The BEST episodes of My 600-lb Life

Every episode of My 600-lb Life ever, ranked from best to worst by thousands of votes from fans of the show. The best episodes of My 600-lb Life!

TLC's My 600-lb Life documents the journeys individuals undertake to escape obesity and regain control of their lives.

Last Updated: 5/19/2024Network: TLCStatus: Continuing
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Justin's Story
star
9.03
32 votes

#1 - Justin's Story

Season 7 - Episode 4 - Aired 1/23/2019

A college graduate with a once-promising career, Justin has eaten his life away to the point of never leaving the house for anything but food; only the help of Dr. Now's weight-loss program can restore his hopes of living a happy, productive life.

Watch Now:AmazonApple TV
star
8.29
17 votes

#2 - Lucas' Journey

Season 10 - Episode 9 - Aired 12/29/2021

Living on a homestead with his family, Lucas wants to spread his wings and fly, but at 600 pounds, he can't take off. All he does is eat and game, and if he wants to leave the nest and live a normal life, he needs Dr. Now's help to lose over 400 pounds.

Watch Now:AmazonApple TV
star
8.25
24 votes

#3 - Mike's Journey

Season 10 - Episode 4 - Aired 11/24/2021

Mike was born with a talent for sports -- and an omnivorous appetite to match. After his football dreams were dashed by multiple concussions, he packed on over 700 pounds. Now he must find a new purpose in life to avoid succumbing to pain and regret.

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Ryan's Journey
star
8.18
17 votes

#4 - Ryan's Journey

Season 10 - Episode 7 - Aired 12/15/2021

Ryan moved to Montana to keep himself from going down a dark path of drug addiction. However, his new path may be no less lethal than the last if he can't find a way to curb his eating habits before they kill him.

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Julian's Journey
star
7.96
23 votes

#5 - Julian's Journey

Season 10 - Episode 2 - Aired 11/10/2021

For Julian and his wife, Irma, it was love at first sight. But in order to grow old together, Julian will have to overcome the food addiction that made him more than 800 pounds, and Irma will have to hold on no matter how difficult the journey may become.

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Diana's Story
star
7.84
37 votes

#6 - Diana's Story

Season 5 - Episode 7 - Aired 2/15/2017

Diana, a once thin and active woman, is now a prisoner to her body and trades the comfort of her apartment for a weight loss journey under the strict authority of her niece.

Watch Now:AmazonApple TV
star
7.83
6 votes

#7 - Charles' Journey

Season 12 - Episode 7 - Aired 4/17/2024

Charles replaced one addiction with another after he stopped using heavy narcotics. His BMI is now above 100, and he is unable to stop eating. He needs Dr. Now's assistance, but with his brother providing everything for him, is he too comfortable to make the trip to Houston?

Watch Now:AmazonApple TV
star
7.80
25 votes

#8 - Cindy's Story

Season 9 - Episode 4 - Aired 1/20/2021

Cindy is resistant to change and has spent years creating a world that makes her feel safe. When her friend notices Cindy's health declining rapidly due to her size, she pushes Cindy to move to Houston and see Dr. Now. But Cindy isn't so easily persuaded.

Watch Now:AmazonApple TV
star
7.80
15 votes

#9 - Chris P's Journey

Season 11 - Episode 7 - Aired 3/15/2023

Nothing means more to Chris than his relationship with his daughter, Zoey, but now he feels he is failing her as his weight gain begins to limit his mobility. Chris turns to his mother, whom he hasn't seen in seven years, to help get his life on track.

Watch Now:Apple TV
Kelly's Story
star
7.77
31 votes

#10 - Kelly's Story

Season 7 - Episode 13 - Aired 3/27/2019

Kelly is on the verge of immobility when she decided to make the trip to Houston to visit Dr. Now; Her journey gets off to a painful start when a long travel day grows longer as Kelly gets stuck in a cab on her way from the clinic to the hospital

Watch Now:AmazonApple TV
star
7.76
21 votes

#11 - Bianca's Journey

Season 10 - Episode 3 - Aired 11/17/2021

Bianca is all in for a move to Houston with her boyfriend and two young kids to get Dr. Now's help with a second weight-loss surgery. But just when the coast is clear, her boyfriend's change of mind could undermine her progress.

Watch Now:AmazonApple TV
star
7.75
24 votes

#12 - Nathan's Journey

Season 10 - Episode 1 - Aired 11/3/2021

When Nathan's weight gets in the way of the only healthy thing in his life - his job as a drama teacher - it's a wake-up call for him. But changing his life might mean a falling out with his wife, Amber, who is also overweight, unless she can lose, too.

