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Super Size Me

Everything's bigger in America,

we've got the biggest cars,

the biggest houses,

the biggest companies,

the biggest food,

and, finally,

the biggest people.

America has now become

the fattest nation in the world.

Congratulations.

Nearly 100 million Americans

are today either overweight

or obese.

That's more

than 60% of all U.S. Adults.

Since 1980,

the total number of overweight

and obese Americans has doubled,

with twice as many

overweight children

and three times as many

overweight adolescents.

The fattest state in America?

Mississippi... where one

in four people are obese.

I grew up in west Virginia,

currently the third-fattest

state in America.

When I was growing up, my mother

cooked dinner every single day.

Almost all my memories of her

are in the kitchen.

And we never ate out,

only on those few, rare

special occasions.

Today, families do it

all the time,

and they're paying for it...

not only with their wallets,

but with their waistlines.

Obesity is now

second only to smoking

as a major cause

of preventable death in America,

with more

than 400,000 deaths per year

associated

with related illnesses.

In 2002, a few Americans

got fed up with being overweight

and did what we do best.

They sued the bastards.

Taking aim

at the fast-food companies

and blaming them

for their obesity and illnesses,

a lawsuit was filed in New York

on behalf of two teenage girls,

one who was 14 years old,

4'10", and 170 pounds,

the other, 19 years old,

5'6", and 270 pounds.

The unthinkable

had suddenly become reality.

People were suing the golden

arches for selling them food

that most of us know isn't

good for you to begin with

yet each day,

one in four Americans

visits a fast-food restaurant.

And this hunger for fast food

isn't just in America.

It's happening

on a global basis.

McDonald's alone operates

more than 30,000 joints

in over 100 countries

on 6 continents

and feeds more than 46 million

people worldwide every day.

That's more than

the entire population of Spain.

In the United States alone,

McDonald's accounts for 43%

of the total fast-food market.

They're everywhere...

Wal-Mart's, airports, rest stops,

gas stations, train stations,

shopping malls,

department stores,

amusement parts, even hospitals.

That's right... hospitals.

At least you're close

when the coronary kicks in.

Lawyers for McDonald's

called the suits "frivolous",

stating that the dangers of

its food are universally known

and that these kids can't show

that their weight problems

and health woes were caused

solely by their McDiets.

The judge states, however,

that if lawyers

for the teens can show

that McDonald's intends

for people to eat its food

for every meal of every day

and that doing so would be

unreasonably dangerous,

they may be able

to state a claim.

Are the food companies solely

to blame for this epidemic?

Where does personal

responsibility stop

and corporate responsibility

begin?

Is fast food

really that bad for you?

I mean, what would happen

if I ate nothing but McDonald's

for 30 days straight?

Would I suddenly be

on the fast track

to becoming an obese American?

Would it be

unreasonably dangerous?

Let's find out.

I’m ready.

Super-size me.

I knew

if I was going to do this,

I would need some serious

medical supervision,

so I enlisted the help of

not one, but three doctors -

a cardiologist,

a gastroenterologist,

and a general practitioner.

You're feeling

quite well today, yes?

In general, any fatigue

or weight loss, weight gain,

any change in your vision?

No fever,

no earache, no cough

no shortness of breath,

no chest pain...

...nausea,

vomiting, heartburn?

Dr. Isaacs: No hospitalizations

for illness?

Do you take

any medications of any sort?

I’ve just been

taking vitamins.

Any food allergies

or anything?

No.

There's no heart disease

or diabetes or blood pressure

or cancer

in the immediate family?

My grandfather's had

a couple open-heart surgeries.

One out of four

grandparents is dead.

Yeah.

Good genes.

That's the important thing.

- Any alcohol use?

- Now? None.

You don't smoke?

I used to, but I don't.

Any drug use at all?

Not for a long time.

- Are you sexually active at present?

- Yes.

- A girlfriend?

- Yes.

Is there anything

we didn't cover?

Is there anything else

you need to tell me?

I don't think so.

"Patient is embarking

on a one-month McDonald's binge."

Very good.

You might have something

called white coats.

140 over about 95.

130 over 105.

120 over 80.

That's what it is?

The other guys

are stressing me out.

You're much more relaxed.

I tend to do that

to my patients.

Swallow, please.

Your reflexes are perfect.

Good. Back out.

Normal.

Say "ah."

Everything

looks pretty normal here.

Good.

We'll skip

checking for hernias.

We're gonna

do a rectal exam.

I like to be more

thorough than that.

And I like doctors

to be thorough.

You're gonna go downstairs

and get your bloods drawn.

So, the reason

we have you fasting

is the true cholesterol

and glucose number is fasting.

So, if you had, like,

a bacon, egg, and cheese

your cholesterol

would be way high,

or if you had orange juice,

your glucose would be high.

Three down.

Your blood tests

are excellent.

Your starting off with

a total cholesterol of 168

which is less than 200,

which is really superb

your blood level's fine.

Your iron level

is good as well.

You have no evidence

of diabetes.

Your fasting blood sugar

is very low.

The other thing

that we looked at

were all your electrolytes

in terms of salts in your blood,

your kidney function,

your liver function.

They were all perfect.

Your triglycerides, which is

your building blocks of fat...

basically, what you acquire

from eating fat...

is 43, which is low,

which is good.

Your general health,

you know... is outstanding.

Your urinalysis is great.

So, you're

starting off terrific.

I think

the worst-case scenario

is that you increase

your triglycerides

and your cholesterol level,

and if you have any he

art disease in the family...

underlying heart disease...

you're putting

your heart at risk.

I expect to see an increase

in your triglycerides,

because

that can be affected.

You're at 87 now,

and I think that will change.

I think that's the only thing

that will change.

Out of everything?

Out of everything.

There might be

some minor variations,

but the body

is extremely adaptable,

and the kidneys will handle

any extra salt you're taking in,

and your liver will be able

to metabolize additional fats.

As far as you gaining weight,

you probably will.

As far as your cholesterol

going up, it probably will.

As far as you

feeling miserable, may be.

I don't know.

Unless you start cheating

and just order the salads.

I also went to a fancy

new York wellness center

to meet a registered dietician

who would help

track my progress.

Okay, let's start with

getting your height and weight.

I’m 6'2".

I weight about 185.

For your height,

this is a healthy weight.

I can tell you that

right now.

Your BMI,

which is the body mass index,

is within normal limits,

which means you're not obese.

You're actually

at the correct weight.

So, I should keep a checklist

of the things that I eat

for breakfast, lunch, and dinner?

Your calorie needs

are gonna be averaging

about 2,500 calories a day.

As far as fat goes,

for 2,500 calories,

you're gonna want about

80 grams of total fat in a day.

The saturated fat, which is

a component of total fat,

you want to have

less than 25 grams a day.

Don't try to overindulge

too much.

Good luck, Morgan.

Hi, there. I'm Eric Rowley,

our exercise physiologist.

Great.

Rowley:

The official weigh-in...

185 1/2.

We'll go through

the cardiovascular assessment,

and then I'll be able

to calculate

how much oxygen

your muscles can utilize,

and that's also an indicator

of what type of condition your

cardiovascular system is in.

All right, good work.

I’m gonna use

these skinfold calipers

to estimate

your body density.

You're 11% body fat.

That's great.

We're gonna

measure your flexibility

of your hamstrings, your hips,

and your lower back.

Good, good.

Very nice.

38 centimeters

was your best.

There's a basic

old-school test

for muscular strength

and endurance.

36. Good job.

You're above average

above average fitness

for your age group,

definitely, I'd say

you're at a good spot right now.

More than 60% of Americans

get no form of exercise,

so for the next 30 days,

neither will I.

But I'll still have to walk.

How much does the average

American walk a day?

We have these pedometers

that we put on people,

step counters.

You could very roughly

estimate at about 2,000 steps,

because 2,000

would make a mile.

And we know that people

that work in office settings,

who drive a car

to and from work,

who take an elevator

up to that office,

may take as little

as 2,500 or 3,000 steps

in their entire day.

If you wanted to feel physically

like a lot of Americans do,

then you'd limit yourself

to about 5,000 steps a day.

Us New Yorkers...

we walk everywhere.

We walk to work,

to the park, to the store.

Most of us don't even own cars.

The average New Yorker will walk

four to five miles a day...

a day!

That's a lot of walking.

I’ll also have the blessing

of being close to a food source

almost everywhere I go.

