The narrator starts by asking the question, how do sumo wrestlers get so big. Most of his patients are seeking weight loss. Number one way to put on weigh is to sit breakfast. The reason behind this has got to do with you blood sugar levels. What sumos do is they wake up, skipping breakfast and that train for 5 hours. They then consume about 20,000 calories throughout the day and take naps in the afternoon. They then have a huge dinner. The sumo wrestler uses his metabolism to gain weigh. He keeps his metabolism low. Hence to lose weight we an use our diet can increase our metabolism; have vegetables, meat and fish. Dangers to sumos and Americans are diabetes, heart attacks. The narrators compares the American diet to the sumo diet and highlight the inherit dangers.