As Steven heals from his weight loss surgery, his brother Justin finally decides to come to Texas to get the same procedure, but his feelings toward Steven immediately begin to sabotage his hopes of surgery.

A year since her weight loss journey began, Janine is still mostly immobile.

Lee's anger issues jeopardise his relationship with Rena and threaten to derail their weight loss journeys. Plus, a major life event sends Sarah into depression.

It's been four years since Sean started his weight loss journey and the loss of his mother sets him back again. He ends up in hospital again after a bad fall.

Liz has gone from being bedbound with lymphedemas on both legs, to standing and walking, but old fears are about to threaten her progress; if Jenn and Marissa can't get along as mother and daughter to lose weight, they'll have to proceed apart.

After three years and five surgeries, Milla is one of Dr Now's most successful patients ever. But, she needs to continue pushing through the pain to reach her final goal.