My 600-Lb. Life - Episode Guide

650-lb Melissa begins her seven-year weight loss journey.

650-lb Melissa struggles to get to her ideal weight.

Donald has difficulty walking and relies on his parents to take care of him, so he gets motivated to begin his weight loss journey.

750-lb Henry begins his weight loss journey in the hopes of transforming himself in time to attend his high school reunion.

Ashley's career was derailed after she was let go due to her excessive weight. Will she be able to turn her life around and achieve her goal of owning a childcare facility?

Zsalynn weighs close to 300 kilograms and has to rely on other people to take care of her nine-year-old daughter. Is this enough motivation for her to make a drastic change?

Olivia's weight controls her life and prevents her from being able to do many things. She desperately wants her life back - but is she ready for a drastic change?

Penny's weight forced her to spend the last four years living in her bed. This is her last chance to have a family and life worth living.

Chuck's weight limits everything he does, preventing him from doing even basic things for himself. Can weight loss surgery help him to turn his life around?

Christina hasn't left her house in two years due to her size. She's eaten herself into a state that will soon kill her, but can she make a dramatic change?

Paula has had a tough life, and at over 272kgs, has built a physical wall around herself to push people away. But can she shed the pounds and turn her life around?

38-year-old James has lost both his father and sister to obesity-related issues. Now, at a staggering 650lbs, he is facing the exact same fate.

Tara is a single mother of two who feels like a prisoner in her own body. Riddled with joint pain, she is determined to lose the weight and see her kids grow up.

At age 23, and over 600 lbs, Amber relies on her family for even simple needs. Her fear of dying young sends her 2,000 miles for weight loss surgery.

At over 600lbs, Susan is committed to drastic weight loss. But when a medical disorder affects her mobility, her plight becomes a matter of life and death.

Pauline is 51-years-old and nearing 700 pounds; her addiction to food has taken over the life of her son and primary caretaker.

At just 24, Bettie Jo is eating her way towards 700lbs. Housebound, she is reliant on her husband for even basic needs. Can she shed the pounds?

At 42 years old, Angel is staring death in the face. She is struggling to make a positive change and be an active part of her partner and son's lives.

Joe is only 30, and trapped in an 800-lb body. He lost his job and is mostly housebound. Can Joe find the strength to face his past and save his life?

Laura has used food to cope with her emotions for too long. Confined to a wheelchair, she depends upon her husband and mother to survive. Can she turn her life around?

An overweight woman struggles with flesh-eating bacteria and butterfly shaped fat deposits; unexpected news threatens her weight loss journey.

To cope with the emotional turmoil of his childhood, 23-year-old Chay has eaten his way to 600-lbs - and it's threatening to kill him before turning 30.

Marla is so heavy she cannot stand up. Bedridden, she must face the facts about her health and the toll it takes on her supportive family, if she is to save her health.

Nikki finds her career as a costume designer threatened by immobility, so she undergoes gastric bypass and confronts the emotional causes for her eating.

Brittani married a man who loves large women, but at 600-lbs, she can barely contribute to their marriage, and gets surgery to try to have a normal relationship.

At 700 pounds, Chad's weight is dangerously out of control. After gastric bypass surgery, he quickly sheds pounds but faces a medical crisis when he does not follow the doctor's orders. In dire straights, Chad puts his weight loss journey on the line.

600-pound June copes with the tragic death of her son by eating. After gastric bypass surgery, she must confront the emotional issues driving her food compulsion. If she can stay on track, she can become the mother she desperately wants to be.

Dottie loves being a mom but, at over 600lbs, she's on the verge of leaving her 2 young children motherless. Can she take drastic action and turn her life around?

At 650 pounds and Desperate for change, Gideon uproots his family to restart his life with weight-loss surgery and hopes for a future of happily-ever-after.

Weighing over 700 pounds at 26-years-old, the clock is ticking on Ashley's life. Ashamed of her body, surgery offers hope, but not without setbacks.

At over 700lbs, Teretha's life is confined to a bed. Her family fears losing her and hopes a gastric bypass will provide the solution she needs to save her life.

