It’s well-known that a large number of Americans are overweight, and predictions seem to indicate that the issue will only get worse as time goes on. What isn’t as well-known is that the U.S. territory of Guam may be even worse.

This week, cable TV channel TLC aired a documentary highlighting one man’s weight difficulties on the island of Guam. Titled 900 Pound Man: The Race Against Time, the documentary chronicles Ricky Naputi’s struggle with his size, the troubles he encounters in finding help, and the difficulty he has sticking to doctors’ recommendations.

Naputi is, for the most part, bedridden and has not been able to go out of the house or shower for “years.” The documentary follows him and his wife as they seek out specialists and try to arrange for a flight to the U.S. mainland, where Naputi could receive life-saving surgery.

Though Naputi’s weight is disabling, he’s nowhere near the heaviest person ever recorded. The record for world’s heaviest man currently belongs to a U.S. man named Jon Minnoch, who weighed around 1,400 lb. at his peak. He also holds the record for weight loss, after he shed 920 lb. Minnoch died in 1983 at the age of 41 weighing nearly 800 lb.