Coming up this season on My 600-lb Life.

At age 23, and over 600-lbs, Amber relies on her family, and boyfriend for even simple needs. Her fear of dying young is so overwhelming that she makes the decision to relocate 2,000 miles in hopes that weight loss surgery will give her life back.

Chuck is surprised to discover that surgery didn't take away his cravings. He's still getting meals from the drive-thru.

At nearly 700 lbs., 51-year-old Pauline has an addiction to food that is killing her and taken over the life of her son. But Pauline doesn't fully understand the gravity of her situation.

Since their shows, have Melissa, Donald, Henry and Ashley maintained their weight-loss? We get an update on where they are now. We also see some never before seen footage and get a behind-the-scenes from the shows producer in a "My 600-lb Life" r ...

Dr. Nowzaradan tells Tara that if she doesn't change her eating habits immediately, she'll only live five more years. Tara is reduced to tears when her mother delivers an ultimatum on top of that.

Meet Nikki Webster, who at 33-years-old weighs 650-lbs and has a food addiction that is killing her, but she feels powerless to stop the fast food binges.

Penny is transported from her home in Maryland to see Dr. Nowzaradan in a Texas hospital. Once she's there, he shares some grim facts about her weight and BMI.

The new season of My 600 lb. Life premieres Wednesday, January 10 at 8/7c only on TLC.

Paula mentally prepares for gastric bypass surgery by drastically altering her look with bright green hair dye.

Olivia is placed in the hospital for 48 hours to assess her preparedness for gastric bypass surgery.

Weighing in at 660 pounds, Amber knows she is killing herself with her weight. Ready to undergo surgery, Amber is determined to get her life back on track.

Zsalynn is scared going into surgery, but she puts on a brave face for her daughter Hannah. She confesses that she wishes her husband were there to support her.

Chuck weighs almost 700lbs and it has hindered every aspect of his life. He's had to downsize his business and his wife feels like a single-parent, who is ready to leave him.

Paula is motivated to work out with a personal trainer at her gym, but it's still going to take some time before Dr. Nowzaradan's diet advice really sinks in.

James comes from a long line of family obesity and at 706lbs, is determined not to die in the same hospital bed that his father and sister did.