Season 4, Episode 9

1. Steven and Justin

Steven's dysfunction escalates, pushing Dr. Now to the brink. His brother Justin... More

2. Bettie Jo and Susan

Bettie Jo's pregnancy is high-risk due to her weight, and Susan's weight loss stalls.

3. Melissa Morris

Melissa lost 500 pounds after her gastric bypass. Eleven years later, she has ga... More

4. Kandi and Brandi

Twins Kandi and Brandi have lost 400 pounds but struggle to stay on track after ... More

5. Erica

Erica fears the loss of structure as she returns to California to continue her w... More

6. Diana and Ashley R.

Ashley R. and Diana have lost significant weight but struggle to maintain their ... More

7. Kirsten, Michael, and Roni

Kirsten must become independent to get gastric bypass surgery. Michael struggles... More

8. James and Cynthia

James faces a series of setbacks, and Cynthia continues to lose weight.

9. Doug

Doug has lost over 200 pounds, but an eating disorder and an identity crisis thr... More

10. Nicole and Ashley D.

Ashley's weight loss has stalled. Nicole moves back to Ohio, which could derail ... More

11. Lupe and Brittani

Brittani has lost over 400 pounds and tries to qualify for skin surgery, while L... More

12. Sean and Dottie

Sean and Dottie must overcome recent tragedies so they can continue on their wei... More

13. Milla and Charity

Milla is still dependent on her children, and Charity is depressed as Charly bat... More