Randy's food addiction dissolved his marriage and keeps him from seeing his daughter, so he endures a rigorous pre-surgery diet surrounded by fast-food temptations to regain control of his life.

Milla is bedridden and dependent on her husband and five kids, who can't resist her unending requests for junk food.

Sean has a massive growth protruding from his side and skin so stretched it's tearing apart, forcing his mother to change both of their lifestyles before he can be approved for surgery.

At 272kg, Lupe has spent the last ten years in bed. A doctor in Texas is her only hope for change, but has she waited too long to begin her weight-loss journey?

29-year-old twins Brandi and Kandi are close after a traumatic childhood, seeing food as a comfort. But after weight-loss surgery, more challenges await.

At 670 pounds, Ashley, who lives in her parents' home with her husband, decides she must make a drastic change to save her life and her marriage.

Cynthia, a single mother focused on raising five kids, comes to realize what her death would mean for their future.

A woman has mobility issues while her weight tops 600 pounds, but she fights to get control of her obesity and save her relationship with her troubled son.

A 660-lb. man resorts to sneaking food as he recovers from a dependence on drugs and alcohol, but his addictive personality could destroy his marriage, his relationship with his three kids and his life.

Erica regrets not keeping a promise to her mom; each meal threatens to fulfill Erica's worst fear- dying alone surrounded by food.

Diana is desperate to break free of her food addiction, so she trades the comfort of her apartment for a weight loss journey under the strict authority of her niece.

Michael must learn to control his anger issues around food, lose weight and address the root of his issues before he loses everything.

Weighing over 700-lbs, Nicole is on the verge of leaving her children motherless. She commits to the diet program, but crisis threatens to derail all her hopes.

Tanisha desperately tries to survive for her kids and avoid her mother's tragic fate of dying at 50 from obesity.

Weighing 791-lbs, James is bedridden, unable to stand, and can barely move his legs. He may only have a few months to live. Can bypass surgery save his life?

A women's extreme weight resides in her misshapen legs, which are so massive with severe lymphedema that gastric surgery is her only chance of survival.

Steven weighs 800-lbs and his brother, Justin, 600-lbs. Desperate to save both his sons' lives, their father travels across the US to seek help.

After a year on a weight loss program, Steven remains completely non-compliant and Justin focuses on a new career instead of his diet, but time is quickly running out for surgery.

After meeting and falling in love at a bariatric rehab center, Lee and Rena are battling health and anger issues while making a desperate, second attempt to save their lives.

Because of her morbid obesity, Janine relies on a motorized scooter to get around, and must push through emotional and physical pain to live her dream life full of fun; with insider facts and bonus scenes.

Alicia, all smiles and laughter on the outside, secretly fears that her food addiction will kill her before she can marry her long-time love or watch her nieces grow up.

Liz, completely bed-bound, has severe lymphedema that makes it impossible to walk; utterly isolated, Liz has no friends, battles depression and lives with a mother too ill to take care of her.

Unable to stand for more than a short period of time, Karina's weight places a burden on her parents and drives a wedge between her and her sister.

James LB Bonner spent his early life trying to prove himself to his adoptive family, but after losing a leg and battling obesity, LB must take a new path to save his health and his family relationships.

Lisa's struggle with weight worsened after witnessing her brother's murder. Now bedridden, she must lose the weight or never see her grandchildren grow up.

At nearly 900lbs Robert is bed-ridden and living in a nursing home, with lymphedema masses on each hip. Can he make the radical life changes needed to save his life?

A tumultuous relationship with her husband caused Tamy Lyn's weight to reach more than 500lbs. Isolated from the outside world, she needs to restart her life.

Brothers Benji and David were raised on fast food. At 700-lbs, David is unable to work and Benji, now 475-lbs, fears that he is heading down the same road.

A former plus-size model and ‘big is beautiful' advocate, Renee now realises her mortal mistakes as her weight swells to 600-lbs and her health crumbles.

