Adam Bird, a 36-year-old man from Bridgeport, Texas, lost 200 pounds after becoming twice his current size and becoming sick and depressed. He struggled with his weight throughout his life, having a successful childhood and a successful full-time caretaker for his mother and grandparents. Despite his health issues, Bird maintained his healthy lifestyle and lost his job, apartment, and health insurance. He joined a gym and started exercising, learning to lift weights and take a high-protein drink. In April 2019, he developed blood clots in the tibial vein of his right calf, also known as deep vein thrombosis, which is a risk factor due to obesity. Despite being advised to undergo gastric bypass surgery, Bird chose to remain on blood thinners.