Joe has a new life and girlfriend but still struggles to lose weight.
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.
Bettie Jo deals with various health issues, and Susan suffers a setback.
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.