I walk past three golden arches

just on my way to the office...

three in just over a mile.

There are more Mickey D's

in Manhattan

than anywhere else in the world.

This tiny little island

is less than 13 miles long

by 2 miles wide,

22.4 square miles,

and packed into that area

are 83 McDonald's,

nearly four per square mile.

There are

twice as many Mac Shacks

as there are Burger Kings,

and there are

more McDonald's than KFC,

Wendy's, Popeye's,

and Taco Bell combined.

That's a lot of burger.

I know he's

gonna do it for a month,

but I think after a week,

he's gonna be really irritated.

I think it's gonna

affect our relationship.

You are a vegan chef.

Yes, I'm a vegan chef.

Ugh. I just don't

know if I can...

of course I will.

I’ll sit next to him

while he eats McDonald's.

Of course I will.

I’m just gonna be

rolling my eyes the whole time.

I have a vegetable tart

and a quinoa

and roasted veggie salad

artichokes,

and a simple green salad...

all beautiful, organic,

fresh vegetables

that you're gonna

miss so much.

What am I gonna have

that's organic?

In the next month?

Nothing?

You're only gonna have

genetically modified potatoes

I’m gonna eat as many

vegetables as I can tonight.

There's plenty

here for you.

That's really good.

Thanks.

Have they improved their cookies

in the last 10 years?

Last time I had them, they were

like little hockey pucks.

I don't know.

We'll see.

It's the first day,

and I'm on my way

to breakfast.

Could I get an egg McMuffin

extra value meal?

Every 8-year-old's

dream right now

that I'm getting ready

to fulfill.

I got my egg McMuffin.

That's gonna be

the first thing right there.

This McDonald's

delivers for free.

All I did today

was leave my apartment,

walk down the stairs,

and walk to the McDonald's...

1,272 steps.

So, we got to go to the corner

and we got to get a cab.

The cabs are gonna

add up in this thing.

I can tell already.

I got my scorecard,

and in here,

I had one egg McMuffin.

I had one sausage biscuit.

Do you eat fast food?

Once in a while.

Yeah? How often?

I’d say probably

once every two weeks.

Three, four times

a week maybe.

In France, yes.

But here, no.

I don't like here.

It doesn't sound

very... clean.

And what's

your favorite place?

Probably Wendy's.

McDo.

Taco Bell.

Taco Bell.

McDonald's is pretty close.

Do you ever have

super sized cokes?

No, in France...

the small size here,

it's a bigger size in France.

Even the small size here,

I can't drink.

There are rules

to what's going on here

in this whole process.

I will only super-size it

if they ask me.

I can only eat things

that are for sale

over the counter at McDonald's,

water included.

If McDonald's doesn't sell it,

I can't eat it.

I have to have

everything on the menu

at least once

over the next 30 days,

and I have to have

three squares a day...

breakfast, lunch, and dinner.

No excuses.

Oh, I love Big Macs.

This is probably

the first time in a long time

that I've seen a big Mac

that looks like the picture,

that actually almost

looks like the picture.

Look at that.

Big Macs never look this good.

You got to come to Chinatown

for the good big Macs.

You've heard

about all these people

who are suing

these fast-food companies.

Yes, I've heard of them.

I think it's ridiculous,

but it's the American

way to sue for everything.

I’d throw the lawsuit out

if I was a judge.

And like I was saying,

if these fast-food places

can put their signs up,

if I can walk by them

and just totally ignore them

and say, "I'm not hungry.

I don't need this,"

they can do it, too.

We don't have to go there.

We don't have to shop with them.

We can easily go in McDonald's

and grab a salad,

but we choose not to.

Now, if the McDonald's

refused them service,

they'd be in court again saying,

"we were refused service."

So you can't win if you try

in this world.

I think there's a lot of focus

on the fast-food companies

because they are mentioned more

than virtually

all the other causes

in most of the articles

and books and studies

about why it's

a sudden epidemic.

Again, it can't be

the neighborhood restaurant.

We've had

neighborhood restaurants

for hundreds of years.

It can't be the foods

we eat at home.

We've been eating at home

for hundreds of years.

Something is very different.

I think the figure is we eat out

something like 40% of our meals.

John Banzhaf

is currently spearheading

the attacks

against the food industry,

advising many of the lawyers

who are currently

going through the process.

People say he's crazy,

but that's what

they used to say about him

when he first sued

the tobacco companies...

until he won.

I think in terms

of responsibility,

it's fair to point

the big gun at McDonald's.

McDonald's is

one of the biggest

but, more importantly,

it is the one which,

far more than all the others,

lures in young children.

They have the playgrounds,

the closed, indoor playgrounds.

Many places,

there are no other playgrounds.

You've got to

take your kid there.

So even at 2 and 3 and 4,

those kids are being

lured into there.

McDonald's is very heavy

on birthday parties.

They, of course,

pioneered the happy meals,

now the mighty kids' meals also

with those little

"gotta have 'em" toys.

So they get the kids in.

And, of course, the whole clown.

McDonald's has the clown.

A lot of those ads

appeal primarily to kids.

There's a cartoon on TV

which features him.

So they, more than others,

lure the kids in.

I think all of us are far more

concerned about the kids.

Another man

who is worried about the kids

is Samuel Hirsch.

He represents the two girls

who are suing McDonald's,

with much advisement

coming from professor Banzhaf.

Why are you suing

the fast-food establishment?

You mean motives besides

monetary recompensation?

You mean you want

to hear a noble cause?

Is that it?

I think that fast foods

are a major contributor

to this epidemic.

In 2000, Dr. David Satcher

became the first surgeon general

to draw attention

to the obesity crisis,

declaring it

a national epidemic.

Now, remember,

we're super-sizing everything.

You go to any fast food store,

and they're trained to tell you

to buy a bigger size.

For five cents more,

you can get the super size.

Federal government

will define a piece of meat,

three ounces of meat,

as a sensible portion,

and that looks like

a deck of cards.

Few people would be able

to find this deck of cards

if they were served a piece of

meat, a steak, in a restaurant.

It would probably be about

four or five times this size.

One typical bagel

that one is eating

that looks something like this

is going to comprise

five servings of bread.

When fast food companies

first opened,

they generally

introduced one size.

For example,

one size French fries

when McDonald's first opened,

called "fries."

That size fries

is now called "small."

Medium, large, and super size.

That original size

is still here.

It's got about 200 calories.

But the super size is gonna

pack in over 600 calories.

When Burger King first opened,

they had a 12-ounce small

and a 16-ounce large.

This 12-ounce is now kiddy.

The 16-ounce is now the small...

the medium, the 32, and the 42

and this is across the board

with all fast-food places.

Cars have introduced

larger cup holders

to accommodate those huge

7-eleven double gulps,

which are 64 ounces,

a half gallon,

and hold anywhere

from 600 to 800 calories,

depending on how much ice

you put in.

A half-gallon of soda?

A half-gallon of soda

for one person,

48 teaspoons of sugar.

Hello, may I help you?

Yeah, could I get

the double quarter pounder

with cheese meal?

Large or super size?

I think I'm gonna

have to go super size.

Look at that.

look at that coke.

That barely fits in there.

Oh, s**t!

I’ve got a... look at that.

look at how big that thing is.

Look how big that French fry is.

That thing is,

like, four feet tall.

Double quarter pounder

with cheese.

More calories than anything.

There it is...

a little bit of heaven.

That's a lot of food, man.

I’ll tell you what...

You get

all that super sized stuff,

that stuff gets super sized, man...

Look at that.

I just put a...

I’m not even halfway done

with those fries.

Not even halfway.

This is like a workout.

See, now's the time of the meal

when you start getting

the McStomachache.

You start getting the McTummy.

You get the McGurgles in there.

You get the McBrick.

And then you get

the McStomachache.

Right now I got some McGee

that's rockin'.

Are you sweating there?

My arms... I feel like

I got some McSweats going.

My arms got the McTwitches

going in here

from all of the sugar that's

going in my body right now.

I’m feeling a little McCrazy.

Just give me a minute.

I'm in pure McDonald's Heaven.

This is gonna be you,

like, after every meal.

I’m dying.

God,

that looks so nasty.

It's making me puke.

You all right?

Yeah.

I believe we live

in a toxic-food

and physical-inactivity

environment.

That is,

we live in an environment

that almost guarantees

that we become sick.

Not 100% of people become sick,

but the numbers of people who do

are growing

and growing and growing.

