Before & after photos: Couple loses 538 pounds after medical scare -

Before & after photos: Couple loses 538 pounds after medical scare

JEFFERSON CITY, Tennesse -- At work one day, IT consultant Justin Shelton suddenly began to feel ill. A few hours later, he was in the emergency room, and doctors told him he might have a kidney infection.

They just needed to run a scan to confirm the diagnosis.

The next words were a cold reality check: The imaging machine could not support his weight.

“They told me, ‘We think you have a kidney infection, but we can’t confirm for sure, so we’re just going to treat it aggressively and hope that’s what it is,’ “ Shelton said.

He was 25 years old and weighed 592 pounds.

Click the gallery to the right to view more photos.

Two years earlier, Justin’s wife, Lauren Shelton, had had her own medical scare; her gallbladder had to be removed because of weight-related complications. At her heaviest, Lauren weighed 341 pounds.

Their size made everyday tasks difficult, too. Years ago, Lauren was on a plane, and the seat belt wouldn’t buckle. She was mortified and tried to hide from the flight attendants that she didn’t fit into the seat.

Both Lauren and Justin had been asked not to get on rides at a theme park because of their size.

But Justin’s trip to the emergency room was the final straw. The Jefferson City, Tennessee, couple realized something needed to change.

Luckily for Justin, doctors were right and able to treat his kidney infection without the scan. “It made me think, ‘What if it was something else? What if it was more serious? What would I have done then?’ “ Justin said.

So in February 2012, the couple began a 19-month journey to take control of their health.

“I was always bigger than the other kids, but the pounds really started packing on during high school and continued to do so over the next several years,” Lauren wrote on her blog,

For Justin, it was a knee injury at age 13 that kept him from playing sports. The exercise went away, bad eating habits continued, and his weight got out of control.

The Sheltons met online seven years ago, and their relationship revolved around their eating habits. They would go out to eat and indulge in one unhealthy meal after another.

They knew that in order to get healthy, they needed someone to steer them in the right direction. So they sought help from a weight-loss management program at a local medical school.

A physician’s assistant gave them guidelines on what they should and should not be eating, and on the amount of exercise they needed.

Justin and Lauren started their new exercise routine by doing simple activities such as walking around the park and swimming. In late 2012, they joined a gym.

“We go to the gym five to six days a week and take one day off and try to do something fun and active like hiking or swimming,” Lauren said.

The couple also started using a smartphone app to track the calories they consumed. In the beginning, they ate at restaurants only on special occasions and prepared all meals at home.

Lauren found recipes for healthier versions of the foods they loved. Their diet primarily consists of lean meats with lots of fruits and vegetables. Even today, everything they eat goes into a food journal.

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The weight came off quickly at the beginning. Justin lost 25 pounds and Lauren lost 30 pounds during the first month alone. They tried to keep the weight loss steady after that, knowing they couldn’t expect to see such a big number month after month without being disappointed.

Weekly weigh-ins helped them track their progress.

“We have graphs that show our weight loss through an app. It helps us stay motivated and get through the hard weeks,” Justin said.

In just 19 months, Justin dropped 362 pounds and Lauren lost 176, for a total of 538 pounds.


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