Sean and Dottie must overcome recent tragedies and work to lose weight.
Twins Kandi and Brandi have lost 400 pounds but struggle to stay on track.
Erica returns to California to continue her weight-loss journey.
Ashley R. and Diana have lost significant weight but continue to struggle.
Kirsten works toward full gastric bypass surgery, and Michael struggles.
James faces a series of setbacks, and Cynthia continues to lose weight.
Doug has lost 200 pounds, but an eating disorder threatens his progress.
Ashley's weight loss has stalled, and Nicole moves back to Ohio.
Brittani tries to qualify for skin surgery, and Lupe struggles.
Charity is deeply depressed while Charly is battling food addiction.