I don't believe that "toxic"

is too strong a word, either,

because an epidemic of obesity

where 60% of the population

is suffering

and record numbers

of children are having this

is a crisis by any standard.

The toxic environment

is constant access

to cheap, fat-laden foods.

It's gas stations that sell

more candy and sodas than gas.

It's a nation where there

are more than 3 million

soda vending machines.

That's one

for every 97 Americans.

It's a world where people depend

completely on their cars

for transportation

and where walking

has become such a chore

that we rely on machines

to do it for us.

My stomach

feels horrible this morning.

It doesn't feel good at all.

There we go.

I’m getting this really weird

feeling right in my midsection,

basically in my penis right now,

and it's just like this...

It's really freaky.

That is very odd.

Yeah.

It could be

from the caffeine,

but I couldn't really

pinpoint that 100%.

I have a delivery for Mr. Morgan.

$13.39.

$13.39.

I made it

over the three-day hump.

You know

how when you quit smoking...

I don't know how many of you

out there smoke cigarettes,

but you should stop.

I quit smoking.

And there's the three-day hump.

Three-day...

it's the three-day hump

when you quit

smoking cigarettes.

If you can make it

over those three days

without smoking one cigarette,

if you can make it past day one,

day two, day three, you're fine.

Same thing with this.

I made it past day three.

I’m all right.

Left unabated,

obesity would overtake smoking

as the leading preventable cause

of death in this country.

I was at this meal,

and it came up

that one of the people

was a smoker,

and somebody else at the table

started hectoring them about it.

"What's the matter with you?

"Don't you know

how bad it is for you?

"It'll do this, that,

and the other thing to you,

and you really should stop."

And the smoker,

rather than saying, "f**k you,

mind your own business"...

Which, I think,

is the appropriate response...

was abashed and defensive.

"Oh, I tried to quit,"

and, "yeah,

I'm gonna try again,"

and "you're right,

you're right," and so on.

At that same table,

there was a quite large woman,

and I was wondering...

what if this guy,

instead of confronting

the smoker,

had said to the large woman,

"What's the matter with you,

you fat pig?

"Don't you know how dangerous

it is to be so overweight?

"Stop eating, for god's sake.

And don't you dare get dessert,

and what's the matter with you?"

Same logic.

I’d be hard-pressed

to find a distinction

between those two examples.

So, one is now

socially acceptable...

to hector smokers...

but the other one

isn't quite yet.

So the question is,

at what point

will it become acceptable

to publicly hector fat people

in the way that smokers

are publicly hectored?

A secret study

by one of the tobacco companies

had the ominous title...

something like,

"brand imprinting

for later actuation in life."

They would buy

the little toy cigarettes,

and they'd start

play-smoking them

at 4 or 5 or 6.

Wouldn't even

notice the pack.

If you asked them

what pack it was,

they wouldn't notice it,

but the theory was that

somewhere, it's buried in here,

and then when they get to

the age where they're smoking,

without even realizing it,

they're going for that pack

that they recognize

because it had

those nice feelings for them

when they were

little kids.

The same way here...

they're satisfied,

it's nice,

they remember

the warm feelings

of playing

and getting the toy,

being with mom and dad.

It's gonna carry through.

That's why

when I have kids,

every time I drive

by a fast-food restaurant,

I’m gonna

punch my kid in the face

Then we'll never

want to come.

One of the most disturbing

things to me

is that in the last

20 to 25 years,

we've actually seen a doubling

of overweight and obese

children and adolescents.

And this weight gain

has been linked

to countless health problems

later in life, such as...

In fact,

if current trends continue

one out of every three children

born in the year 2000

will develop diabetes

in their lifetime.

At least 17 million Americans

now have type 2 diabetes,

about one

out of every 20 people.

If the diabetes starts

before the age of 15,

you lose somewhere between

17 and 27 years of life-span.

According to the new research,

the direct medical costs

associated with diabetes

have doubled.

The direct medical costs have

doubled in the past five years,

from $44 billion in 1997

to $92 billion in 2002.

Somewhere in the neighborhood of

about 20% of the obese children

have elevated abnormal

liver function tests,

and we have now started a study

where we're

biopsying these children

to see what their livers

actually look like

under the microscope,

and half of them have evidence

of scarring of the liver,

fibrosis of the liver,

the early stages of cirrhosis.

So, when these children

end up being adults,

they're going to end up...

if they don't change their

eating and exercise habits,

are gonna end up

with liver failure

and, well,

either transplant or death.

Did you want lettuce

and mayonnaise on all of them?

I think it's very, very hard

for overweight teenagers

because you're always

going to see

the thin, pretty,

popular girls,

and you can't help

but look at them

and think, "I wish I was her,"

or, "I wish I could have that."

And it's depressing.

It makes you feel like crap.

That's just how it is,

and of course

it's hard being a teenager

because you see all the girls

in the Cosmo girl

are teen people,

and they're all beautiful,

and you think, "aren't I

supposed to look like that?"

And it's just not realistic.

It's not a realistic

way to live.

So, without further ado,

let's welcome Jared Fogle.

My big thing was never smoking.

It was never drinking.

Obviously,

it wasn't doing drugs.

My big vice was food,

and before I knew it,

I wound up weighing 425 pounds.

I brought in

a present for you...

my old pants

that are now made famous

in all the subway commercials.

You're welcome.

This is

my daughter, Victoria.

She's an eighth-grade

honor student,

and you're a real

inspiration to the kids.

I really

appreciate that.

That's one

of the greatest...

I started

putting my weight on

as you guys know,

about third or fourth grade.

She was real tiny

when she was littler,

and it's been in our family.

In fact,

I had a great-grandfather

that died

and was buried in a piano box

years and years ago,

so it's a history.

Absolutely.

And she's been trying

to maintain her weight.

It's tough.

It's always a challenge.

I know as a kid,

it's awfully hard these days

and kids

are not always kind.

No, not at all.

And I know that firsthand.

And the problem is,

the world's not gonna change

You have to change.

I guess it's kind of cool

to know somebody

or be able

to listen to somebody

talk about actually

being where I am right now,

and it's kind of hard

because I can't afford

to go there every single day

and buy a sandwich

two times a day,

and that's

what he's talking about,

like that's

the only solution.

That's what he said

worked the best,

but I can't do that.

And I've tried other ways,

and it's kind of hurt my body

from doing other ways

that I've tried to do.

And it's kind of hard

to, like, look at someone

who says, "hey, I've done it.

You can do it."

But it's not that easy.

I’d been sick as a kid.

I grew up eating

a lot of ice cream,

more than you can believe.

We had an ice-cream-cone-shape

d swimming pool in our backyard.

We had a commercial freezer with

not only all 31 flavors in it,

but all experimental flavors

that were under development.

And I made myself

the official taster.

I had to approve everything,

in my mind.

And I loved it.

What kid wouldn't?

I literally

had unlimited ice cream.

I ate ice cream for breakfast.

But I was sick a lot.

And I wasn't very athletic.

I was really ill.

And I didn't feel good.

So I would kind of appease that

by eating more ice cream.

You can see how the vicious

cycle would take place.

One of the triggering factors

for me was my uncle,

Burt Baskin, my dad's partner

and brother-in-law,

co-founder of the company...

died of a heart attack.

I think he was 51.

Now, my uncle weighed

about 240 pounds...

heavyset fellow.

And when he died,

as a young man, I asked my dad,

"Do you think

there could be a connection

between his fatal heart attack

and the amount

of ice cream he would eat?"

My father said,

"No, his ticker just got tired

and stopped working."

By this time,

he had sold more ice cream

than any human being that had

ever lived on this planet.

He didn't want to think that

the product was hurting anybody,

that it had contributed

to the death

of his brother-in-law, partner,

and, in many ways, best friend.

No way.

Ben Cohen,

the Ben of "Ben and Jerry's",

a couple years ago,

had a quintuple bypass procedure

at the age of 49.

My uncle,

Burt Baskin of Baskin-Robbins,

dies at the age of 51

of a heart attack.

My father, Irv Robbins, the

other founder of the company,

ended up

with very serious diabetes.

You can't deny these links.

You just can't.

Yeah, could I get

the two-cheeseburger meal?

Okay, super sized.

Second time.

Thank you, sir.

Thanks, man.

After five days

on the McDonald's diet,

what I did was I ran three days'

worth of food analysis.

