Holly already has one failed weight loss surgery, so to succeed this time, she must do more than change her eating habits, she must address the childhood issues that continue to plague her.

The episode was rated 7.38 from 29 votes.

Octavia has been bed bound for nearly a year when she decides to make a 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.

The episode was rated 7.44 from 39 votes.

With severe lymphedema, Mercedes can barely stand and cares for her 2 small children with the help of her extended family. Dr. Now can give her the tools to lose weight, but to succeed she must face the trauma inflicted by her late abusive father.

The episode was rated 7.45 from 20 votes.

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. However, Chris's son Garrett, already 600-lbs at age 20, may join the journey with his Aunt.

The episode was rated 7.46 from 28 votes.

Lacey ballooned up over 600 lbs on pizza and ice cream and knows Dr. Now is her best hope for success; she must now rally her divorced parents around her for support and find a way to modulate her moods that won't include binge-eating.

The episode was rated 7.55 from 33 votes.

Brandon is a talented musician with a beautiful voice and a run-away weight problem; he wants to lose weight and embark on a career; he also wants to take the next step with his girlfriend, Taylor, whom he risks losing if he can't make a change.

The episode was rated 7.56 from 25 votes.

Since the death of his mother, Aaron lives at home to care for his aging father, but due to his food addiction, Aaron has to heavily rely on his father for help instead; Aaron must learn to care for himself to avoid eating himself to death.

The episode was rated 7.63 from 24 votes.

When Annjeanette was 9, a campaign was established to send her to fat camp. She hated that her weight had become a source of public shame and she has struggled to overcome her food addiction. Now, she must change her habits to save her life.

The episode was rated 7.72 from 18 votes.

Jeanne lives in an unhygienic household with her mother and schizophrenic father; at well over 600 pounds, Jeanne might never get weight-loss surgery as she runs into several obstacles, especially after an unexpected death in her family.

The episode was rated 7.83 from 23 votes.

At over 600 pounds, Angie is trying to get to Houston to see Dr. Nowzaradan, in hope of getting life-saving weight loss surgery. But family conflict and a disagreement may stop her from being able to do what she needs before she even gets the chance.

The episode was rated 7.86 from 21 votes.

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.

The episode was rated 7.89 from 36 votes.

Kelly is on the verge of immobility when she decided to make the trip to Houston to visit Dr. Now; Her journey gets off to a painful start when a long travel day grows longer as Kelly gets stuck in a cab on her way from the clinic to the hospital

The episode was rated 7.93 from 28 votes.

Weighing over 600 lbs. each, Vianey and Allen are locked in a codependent relationship based on a shared love of food. As they head to Houston, they will soon find out if their relationship can handle the strain of growing healthy together.

The episode was rated 7.96 from 26 votes.

Cillas' food addiction is getting in the way of his ability to be there for his fiancée, Jessica, and her three daughters. If he doesn't lose weight soon, he knows he'll lose either his girls, or his life.

The episode was rated 8.16 from 25 votes.

A college graduate with a once-promising career, Justin has eaten his life away to the point of never leaving the house for anything but food; only the help of Dr. Now's weight-loss program can restore his hopes of living a happy, productive life.

The episode was rated 8.26 from 27 votes.