My 600-lb Life

Updates on Ashley, Donald, Henry and Melissa since their weight-loss journeys were chronicled. Included: new footage; and commentary from the show's producer.

Pivotal moments, whether tragic breaking points or ultimate triumphs, decide the success or failure of individuals struggling with extreme obesity. They must face the reality that weight-loss surgery alone is not the answer to reclaiming their lives.

Steven Assanti's dysfunction escalates, pushing his relationship with Dr. Nowzaradan to the brink, and a risky decision is made to save Steven's life, while brother Justin takes the leap to go to Houston to finally accept help.

650-lb Melissa begins her seven-year weight loss journey.

650-lb Melissa struggles to get to her ideal weight.

Love motivates 660-lb Donald to begin his weight loss journey.

Zsaylnn, once known as the "Fat Girl Rock Star" - married a man who loves large women. Now weighing over 600lbs, she urgently needs to lose weight to be the mother her daughter deserves. Can Zsalynn succeed with a husband who doesn’t support her goals?

Battling severe depression in the wake of a suicide attempt, 46-year old Olivia hasn't left her Chicago basement in two years. With one last chance at a new life, Olivia will travel to Houston with the hope of having a life-changing surgery.

Bedridden for four years, 46-year old Penny knows that her weight may kill her if drastic actions aren't taken. Penny moves from Maryland to Texas, to have gastric bypass - but her unwillingness to make real lifestyle changes could be her downfall.

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.

Weighing in at over 600-lbs, 37 year old Susan is committed to drastic weight loss. But, when an unforeseen medical disorder strikes her mobility, finding the strength to make it through these obstacles is a matter of life and death.

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, who is the primary caretaker. Can she overcome this addiction to change her lifestyle and save both their lives?

Nikki's life and career are threatened by her 650-pound weight. Determined to make a change, she undergoes weight-loss surgery.

Brittani has reached almost 600 pounds at just 32 years old. Though her husband loves large women, she lives in constant pain and hides her body from him for fear of rejection. In hopes of better health and a better marriage, she undergoes weight-loss surgery.

At over 700 pounds, Chad's weight is out of control and gastric bypass surgery is his last resort. He sells his house to be able to afford the surgery, but his recovery is complicated when he faces a medical crisis and fails to follow doctor's orders.

Twins Kandi & Brandi have a combined weight totaling over 1100lbs. These inseparable twins fear losing each other to obesity, so they make a change together. But a life-threatening event during weight loss surgery recovery may separate them forever.

At 670 pounds Ashley must live in her parents' home with her husband. Desperate to save her life and her marriage, she decides it's time for a drastic change. Can weight loss surgery save her life?

Cynthia is a 610-lb single mother raising five kids. She's been focused on her children, but now realizes what her death would mean for them. As she battles her emotions & the pressures of life, she is forced to fight harder to save her own life.

After meeting and falling in love at a bariatric rehab center, Lee and Rena are battling health and anger issues while making a desperate, second attempt to save their lives.

A woman whose extreme obesity has left her nearly immobile must overcome both her physical and emotional pain if she is ever to live a normal life again.

A devoted girlfriend and loving aunt, Alicia is all smiles and laughter on the outside, but on the inside she is terrified that her addiction to food will kill her before she can marry her long-time love or watch her nieces grow up.

Octavia has been bedbound for nearly a year when she decides to make the trip to Houston to get help from Dr. Now, but when it turns out that her best friend is also her worst enabler, Octavia will have to choose between old habits and a new life.

At over 700 pounds, Brianne undertakes a weight-loss journey to save her own life; she faces an unexpected challenge to her fragile progress when her husband suffers a heart attack on a birthday she will never forget.

Robin and her brother Chris are both obese and already lost a sibling to obesity; they plan to visit Dr. Now together when Chris suffers a stroke and can't go; Chris' son Garrett, already 600 pounds at age 20, is game to join the journey.

John & Lonnie are two brothers from opposite ends of the spectrum. For years estranged, the brothers are now brought together by a common need to lose weight while they still can.

Lindsey has a white picket fence, a loving husband and a great job, but her food addiction threatens to ruin everything; as she embarks on a weight loss journey to save her life, her husband may provide more harm than support.

Bethany has two daughters who live in fear of losing their mom to her food addiction. Once an addiction counselor, Bethany has gotten so big that she can no longer work. Now she risks losing her life if Dr. Now can't help her curb her own addiction.

At nearly 1,000 pounds, Samantha is dangerously close to dying. To make matters worse, she's paid to eat by making videos online. If Samantha doesn't overcome her toxic relationship with food, she worries that she will leave her daughter motherless.

Thederick has become housebound from eating, and for 10 years, he's only gone outside to greet the ice cream man. After a recent hospital scare, it's finally clicked that if Dr. Now's program doesn't work for him, then nothing will.

20 years after her dad died as a result of a botched weight loss surgery, Carrie is on the brink of eating herself to death. To live, she must face the fear and grief of losing her father and end a cycle of toxic behavior with her husband Chris.

When Nathan's weight gets in the way of the only healthy thing in his life - his job as a drama teacher - it's a wake-up call for him. But changing his life might mean a falling out with his wife, Amber, who is also overweight, unless she can lose, too.

For Julian and his wife, Irma, it was love at first sight. But in order to grow old together, Julian will have to overcome the food addiction that made him more than 800 pounds, and Irma will have to hold on no matter how difficult the journey may become.

Bianca is all in for a move to Houston with her boyfriend and two young kids to get Dr. Now's help with a second weight-loss surgery. But just when the coast is clear, her boyfriend's change of mind could undermine her progress.

As an Italian American, Geno was raised with lots of love, family and food. Now, he's still living with his mom and eating himself to death, and it's time to make a change. Geno's cousin, Nico, joins the cause, and they pledge to lose weight together.

Latonya found the man she wants to marry. The only problem is that, at almost 700 pounds, she can't walk down the aisle. Latonya doesn't want to give up the food that she's used to, but will she do it for love?

Wess gets off to a great start in Dr. Now's program, but when the cravings continue after surgery, Dr. Now sends him to therapy to confront his demons. Now, Wess must ask himself whether he is ready to live his truth as a gay man in small town Texas.

Krystal S. has finally met the man of her dreams, but she won't let herself marry him until she can be sure that she won't become bedridden and force him into the role of caretaker.

William was always mobile and fairly athletic -- that is, until he wasn't. It's been years now since a knee injury derailed his sports career, and he's ballooned up over 600 pounds. Now, to lose weight he'll have to face up to how bad it's gotten.

When a regular trip to the grocery store turns into an emergency for the EMTs, Delana must admit how badly she needs Dr. Now's help to lose weight. Hopefully her road to recovery will lead her to reconcile with the daughter she's grown apart from.

Jonathan had his dream job, and he ate himself out of it; once an EMT first responder, he rarely leaves the room; his wife works full time to pay their bills; Jonathan must break the cycle of eating if he wants to keep his wife and his life.

Krystal has never let her weight get in the way, but the truth is her weight has really started getting in the way; she has the husband of her dreams who supports her unconditionally, but she has to get weight loss surgery.

Karen has gotten so out of control with her eating that she's developed a fear of leaving the house; she needs Dr. Now's help, but can Karen ever qualify for weight loss surgery if she won't leave the house?