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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.
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.
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.