My 600-lb Life: Where Are They Now?

Siblings Carlton and Shantel have always been close, but with their eating habits enabling each other, they need to make a change. Shantel is sad to grow apart from her little brother, but it might be the one thing they both need the most.

Thederick has lost enough weight to get the giant lymphedema mass removed from his leg, in one of Dr Now's biggest removals ever.

Mike has an unusually tough decision to make when moving to Houston, Texas, for weight loss surgery as it might mean forfeiting custody of his kids; Chrystal finally gets her surgery and makes a big leap towards being the mum her kids deserve.

Isaac keeps putting family first, preventing him from getting the help he needs; Irene's slow-and-steady approach finally pays off.

Michael has a new lease on life post-surgery and has returned to martial arts; a disappointing meeting with Dr Now sends Lucas off track.

Paul made a promise to his girlfriend that he intends to keep; to ask her to marry him within a year's time. Now he just has to lose about 300 pounds. Carrie needs surgery badly, but she prefers not to change her eating habits.