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Vianey & Allen's Story
star
7.74
27 votes

#13 - Vianey & Allen's Story

Season 7 - Episode 20 - Aired 5/15/2019

Weighing over 600 lbs. each, Vianey and Allen are locked in a codependent relationship based on a shared love of food. As they head to Houston, they will soon find out if their relationship can handle the strain of growing healthy together.

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Brittani's Story
star
7.73
60 votes

#14 - Brittani's Story

Season 4 - Episode 2 - Aired 1/13/2016

Brittani married a man who loves large women, but at 600-lbs, she can barely contribute to their marriage, and gets surgery to try to have a normal relationship.

Watch Now:AmazonApple TV
One Ton Family: Part 1
star
7.72
18 votes

#15 - One Ton Family: Part 1

Season 6 - Episode 15 - Aired 5/2/2018

The Perrios struggle with different stages of their weight loss journey, but the revelation of a past tragedy explains their resistance to recovery, and the siblings must now come together to overcome their fears and forge a path towards a healthy future.

Watch Now:AmazonApple TV
Brandi and Kandi's Story
star
7.71
91 votes

#16 - Brandi and Kandi's Story

Season 5 - Episode 1 - Aired 1/4/2017

Twins Kandi & Brandi have a combined weight totaling over 1100lbs. These inseparable twins fear losing each other to obesity, so they make a change together. But a life-threatening event during weight loss surgery recovery may separate them forever.

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Cillas' Story
star
7.70
27 votes

#17 - Cillas' Story

Season 7 - Episode 17 - Aired 4/24/2019

Cillas' food addiction is getting in the way of his ability to be there for his fiancée, Jessica, and her three daughters. If he doesn't lose weight soon, he knows he'll lose either his girls, or his life.

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Janine's Story
star
7.70
43 votes

#18 - Janine's Story

Season 6 - Episode 2 - Aired 1/17/2018

Janine's extreme obesity has left her nearly immobile, and even the first steps on her weight loss journey may prove to be too much for her. She must overcome both her physical and emotional pain if she's ever going to live a normal life again.

Watch Now:AmazonApple TV
star
7.69
13 votes

#19 - James B's Journey

Season 10 - Episode 8 - Aired 12/22/2021

For James B, food means family. He grew up eating rich Haitian food and loves it with a passion. Now, James needs Dr. Now's help to diminish that love in order to survive, but a death in the family sends James retreating back to the comforts he knows.

Watch Now:Apple TV
Jeanne's Story
star
7.69
26 votes

#20 - Jeanne's Story

Season 7 - Episode 11 - Aired 3/13/2019

Jeanne lives in an unhygienic household with her mother and schizophrenic father; at well over 600 pounds, Jeanne might never get weight-loss surgery as she runs into several obstacles, especially after an unexpected death in her family.

Watch Now:AmazonApple TV
star
7.68
19 votes

#21 - Thederick's Story

Season 9 - Episode 2 - Aired 1/6/2021

Thederick is housebound and only goes outside to greet the ice cream man.

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Alicia's Story
star
7.66
38 votes

#22 - Alicia's Story

Season 6 - Episode 3 - Aired 1/24/2018

A devoted girlfriend and loving aunt, Alicia is all smiles and laughter on the outside, but on the inside she is terrified that her addiction to food will kill her before she can marry her long-time love or watch her nieces grow up.

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Lisa's Story
star
7.66
32 votes

#23 - Lisa's Story

Season 6 - Episode 7 - Aired 2/21/2018

Lisa's struggle with her weight begins as a child and significantly worsens after witnessing her brother's murder; now bedridden and unable to care for herself, she must lose the weight or she will never see her grandchildren grow up.

Watch Now:AmazonApple TV
star
7.65
23 votes

#24 - Travis' Story

Season 8 - Episode 6 - Aired 2/5/2020

When Travis gets too big to walk down the aisle, he promises to give his wife a proper wedding. But he gains more weight, leaving Dr. Now as Travis' only hope to get the life he and his wife dreamed of having together.

Watch Now:AmazonApple TV
One Ton Family: Part 2
star
7.65
17 votes

#25 - One Ton Family: Part 2

Season 6 - Episode 16 - Aired 5/10/2018

The Perrios struggle with different stages of their weight loss journey, but the revelation of a past tragedy explains their resistance to recovery, and the siblings must now come together to overcome their fears and forge a path towards a healthy future.

Watch Now:AmazonApple TV