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.

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.