Bettie Jo deals with various health issues, and Susan suffers a setback.
Melissa struggles to focus on her health, and Ashley's weight loss stalls.
Christina's weight loss becomes extreme, and Paula endures skin surgery.
Zsalynn has a body lift, and Olivia hopes to qualify for skin surgery.
Joe has a new life and girlfriend but still struggles to lose weight.
Angel tries to stay on track, and Charity suffers surgery complications.
Laura's husband struggles, and Marla's non-compliance challenges Dr. Now.
Pauline struggles to lose weight, and Chay comes out as a woman.