lees
Approving editor: Rory Kinsella.