The needs for you to maintain

weight at the 185

that you were at

when you came in... 186 pounds

was approximately

2,500 calories.

Right now you're getting

almost 5,000 calories a day,

the average being 4,986.

I would love for you

to take a multivitamin.

McDonald's doesn't sell

multivitamins.

Well,

here's my new advice,

is just kind of

minimize the meals.

A substitute for the hot fudge

sundae would be the yogurt.

That is true,

if you get the snack size...

five ounces.

If you get the regular size

without granola,

it contains nearly as many

calories as a strawberry sundae.

With granola,

it has more calories

than the hot fudge

or caramel sundae.

And if that doesn't make you

think twice about the parfaits,

then how about this?

There's a big,

nappy hair in it!

That's disgusting.

I’m gonna show you

how we do it.

You go like this.

We go...

look, it's long, too!

Did you see that!

Oh, that's so gross!

Only the finest at McDonald's.

Here we are at 190.

192, 193, 194.

No.

We have to stop everything.

I don't believe it.

195 pounds.

It can't be.

We have to redo this.

That's zero.

Second try.

88, 92, 94.

You've gained, actually,

about 5% of your body weight.

Losing and gaining weight

that fast is not healthy.

Do you eat fast food?

Yes, I do.

Unfortunately.

Oh, yeah, oh, yeah.

love it, love it, love it!

Love fast food.

How often

do you guys eat it?

Every week?

Oh, maybe once

or twice a week.

We're gonna go hit up

McDonald's in a little while.

At least two times today

you know we ain't had

no meal yet today.

We was just pointing

towards McDonald's.

I get the number two,

the cheeseburger

with the super size coke

and fries.

Super-size it up!

Make it bacon, 69 cents.

That's what they say.

"Make it bacon."

Make it bacon, baby.

How often do you think

people should eat fast food?

I don't know

if they should eat it at all.

I don't know if I should

I don't know about

what they should do.

Oh, that's baloney!

It's baloney!

What they need to do

is 25 minutes on that treadmill,

work out a little,

do some push-ups.

If you do some push-ups

when you eat,

you'll keep

your weight down.

I keep my weight down.

I hit them push-ups

and everything,

Keep myself cool.

Who has time to do that?

We have to work.

We have to take care of kids.

We have to clean.

So you exercise...

you run after your kids.

These are the first

McNuggets I've had

in this whole exciting

tour of duty.

Look at that

glistening in the sun.

Boy, that is miserable.

I’m not sure what portion of the

chicken that's shaped like that.

I’m guessing

this is the foot on the chicken.

In the lawsuit against them,

McDonald's stated

in their own defense

that it's a matter

of common knowledge

that any processing

that its foods undergo

serve to make them more harmful

than unprocessed foods.

Case in point... McNuggets.

Originally created

from old chickens

that could no longer lay eggs,

McNuggets are now

made from chickens

with unusually large breasts.

They're stripped from the bone

and ground up

into a sort of chicken mash,

which is then combined

with all sorts of stabilizers

and preservatives,

pressed into familiar shapes,

breaded, deep-fried,

freeze-dried,

and then shipped

to a McDonald's near you.

Judge Robert Sweet called them

"A McFrankenstein creation

of various elements

not utilized by the home cook."

So, for the past couple days,

which I haven't

shared with everybody...

it's been a new thing...

I’ve started to have...

not chest pains, but pressure.

I feel like I got pressure

on my chest.

I figure that's probably

not a good thing.

But neither's

eating all this, so...

I tell you.

I haven't smelled bad yet.

Yeah, you have.

No, I haven't.

You just don't smell

how bad you smell.

Look at that fish filet.

Look at this thing.

Oh, God,

that looks nasty, man.

Isn't that horrible?

Obviously, that's been

sitting around all day.

That, the filet-o-fish.

s**t!

WOMAN:

How can I help you?

Can I get the double quarter

pounder with cheese value meal?

- Okay, thank you.

- $4.86.

I don't feel good today.

Not that I feel sick,

but I just feel

really depressed,

you know, for no reason.

I mean, things are going great.

I’ve had a good day.

I just feel really...

yeah.

It's not real hard

eating this food all the time,

just because it tastes good,

it makes you feel good.

I really noticed I'll eat some,

and just a little while later,

I'll be hungry again,

and I'll want more...

more, more, more.

I’m pretty bored

with their menu.

It only took me nine days.

But it's pretty good otherwise.

Nine days.

How many?

How many's

the question.

We always ask how many,

and he holds up

how many fingers.

That's it.

It's always the "how many"?

It's just one for now.

As soon as I got my first car,

this is the first place

I came to.

I bought three Big Macs,

ate them out there.

I enjoyed them so much,

I came back about 5:00 at night,

bought three more,

ate them out there,

came back around 11:00

before they closed,

and ate three more,

so the first day I came here,

I ate nine Big Macs,

and it was like I couldn't get

enough hamburger at that time,

and Big Macs are so good,

so I ate 265

in the first month.

How many do you eat

a day, usually?

Usually it's two a day.

Now, last year,

I ate 741 last year.

That's more than two a day,

so that means

there's days I had three,

but that's because

they're getting smaller.

Probably 90% of my solid diet

is probably Big Macs.

That parking spot,

that's where I asked her

if she wanted to get married.

This place is special...

a lot of reasons.

I had one whopper

in my life... 1984.

A guy gave me 5 bucks

to eat a whopper.

After I ate the whopper,

took my 5 bucks over to

McDonald's, got some Big Macs.

I always make fun

of people at work.

They say, "I'm gaining weight."

I say, "well, you should

try the Gorske diet."

They don't like that.

This is a perfect sandwich,

you know.

At least for me, it is.

There it is...

bite number 19,000.

The wife says when she's

got to put them in a blender,

it ends.

That's what she told me.

Big Mac smoothies.

America's been McDonaldized,

you know.

It's been franchised out.

It's like one of those

"Flintstones" cartoons

where they just had something

rolling in the background.

You kept seeing

the same buildings go by.

It's like

K-Mart, Wal-Mart, McDonald's,

K-Mart, Wal-Mart,

Wendy's, K-Mart.

And it's like you have no sense

of where you're at anymore.

The way I look at it

is Cezanne was inspired

by the mountain he saw

out his window,

and when I look out my window,

I see no mountains.

I just see billboards

and advertisements,

so I use that as my inspiration.

The average American child

sees 10,000 food advertisements

per year on television.

95% of those

are for sugared cereals,

soft drinks,

fast foods, or candy.

A parent who eats

every meal every day

for the whole year

with their child

and at every meal gives a very

compelling nutrition message

and can bring in cartoon

characters and Michael Jordan...

so instead

of selling McDonald's,

he sells oranges...

and Britney spears,

instead of selling Pepsi

will sell radishes

or lettuce or something...

that parents will have

1,000 cracks at their child,

compared to 10,000

for the food industry.

So it's not a fair fight.

By the time kids

are able to speak,

most of them can say

"McDonald's."

I'm gonna

show you some pictures,

and I want you

to tell me who they are.

Okay.

Who's that?

You don't know?

George Washington.

Who is he?

He was

the fourth President.

He freed the slaves.

And he could

never tell a lie.

Who's that?

Don't know.

I don't know.

No.

I don't know.

George W. Bush?

No. That's

a good guess, though.

Who is this?

I don't know.

Goldilocks?

I forgot the name,

but I think I know.

Yeah?

Where have you seen her?

That picture

is on the sign.

Wendy.

Who's that?

McDonald,

Ronald McDonald.

Who is it?

McDonald.

What does he do?

He was helping people

at the cash register.

He works at McDonald's.

I love their pancakes

and sausage.

He brings all his friends

to McDonald's

for a happy meal.

Where have you seen him?

On television,

on the commercials.

He's the character

that made McDonald's,

and he does a lot

of funny stuff on TV.

Companies spend billions

making sure

you know their product.

In 2001,

on direct media advertising...

that's radio,

television, and print...

McDonald's spent

$1.4 billion worldwide.

On direct media advertising,

Pepsi spent

more than $1 billion.

To advertise its candy,

Hershey foods spent under a mere

$200 million internationally.

In its peak year, the "5 a day"

fruit and vegetable campaign's

total advertising budget

in all media

was a lowly $2 million,

100 times less than

just the direct media budget

of one candy company.

Think about the way

food is marketed...

T-shirts, coupons,

toys for children,

giveaways in fast-food places,

place mats,

just all of the different ways

in which food marketing

is ubiquitous.

