Last week: Sarah was dumped by the other ladies of the Black Team. It was somewhat sad times, and I'm guessing it made her re-think her team switch. There are more surprises in store, per usual, and so after Sarah leaves Sami asks the Red Team to enter the elimination room. She tells them that for the past five weeks they've battled each other in every way possible -- in challenges, temptations, and on the scale. This week, however, they won't be competing against each other. There will be one team -- the Blue Team -- and one common enemy in the form of the scale. Sami says that this week they've lost a combined total of 64 pounds. If in the upcoming week they can lose more than 64 total pounds, they'll all have immunity. Way to stretch out the season for one more episode, show.

Just when you thought things couldn't get worse, it's time for a visit to Dr. "Death" Huizenga. Does he even have a real first name? Courtney and Marci visit him first, and hope to get better news than they did during the last visit, when he told Courtney that all the hydrated fat inside her would make her explode and die. That would be a messy way to go. Dr. H. tells Courtney that her percentage of body fat is now at 35%, which is the average for an American woman. I don't know that that's a great barometer. However, she used to be way over 50%. The ideal is less than 25%, which Courtney can certainly reach by the time she's done losing weight. Courtney tells us that she's lost over 200 pounds, and we can all shed some pounds too and take down that American average. Marci, meanwhile, has erased all of her risk factors and her body fat percentage is down to 23%. She does look great. In less than three months she's lost 75 pounds and is at her ideal weight. She can stay on campus, of course, but she's at the point where she'll probably just gain some muscle and lose a little fat. Dr. H.'s invisible hat, which I imagine looks identical to the Grim Reaper's cloak hood, goes off to her. He tells us that he likes to deliver good news, and so rarely gets to do it.

Moses and Kaylee visit Dr. H., and we are reminded that Moses was basically dead already when the season began. Dr. H. gave him his death date, which I still think was total bullshit and also not nice. Dr. H. says that Moses has turned things around as much as any contestant they've had. He's gotten 19 years back in terms of his "real age" number. His risk of a stroke went from 50% down to "several" percent. Several percent? Very scientific. This should teach the folks who doubt the sanity and safety of Biggest Loser techniques. It's medically sound, duh. Moses's risk of diabetes went from 90% to 1%, which is quite a jump. Also, Moses is no longer going to die in April, 2025, unless he gets hit by a bus or a meteor or something. Dr. H. asks Moses to spend some of his extra 19 years trying to convince all the Tongan folk not to eat so damn much.