As a woman with PCOS (I did have three successful pregnancies, was not obese when I was young, but lost my first [single] and third [twins] pregnancies) I have sympathy for Kate. I am obese now, past menopause, and it's a struggle to lose any weight. As the mother of two very large daughters with PCOS (not as large as Kate, but big enough) and a third daughter with PCOS who has a struggle as well, I absolutely, positively understand that Kate feels she's been given the short end of the stick. I see my daughters diet, exercise, forego extras that other women their age can happily, easily eat, and they struggle daily, weekly, monthly to lose weight. I see them take drugs meant to help that do not, I see them fight against diabetes, I see them deal with excess facial hair. This is no picnic. It's not ALS, true, but with the obesity and diabetes threat, it's a ticket to an early death. We see Kate who has worked hard and lost - what did she say, 40 pounds? Were they 35 when the series started? Forty pounds down in three years is great, but really nothing when you are that heavy. To those of you who don't know the struggle, understand that it is real and heartbreaking. All Kate (and my daughters) want to do is to look and be normal. Think it's hard to lose that extra 20 pounds? Try losing 100, 200, 300.
Now that I got that off my chest, I am almost disinterested in Jack and (see, I can't even remember her name!) Rebecca's story. I could watch Randall and his family all night long.