These contestants sign up for these shows on their own hoping to win the million dollar prize. Their arms are not being broken to get them to sign on. They have seen the show before they signed on and know what will be expected of them. So if the trainers tell them to run faster or do more sit ups and they're ready to die, they do it for the chance at the MONEY!
If you get a chance, check out this show if you haven't already. It airs on NBC and you can find out when the next series will be on and watch repeat episodes on-line.
Good point about they are there for the money - I agree because they wouldn't be at the weight they are now if they cared about weight and fitness and sincere about their health.
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