Sarah describes her early childhood and what led her to gain all the weight.

Laura has lost 300lbs+ and is much less dependent on her husband Joey who now he's having trouble finding his way in the relationship

James’ father stops by to visit and suffers a health scare, leaving James frustrated by his own immobility and inability to help.

Sarah moves in with her grandmother who is helping her stay on track to lose weight.

Tensions rise as Sarah and her mom move into their new apartment in Houston. Within minutes, Sarah's mother finds several hidden bags of candy and cookies which instantly makes her worried about Sarah's level of seriousness concerning this process.

Chay's finally admitting what he's long known, that he's a transgender woman. However, the emotional stress of coming out could threaten his weight loss journey.

Tracey begins the journey to Houston for treatment.

While transitioning to a healthier lifestyle, Tracey and her husband Anthony begin to have relationship troubles.

Chay's Aunt and Uncle who supported his weightloss journey, aren't as supportive of him coming out as transgender.

Schenee's story how she came to be overweight.

Jennifer discusses some of the early childhood trauma that led to her food addiction.

Tracey describes the challenges growing up that led her to turn to food for comfort.

Chay reinvents himself as Lola and goes shopping for a new wardrobe.

In an effort to lose weight, Marissa convinces her mother to go to the gym with her. Unfortunately, Jennifer feels she is unable to take such a big step at this time and they decide to take a walk around their neighborhood.

Steven describes the troubles he experienced as a child that led to his weight gain.

Steven demands fast food from his father as they make their way towards the hospital.