In The Fluffy Movie, Iglesias describes how at his heaviest, which he states was 445 pounds (202 kilograms), he was diagnosed with Type II Diabetes, and with his blood sugar spiking to over 300 mg/dl (16. 6 mmol/L) regularly, was given two years to live by his doctor. He said the shock of being told he had two years to live prompted him to reevaluate how he took care of himself, and explained that he decided to lose weight in order to ensure his continued presence in the lives of his loved ones. Iglesias described the struggle to incorporate a healthier lifestyle, relating how he was told by a specialist that his heavy touring schedule precluded him from being a candidate for bariatric surgery, and how he resorted instead to weight-lifting, Diamond Dallas Page Yoga, and a high-protein, low-carbohydrate diet, which helped him shed over 100 pounds (45 kilograms). Iglesias has also struggled with depression and alcohol abuse which he attributes partly to burnout from his heavy touring schedule.