Melissa has isolated herself at home and lost many friends to avoid feeling the shame of what her food addiction has done to her body. Now, the only way to get her life back is to leave it behind to start a new one with Dr. Now's help in Houston.

The episode was rated 6.29 from 14 votes.

Cindy is resistant to change and has spent years creating a world that makes her feel safe. When her friend notices Cindy's health declining rapidly due to her size, she pushes Cindy to move to Houston and see Dr. Now. But Cindy isn't so easily persuaded.

The episode was rated 6.47 from 17 votes.

A lifetime of abuse and ridicule has left Michael anxious and afraid to leave the house. Now with the help of his devoted wife he must follow Dr. Now's program to keep from eating himself to death.

The episode was rated 6.56 from 18 votes.

Carrie is on the brink of eating herself to death.

The episode was rated 6.73 from 22 votes.

Krystal began overeating to shield herself with a protective layer of obesity after suffering years of abuse. Once a means of protection, her pathological eating now threatens to destroy her life if she doesn't get help.

The episode was rated 6.75 from 16 votes.

Kenae's weight gain skyrocketed due to her grief after her mother's death.

The episode was rated 6.81 from 16 votes.

Isaac helped raise his siblings after his mom suffered a debilitating stroke when he was 10. While learning to cook for his family, he began comfort-eating. Now to avoid eating himself to death, Isaac must learn to take care of himself for a change.

The episode was rated 6.82 from 17 votes.

Having her daughters help bathe her is not how Chrystal pictured parenting, but she is so large now that there's no other option. Chrystal wants Dr. Now's help, but she didn't know that bringing her childhood trauma to light would be part of the deal.

The episode was rated 6.90 from 21 votes.

At nearly 1,000 pounds, Samantha is dangerously close to dying.

The episode was rated 7.00 from 23 votes.

Irene had to move back in with her son because her weight made it unbearable to live on her own. When Dr. Now can't get through to her, the only thing that might help her break the cycle is a once-in-a-lifetime turn of events.

The episode was rated 7.09 from 11 votes.

Through tough times, food has always been Tammy's friend. But now she has gotten so big that her daughters and mother have moved home to care for her, and unless Dr. Now can get her to confront her grief, food might be her killer.

The episode was rated 7.24 from 17 votes.

Shannon's husband loves her, but he is perpetuating a toxic cycle.

The episode was rated 7.24 from 17 votes.

Thederick is housebound and only goes outside to greet the ice cream man.

The episode was rated 7.59 from 17 votes.