Zsaylnn had previously accepted her heavier size, but her outlook has shifted now that her weight has reached nearly 600 pounds. Unable to care for her young daughter, Zsalynn is determined to get gastric bypass surgery.
Olivia has not left her Chicago basement for two years and is battling severe depression, even having attempted suicide. In an attempt to turn her life around, she travels to Houston for weight loss surgery.
Penny, bedridden for four years, moves to Texas for weight loss surgery. The 46-year-old wife and mother is unwilling to make real lifestyle changes, which could be her downfall.
At almost 700 pounds, Chuck is struggling to keep his business afloat and marriage together. Weight loss surgery is his last chance to take control and reclaim his life.
Christina, a 22-year-old married woman, hasn’t left her house in two years due to her size. Her doting family has enabled her overeating, and her obesity threatens to overtake her life if she does not make a change.
Paula, over 500 pounds, pursues weight-loss surgery in hopes of being able to care for her kids. Paula's husband passed from obesity-related health issues, motivating her to avoid a similar fate for the sake of their children.
James has lost his father and sister to obesity-related health issues and is determined not to suffer a similar fate. At over 700 pounds, he pursues a gastric bypass in an effort to reclaim his life and health.
Tara, a mother of two, is bedridden at 600 pounds. Confronted with the knowledge that she has five years left to live, Tara commits to gastric bypass surgery in hopes of improving her health and caring for her family.
At just 23 years old, Amber is over 600 pounds. Fearing a premature death, she leaves her home in Oregon and relocates to Houston to pursue weight-loss surgery.
Susan, over 600 pounds at 37 years old, commits to drastic weight loss. Her recovery from weight-loss surgery is complicated by the diagnosis of a nerve disorder, inhibiting her ability to walk.
At almost 700 pounds, Pauline depends on her son as her full-time caretaker. In an attempt to reclaim her independence and free her son from care giving duties, she moves to Houston for gastric bypass surgery.
Bettie Jo's Story
Bettie Jo, near 700 pounds at just 24 years old, is determined to make a dramatic change with weight loss surgery. Her husband and caretaker fears any weight loss could lead to her leaving him, creating conflict in the marriage.
At over 500 pounds, Angel determines to lose weight for the sake of her son.
At 30 years old, Joe is trapped in an 800-pound body. Having lost his job, he's housebound and struggling with depression and loneliness. He struggles through setbacks to become a candidate for weight-loss surgery and begin to reclaim his life.
Laura is confined to a wheelchair and relies on family and an oxygen tank to survive. Nearing 600 pounds, she is determined to lose weight to relieve her family of care giving duties and undergoes gastric bypass surgery.
At almost 800 pounds, Charity is unable to function without her family and undergoes weight-loss surgery. Suffering from flesh-eating bacterium and oversize fat deposits, she struggles to regain her health and heal her body.
Chay has reached 600 pounds at just 23 years old and must make a change to save his own life. He finally copes with his difficult childhood, only to be forced to find new strength after a critical loss of emotional support.
Marla, a single mother of three, cannot even stand up due to her estimated 800-pound weight. With the support of her family, she decides to undergo bariatric surgery but faces a series of complications to reclaim her health.
Moments of Truth
Pivotal moments -- from tragic breaking points to ultimate triumphs -- in the lives of those struggling with extreme obesity.
Nikki's life and career are threatened by her 650-pound weight. Determined to make a change, she undergoes weight-loss surgery.
At almost 600 pounds, Brittani hopes weight-loss surgery will improve her health and marriage.
At over 700 pounds, Chad's weight is out of control and gastric bypass surgery is his last resort. His recovery is complicated when he faces a medical crisis and fails to follow doctor's orders.
June, almost 600 pounds, has coped with the tragic death of her son by eating. Confined to her house and unable to care for her three children, she undergoes weight-loss surgery with the support of her girlfriend Sadi.
At over 600 pounds, Dottie agrees to a drastic new diet and gastric bypass surgery in hopes of reclaiming her health and ability to care for her children. A medical emergency and her own self-sabotage may derail her efforts.
