■听力答案■
Van Horn learned she needed more fruits and vegetables in her diet. She needed to exercise. She started walking and swimming. In the year since she started to exercise she's lost 85 pounds.

"My blood pressure is down to darn near perfect when they take it. I don't have trouble with high blood sugars anymore. I can walk. I can take a flight of stairs without becoming short of breath," says Van Horn. "I've really seen the difference in both losing weight and increasing activity."

Van Horn is still considered medically obese -- but she's healthy. She knows if she keeps doing what she's doing, she'll lose another 75 pounds. What's different this time is her attitude. Losing weight is about health now. Watching her blood pressure come down was more important than the numbers on the scale. She has a different motivation at the bariatric clinic than she had with other weight loss programs.

"You're actually battling the scale. You hate the scale. Their whole attitude over there is -- it's not about the scale, it's what changes in your blood level, what changes in your heart rate, what changes in your blood pressure. You look at the whole picture rather than the scale,It's not just the scale." says Van Horn.