1. Geno and Nico's Journey

Geno still lives with his mom and is eating himself to death. Geno's cousin, Nico, joins the cause, and they pledge to lose weight together.

2. Latonya's Journey

Latonya found the man she wants to marry. The only problem is that, at almost 700 pounds, she can't walk down the aisle.

3. Wess' Journey

Wess gets off to a great start in Dr. Now's program, but he must ask himself whether he is ready to live his truth as a gay man in small town Texas.

4. Syreeta's Journey

Syreeta needs help but thinks that anyone trying to help has an ulterior motive. Surgery will be tough if she can't learn to trust the surgeon.

5. Mark's Journey

Turning down medical advice, Mark believes he can lose 500 pounds on his own, but Dr. Now sees this as another excuse not to change.

6. Stephanie's Journey

With her weight spiraling, Stephanie needs her mom's help to care for her three kids.

8. Patrick's Journey

Patrick's weight gets in the way of his relationship with his daughter. If he wants to see her graduate high school, he'll have to reverse course.