At 700 lbs, Chad was so overweight that he quit his job and began a weight loss program with Dr. Now. After dieting and bypass surgery, he lost almost 300 lbs. Now, Chad looks to goals he must achieve in order to get cleared for skin removal surgery.

Since her gastric sleeve surgery Teretha has lost over 300 pounds. However, she remains in bed and needs another surgery.

After going into Dr Now's weight loss program and receiving a sleeve bypass operation, Sean lost over 300 pounds. Yet his underlying issues persist, keeping him largely immobile.

Gastric surgery freed Brittani from her housebound life, but to achieve her ideal body she'll have to endure more painful surgeries.

Ashley is more mobile and independent than ever before and it's freed her young son, Patrick from the burden of being his mom's caretaker. However, now Ashley is struggling with her excess skin.

After being stuck in bed for 10 years and then finally losing weight, Lupe claims she's lost the strength to get out of bed.

Though feeling proud of her progress, Nikki is still feeling held back by the excess skin in her mid section. Her new goal is to get approved for skin surgery.

When we catch up with Nikki, we find she's continued to lose weight and is incredibly happy with her healthier life. It allows her to not only help herself, but the family who has always taken care of her.

Despite the strides June has made with her weight-loss, she still struggles to handle with the remaining excess skin.

Dottie takes some time for herself to work out with a trainer and reach a healthier place.

Together Charity and Charly want to get serious about their weight loss goals and plan to visit Dr. Now together.

For the first time in 7 years, Milla is able to travel in a normal vehicle, rather than an ambulance.

For the first time in years, Pauline hopes she’ll be able to comfortably wear shoes.

Joe’s willpower is tested when he and Sarah head to the bakery for a wedding cake tasting.

Chay grabs fast food after a long day at work, even though she knows it will set back her weight loss goals.

Despite making great progress towards her weight loss goals, Laura’s newfound independence is harming her relationship with Joey.