A 661-lb. woman has siblings who are skeptical that she’s willing to change her habits, and worries that she’ll die alone and surrounded by food.

The episode was rated 7.06 from 52 votes.

Steven Assanti weighs nearly 800 pounds and his brother Justin almost 600 pounds. Although they can't stand each other, their father packs up the family to travel across the country and seek help.

The episode was rated 7.25 from 68 votes.

Nicole is on the verge of leaving her two young children motherless, but commits to Dr. Nowzaradan's diet program to try to survive a family of addicts.

The episode was rated 7.32 from 62 votes.

A 660-lb. man resorts to sneaking food as he recovers from a dependence on drugs and alcohol, but his addictive personality could destroy his marriage, his relationship with his three kids and his life.

The episode was rated 7.34 from 59 votes.

Tanisha desperately wants to survive for her kids and avoid the same fate as her mother, who died at age 50 from obesity, but she must make a drastic change to save her life.

The episode was rated 7.36 from 42 votes.

James is bedridden, unable to stand and can barely move his legs, so his family takes a risky journey to Houston, Texas with the hope that bypass surgery can save his life.

The episode was rated 7.37 from 62 votes.

Most of the extreme weight on Tracey's body resides in her shockingly misshapen legs, which are massive with severe lymphedema, and gastric surgery is her only chance of survival.

The episode was rated 7.38 from 63 votes.

A woman has mobility issues while her weight tops 600 pounds, but she fights to get control of her obesity and save her relationship with her troubled son.

The episode was rated 7.42 from 52 votes.

Michael's massive body has left him dependent upon his family, and he must learn to control his anger issues around food, lose weight and address the root of his issues or risk losing everything.

The episode was rated 7.43 from 49 votes.

A 610-lb. single mom with five kids fears for their livelihood if she can’t take care of them or something happens to her, so she’s determined more than ever to save her own life.

The episode was rated 7.45 from 71 votes.

After a year on a weight loss program, Steven remains completely non-compliant and Justin focuses on a new career instead of his diet, but time is quickly running out for surgery.

The episode was rated 7.46 from 80 votes.

At 670 pounds, Ashley, who lives in her parents’ home with her husband, decides she must make a drastic change to save her life and her marriage.

The episode was rated 7.65 from 80 votes.

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.

The episode was rated 7.72 from 87 votes.

Diana, a once thin and active woman, is now a prisoner to her body and trades the comfort of her apartment for a weight loss journey under the strict authority of her niece.

The episode was rated 7.86 from 35 votes.