At-home partners, Aubrey, Carla, Sione, Shanon, and Cathy are back on the ranch this week and ready to prove that they can compete with everyone else. However, it's much harder than they imagined and at the end of the day, the question everyone is asking their partners is, "Does it get easier?" Tara helps Laura get through the workouts by saying, "Toughen up cupcake," and later explains, "It's my little phrase, cause she's my little cupcake." Cathy on the other hand gives herself encouragement as she says, "Some of the small things that he had me do again made me feel like Wonder Woman. Just walking out of the gym and surviving it...makes you feel wonderful." Aside from the workouts, Shanon and Helen ease their stress by doing cartwheels and round-offs outside. But while Shanon is a professional at them, it is obvious Helen is scared and after numerous attempts tells her daughter, "I'll practice in the pool."
The contestants thus travel to Dr. H's office to discover their new "Real Age," one that will hopefully be much more satisfying, along with any other progresses they have made. Mandy learns she no longer suffers from arrhythmia, and is down to age 30, far from her first visit to Dr. H in which her "real age" was 43. Aubrey has also improved, dropping from a real age of 41 to 37 since her last visit. In addition, Mandy has dropped 28% of her excess fat and Aubrey has dropped 21%. As far as the real age of the other contestants, Carla now has a real age of 46, down two years from her first calculated age, while Joelle went from age 54 to 50. Tara's real age decreased from age 37 to 30, and Laura's age is now 36, down from a previous 40 years old. Kristin showed major improvement as well, going from a real age of 47 to 41, while Cathy's adds a few years to her life, improving from a real age of 57 to a new real age of 54. After 5 weeks on the ranch, Helen goes from being 60 to 55, and her daughter Shanon benefits from the diet and excess she had at home, changing her initial real age of 44 to 40 years old. The males also make some major improvements, as Dane decreases his real age of 43 to a much lesser 36 years old, and Blaine decreases his from 47 to 39! The Blue team makes some progress as well, while Sione shrinks down from a real age of 43 to 37, and Filipe does even better, going from a real age of 43 to 36. The youngest player in the competition, Mike, was originally estimated to be 41 years old and in a mere five weeks he improve his age to 34. Lastly, Ron, who was estimated to have a real age of 62 years old, added a few more years to his life as well, and is now a real age of 59.
Dr. H tells the there are four components in losing weight: diet, exercise, psychology AND sleep optimization. Dr. H shows Kristin the charts from when her sleep was monitored and after seeing how severe her sleep apnea is and the lack of sleep she is actually getting, Kristin swears to wear her mask. Dr. H also shows Carla and Joelle their sleep charts and at one point, Carla did not breathe for 33 seconds! She stopped breathing completely 15 times an hour because of her sleep apnea!! The Blue Team is up next, and it's discovered that Sione has, as Dr. H puts it, "a life threatening condition" because of his sleep apnea, having 140 episodes per hour and periods where he would stop breathing for up to 40 seconds. Filipe and Sione are stunned, and while Dr. H gives them praise for all the progresses they have made in their weigh-loss and health, it is all bittersweet. The Black Team is last to see Dr. H, learning about their younger "real age," decreased body mass, decreased excess body fat, along with the progress Dane and Blaine have made in their health, but also reveals some bad news with the dangers associated with their sleep apnea. Once again, the news is bittersweet, especially for Dane, as Dr. H tells him he has gained 13 pounds of muscle in five weeks, but that the lack of oxygen to his brain 79 times per hour could have taken his life if he hadn't decided to make a change in it.
The week ends on a lighter note with some girly fun before the weigh-in, for both the girls and the guys. After Carla does Kristin's make-up, Kristin and Carla decide Filipe needs to look pretty as well. Thus, Kristin applies lip-gloss on Filipe as Carla does the rest of his make-up, leaving Filipe to say, "Whatever you do, make sure I look pretty, because this is the first and last time."