People much smaller than him have had to do that, too. Normal doctor's office scales only go up to 350-400 pounds. My mom is a former Weight Watchers counselor, and I remember her riding to Winn Dixie (a grocery store, I think they're a local chain) with a woman who was over 450 pounds to be weighed every week on their meat scales until she lost enough weight to be weighed on the regular scale. I thought it was extremely courageous of the woman to go through all that humiliation. IIRC she did get down to and maintain a healthy weight.
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