The BEST episodes of My 600-lb Life season 4

Every episode of My 600-lb Life season 4, ranked from best to worst by thousands of votes from fans of the show. The best episodes of My 600-lb Life season 4!

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

Last Updated: 11/26/2024Network: TLCStatus: Continuing
Brittani's Story
star
7.73
60 votes

#1 - 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.

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Sean's Story
star
7.63
40 votes

#2 - Sean's Story

Season 4 - Episode 11 - Aired 3/6/2016

26-year-old Sean weighs over 700-lbs with a massive growth protruding from his side and skin so stretched it is tearing apart. His mother is forced to change both of their lifestyles before he can be approved for gastric bypass surgery.

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Milla's Story
star
7.62
45 votes

#3 - Milla's Story

Season 4 - Episode 10 - Aired 3/9/2016

At 700lbs, Milla is bedridden and dependent on her husband and five kids. Terrified each day will be her last, they still can't resist her unending requests for junk food. Can Milla stop a lifetime of unhealthy eating to qualify for gastric surgery?

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Dottie's Story
star
7.45
53 votes

#4 - Dottie's Story

Season 4 - Episode 5 - Aired 2/3/2016

A woman with two children weighs more than 600 pounds, so she agrees to go on an extreme new diet, but her weight-loss efforts are threatened by her debilitating habits and a child's health emergency.

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Chad's Story
star
7.43
49 votes

#5 - Chad's Story

Season 4 - Episode 3 - Aired 1/20/2016

After gastric bypass surgery, Chad quickly sheds his dangerous weight but faces a medical crisis when he does not follow the doctor's orders.

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Randy's Story
star
7.42
33 votes

#6 - Randy's Story

Season 4 - Episode 9 - Aired 3/2/2016

At 650lbs, Randy's food addiction led to the loss of his marriage and visits with his daughter. To regain control of his life, he endures a rigorous pre-surgery diet, surrounded by fast-food temptations. Will he be approved for a weight-loss operation?

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June's Story
star
7.42
52 votes

#7 - June's Story

Season 4 - Episode 4 - Aired 1/27/2016

600-pound June copes with the tragic death of her son by eating. After gastric bypass surgery, she must confront the emotional issues driving her food compulsion. If she can stay on track, she can become the mother she desperately wants to be.

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Ashley D's Story
star
7.42
38 votes

#8 - Ashley D's Story

Season 4 - Episode 7 - Aired 2/17/2016

Weighing over 700 pounds at 26-years-old, the clock is ticking on Ashley’s life. Ashamed of her body, she hides at home. After bypass surgery, Ashley confronts medical setbacks & struggles to get past the trauma that ignited her eating disorder.

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Nikki's Story
star
7.41
74 votes

#9 - Nikki's Story

Season 4 - Episode 1 - Aired 1/6/2016

A costume designer finds her career threatened when her weight increases to 650 pounds, so she prepares for gastric-bypass surgery and gets psychological help to uncover the causes of her lifelong secret eating habit.

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Teretha's Story
star
7.40
40 votes

#10 - Teretha's Story

Season 4 - Episode 8 - Aired 2/24/2016

At over 700lbs, Teretha's life is confined to a bed which is far from her former job representing Detroit's healthy eating program. Her adoring family fears losing her and hopes a gastric bypass will provide the solution she needs to save her life.

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Gideon's Story
star
7.34
44 votes

#11 - Gideon's Story

Season 4 - Episode 6 - Aired 2/10/2016

A 650-lb. man is unable to work and must depend on his wife for everything, so he goes to extremes in hopes of bringing his family together again.

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Lupe's Story
star
7.23
44 votes

#12 - Lupe's Story

Season 4 - Episode 12 - Aired 3/23/2016

At 600 pounds, Lupe spent the last 10 years in bed & totally dependent on her husband. A cross-country move to save her life, may end up backfiring. Did Lupe wait too long to begin her weight loss journey?

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