Most likely, she followed Dr. Now’s popular low-carb, low-fat, high-protein diet plan, which requires his patients to limit their caloric intake to roughly 1,200 calories a day. 

This means that Octavia had to give up sugary snacks and drinks, as well as high-carb foods like potatoes (in pretty much any form, be it chips, french fries, or mashed potatoes), rice, pasta, and cereal.

Plus, Octavia had to deal with Dr. Now’s “tough love” — which can sometimes be very hard for patients. 

“It’s a daily challenge to work with some patients that can be self-destructive. My job is not to get aggravated, but to find a way to motivate them to work hard to get to their goals. There are times where I think it’s necessary for some tough love and I have to be stern with them, so I show some of my concern and frustration,” Dr. Now told People magazine last year. “Even during those times, my job is to find a way to work with them to get their weight to a healthy place. They are the patient because they need help and it’s my job to help them no matter what.” 

Keep it up, Octavia! Watch My 600-lb Life Wednesdays at 8 p.m. EST on TLC. 

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