Gideon, at over 600 pounds, is unable to work and completely dependent on his exhausted wife. Fearing an early demise, he uproots his family and moves to Houston to undergo weight-loss surgery in hopes of reclaiming his health.
Ashley D's Story
Ashley is just 26 years old and over 700 pounds. Unable to care for her 5-year-old son and knowing her life is on the line, she pursues weight-loss surgery. Various medical setbacks and struggles threaten her progress.
At over 700 pounds, Teretha's life is confined to a bed -- a far cry from her former job representing Detroit's healthy eating program. Her adoring family fears losing her and hopes bariatric surgery will help save her life.
At 650 pounds, Randy's weight has led to the loss of his marriage and custody of his daughter. In a last ditch effort to save his life, he begins a rigorous diet to undergo weight-loss surgery.
At about 700 pounds, Milla is unable to care for herself. A mother of five, she knows she must lose weight to save her own life and care for her children. Determined to make a change, she moves to Texas for gastric sleeve surgery.
Sean weighs almost 1,000 pounds at just 26 years old. His skin is so stretched it is tearing apart, and a massive growth protrudes from his side. With the support of his mother, he attempts weight-loss surgery to save his life.
Lupe, at almost 600 pounds, has been bedridden for 10 years and depends on her husband for all her needs. A cross-country move to Texas for weight-loss surgery is her last chance for change, but it may be too late.
Brandi and Kandi's Story
Inseparable twins Brandi and Kandi move from Vancouver, Washington, to Houston, Texas, to undergo weight- loss surgery together. A complication during their recovery may threaten their survival.
Ashley R's Story
At almost 700 pounds, Ashley R. is entirely dependent on her husband and parents. Desperate to save her life and marriage, she decides its time for a drastic change and undergoes bariatric surgery.
Cynthia, a 610-pound single mother of five, has been focused on her children at the expense of her own health. Realizing what her death could mean for them, she fights to save her own life with weight-loss surgery.
At over 600 pounds, Kirsten is close to losing all mobility and may lose custody of her troubled son. She must undergo weight-loss surgery to reclaim her health and her ability to care for her self and her son.
Doug has overcome a dependence on drugs and alcohol, but food remains his last vice. At almost 700 pounds, he knows he must make a change. In an effort to save his marriage and be a better father, he undergoes weight-loss surgery.
At almost 700 pounds, Erica is desperate to move to Houston and undergo gastric bypass surgery. Her family hesitates to support her efforts given her history of failed attempts at weight loss.
Diana is confined to her small apartment in Seattle, Washington due to her 620-pound weight. Desperate to regain her health and independence, she moves to Houston, Texas, with her niece to undergo weight-loss surgery.
At over 600 pounds, Michael is unable to walk and depends on his family to accomplish the most basic tasks. In an attempt to reclaim his health and life, he undergoes weight loss surgery and addresses his anger issues.
At over 700 pounds, Nicole risks leaving her two young children without a mother. Determined to regain her health, she begins a new diet, undergoes weight-loss surgery and faces deep-seated issues from her parents' drug addiction.
At over 600 pounds and just 32 years old, Tanisha fears her mother's fate -- a premature death due to obesity.
James K's Story
At almost 800 pounds, James can barely move his legs and may only have months to live. His family takes a high-risk journey to Houston so James can undergo weight-loss surgery in hopes of saving his life.
At over 600 pounds, most of Tracey's weight is in her shockingly misshapen legs. The severe lymphedema threatens her life and weight-loss surgery is her last shot at survival.
Steven and Justin's Story Part 1
Steven, at almost 800 pounds, and his brother Justin, at 600 pounds, are prime candidates for weight-loss surgery but are difficult patients. Their father urges them to receive treatment from Dr. Now in a bid to save their lives.
Steven and Justin's Story Part 2
Steven struggles to qualify for weight-loss surgery, while his brother Justin focuses on a new career instead of his diet. With neither brother close to being approved for life-saving surgery, time is quickly running out.
Rena and Lee's Story
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 relationship and their lives.
