The patients featured on My 600-lb Life are very candid about their extreme weight loss journeys, from allowing cameras to document their embarrassing bathroom routines to the difficulties of staying on a strict diet. However, there are many parts of the show that fans don’t know. These behind-the-scenes secrets that remain off-screen reveal that, although the series is factual in what they show, there’s always more to the story. 

For example, for Season 3’s Amber Rachdi, despite having an inspirational transformation, called the show a “crummy experience” in a Facebook comment. “They exert a certain kind of pressure and lack a human touch sometimes,” she wrote. “They assumed we would be difficult and were rather forceful with their demands? It didn’t feel good, respectful, or mutually beneficial working with the production. ): There are lovely individuals on their payroll, and I met some incredible people, but it definitely wasn’t an experience I want to repeat.”

Below, nine untold truths about the show.