Joe has come a long way from being morbidly obese...He's in love & contemplating proposing to his girlfriend. Just when life holds so much promise, his mom has a few health scares & forces Joe to balance his new love with his mother's health crisis.

Laura has lost 300lbs+ and is much less dependent on her husband Joey, who is now having trouble finding his way in the relationship. Marla, one of Dr. Now's most challenging patients returns and the fireworks begin all over again.