Janine's extreme obesity has left her nearly immobile, and even the first steps on her weight loss journey may prove to be too much for her. She must overcome both her physical and emotional pain if she's ever going to live a normal life again.
A devoted girlfriend and loving aunt, Alicia is all smiles and laughter on the outside, but on the inside she is terrified that her addiction to food will kill her before she can marry her longtime love or watch her nieces grow up.
Liz suffers severe lymphedema that makes it impossible to walk. Utterly isolated and with no friends, she battles depression and lives with her mom, who is too ill to take care of her. Knowing her life is on the line, Liz undergoes weight loss surgery.
At over 600 pounds, Karina is unable to care for herself and has moved into her parents' house. Strained from the burden of her care and extent of her issues, the family is hesitant to support her through weight-loss surgery.
James B.'s Story
James, or "LB," has long struggled with feelings of acceptance and inadequacy. A series of setbacks, including losing his leg in an accident, led to severe weight gain. Unable to wear his prosthetic leg, LB realizes its time for a major change.
Lisa's struggle with her weight began as a child and significantly worsened after witnessing her brother's murder. Now bedridden and unable to care for herself, Lisa must find a way to lose the weight or she will never see her grandchildren grow up.
With the support of his fiance, Kathryn, Robert turns to Dr. Nowzaradan in a final, desperate attempt to save his life. He tries to reverse a lifelong food addiction that has left him bed-bound, saddled with grotesque lymphedema and nearly 900 pounds.
Tamy Lyn's Story
After years of a tumultuous relationship with her husband, Tamy's eating addiction has caused her weight to balloon over 500 lbs. She has become a hermit after years of shame and hopes to restart her life so she can better care for her son Zachary.
Benji and David's Story
Raised on fast food, brothers David and Benji have had weight issues since childhood and now face gastric bypass surgery together. At over 700 pounds, David is at greater risk than Benji, who still works at over 500 pounds.
A former plus-size model and "big is beautiful" advocate, Renee now realizes the mortal mistakes she made as her weight swells to over 600 pounds and her health deteriorates. Determined to change, she undergoes bariatric surgery.
Over 600 pounds, Sarah is fighting for her life at just 24 years old. Sarah began overeating during her chaotic childhood, but her weight spiraled when her mother became a heroin addict. Now, she can barely stand and knows she must make a major change.
Devastated by two miscarriages due to her weight, Schenee is desperate to start a family and stop relying on her husband to take care of her. Desperate to regain her independence, save her marriage and start a family, Schenee makes a change.
Jennifer and Marissa's Story
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. Jennifer hopes to regain control and save both of their lives before it's too late.
One Ton Family: Part 1
The three Perrio siblings' combined weight approaches one ton. Knowing they will not have a future unless they make a change, they attempt weight-loss surgery together.
One Ton Family: Part 2
The Perrio siblings struggle with different stages of their weight-loss journey as the revelation of a past tragedy explains their resistance to recovery. The siblings must now work together towards a healthy future.
Octavia has been bedbound for nearly a year when she decides 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 and 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. They plan to visit Dr. Now together when Chris suffers a stroke and can't go. However, Chris' son Garrett, already 600 pounds at age 20, may join in the journey with his Aunt.
A college graduate with a once-promising career, Justin has eaten his life away. Now, 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. In order 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 pounds on pizza and ice cream and knows Dr. Now is her best hope for success. She must now rally her divorced parents for support and find a way to modulate her moods that doesn't include binge-eating.
Brandon is a talented musician with a beautiful voice and a runaway weight problem. He wants a career, and he 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 leaves Maja high and dry, however, she will discover that the only person she can count on is herself.
Despite moving to Houston with the solid support network 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.
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 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 has lived at home to care for his aging father. Due to his food addiction, however, Aaron has to heavily rely on his father for help instead. Now, Aaron must learn to care for himself again.
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 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.
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 who still has love for her and is willing to make the trip.
A mother of 4, Lashanta relies on her kids to keep her cleaned and fed. Her last chance to break the cycle of food addiction that's killing her is to join Dr. Now's program, but it will take a village just to get her out the door.
