i am pretty sure she had someone sneaking her food when the responsible person was away at work or either that the responsible person was a real a$&hole and did it. saw something very similar on maury a while back, not that i really watch those shows. but she refused to say who was giving her the food, and said she was following the strict diet but a former nurse who was on said basicallt that its BS becuase under her watch of the same supposed diet she lost a lot of weight.
the problem in that case was, the healthcare and that something like a weight problem is not suffiecient enough to have most low level or free health cares flip the bill for inpatient services.
very similar, if not same story. woman was +600 and hadnt been off the couch in close to a year.