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The trainers are responsible (in conjunction with medical personnel retained by the show) for designing comprehensive workout and nutrition plans and teaching them to the contestants. However, the contestants are individually responsible for implementing the principles taught.
During an episode, various challenges and temptations (see below) are featured. 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.
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". Each episode will feature some, but not all, of the following activities (some contestants may not participate in an activity with physical requirements if placed on medical restrictions):
Temptation: Contestants prepare for the first day of the week only to find a situation that involves temptation. The temptation usually requires contestants to gamble by eating or drinking delicious but high-calorie foods in exchange for what may seem to be a beneficial trade-off. The benefits may or may not be known to the contestants in advance. Examples include eating sweet foods for a chance to call their loved ones, eating a big slice of cake to win an unknown prize (which, in one episode, turned out to be an exercise bike) or giving up time with trainer for a chance to win thousands of dollars. Contestants are given a set amount of time before the offer passes.
Last Chance Workout: Last chance workouts are often shown as grueling, final preparations for the weigh in. This is a real test of strength and trainers push contestants to their limits.
In season ten, the rules changed. The contestants are now expected to weigh in before challenges. The yellow line now increases up to half of the slots depending on how many contestants there are at the ranch. The contestants that are below the yellow line face an elimination challenge before the vote. In addition, the Biggest Loser of the week is allowed to save a person below the yellow line from elimination. Some episodes have featured both a yellow line and a red line; a contestant who falls below the red line are eliminated outright from the competition without a vote of the other contestants.
The Vote: The final segment of the show takes place in a dining room that has refrigerators labeled with each contestant's name (active contestants have their name illuminated) and filled with that contestant's favorite tempting foods. Prior to the vote, the contestants facing elimination plead their case as to why they should remain on the Ranch (several episodes feature contestants making a "sacrificial" request to be sent home, generally a team agreeing as to which member should stay and which one should go, or one contestant feeling that they can make progress at home while another needs the Ranch setting to continue his/her progress). The other contestants are not required to honor any requests to be sent home, though generally such requests are honored. The contestants facing elimination arrive at the dining room first; the other contestants each carry a covered plate containing the name of the person they wish to vote out. In the event of a tie, the contestant or team who lost the least percentage of weight is eliminated, except if both of the contestants or teams lost the least percentage of weight. As people are voted out, the light for their name is extinguished. After the vote, the eliminated contestant is shown at home and mentions the progress they have made in their weight loss.
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