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.

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.

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.

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?

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

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.

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

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.

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

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.

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.

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

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.

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.