I want to believe Dr. Nowzaradan means well and it's just TLC's vulture culture that make things look so bad (contestants have to agree to be filmed naked for a shower/bath/wash, they don't get psychological support until they screw up particularly badly even though they all need it, they film therapy sessions for trauma gold*, and a 1200 or sometimes even 800 kcal/day diet is unnecessarily strict for people that big and just makes it harder for any of them to reach their goals)