After a difficult childhood with an abusive stepfather and drug-addicted mother, Sarah weighs over 600-lbs and is fighting for her life at only 24 years old.

Devastated by two miscarriages due to her weight, Schenee is desperate to start a family and stop relying on her husband, Freddie, to take care of her, but there's no guarantee that weight-loss surgery be able to fix her fertility issues as well as her marriage.

Jennifer and her daughter Marissa are stuck in a codependent relationship that has put both of their lives in jeopardy, with a combined weight of over 900 pounds.

After a lifelong struggle with obesity, the three Perrio siblings travel to Houston in a last-chance journey to lose weight. Will they be able to break decades of unhealthy habits without fracturing as a family?

With the Perrios struggling with different stages of their weight loss journey, the revelation of a past tragedy explains their resistance to recovery. They must now come together to overcome their fears & forge a path towards a healthy future.

Octavia has been bedbound for nearly a year when she decides to make the trip to Houston to get help from Dr. Now, but when it turns out that her best friend is also her worst enabler, Octavia will have to choose between old habits and a new life.

At over 700 pounds, Brianne undertakes a weight-loss journey to save her own life; she faces an unexpected challenge to her fragile progress when her husband suffers a heart attack on a birthday she will never forget.

Robin and her brother Chris are both obese and already lost a sibling to obesity; they plan to visit Dr. Now together when Chris suffers a stroke and can't go; Chris' son Garrett, already 600 pounds at age 20, is game to join the journey.

A college graduate with a once-promising career, Justin has eaten his life away to the point of never leaving the house for anything but food; only the help of Dr. Now's weight-loss program can restore his hopes of living a happy, productive life.

Holly already has one failed weight loss surgery, so to succeed this time, she must do more than change her eating habits, she must address the childhood issues that continue to plague her.

Lacey ballooned up over 600 lbs on pizza and ice cream and knows Dr. Now is her best hope for success; she must now rally her divorced parents around her for support and find a way to modulate her moods that won't include binge-eating.

Brandon is a talented musician with a beautiful voice and a run-away weight problem; he wants to lose weight and embark on a career; he also wants to take the next step with his girlfriend, Taylor, whom he risks losing if he can't make a change.

Maja moves to Houston to undertake a difficult weight-loss journey with the support of her boyfriend, Christian; when Christian decides he's had enough and leaves Maja high and dry, she discovers that the only person she can count on is herself.

Despite moving to Houston with the solid support of her boyfriend, Aaron, and her cousin, Jasmine, Tiffany finds it difficult to break the cycle of depressed eating when her two roommates don't join her diet and leave the house every day for work.

Born as "Matthew," Destinee never felt like she fit in; now, having come out as a 600-pound transgender woman, she likes her curves, but she will need to say goodbye to them if she wants to be approved to transition completely.

Jeanne lives in an unhygienic household with her mother and schizophrenic father; at well over 600 pounds, Jeanne might never get weight-loss surgery as she runs into several obstacles, especially after an unexpected death in her family.

Since the death of his mother, Aaron lives at home to care for his aging father, but due to his food addiction, Aaron has to heavily rely on his father for help instead. Aaron must learn to care for himself to avoid eating himself to death.

Kelly is on the verge of immobility when she decides to make the trip to Houston to visit Dr. Now; her journey gets off to a painful start when a long travel-day grows longer as Kelly gets stuck in a cab on her way from the clinic to the hospital.

When Annjeanette was nine, a campaign was established to send her to fat camp; she hated that her weight had become a source of public shame and she has struggled to overcome her food addiction; now, she must change her habits to save her life

When Angela's family is unable to accompany her on her weight-loss journey to Texas, she is unsure what to do; at the last minute, she reaches out to an old flame, Eric, who still has love for her and is willing to make the trip.

Mother of four LaShanta has been bed-bound for two years, and she relies on her kids to keep her cleaned and fed; her last chance to break the cycle of food addiction is to join Dr. Now's program, but it will take a village to get her out the door.

Having spent the last two years in his bed due to his weight, Cillas' food addiction prevents him from being there for his fiancée and her three daughters.

