At the clinic Blech realizes that she craves salt.  The minute salt is removed and she starts drinking lots of water she literally drains, peeing all the time and losing pound upon pound of water.  She begins to exercise, ultimately finding a personal trainer and a pilates teacher who teach her to move and to walk again.  She even manages, by the end of Confessions, to run every bleacher in the entire UNC football stadium in under 30 minutes (I don't know if I could do that!).  Blech loses 100 pounds a year and leaves the clinic after 2.5 years 250 pounds lighter.

The story doesn't end perfectly.  This is not a fairy tale.  Yes, Blech moves back to New York City, goes back to school, and lands a job as a legal assistant at a famous law firm.  Yes she wrote a book and has made numerous media appearances, yes she met and married a wonderful man, and yes she has kept the weight off.  But she still has another 40-50 pounds to go, still has emotional wounds to heal, and still has to deal with some plastic surgery to remove the 20+ pounds of excess skin around her stomach.

This is a gritty true life story written from the trenches of emotional and physical pain.   I laughed, I cried, I was repulsed, I commiserated, and in the end I was so proud of and learned so much from Susan Blech and the work she had done for herself.

Confessions of a Carb Queen is not a diet book or a weight loss program.  In fact, she does not even completely back the Rice Diet program.  This is simply the story of a woman who lost a large amount of weight and it can inspire you to do anything you currently think is impossible.