The most heavily advertised

foods are consumed the most.

No surprise.

Thank you. Come again.

Welcome to McDonald's!

Tomato concentrate,

distilled vinegar,

high-fructose corn syrup...

high-fructose corn syrup

and corn syrup.

That means sugar.

I’m gonna move over

to my salad shaker.

I feel a little sick

to my stomach.

This is the best part

of the day...

when I get to be fat on the bed

with my quart of coke.

People eat out a lot,

and so if there aren't healthy

foods available at restaurants,

and there isn't

good nutrition information,

it makes eating out difficult.

McDonald's says

nutrition information

for all their products

is available on-line,

but according

to the 2000 U.S. Census,

more than half of all U.S. Homes

still don't have

internet access.

So, what are these people

supposed to do?

Go to the stores

for nutrition information?

Is that information even there?

I went to find out.

Do you guys have any

of the nutrition fact sheets?

Do you guys have one of those?

The things that fold out and

have the nutrition info in them?

There aren't

any over there?

Where would they be?

Up front?

But they got lots of info

about "Dora the explorer live!"

Let me check in the back.

That's cool.

Thank you.

Just give me one second.

I can't find the booklet.

You can use the one

right there on the wall.

But you don't have ones

you can take with you?

No.

Do you guys have

one on the wall?

They only have fliers now.

We had one before.

They don't put it up no more.

Why not?

I don't know.

Only half the McDonald's in

Manhattan had the nutrition info

posted on the wall,

some had

the takeaway nutrition charts,

and one in four

had no information whatsoever.

This nice manager brought me

the nutrition wall chart...

from the basement.

You don't have one

that I could take with me,

like a takeaway?

Do you know when you'll have

some of the paper ones again?

No.

John Banzhaf and I looked

all over this McDonald's

in Washington

for any nutritional information,

and then we found it.

Behind here...

you'd never see it.

It's right back there.

You can't argue

that people should exercise

personal responsibility

and then not give them

the information

on which to base it.

I got my chicken group.

There's no chicken group.

That's my cholesterol group.

It's protein.

I got my protein group.

Carbohydrates.

I got my meat group.

You got meat, meat,

sugar, and fat.

I officially had to loosen

my belt the other day.

I had to go a notch lower.

One notch?

It was scary.

I’m an old pro at this now.

You'll get sick of this, too,

though.

Your girlfriend

must be loving you.

She hates me.

Thank you. Bye-bye.

I averaged out all the calories

for the last nine days,

and you're still eating

over 200%

of what your needs are.

I suggest you cut out

all the liquids

that you're drinking

from McDonald's,

except for water.

A lot of people,

if they're obese,

and they lose 10%

of their body weight,

it's beneficial.

It can be beneficial in terms

of blood pressure and so on,

so gaining 10%

of your body weight

maybe could be

equally non-beneficial.

Here we go.

Second weigh-in.

What do you think, Eric?

203?

About 202, 203.

I think you almost got 10%

of your body weight gained,

so you've pretty much gained 17 pounds

in 12 days.

You better slow down.

I’m telling you,

don't drink your calories.

I told him no more shakes,

no more coke,

no more double burgers.

The staff here's

calling you "burger boy."

It's starting to get

dangerous now, man.

I’m getting

nervous for you.

The one place where the impact

of our fast-food world

has become more and more evident

is in our nation's schools.

Can I get a shot

of your lunch right there?

This is where schools

turn a blind eye.

The student

with the French fries

probably brought a bag lunch

with real food.

The girl with the chips

is probably sharing them

with someone else.

Out of sight, out of mind.

Barbara brown

is the field representative

for Sodexho, one of

the countless lowest bidders

that school districts

have farmed out

the feeding of your children to.

Sodexho services more than

400 k-12 school districts

nationwide every day,

providing quality food like

little Debbie snack cakes,

Gatorade, and candy bars

to your children.

They also operate prisons

and feed thousands

of inmates worldwide.

Part of our position

is that we're hoping

that through

nutrition education,

the students will learn

to make the right food choices

without restricting

what they can purchase.

At this middle school

in Beckley, west Virginia,

the school lunches don't have

the flair they do in Illinois.

This school does not outsource

their food service,

but they are on the federal

school lunch program,

providing USDA reimbursable

meals to the students,

most of which are reheated,

reconstituted packaged foods.

Some days the amount of calories

in each meal tops 1,000.

So, the USDA

sends this food

for you

to prepare for kids.

Right. Well, not all of it, now.

You've got sloppy Joe

bar-b-que sauce with pork.

From the government.

Whatever happened to cooks

actually cooking?

I don't know what happened.

Too many whiny people.

They don't want

to work hard.

It's easy to come in here.

This is the best tool

we got right here...

box opener.

That's your chef's tool,

the box cutter.

Open up a box, serve it,

give it to them.

Let's look at the things

that are actually cooked.

Here's a menu.

Mashed potatoes.

Ham.

Chili will be homemade.

The chili

will be homemade.

What about

the tomato soup?

Campbell's.

Meatballs?

Comes in a box.

You heat it up.

Out of the course

of an entire month,

6 out of 36.

You're only cooking

6 out of 36 meals?

Appleton central

alternative high school

is filled with students who have

truancy and behavioral problems.

But they've turned

things around...

not through discipline,

but through diet.

We were fortunate

to kind of stumble across

this healthy program

as a result of some contact

with natural oven and bakery

of Manitowoc Wisconsin,

and they believe

in low-fat, low-sugar,

non-chemically processed foods

that are free of dyes

and preservatives,

full of whole grains,

a lot of fresh fruits

and vegetables.

We do no beef here at all,

and then it's the method

of preparation,

where we don't fry.

A lot of baking

and then just fresh preparation,

as opposed to opening cans

or thawing things out

from the box.

We got rid of candy machines,

soda machines,

brought in bottled water,

and it was just a situation

where we saw a major change in the kids.

If you walk through these halls,

and you're here,

these do not look like at-risk,

out-of-control kids.

Their behaviors are better.

They seem to be more focused.

Teachers will tell you

that they get more

out of them in the class.

Keep in mind,

this is not a private school.

These are the "trouble kids"

of the public school system

in Appleton, Wisconsin,

that are eating so well.

And it costs about the same

as any other

school lunch program.

So my question is...

why isn't everyone doing this?

There's an awful lot

of resistance

from the junk food companies

that make huge profits off

schools at the present time.

They don't want to get kicked

out of the school system.

They want to be there

to addict the children for life.

The soft drink companies,

especially, boast about

how they're contributing

to America's education,

but, in fact, what they're doing

is they're draining money

from the community

rather than contributing money

to the community

because the soft drink companies

aren't pumping those dollars

into the machines.

It's the children

in the community

who are getting the money

from their parents,

and instead of that money

going directly to education,

the soft drink companies

are taking a cut of it

and walking away rich

as a consequence.

We just banned soda

in our school district,

and the sugar here shows you how

much sugar a student will drink

in a week of just soda.

Forget about

the rest of the food they eat.

And some of these companies

are really opposing the ban

for reasons of

that we would lose revenue.

And it's not about money.

It's not about economics.

It's about health.

The McDonald's

Texas home-style burger meal.

That's a...

that's a local specialty.

So it's kind of like

a big 'n' tasty?

Yes, except the big 'n' tasty

comes with mayonnaise.

Oh, then, you know what?

I need the McDonald's Texas

homestyle burger meal, please.

Would you like

to super-size it today?

Oh, yes, I would.

Do a lot of people

super-size it?

Yes.

Say you asked five people.

How many of those five do it?

Actually,

I get mostly all of them.

Mostly all of them?

So you're batting about 100%?

I guess.

See that?

She's that good.

Deborah's that good.

First meal inside the restaurant

that I went in to get,

and they asked me

to super-size it.

We're gonna keep a little tabs,

see how many times they ask me

to super-size it here in Texas,

'cause Texas, out of the top 1

5 fattest cities in America,

Texas has five.

Here we are... Houston, Texas,

fattest city in America,

getting my first breakfast.

Hi, can I help you, sir?

When it comes

to the topic of obesity,

many people are quick

to point the finger

at various foods

and food companies,

but the grocery manufacturers

of America,

a Washington, D.C. -based

lobby group,

whose mission

is to advance the interests

of the food, beverage,

and consumer products industry,

are quick

to shift the focus away

from the companies

they represent

and to remind everyone

that there's more at work here

than just eating poorly.