With severe lymphedema Mercedes can barely stand, and her family helps her care for her young kids. To successfully lose weight she must confront her past trauma.

At over 600-lbs, Angie is trying to get to Houston to see Dr. Now and get life-saving weight-loss surgery. But a family conflict proves to be an obstacle.

At over 600-lbs each, Vianey and Allen are in a co-dependent relationship based on a shared love of food. Can they conquer their food addiction together?

John and Lonnie are two brothers from opposite ends of the spectrum; estranged for years, the brothers are now brought together by a common need to lose weight while they still can.

Lindsey has a white picket fence, a loving husband and a great job, but her food addiction threatens to ruin everything; as she embarks on a weight loss journey to save her life, her husband may provide more harm than support.

Bethany has two daughters who live in fear of losing their mom to her food addiction; once an addiction counselor, Bethany has gotten so big that she can no longer work; now she risks losing her life if Dr Now can't help her curb her own addiction.

JT is almost 900lbs with a 100-lb lymphedema mass on his leg and a food addiction that is bound to kill him if he doesn't change; his girlfriend takes him to Houston, but when his behavior drives her away, JT is left with only Dr. Now to help.

Gina and wife Beth live with Gina's mother, but she and Gina's sister blame Beth for Gina's spiraling weight problem; it will take all Gina's will to leave home for Houston to get Dr Now's help, to save her life and her marriage.

When Travis gets too big to walk down the aisle, he promises to give his wife a proper wedding; he gains more weight, leaving Dr Now as Travis' only hope to lose weight and get the life he and his wife dreamed of having together.

Joyce needs home health care and hasn't left the house in three years; getting to Dr. Now in Houston is just the first step and when he prescribes therapy where Joyce must revisit an unhappy past with her mom; it might be more than she can handle.

Shantel's brother Carlton lives downstairs but she hardly ever sees him because at 600 lbs each, neither can do the stairs safely; to break free from a death spiral of codependent eating they need Dr. Now's help to reforge their sibling relationship.

Seana is 23 and nearly 700 lbs, living at her mom's house, depressed and anxious, her weight-gain threatening to take her last breath; Dr. Now can give her the tools she needs to live, but until she chooses life, no one can save Seana but herself.

At 600 pounds, Ashley has to move home so her mom can help her care for herself and her newborn daughter; Ashley must overcome a lifetime's worth of unfortunate circumstances and get Dr. Now's help in Houston.

Tommy wants to lose weight so he can marry his fiancée and have the life he always dreamed of with her, but to break the cycle of pathological eating that left him nearly bed-bound, he'll have to face a piece of his past he has always kept secret.

The 4 best reasons for Coliesa to live are her daughters. But after a heart attack and losing the love of her life in a car crash, Coliesa eats non-stop to escape from reality, and unless she can stop that, the next heart attack will be fatal.

Dominic's life is falling apart due to his food addiction; over 600 pounds and living in a van with his brother, Dominic decides to leave California for Texas.

At 24 years old and over 600 lbs, Megan lives at home with her mom, who cooks for her since Megan can't do much on her own; Megan must travel to Houston to meet Dr Now and change her eating habit or her life may end before it ever begins.

Ashley is 24 and lives alone; her only sources of comfort are food and the relationships she has online; but not a single one of her profiles is real; Ashley learns that Dr Now isn't someone she can lie to like her online friends.

For 23 years, Leneatha has worked as a pharmacy tech at a local hospital; now, she has a young daughter to support, but she's so big that it's hard to move; if Dr Now can't help her stop eating, losing her job could be the least of her worries.

At nearly 1,000 pounds, Samantha is dangerously close to dying. To make matters worse, she's paid to eat by making videos online. If Samantha doesn't overcome her toxic relationship with food, she worries that she will leave her daughter motherless.

Thederick has become housebound from eating, and for 10 years, he's only gone outside to greet the ice cream man. After a recent hospital scare, can Dr. Now help?

20 years after her dad died as a result of a botched weight loss surgery, Carrie is on the brink of eating herself to death. To live, she must face the fear and grief of losing her father and end a cycle of toxic behavior with her husband Chris.

