Brittani has lost over 400 lbs. in two years. As part of her next chapter, will she and Bill start to plan to expand their family? Lupe has struggled since surgery. Having left her husband, will she finally start to make permanent changes she needs?

Charity's daughter is becoming dangerously obese; devastated by the death of her husband Elroy, Milla must find a way to finally qualify for gastric bypass; check-in with individuals who have undergone skin removal surgery.