We believe

very strongly in our industry,

and in other industries,

I think you'll find

there's a growing consensus

that the solution

lies in good education.

We have to get good information

to parents

so that they can

teach their children

better exercise

and nutrition habits

and so they can lead

the healthy lifestyles.

We don't teach physical

education in schools anymore.

In the U.S., only one state

requires mandatory physical

education for grades k-12.

It's also one of the fattest... Illinois.

You got a heart rate?

Phil Lawler

is the phys ed teacher

at Madison junior high school,

home of the soaring war hawks,

the snack-ridden school lunches

we saw earlier,

and one of the most

well-executed

physical education programs

in the country.

Supported mostly by fundraising

and parent involvement,

Lawler has created a role model

for instructors

and school districts nationwide.

When's the last time you

ever heard of a science class

fundraising to get their labs?

Eventually, society

has to step up to the plate

and say, "This is important.

"We should have

daily physical education

and equip it properly."

We have to say,

"Our greatest strength

is the resource

of our young people."

That's our future,

and the way we're treating

our resources right now,

we're running into some

serious problems with that.

I’ve always said we've never

had healthcare in this country.

We've only had "sick care."

I think daily physical education

is the only place out there

that's really

offering a solution.

When I start the music,

you are gonna begin traveling

through general space.

You will go back to your spot,

and I will tell you

a body shape.

Watch out for other...

People!

People! People!

Round!

Good job.

How many days a week

do the kids here at this school

get to go to gym?

Once. One day a week.

For 45 minutes.

Is that enough?

No. Nowhere close.

Not when the surgeon general

recommends that, at minimum,

you need 30 minutes

of physical activity a day

to maintain your weight

and a healthy well-being.

So, once a week

is nowhere close.

In 2001, president Bush

announced his presidency

with sweeping education reform.

The "no child left behind" act

would now hold states

accountable

for not having students who met

minimum education requirements.

Apparently, we were not only

the fattest nation in the world,

but we were quickly

becoming the stupidest.

It may be sending a very

difficult message for schools.

One of the reasons

recess is being cut back

in elementary schools,

as I said earlier...

that's being cut out so

they can prepare for the tests.

And something I've said

to a couple of groups...

we could end up with youngsters

who can read but who are fat.

So we have "fat readers."

The more and more

we put mandates on the school,

to be very myopic

in their focus,

we mitigate against

all of these other areas

where they should be

devoting time and energy,

including phys ed,

nutrition, health.

These are all the things

being cut out.

Who in here can tell me

what a calorie is?

Something

you should watch.

Yeah.

You got that right.

Is it the fat

that goes through your, um...

What's a calorie?

Oh, Jesus.

A calorie is

an increment of, um...

Um, that's a good question.

Most of us know

what a calorie actually is.

I don't know.

Oh, wait.

Is a calorie some part of fat?

Like... I don't know.

It's something that builds

up the fat in your body.

Calories are not good

It's the amount of...

See, I don't know.

I want to say it's the amount

of calories in a calorie.

I never pay no mind

to what calories are.

I just eat when I'm hungry,

and that's it.

If you can tell me

what a calorie is, go ahead.

A calorie is a measure

of the energy content of food,

and a calorie,

the kind that you usually see

when you see the caloric content

on food labels,

one calorie

is the amount of energy

that's needed to raise the

temperature of a liter of water

by one degree centigrade.

Well said.

Could I get a bacon,

egg, and cheese McGriddle?

Smells like a little pancake.

Tastes like a little pancake.

Look at that.

I haven't walked a half-mile

a day since we've been here.

No wonder

everything's bigger in Texas

If you're inside, stay there.

The blizzard of 2003

isn't over yet.

I got my lunch.

I got my dinner.

Never have to leave the house.

I’m not gonna

completely become vegan

just because

you want me to.

I’m not saying you should do it

because I want you to.

I’m saying you need

to think about

what you believe

is a system

that it is corrupt and immoral

and wrong and hurtful,

but you're gonna

be a part of it.

Where is

the disconnect there?

Why don't you

make that choice?

Why don't I make the choice

to not eat meat?

Yes.

Because you like it.

'Cause it tastes good

I like bacon.

I love pork chops.

Ham is the greatest

thing ever.

I’m sure heroin is awesome.

Heroine and ham are in

completely different categories.

I’m sorry, but ham and heroin

are not the same thing.

They're not.

They're not.

I could be strung out on ham

for days and be okay.

You are

a little strung out.

And I am

strung out on ham.

It's hard for me

to watch him go through this,

I got to tell you.

I worry about his health.

He's exhausted by the end

of the day, just so tired.

He gets home

really late from work,

and he gets all jacked up

on sugar and caffeine,

and then he crashes.

And then when we do have sex,

I got to tell you,

he's not quite as energetic

as he used to be.

I have to be on top.

Otherwise, he, uh...

You know, he gets tired easily.

I think the saturated fats

are starting to impede

the blood flow to his penis,

and he's having a hard time,

you know, getting it up.

He does, totally.

It's still good,

but it's definitely

a big difference.

There's definitely a difference.

I can tell.

I feel horrible today.

My headache's coming back again.

It feels like somebody's yanking

on the tendons behind my eyes.

My body... officially hates me.

All the vitamins

that you see here...

vitamin e, thiamin,

riboflavin, niacin, and so on...

are all under 50%

of what you need.

You're getting

quite a lot of carbohydrates,

and I know, clearly, that those

are all refined carbohydrates

because those are coming from

the buns, biscuits, hashbrowns.

And the sugar...

let's not forget the most

refined carbohydrate of all,

which is coming from your

milkshakes and your coke.

In fact,

there are only seven items

on the McDonald's menu that

contain no sugar whatsoever...

French fries, chicken McNuggets,

hashbrowns, sausage,

diet coke, coffee, and iced tea.

Everything else... even

the salads... contain sugar.

I’m telling you... 202.

I lost a pound!

Oh, thank God.

Muscle weighs more than fat.

You might have lost some muscle

mass and gained some fat mass.

I lost a pound.

Let's go get something to eat.

I was feeling bad in the car...

feeling like s**t, really.

I was feeling really, really...

Sick and unhappy.

I started eating.

I feel great.

I feel really good now.

I feel so good, it's crazy.

Isn't that right, baby?

Yeah, you're crazy,

all right.

150 over 90.

The headaches might even be

hypertensive headaches,

but they're probably not.

They're probably

related to blood sugar.

You might be in

this hyperinsulinemic state.

150 over 110.

Your total cholesterol

was 165 before.

Now it's 225.

A liver that's inflamed

in any way or sick in any way

will leak some of its enzymes

out to the blood.

So this

is very nonspecific,

but it means

the liver is sick,

and the most likely cause

of your liver sickness

is a fatty liver.

Your liver

is now like pat?

SGOT

was originally 21.

Now it's...

130.

And SGPT was originally 20.

Now it's 290,

a more than tenfold increase.

Not good,

not good, not good.

Anybody would say right now

that you're sick.

If you're

fatigued with this,

you'll feel

lethargic with this,

you'll feel

run-down with this.

If somebody were doing this

to their liver with alcohol,

they could theoretically

wipe out all the liver cells

and they'd be

in liver failure.

I’ve never heard of anybody

doing this to their liver

with a high-fat diet,

but I guess anything's poss...

I don't know.

I can't answer the question.

Never been done before.

No one's ever

wiped out their liver

with a high-fat diet before.

Wow.

And I won't wipe out my liver

in two more weeks?

I would think

it would be unlikely.

I don't want to tell you

you wouldn't.

My advice to you is

to stop doing what you're doing,

because it's hurting you.

You're sick,

and you're making yourself sick,

and you can

make yourself unsick

by stopping doing

what you're doing.

I’m just afraid

there will be something

that's totally irreversible,

that there will be

some damage done that...

- Yeah.

- I don't know.

So, do they think that

once you change your habits

that that's

going to correct itself.

They think that everything

should get back on track

once this is done.

Your liver... I've been

doing some reading - -

your liver is very resilient,

and your liver heals itself.

Well, if you need a portion

of my liver, honey,

you can have it.

I’ll give up part

of my liver for you.

Thanks, mom.

Thanks.

There's a drug that is used in

emergency rooms called Naloxone.

It's used for heroin overdose.

A guy comes in

overdosed on heroin, comatose.

He's gonna die.

