Two years after her weight loss surgery, Bettie Jo is pregnant and dealing with serious health issues that could jeopardize her progress.

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

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.

Schenee's story how she came to be overweight.

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.

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

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

Renee has an emergency on the way to Houston.

Renee tells us about her rough childhood that led to her being overweight.

David and Benji have their first appointment with Dr. Nowzaradan and realize they are much heavier than they previously thought.

Brothers David and Benji discuss their early childhood and the stressors that led to their overeating.

After Tamy has lost a significant amount of weight, she makes an effort to be more independent and decides to do the laundry on her own. Unfortunately, this simple task does not go as she hoped.

Tamy describes her early childhood and how her family influenced her weight gain.

Robert struggles every morning with simple tasks due to his weight. Luckily, his fiancé, Kathryn, is there to help him get through the day.

Lisa's daughter Danielle describes her mother's food situation.

Lisa discusses her early childhood and how she got to this weight.

Tanisha struggles with her weight loss commitment after she and her husband separate.

Charity must find the strength to return to her goals of getting healthy and living a normal life after post-surgery complications.

Renee tells us about her rough childhood that led to her being overweight.

Charity must find the strength to return to her goals of getting healthy and living a normal life after post-surgery complications.

Marla, one of Dr. Now's most challenging patients returns and the fireworks begin all over again.

Renee has an emergency on the way to Houston.

James describes his difficult childhood.

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

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

As James got older, his life took a turn for the better when he met his current girlfriend, Lisa.

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

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

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.

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