Janine's extreme obesity has left her nearly immobile, and even the first steps on her weight loss journey may prove to be too much for her. She must overcome both her physical and emotional pain if she's ever going to live a normal life again.

The episode was rated 7.88 from 40 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.

With the support of his fiancee, Kathryn, Robert turns to Dr. Nowzaradan in a desperate attempt to save his life. He tries to reverse a lifelong food addiction that has left him bed-bound, saddled with grotesque lymphedema and nearly 900 pounds.

The episode was rated 7.89 from 28 votes.

For James B, food means family. He grew up eating rich Haitian food and loves it with a passion. Now, James needs Dr. Now's help to diminish that love in order to survive, but a death in the family sends James retreating back to the comforts he knows.

The episode was rated 7.90 from 10 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.

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.

The episode was rated 7.94 from 18 votes.

Shantel's brother Carlton lives downstairs but she hardly ever sees him because at 600 lbs each, neither can do the stairs safely. To break free from a death spiral of codependent eating they need Dr. Now's help to reforge their sibling relationship.

The episode was rated 7.96 from 26 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.

The Perrios struggle with different stages of their weight loss journey, but the revelation of a past tragedy explains their resistance to recovery, and the siblings must now come together to overcome their fears and forge a path towards a healthy future.

The episode was rated 8.06 from 17 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.

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.

The episode was rated 8.22 from 18 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.

Mike was born with a talent for sports -- and an omnivorous appetite to match. After his football dreams were dashed by multiple concussions, he packed on over 700 pounds. Now he must find a new purpose in life to avoid succumbing to pain and regret.

The episode was rated 8.36 from 22 votes.

Ryan moved to Montana to keep himself from going down a dark path of drug addiction. However, his new path may be no less lethal than the last if he can't find a way to curb his eating habits before they kill him.

The episode was rated 8.54 from 13 votes.

Living on a homestead with his family, Lucas wants to spread his wings and fly, but at 600 pounds, he can't take off. All he does is eat and game, and if he wants to leave the nest and live a normal life, he needs Dr. Now's help to lose over 400 pounds.

The episode was rated 8.67 from 12 votes.