You inject him with this drug,

and it blocks the opiate

receptors in the brain.

Heroin doesn't work.

He wakes up.

If I give that same drug

to a real chocolate addict,

a person just shoveling it in,

you find

the most amazing thing...

they lose much of their interest

in chocolate.

They take a bite,

they set it back down.

In other words,

it's not taste and mouth feel.

It's a drug effect of the food

within the brain

that keeps us coming back

again and again.

You're saying

that your mood goes up

once you start eating.

Lately, every time I eat,

I feel 100% better.

So it seems

like you're starting

to get addicted to it now.

McDonald's calls people

who eat their food

at least once a week

"heavy users."

I’m not kidding.

72% of the people who eat

at McDonald's are heavy users.

They also have

another category...

the "super heavy user."

These people eat their food

three, four,

five times a week and up.

22% of the people

who eat at McDonald's

are super heavy users.

If you look at the menu

at a fast-food restaurant,

they use

all of the addicting components.

They'll take a slab of meat,

cover it with cheese...

cheese, of course, which is

filled with the casomorphins,

the opiates that are found

in the cheese protein...

and then they serve it

with a sugary soda,

which has

the addictive powers of sugar

with plenty of added caffeine.

Now, you might be

a 12-year-old kid.

Your brain is no match

for that combination.

In 2002,

McDonald's France

took out a full-page ad

in a French magazine

in which a nutritionist stated,

"there is no reason

to go to McDonald's

more than once a week."

McDonald's corporate

headquarters in the U.S.

Freaked out, saying that

this is only one opinion,

and that the vast majority

of nutrition professionals

say that McDonald's food

can be a part of a healthy diet.

So, we thought we'd randomly

call some nutritionists

to see what their opinions were

when it came

to eating fast food.

How often do you think that

people should eat fast food?

Ideally, never.

Rare to never.

The less, the better.

Zero is the best.

Hopefully, no more often

than once a month.

If you were stranded

on a deserted island

or if we get bombe

d with anthrax,

and that's

the only food available,

that's the only time

you should eat fast food.

We called 100 nutritionists

all over America,

and the results

were not on track

with the "vast majority"

McDonald's talked about.

Only 2 out of the 100

said you should eat fast food

two times a week or more.

28 said once a week

to once or twice a month.

And 45 said

you should never eat it.

95 of them agreed

that it is a major contributor

to the obesity epidemic

sweeping America.

Okay.

Okay? Okay.

Hi, Morgan, how are you?

Bridget Bennett from Health.

Unfortunately,

I have to tell you

that Health is gonna have to

close its doors,

effective immediately.

I’m sorry to have to

tell you that over the phone.

We're all sort of surprised,

but we will proceed as before...

just not at

the integrated Health center.

Okay, Morgan, thanks,

and I will talk to you soon.

Bye-bye.

Apparently,

we don't put much value

on health in America anymore.

In fact, each year,

we spend over $30 billion

on diet products

and weight-loss programs,

21/2 times what we spend

on fitness and health.

There are pills, drinks, bars.

You can lose weight while you

sleep, while you watch TV,

and while eating

everything you want...

always pushing the newest way

to stay thin without exercise.

Some people, however, feel

that they have tried everything

and see

only one remaining option

as their last hope for health.

I'm diabetic.

80% of the people don't have to

take insulin anymore after this.

Plus, I have hypertension.

Hopefully, correct that,

lose my weight,

and lose my high blood pressure.

This is Bruce Howlett.

In a few minutes, his stomach

will be surgically reduced

to the size of a small apple

in a gastric bypass operation.

People with hypertension

who are obese,

about 75% of them

will get rid of

their hypertensive medications.

Doctors Adam Naaman

and Carl Geisler

will be performing

the operation.

Together,

they have done more than 500

gastric bypass surgeries,

and with their tandem technique,

they are setting

the industry standard,

completing the procedure

in less than 30 minutes

and sending patients home

the following day.

We have established now

that the only procedure

that really cures diabetes

is obesity surgery.

I went blind for a week.

Just one day out of the blue,

you went blind?

I went to work,

drove to work that night,

got to work,

couldn't read the charts,

and I had to call my supervisor,

tell her I couldn't work

because I couldn't see

what I was doing,

and called my wife,

had to get her to ride to work

to pick me up

and take me home.

And then once I stopped

drinking the diet soda waters,

got my sugars back down.

I was fortunate enough,

my eyesight came back.

I didn't do that much damage

to them at that time.

I think it's human nature

to seek a drastic solution

only when you're faced

with a drastic problem.

I drank three or four

of those a day.

This is a half-gallon,

so that means

you were drinking probably

about two gallons of soda

a day.

It wasn't unusual,

for a two-week time,

we'd buy

50 two-liters of soda water.

50 two-liters

every two weeks.

And I'd probably end up

having to pick him up

a couple extra.

He drinks more than I do.

I’ll go through

about one of those a day.

There's some days I go through

three or four two-liters.

A lot of us

don't realize the social stigma

that these people face

on a daily basis.

It's, um...

it's, like, 2:00 in the morning

on February 21.

I, uh, woke up,

couldn't breathe.

I’m having

really difficulty breathing.

I’m very hot,

and, uh... um...

felt like I was having

heart palpitations.

Came up and

walked around the living room.

I was trying

to get my breath back.

And, uh... I want to finish,

but I don't want anything

real bad to happen, either.

Dr. Isaacs:

Your EKG is normal.

Deep breath.

And out.

Now, listen, I don't have

a ready explanation

for your chest pain.

Would you at least consider

taking aspirin once a day

now that you're

on this ridiculous diet?

Maybe.

I’ll think about it.

Why would you even

think about it?

Why wouldn't you

just do it?

This is really...

you know...

you saw

these numbers, right?

These numbers are

absolutely outrageous.

For the first time,

we're seeing uric acid elevated,

so you're giving yourself

hyperuricemia,

and the danger of hyperuricemia

is gout, kidney stones.

The results for your liver

are obscene

beyond anything

I would have thought.

Truly.

I mean... you know that movie

"Death in Las Vegas"...

Nicolas Cage,

that pickled his liver

during the course

of a few weeks in Las Vegas.

I would never have thought

you could do the same thing

with a high-fat diet.

My advice to you,

as a physician,

is that you've got to stop

pickling your liver.

And you're kicking it

while its down now.

Now it's down,

and you're kicking it further.

I mean, if you were

an alcoholic,

I’d say,

"you're gonna die.

You keep drinking,

you'll die."

If the pain starts to radiate

to your jaw or down your arm,

that's life-threatening,

and immediately so.

So I need to hear about that,

or you need to call 911.

All right?

Hello?

Hello.

Hi, sweetheart.

How are you?

I’m good.

I'm worried about you.

Yeah.

I had no idea this was gonna be

such a dangerous experiment.

Yeah.

I don't think anybody did.

The doctor didn't even think

it was gonna be this drastic.

He's floored by it.

And, um... he doesn't

know what will happen.

He says,

"listen, I have no idea."

But he said that if I am feeling

bad or feeling anything,

to page him,

and he'll admit me immediately

wherever I am.

Oh, sweetheart.

Yeah.

I love you so much,

and I don't want you to be hurt.

Yeah, me either.

Me either.

I’ll tell you...

if you start to get nauseous

and you start vomiting

and your eyes turn yellow,

you have got to go

to the emergency room,

no matter where you are.

Again, if you're not

keeping food down

or you're feeling

sick to your stomach...

it looks like your

liver-function tests

are getting worse.

My suggestion would be

to stop the diet

and go back to eating

a lower-fat diet,

rechecking the blood tests

in a couple of weeks.

Nobody needs to be

partisan about this issue.

We need fixes, we need remedies,

and we need support.

How much influence

on government legislators

does the food

industry have?

The food industry is an enormous

business in the United States.

Therefore,

it employs very expensive

and well-paid lobbyists,

and those lobbyists are in

Washington for two purposes...

number one, to make sure that

no government agency ever says,

"Eat less

of the company's products."

Number two...

that the government never passes

legislation that is unfavorable.

And I guess the third one

is to encourage the government

to pass favorable legislation.

The GMA

is one of those lobbies.

You're going to see us do

what we do best,

and that is

market appropriately,

finance education programs,

as we're doing

in a great abundance,

getting good information

out to parents

so we can solve the problem.

That's what we do

in the food industry.

We think that is a responsible,

important role to play.