Cindy is resistant to change and has spent years creating a world that makes her feel safe. When her friend notices Cindy's health declining rapidly due to her size, she pushes Cindy to move to Houston and see Dr. Now. But Cindy isn't so easily persuaded.

Melissa has isolated herself at home and lost many friends to avoid feeling the shame of what her food addiction has done to her body; now, the only way to get her life back is to leave it behind to start a new one with Dr. Now's help in Houston.

Kenae' was already big before her weight gain took off after the death of her beloved mother. Refusing to deal with the pain, Kenae' turned to food to fill the void. But she'll be reunited with her mum soon if the denial continues.

Krystal begins overeating to shield herself with a protective layer of obesity after suffering years of abuse; once a means of protection, her pathological eating now threatens to destroy her life if she doesn't get help.

Isaac helped raise his siblings after his mum suffered a debilitating stroke when he was 10. While learning to cook for his family, he began comfort-eating. Now to avoid eating himself to death, Isaac must learn to take care of himself for a change.

A lifetime of abuse and ridicule has left Michael anxious and afraid to leave the house. Now with the help of his devoted wife he must follow Dr. Now's programme to keep from eating himself to death.

Shannon is 700-lbs and bedridden and without Dr. Now's help, her life is at risk. But, when the global pandemic strikes, Shannon's weight-loss journey is paused.

Irene had to move back in with her son because her weight made it unbearable to live on her own. When Dr. Now can't get through to her, the only thing that might help her break the cycle is a once-in-a-lifetime turn of events.

Through tough times, food has always been Tammy's friend. But now she has gotten so big that her daughters and mother have moved home to care for her, and unless Dr. Now can get her to confront her grief, food might be her killer.

Chrystal is unable to shower without assistance from her teenage daughter. Can Dr. Now help her confront childhood trauma and turn her around her life?

When Nathan's weight gets in the way of the only healthy thing in his life - his job as a drama teacher - it's a wake-up call for him. But changing his life might mean a falling out with his wife, Amber, who is also overweight, unless she can lose, too.

For Julian and his wife, Irma, it was love at first sight. But in order to grow old together, Julian will have to overcome the food addiction that made him more than 800 pounds, and Irma will have to hold on no matter how difficult the journey may become.

Bianca is all in for a move to Houston with her boyfriend and two young kids to get Dr. Now's help with a second weight-loss surgery. But just when the coast is clear, her boyfriend's change of mind could undermine her progress.

Mike was born with a talent for sports--and an omnivorous appetite to match. After his football dreams were dashed by multiple concussions, he packed on over 700 pounds. Now he must find a new purpose in life to avoid succumbing to pain and regret.

Lacey is so big from overeating that she can barely leave the house, but that hasn't stopped her from finding love with Ricky. Her weight isn't the only thing between her and a happy husband, however, with Ricky's sister Sharon in the picture.

Paul weighs in at 700 pounds, and his girlfriend struggles with how this limits their ability to live a normal life. He thinks their relationship won't survive if he moves to work with Dr. Now, but prioritizing his own health is the only path forward.

Ryan moved to Montana to keep himself from going down a dark path of drug addiction. However, his new path may be no less lethal than the last if he can't find a way to curb his eating habits before they kill him.

For James B, food means family. He grew up eating rich Haitian food and loves it with a passion. Now, James needs Dr. Now's help to diminish that love in order to survive, but a death in the family sends James retreating back to the comforts he knows.

Living on a homestead with his family, Lucas wants to spread his wings and fly, but at 600 pounds, he can't take off. All he does is eat and game, and if he wants to leave the nest and live a normal life, he needs Dr. Now's help to lose over 400 pounds.

Margaret's life at 700 pounds is in need of a jump-start; at age 35, she is a mama's girl; it's time for Margaret to get out of bed, overcome her food addiction and break away from the comfort of her mother so she can finally live her life.

At 700 pounds, Ontreon has managed to keep going thanks to his faith in God, and he's training to become a minister; Ontreon is hopeful but has to believe in himself.

