My 600-lb Life: Where Are They Now?

Steven's dysfunction escalates, pushing his relationship with Dr. Now to the brink. A risky decision is made to save Steven's life, while his brother Justin makes the move to Houston to finally accept help.

At almost 400 pounds, Bettie Jo's pregnancy is high-risk and strains her marriage. Susan has lost 400 pounds and is enjoying a new relationship but must find a way to stay on track once her weight loss stalls.

Melissa lost 500 pounds after gastric bypass surgery. Eleven years and three kids later, she has gained 150 pounds and struggles with life as a single mom. She must choose to focus on her weight loss or risk obesity yet again.

Ashley R. lost over 200 pounds in Houston but fears returning home to her enabling family in California. Diana has shed 300 pounds and has embraced her renewed lease on life, but knee damage threatens her continued progress.

Back on Dr. Now's program, James is suspected of cheating as he continues to gain weight and suffers a series of life-threatening illnesses. Cynthia continues to lose weight but must push herself to qualify for skin surgery.

Doug has lost over 200 pounds and is now an active part of his family's life. However, his struggles with an eating disorder and an identity crisis may derail his progress. His wife and therapist help him get back on track.

Ashley is desperate for skin surgery, but her weight loss has stalled and she struggles with depression and insecurity. Nicole is forced to move back to Ohio after being evicted, which could derail her weight-loss journey.

Brittani has lost over 400 pounds in two years and seeks skin surgery to repair her body. She and her husband consider expanding their family. Lupe has left her husband and works to reclaim her independence, but she struggles to stick to her diet.

Sean must overcome recent tragedies in his life so he can keep building on the progress he's made over the last two years. Dottie struggles to overcome the loss of her son and continue on her weight-loss journey.

Milla is still dependent on her children, and she is unsure if she can lose enough weight to walk. Meanwhile, Charity is deeply depressed while her daughter, Charly, battles food addiction, but they must turn things around in order to meet their goals.