Cillas' food addiction is getting in the way of his ability to be there for his fiancee, Jessica, and her three daughters. If he doesn't lose weight soon, he knows he'll lose either his girls, or his life.
With severe lymphedema, Mercedes can only care for her two small children with the help of her family. Dr. Now can give her the tools to lose weight, but to succeed she must face the trauma inflicted by her late abusive father.
Angie J's Story
At over 600 pounds, Angie is trying to get to Houston to see Dr. Now in hope of getting weight-loss surgery to save her life. Family conflict and a disagreement may stop her from being able to do what she needs.
Vianey and Allen's Story
Weighing over 600 pounds each, Vianey and Allen are locked in a codependent relationship based on a love of food. As they head to Houston, they will soon find out if their relationship can survive growing healthy together.
John and Lonnie's Story
John and Lonnie are two brothers with little in common aside from their weight, a love of food and a strict upbringing. Estranged for years, the brothers are now brought together by a common need to lose weight while they still can.
Lindsey had it all: a white picket fence, a loving husband and a great job. But now her food addiction is threatening to ruin everything. As she embarks on a weight loss journey to save her life, is her husband a support or an addict himself?
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.
J.T. is almost 900 pounds with a 100-pound lymphedema mass on his leg and a food addiction that will kill him if he doesn't change. His girlfriend takes him to Houston, but when his behavior drives her away, J.T. is left with only Dr. Now to help him.
Gina and her wife Beth live with Gina's mom but don't have her support. She and Gina's sister blame Beth for Gina's spiraling weight problem. To save her life and her marriage, it will take all Gina's will to leave home for Houston to get Dr. Now's help.
When musician Travis got too big to walk down the aisle, he promised to give his wife a proper wedding one day. Since then he's only gained weight. Dr. Now is Travis' only hope to lose weight and get the life he and his wife dreamed of sharing.
Joyce needs home health care 24/7 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 in which Joyce must revisit an unhappy past with her mom, it may be more than she can handle.
Carlton and Shantel's Story
Shantel's brother Carlton lives downstairs, but she hardly ever sees him because neither of them can handle stairs. 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.
Ashley B's Story
At 600 lbs, Ashley had to move home so her mom could help her care for not just herself but her newborn daughter. Now, Ashley must overcome a lifetime's worth of unfortunate circumstances and get Dr. Now's help in Houston to find a way to go on living.
Tommy wants to lose weight so he can marry his fiancee 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.
Dominic's life is falling apart due to his food addiction. At over 600 lbs, living in a van with his brother, Dominic decides to leave California for Texas, where only Dr. Now can help him learn to face life's challenges without using food to cope.
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. Now, Megan must travel to Houston to meet Dr. Now and change her eating habit or her life may end before it ever begins.
Ashley T's Story
Ashley is 24 and lives alone. Her only sources of comfort are food and the relationships she has online, but not one of her profiles is real. Soon, Ashley learns that Dr. Now isn't someone she can lie to like her online friends.
For 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, 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, it's finally clicked that if Dr. Now's program doesn't work for him, then nothing will.
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 M's Story
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 mom soon if the denial continues.
Krystal began 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 mom 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 program to keep from eating himself to death.
Shannon's husband loves her the way she is, but that may not help because she's 700 pounds and bedridden. Dr. Now knows it's not easy to break a toxic cycle of overfeeding and enabling, but that's what needs to happen if Shannon wants to live past 40.
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.
Having her daughters help bathe her is not how Chrystal pictured parenting, but she is so large now that there's no other option. Chrystal wants Dr. Now's help, but she didn't know that bringing her childhood trauma to light would be part of the deal.
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.
James B's Journey
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 Margaret's life at 700 pounds is in need of a jump start. At age 35, she is a mama's girl. Now, 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. But if he can't find a way to believe in himself, he'll never be able to stop eating.
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.
Geno and Nico's Journey
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, and 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 will she 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. Now, 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 now 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. Now, 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. Now, she's at the point where she'll have to lose weight or risk not having the chance to see her kids grow up.
Chris P's Journey
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. Chris turns to his mother, whom he hasn't seen in seven years, to help get his life on track.
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.