As Ruby continues her emotional journey, she's also exploring uncharted territory in her physical transformation—plastic surgery. Because she's lost so much weight, Ruby is now carrying around 30 to 40 pounds of excess skin.

Ruby says a consultation with the surgeon left her with mixed feelings. "I was that girl that got 716 pounds. And because of it, now I'm being punished," she says. "You're trading the fat for flab and flab for scars. So you're always going to have a big fat flaw no matter what."

Still, Ruby says she's just happy to be healthy. "The best part of this is I can get up. I'm healthier than ever. I'm going, going," she says. "I've got a fast pace. My life's not limited anymore." 

Fantasia Barrino's reality check  


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