My 600-lb Life: Where Are They Now?

After successful sleeve gastrectomy procedures, the twins Kandi and Brandi collectively lost more than 400 pounds and are working toward skin surgeries when a major life event disrupts their world and threatens the security they thought they had.

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.

Erica returns to California to continue her weight-loss journey and fears the loss of structure and support will derail her progress. Erica also struggles to recover from past traumas and fights the urge to binge eat.

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.

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.

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.

Kirsten must finally become independent to get the full gastric bypass surgery she feels she needs. Michael struggles to lose weight and still battles anger issues while his wife, Roni, wants her own weight-loss surgery.

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.

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.

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.

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.

Pauline's self-destructive behavior continues to be a problem, and Chad strives to be a better father and husband as he continues his journey. Meanwhile, June's progress stalls when frequent travel and wedding plans cause her to slip back into bad habits.

As Steven heals from his weight loss surgery, his brother Justin finally decides to come to Texas to get the same procedure, but Justin's feelings towards Steven immediately begin to sabotage his hopes of surgery.