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She's lost the weight without any help from any kind of weight loss surgery. She was partially motivated to lose the weight in order to make her documentary about home birth in the tub. She's outspoken about the negative aspects of hospital births and the pressure for women to have cesareans. Cesarean births make up about 40% of births in many hospitals.
She'll be making a cameo appearance in John Travolta's "Hairspray" remake this summer.
Story Source: Ricki Lake Wows the Glossies
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