The Tongan cousins are next to get a heaping plate of bad news, and Koli gets to see his severe sleep apnea on camera. About 100 times an hour he goes to a lighter stage of sleep, which makes it impossible to get restorative sleep. That is some serious tossing and turning. Koli wants to have kids, but his excess fat is choking his air supply, which means lame dad-ness and possible death. Ashley gets her inner age, which is 57. She's actually 27. And she has something like 260 pounds of extra hydrated fat. And is a diabetic! And, as reader Kim pointed out, is a dead ringer for Helen's flour-throwing daughter. Things are not looking good for her. But Dr. H. does say that her diabetes is reversible if she gets a whole lot skinnier. Sherry, who actually kind of looks like a more haggard Helen, says that they've been playing around with the most valuable thing they have -- their lives. And it's time to stop that, and see the value in themselves. Diabetic tears ensue.

With that, it's time for the last chance workout. There is lots of screaming and groaning and sweating and reminders that week two sucks. Jillian tells us that she would rather stick needles in her eyes than do a week two last chance workout. In Jillian's version of purgatory, she trains herself for eternity. Michael thinks the odds are stacked against him, given the two-pound penalty, his mom's injury, and his tremendous weight loss last week. Melissa, meanwhile, says that she needs to sandbag a bit this week. Because she has immunity, she doesn't have to lose eight pounds, and if she loses three or four pounds this week she'll have bigger numbers next week. Ashley is a quitter, and so Jillian engages her in a tug of war. I think Ashley literally has 350 pounds on Jillian, and still can't manage to drag her across the floor without some serious struggle or encouragement. She finally does it, and feels proud of herself. Ashley says that the others in the house think she's a weakling, but she's going to creep up ninja-style on their asses. Unless the last chance workout kills her first.

And finally we're at the weigh-in. Sami explains that the team with the lowest percentage of weight loss will fall below the yellow line, and one member of that team will be going home. If John falls below the yellow line, he'll be automatically eliminated since he's now solo. The Red Team has immunity, and so weighs in first. Melissa is surprising herself with her own gameplay, and surprising some of the others as well. Lance goes from 344 to 336 for a loss of 8 pounds, while Melissa goes from 214 to 215 for a gain of one. She overshot that one a bit, huh? And looks quite smug about it. Sami asks Melissa if she hoped to get zero this week. Melissa says that she played the game a little bit, but not so much so that she thought she'd have a plus one. Bob doesn't buy it. He wants Melissa to just frigging admit that she played the game. She basically does, and Sami says it was a smart choice on her part. The Red Team lost a total of seven pounds, or 1.25%.