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I quite enjoy this programme. It does use shock tactics - comparing one super skinny (verging on anorexic) with one grossly overweight...not unlike the format for 'Wife Swap' et al - comparing one extreme lifestyle with another, or 'Big Brother,' where opposite personalities are introduced into the household - to boost ratings?!
A companionable bond of sympathy often emerges between the two contrasting candidates and coming face to face with the consequences of their eating habits can encourage them to change. I also like the way that during the show they tackle over weight related issues, for example, following a group of anorexic girls over the series.
However, what I am not so keen on is the way the two candidates are made to swap diets with each other as im not sure how exchanging one unhealthy diet for another can be helpful.