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This helped contestants to lose weight in a healthier and safer way than some previous exercise routines on earlier seasons.

Because the show is a contest that involves eliminations from it, some contestants are encouraged to take risks that endanger their health. Benson, the winner of the program’s first season, publicly admitted that "he dropped some of the weight by fasting and dehydrating himself to the point that he was urinating blood".

Those sent home early compete for a smaller prize while those on the show compete for a larger prize and the title of "The Biggest Loser". Some episodes have been aired in a shortened one-hour format to accommodate adjacent network programming such as The Voice"I’m waiting for the first person to have a heart attack.

I have had some patients who want to [follow the show's regimen], and I counsel them against it. They are taking poor people who have severe weight problems whose real focus is trying to win the quarter-million dollars.""Simply put, the Biggest Loser provides viewers with a completely inaccurate picture of what you must do to lose weight and live healthy.

Some episodes feature a second, "red line"; if a contestant falls below the red line the contestant is automatically off the show with no vote.

Other episodes allow for the contestants, if successfully meeting a goal at the weigh-in, to all receive immunity for the week.

So while researchers did find a correlation between that rate, on average, with members of the Registry, all this correlation can mean—if there is any causal correlation at all (there is no control group) -- is that it is more likely, on average, for someone to be successful at losing a large amount of weight, and more successful at maintaining that weight loss.

It takes an overly extreme course of action on an important, but far less effective and achievable way to attain good form and better health.""Risks aside, weight-loss experts say that the biggest problem with the Biggest Loser is that extreme methods of dropping pounds are less likely to work in the long run.

Several former Biggest Loser contestants have regained some or all of the weight." Contestants on the show lose upwards of 10 pounds per week (in the very first week, some contestants have lost 20–30 pounds in that one week alone), whereas the established medical guidelines for safe weight loss are between 1 and 2 pounds per week.

Those who win a particular challenge are given special privileges, such as a weight advantage for the next weigh-in or even full immunity from being voted off the show.

Each week culminates in another weigh-in to determine which team has lost the most weight for that week, in percentage of total weight lost.

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