This lady was born with a self-destruct mechanism in place before the car accident. The results of the car accident only accelerated her self-destruction. Her comments on the show indicated she had no confront on what condition she really was in. She could not see what was "wrong" with her situation until the end when she was forced to confront consequences by the fact she was going to die. It takes a severe reality adjustment for people to change sometimes. I feel no sympathy for her other than sympathy for the fact that no one helped her to beat the time bomb she was probably born with. Life events were "symptoms." The CAUSE was never found, and she died famous as the heaviest woman on Earth, and leaving 2 kids. Very sad.