Nikki inputs Christian’s speed and time on an eliptical training machine at the YMCA in Oswego, N.Y.

Nikki cuts fresh fruit and vegtables to be tossed in a juicing machine as her children: Christian, Zachary, and Grayson watch.

Christian takes his daily dose of liquid Riomet through the use of a syringe to control his blood glucose levels.

Christian’s vitamin D deficiency makes him sleepy as his mother Nikki talks with his weight-loss bariatrician, Dr. Wendy Scinta.

An unwound measuring tape represents precious inches obese patients struggle to lose everyday.

Christian works on his form with a black-belt trainer at the Burger’s Okinawan Karate School in Oswego, N.Y.

Nikki lovingly embraces her son Christian in front of the fireplace in their home in Oswego, N.Y.