My 600-lb Life: Where Are They Now?

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.

A year since her weight loss journey began, Janine is still over 500 lbs and mostly immobile. Now, Dr. Nowzaradan is running out of options for how to treat her if she can't find a way to control her eating habits and start walking again.

Lee's anger issues continue to jeopardize his relationship with Rena and threaten to derail both of their weight loss journeys, while a major life event sends Sarah into a depression that she must pull herself out of if she wants to keep losing weight.

In the fourth year of his weight loss journey, Sean struggles to get past the loss of his mother and living on his own. Dr. Now intervenes to control Sean's eating for a time, but if he can't learn to control himself, he will face dire consequences.

Liz has gone from being bedbound with lymphedemas on both legs to standing and walking, but her old fears are about to threaten her progress. Then, if Jenn and Marissa can't get along as mother and daughter to lose weight, they'll have to proceed apart.

After three years and five surgeries, success for Milla would mean beating the odds and becoming one of Dr. Nowzaradan's most-impressive weight loss patients ever, but failure would mean slipping back to the bedbound life she swore she'd never return to.

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.

Tamy faces a tough choice when her husband wants her back but only if she moves away from Houston and Dr. Now's program. Karina's weight loss begins to slow, but she finds happiness dating a guy Dr. Now is surprised to see in his clinic again.