My 600-lb Life

10 Best Episodes of My 600-lb Life - Season 4

TLC's My 600-lb Life documents the journeys individuals undertake to escape obesity and regain control of their lives.

Written by Sophie and last updated on feb 10, 2023.

PS: The following content contains spoilers!

PPS: I will admit that parts of this page was written with the help of AI - it makes my work so much easier to not start from a blank page!

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My 600-lb Life - S4E12

#12 - Lupe's Story (Season 4 - Episode 12)

At 600 pounds, Lupe spent the last 10 years in bed & totally dependent on her husband. A cross-country move to save her life, may end up backfiring. Did Lupe wait too long to begin her weight loss journey?

The episode was rated 7.19 from 42 votes.

My 600-lb Life - S4E7

#11 - Ashley D's Story (Season 4 - Episode 7)

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Weighing over 700 pounds at 26-years-old, the clock is ticking on Ashley’s life. Ashamed of her body, she hides at home. After bypass surgery, Ashley confronts medical setbacks & struggles to get past the trauma that ignited her eating disorder.

The episode was rated 7.37 from 35 votes.

My 600-lb Life - S4E6

#10 - Gideon's Story (Season 4 - Episode 6)

A 650-lb. man is unable to work and must depend on his wife for everything, so he goes to extremes in hopes of bringing his family together again.

The episode was rated 7.38 from 40 votes.

My 600-lb Life - S4E1

#9 - Nikki's Story (Season 4 - Episode 1)

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A costume designer finds her career threatened when her weight increases to 650 pounds, so she prepares for gastric-bypass surgery and gets psychological help to uncover the causes of her lifelong secret eating habit.

The episode was rated 7.39 from 71 votes.

My 600-lb Life - S4E8

#8 - Teretha's Story (Season 4 - Episode 8)

At over 700lbs, Teretha's life is confined to a bed which is far from her former job representing Detroit's healthy eating program. Her adoring family fears losing her and hopes a gastric bypass will provide the solution she needs to save her life.

The episode was rated 7.44 from 36 votes.

My 600-lb Life - S4E9

#7 - Randy's Story (Season 4 - Episode 9)

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At 650lbs, Randy's food addiction led to the loss of his marriage and visits with his daughter. To regain control of his life, he endures a rigorous pre-surgery diet, surrounded by fast-food temptations. Will he be approved for a weight-loss operation?

The episode was rated 7.45 from 29 votes.

My 600-lb Life - S4E3

#6 - Chad's Story (Season 4 - Episode 3)

After gastric bypass surgery, Chad quickly sheds his dangerous weight but faces a medical crisis when he does not follow the doctor's orders.

The episode was rated 7.47 from 45 votes.

My 600-lb Life - S4E5

#5 - Dottie's Story (Season 4 - Episode 5)

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A woman with two children weighs more than 600 pounds, so she agrees to go on an extreme new diet, but her weight-loss efforts are threatened by her debilitating habits and a child's health emergency.

The episode was rated 7.54 from 48 votes.

My 600-lb Life - S4E4

#4 - June's Story (Season 4 - Episode 4)

600-pound June copes with the tragic death of her son by eating. After gastric bypass surgery, she must confront the emotional issues driving her food compulsion. If she can stay on track, she can become the mother she desperately wants to be.

The episode was rated 7.54 from 46 votes.

My 600-lb Life - S4E11

#3 - Sean's Story (Season 4 - Episode 11)

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26-year-old Sean weighs over 700-lbs with a massive growth protruding from his side and skin so stretched it is tearing apart. His mother is forced to change both of their lifestyles before he can be approved for gastric bypass surgery.

The episode was rated 7.62 from 37 votes.

My 600-lb Life - S4E10

#2 - Milla's Story (Season 4 - Episode 10)

At 700lbs, Milla is bedridden and dependent on her husband and five kids. Terrified each day will be her last, they still can't resist her unending requests for junk food. Can Milla stop a lifetime of unhealthy eating to qualify for gastric surgery?

The episode was rated 7.75 from 40 votes.

My 600-lb Life - S4E2

#1 - Brittani's Story (Season 4 - Episode 2)

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Brittani married a man who loves large women, but at 600-lbs, she can barely contribute to their marriage, and gets surgery to try to have a normal relationship.

The episode was rated 7.79 from 57 votes.

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