We are not police.

We are not regulators.

We provide a safe,

affordable abundance of food

like the world has never seen.

The food industry

and the broadcasters

are extremely powerful lobbies,

and... they outgun us.

The industry

has stepped up to the plate.

We're going to do more.

We want to do more.

We recognize

we have a role to play.

We're part of the solution.

We're part of the problem,

and we also are part

of the solution.

Did everyone hear

what he just said?

"We're part of the problem."

The lobbyist for Coke, Heinz,

Smucker's, Kellogg's, Nestl?

Kraft, Hershey's, Sara Lee,

Cadbury, General Mills,

Seagram, Welch's, Wise,

Anheuser-Busch, Birds Eye,

Lance, Campbell's, Carvel, Mars,

Ocean Spray, Hormel,

Dannon, and Pepsi

said,

"We're part of the problem."

I think

we're making some headway.

Good afternoon.

Media Line.

Yeah, I wanted

to speak to somebody

about scheduling an interview

with Jim Cantalupo.

I can take the information

and have somebody

get back to you.

Good morning.

Media Line.

I wanted to speak to someone

about scheduling an interview.

I can take the information

and have somebody

get back to you.

I pledge allegiance to the flag

of the united states of America,

for which it stands, one nation,

under god, indivisible,

with liberty

and justice for all.

One more time.

Yeah, what did you do?

I said it.

What were you doing?

I pledge allegiance

to the flag

of the united states

of America, one nation...

And to the republic

for which it stands.

I pledge allegiance to the flag

of the united states of America,

and to the republic,

for which it stands,

one nation, under god,

indivisible,

and justice for all.

Liberty.

Where's the liberty?

The liberty.

Say it.

Do you want us

to keep walking?

What's the Big Mac slogan?

You know,

"two all-beef patties"...

"special sauce, lettuce,

cheese, pickles, onions

on a sesame-seed bun."

Yeah, you know that.

That is a shame!

Welcome to McDonald's.

We're glad you're here.

Help me out, now.

Hi, can I help you?

Could I get

a large vanilla shake, please?

I’m sorry, sir. We don't

have any shakes right now.

No shakes?

When will you have shakes,

do you think?

Guess that's a never.

At the end of this month,

I’ll have eaten

as much McDonald's

as most nutritionists say you're

supposed to eat in eight years.

Media Line.

This is Sheila.

Yeah, Sheila,

It's Morgan Spurlock calling.

I’m trying

to reach Lisa Howard.

Okay, Morgan,

I will let her know.

Hi, this is Lisa Howard.

I’m not able to take

your call right now.

If you'll leave me a message,

I'll get back to you...

Hey, Lisa,

it's Morgan Spurlock.

I wanted to follow up

on the e-mail I sent you...

...close to

the end of the day,

and I didn't know when

she was gonna be taking off.

I’ll put another

message on her desk.

Lisa Howard.

Hi, Lisa,

it's Morgan Spurlock calling.

- How are you?

- I'm okay.

So you got my e-mail.

Yes, I got your e-mail,

and I'm circulating it around.

I don't have

an answer for you.

Any idea when

you think you might?

Probably in

the next day or two.

Oh... man.

Walking up the stairs

has gotten...

it's starting

to get really difficult.

By the time I get to the top,

it's really pathetic.

Oh, man.

I've got Morgan's

detox diet all ready to go.

The biggest thing

is taking the crap out

and putting good stuff in.

I’m really focusing

on nutrient-dense food,

organic, seasonal, fresh food,

making sure that I'm getting

as many cleansing vegetables

into his diet as possible.

We're sharing a portion.

Yeah, we split it.

Extra calories.

I love you dearly,

but you are demented, man,

you're sick.

Bye-bye.

Bye!

I can't believe

that tomorrow I'm gonna get up

and not have to go eat

McDonald's.

That's it.

Unbelievable.

Okay.

It just

keeps getting bigger.

Wow.

Oh, yeah.

Oh, boy.

I'm gonna say 210,

right on the money.

We went from 185.5 to 194...

a week later to 203,

then down to 202,

and now eight pounds

during the last week for 210.

I think we know

the damage that can be done.

Lisa Howard,

it's Morgan Spurlock calling...

I don't know how many times

we've called her now,

but this has got to be

the 15th time.

Lisa Howard, Morgan Spurlock

calling from New York.

Please call me

when you get this message.

We'd still like

to schedule an interview

with someone from McDonald's.

Please call me when you get this

and let's talk

about what's possible.

You'll not talk to anybody,

and you'll like it that way.

After six months

of deliberation,

Judge Robert Sweet dismissed

the lawsuit against McDonald's.

The big reason?

The two girls failed to show

that eating McDonald's food

was what caused their injuries.

Interesting.

In only 30 days of eating

nothing but McDonald's,

I gained 241/2 pounds,

my liver turned to fat,

and my cholesterol

shot up 65 points.

My body-fat percentage

went from 11% to 18%,

still below the national average

of 22% for men

and 30% for women.

I nearly doubled my risk

of coronary heart disease,

making myself twice as likely

to have heart failure.

I felt depressed and exhausted

most of the time.

My moods swung on a dime,

and my sex life was nonexistent.

I craved this food more and more

when I ate it

and got massive headaches

when I didn't.

In my final blood test,

many of my body functions

showed signs of improvement,

but the doctors

were less than optimistic.

I would very, very much doubt

that these numbers

will return to normal.

Although it did drop,

it was a small drop.

If you kept on the diet,

you'd definitely...

I know that you'd probably

develop coronary artery disease.

...inflammation

and hardening of the liver.

Should people

eat fast food?

No.

You know, the answer's no.

It certainly needs

to be very restricted

and balanced with,

overall, a healthy diet

and, overall, a lot of exercise.

And there's no reason whatsoever

why fast food

has to be so disgusting.

Fast food can be nutritious.

It's a cheap form of food,

and it does keep you

full for a while,

so you get your money's worth.

But unfortunately, you cause

some major harm to your heart,

your liver, your blood.

I wouldn't suggest

you continue the diet

for a year to check this out.

I don't think

it's appropriate or healthy,

especially with

what showed up with your liver.

So I shouldn't eat

this food for a year?

No, I don't think so.

We see people

who go on an alcohol binge,

and their numbers

go up like crazy,

but to go on a Mac attack...

and they've got numbers to show

that it attacks your liver, too.

Honestly, I wouldn't have

even thought about this.

But it makes sense.

Now that we have the data,

it definitely makes sense.

Still, the impact

of this initial lawsuit

is being seen far and wide.

School districts in new York,

Texas, and San Francisco

have banned sugary soft drinks

in schools,

and all-natural, healthy options

are popping up everywhere.

McDonald's joined right in,

sponsoring events

that showed how health-conscious

they'd become

and creating a new line

of premium salads.

At the same time, however,

they also masterminded

one of their fattest

sandwiches to date...

the McGriddle,

a pancake-wrapped creation

that won my heart in Texas

but can pack as much fat

as a Big Mac

and have more sugar than a pack

of McDonaldland cookies.

In fact, their new premium ranch

chicken salad with dressing

delivers more calories

than a Big Mac

and 51 grams of fat...

79% of your daily fat intake.

Over the course of my McDiet,

I consumed 30 pounds of sugar

from their food.

That's a pound a day.

On top of that,

I also took in 12 pounds of fat.

Now, I know what you're saying.

You're saying "nobody's

supposed to eat this food

"three times a day.

No wonder all this stuff

happened to you."

But the scary part is,

there are people

who eat this food regularly.

Some people

even eat it every day.

So while my experiment

may have been a little extreme,

it's not that crazy.

But here is a crazy idea...

why not do away

with your super size options?

Who needs 42 ounces of coke,

a half-pound of fries?

And why not give me a choice

besides French fries

or French fries?

That would be a great start.

But why should these companies

want to change?

Their loyalty isn't to you.

It's to the stockholders.

The bottom line...

they're a business,

no matter what they say.

And by selling you unhealthy

food, they make millions,

and no company

wants to stop doing that.

If this ever-growing paradigm

is going to shift,

it's up to you.

But if you decide to keep

living this way, go ahead.

Over time, you may find yourself

getting as sick as I did,

and you may wind up here...

or here.

I guess the big question is...

who do you want to see go first,

you or them?

Right now, you have the urge

to eat something.

When it's through,

if you still want to eat,

then you're probably

really hungry.

Think about what I'm saying.