Chelsey has battled weight her whole life, avoiding Dr. Now's program since age 9. Now 25, she's ready to leave her unhealthy home and see the world. But first, she must prove she's ready to commit to the steps that will transform her future.

As identical twins, Destinee and Dynastiee, have always done everything together...including gaining weight. At over a collective 1200 lbs, they both are determined to get healthy and lose the weight with Dr. Now's help.

Destinee and Dynastiee continue their weight loss journey, but, after only one of them qualifies for surgery, the thought of moving ahead without the other is too much. They decide to do it together or not at all, knowing if one fails they both fail.

Grace has always found comfort in food. At over 600 lbs, she decides to join Dr. Now's program. That leads to the hardest decision of her life...to change her relationship with her sisters or possibly lose the closest people in her life to get healthy.

After losing her son and her marriage, Trista turned to food, reaching over 600 lbs. Ready to heal, she seeks Dr. Now's help, but can she overcome her grief and the challenges of Doc's program to build the life she once thought was out of reach?

After recent deaths in his family, Caleb's struggle with his weight has gotten even worse. Now, at only 20, he's already hit the 800lb mark. Caleb knows his health is reaching a breaking point soon unless he can get Dr Now's help before it's too late.