Dolly has gotten too comfortable at 600 pounds. There's physical pain all over, and the skin apron pulling on her abdomen is miserable, but with her mom and others waiting on her hand and foot, she manages to avoid ever taking responsibility for her life.

For Larry, a second weight loss surgery would mean a second chance at a career as a gospel recording artist. But a beautiful singing voice doesn't pair well with a 600-pound eating habit. If Larry can't make the choice to change, then no one can help him.

Lisa wouldn't have made it this far without the help of her chief enabler, her boyfriend Randy. But Randy falls ill, and Lisa is about to find out if she has the will and determination she needs in order to turn her life around.

Growing up in foster care, David suffered from a lack of attention and didn't develop a sense of self-worth. Now he weighs 800 pounds, and he's relying on his favorite foster mom to support him as he finds the motivation to change and save his own life.

As an Italian American, Geno was raised with lots of love, family and food; now, he's still living with his mom and eating himself to death, and it's time to make a change; Geno's cousin, Nico, joins the cause; they pledge to lose weight together.

Latonya found the man she wants to marry; the only problem is that, at almost 700 pounds, she can't walk down the aisle; Latonya doesn't want to give up the food that she's used to, but she may do it for love.

Wess gets off to a great start in Dr. Now's program, but when the cravings continue after surgery, Dr. Now sends him to therapy to confront his demons; Wess must ask himself whether he is ready to live his truth as a gay man in small-town Texas.

 

 

Syreeta thinks that anyone trying to help has an ulterior motive, but she's gotten so big she desperately needs help; she's learning to let down her guard for her husband, but weight-loss surgery will be tough if she can't learn to trust the surgeon.

Mark sets out with a goal for weight-loss surgery, but as weight loss gets easier, he turns down medical advice and decides to do it on his own; Mark thinks he can lose 500 pounds by himself, but Dr. Now sees this as another excuse not to change.

With her weight spiraling, Stephanie needs her mom's help to care for her three kids; she's at the point where she'll have to lose weight or risk not having the chance to see her kids grow up.

Nothing means more to Chris than his relationship with his daughter, Zoey, but now he feels he is failing her as his weight gain begins to limit his mobility.

Patrick's weight has never been a bother, but now he's so big that it's getting in the way of his relationship with his daughter; if he wants to see her graduate high school, he'll have to reverse course.

Krystal S. has finally met the man of her dreams, but she won't let herself marry him until she can be sure that she won't become bedridden and force him into the role of caretaker.

William was always mobile and fairly athletic -- that is, until he wasn't; it's been years now since a knee injury derailed his sports career, and he's ballooned up over 600 pounds; now, to lose weight he'll have to face up to how bad it's gotten.

 

 

When a regular trip to the grocery store turns into an emergency for the EMTs, Delana must admit how badly she needs Dr. Now's help to lose weight; hopefully her road to recovery will lead her to reconcile with the daughter she's grown apart from.

Abi was struggling with his weight before a fluke accident left him mostly paralyzed; bedbound for seven years since then and topping 700 pounds, Abi's only hope for a future with his wife is to get Dr. Now's help to lose weight.

At age 58, Rose had almost given up and eaten herself to death, but it turned out her family needed her too much for her to go; now she has more than 400 pounds to lose if she wants to get healthy for them, and she's determined to do it.

Shakyia was always chubby, but now she has stopped leaving the house and makes no effort. Her older sister rallies her to Houston to meet Dr. Now and lose weight, but she'll be in for a shock when he mom decides that caring for her is just too much.

Charles replaced one addiction with another when he quit doing hard drugs. Now his BMI is over 100 and he can't stop eating. He needs Dr. Now's help, but with his brother doing everything for him, is he too comfortable to make the trek to Houston?

Jonathan had his dream job, and he ate himself out of it. Once an EMT first responder, now he rarely leaves the room. His wife works full time to pay their bills, and Jonathan must break the cycle of eating if he wants to keep his wife and his life.  

