In order to keep pace with her daughter Charly's weight loss, Charity must do something she's never done: find a way to go it alone; try as she might, Teretha finds one too many obstacles in the way of continuing with Dr Nowzaradan's program.

If Steve Sr. thought getting weight-loss surgery for his sons would help bring them together, the 3rd year of their weight-loss journey will prove him wrong, as Justin returns to Rhode Island with every intention of never speaking to Steven again.