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.

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.