Krystal has never let her weight get in the way, but the truth is her weight has really started getting in the way. She has the husband of her dreams who supports her unconditionally, but to have a happy future with him she has to get weight loss surgery.  

Karen has gotten so out of control with her eating that she's developed a fear of leaving the house and interacting with the world at her size. She needs Dr. Now's help, but can Karen ever qualify for weight loss surgery if she won't leave the house? 

Gary doesn't leave the bed anymore. He has his mom and a bevy of caretakers to get him what he needs, but his life is slipping away from him. He is so overweight that just getting to Houston may be out of the question if he can't stop eating. 

At 6'3" and over 700 pounds, Jacky has barely had a chance to live. She's never fit in anywhere and has always felt out of place. Now that her parents have passed, she has a fresh chance to discover the world anew, but first she's got 500 pounds to lose. 

Deshaun takes being protective of his mom to the next level. He's over 700 pounds and won't leave his mother's apartment. Dr. Now and Dr. Paradise might be able to get him to leave the bedroom, but will Deshaun ever make it to Houston? 

Pastor Juan's love of food made him overweight, but it has never been a problem until recently, since he's gotten too big to preach and sing to his congregation. If Juan is to help others, he must first help himself by curbing his earthly appetite. 

Explores 10 years of documentation of the super-obese to highlight key breakthrough moments within their turbulent but ultimately triumphant weight-loss journeys.

Steven Assanti's dysfunction escalates, pushing his relationship with Dr. Nowzaradan to the brink, and a risky decision is made to save Steven's life, while brother Justin takes the leap to go to Houston to finally accept help.

Steven Assanti's dysfunction escalates, pushing his relationship with Dr. Nowzaradan to the brink, and a risky decision is made to save Steven's life, while brother Justin takes the leap to go to Houston to finally accept help.

A 400-lb. woman learns that she's pregnant, but wonders if she'll be able to deliver the baby without complications; a woman who lost 400 pounds is in a relationship, but it could be in jeopardy when her weight-loss journey stalls.

Melissa has lost 500 pounds and saw her weight drop to 137 pounds, but now faces marital problems and life as a single mom, all while struggling with a gain of 150 pounds.

After successful sleeve gastrectomy procedures, the Dreier twins collectively lost more than 400 lbs. and are working toward skin surgeries when a major life event disrupts their world and threatens the security they thought they had.

Ashley lost over 200 lbs. in Houston, but she faces the fact of regaining independence and struggling to lose weight back in California with her family of enablers; and Diana has embraced her new life and shed 300 lbs., but her knee damage might threaten her progress.

Kirsten must finally become independent to get the full gastric bypass surgery she feels she needs; Michael struggles to lose and still battles anger issues; and Michael's wife, Roni, wants her own surgery.

Back on Dr. Nowzaradan's program, James is suspected of cheating as he continues to gain weight and suffers a series of life-threatening illnesses; Cynthia continues to lose weight but seems satisfied to do so at her own pace.

Losing over 200 pounds, Doug is now an active part of his family's lives and inspires a healthier lifestyle for them all. However, Doug's eating disorder and trouble finding his own identity threaten to derail his progress.

Ashley hits an emotional wall and is desperate for skin surgery, but she is not losing any weight. After being evicted, Nicole is forced to move back to Ohio, which could impact her weight loss journey.

Brittani has lost over 400 lbs. in two years. As part of her next chapter, will she and Bill start to plan to expand their family? Lupe has struggled since surgery. Having left her husband, will she finally start to make permanent changes she needs?

Sean must overcome recent tragedies in his life before he loses all the progress he's made over the last two years; Dottie struggles to stay on track while maintaining her family life and dealing with new pains in her body.

With a sneak peek at the new season - Alicia is struggling with a lifelong food addiction that is causing strain with her longtime boyfriend, Tim; she must find help to change her ways or risk losing him forever.

Tamy faces a tough choice when her husband wants her back but only if she moves away from Houston and Dr. Now's program. Karina's weight loss begins to slow, but she finds happiness dating a guy Dr. Now is surprised to see in his clinic again.