The WORST episodes of My 600-lb Life

Every episode of My 600-lb Life ever, ranked from worst to best by thousands of votes from fans of the show. The worst 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: 4/10/2026Network: TLCStatus: Continuing
Randy's Story
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#1 - 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?

Brandon's Story
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#2 - Brandon's Story

Season 7 - Episode 7 - Aired 2/13/2019

Brandon is a talented musician with a beautiful voice and a run-away weight problem; he wants to lose weight and embark on a career; he also wants to take the next step with his girlfriend, Taylor, whom he risks losing if he can't make a change.

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Lacey's Story
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#3 - Lacey's Story

Season 7 - Episode 6 - Aired 2/6/2019

Lacey ballooned up over 600 lbs on pizza and ice cream and knows Dr. Now is her best hope for success; she must now rally her divorced parents around her for support and find a way to modulate her moods that won't include binge-eating.

Sarah's Story
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#4 - Sarah's Story

Season 6 - Episode 12 - Aired 3/28/2018

A 24-year-old woman weighs more than 600 pounds and is fighting for her life after a difficult childhood with an abusive stepfather and drug-addicted mother.

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Renee's Story
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#5 - Renee's Story

Season 6 - Episode 11 - Aired 3/21/2018

A former plus-size model and "big is beautiful" advocate, Renee now realizes the mortal mistakes she has made as her weight swells to 600 pounds and her health deteriorates.

Watch Now:Apple TV
Rena & Lee's Story
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#6 - Rena & Lee's Story

Season 6 - Episode 1 - Aired 1/10/2018

After meeting and falling in love at a bariatric rehab center, Lee and Rena are battling health and anger issues while taking a desperate, second attempt to save their relationship and their lives.

Watch Now:Apple TV
Michael's Story
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#7 - Michael's Story

Season 5 - Episode 8 - Aired 2/22/2017

Michael's massive body has left him dependent upon his family, and he must learn to control his anger issues around food, lose weight and address the root of his issues or risk losing everything.

Erica's Story
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#8 - Erica's Story

Season 5 - Episode 6 - Aired 2/8/2017

A 661-lb. woman has siblings who are skeptical that she’s willing to change her habits, and worries that she’ll die alone and surrounded by food.

Watch Now:Apple TV
Cynthia's Story
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#9 - Cynthia's Story

Season 5 - Episode 3 - Aired 1/18/2017

A 610-lb. single mom with five kids fears for their livelihood if she can’t take care of them or something happens to her, so she’s determined more than ever to save her own life.

Watch Now:Apple TV
Abi's Journey
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#10 - Abi's Journey

Season 12 - Episode 4 - Aired 3/27/2024

Abi was struggling with his weight before a fluke accident left him mostly paralyzed. Bedbound for seven years since then and topping 700 pounds, Abi's only hope for a future with his wife is to get Dr. Now's help to lose weight and find a way to stand up.

Sean's Story
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#11 - 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.

Teretha's Story
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#12 - 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.

Gideon's Story
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#13 - 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.

Watch Now:Apple TV
Dottie's Story
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#14 - 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.

Watch Now:Apple TV
Bettie Jo's Story
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#15 - Bettie Jo's Story

Season 3 - Episode 4 - Aired 2/25/2015

A 24-year-old woman who's approaching 700 pounds is housebound and completely dependent on her husband, who worries that she'll leave him if she loses weight.

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Tara's Story
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#16 - Tara's Story

Season 2 - Episode 8 - Aired 2/25/2014

A Louisiana Mom called Tara wants to have a gastric bypass to enhance her confidence and for her to finally feel like she can leave the house.

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Christina's Story
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#17 - Christina's Story

Season 2 - Episode 5 - Aired 2/4/2014

A 22-year-old married woman in Mississippi hasn't left her house in two years, but her family haven't done her any favors by enabling her terrible eating habits.

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Olivia's Story
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#18 - Olivia's Story

Season 2 - Episode 2 - Aired 1/14/2014

A 46-year-old Chicago woman battles depression in the wake of a suicide attempt and hasn't left her basement in two years, but hopes that a surgical procedure in Houston can save her life.

Watch Now:Apple TV
LaShanta's Story
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#19 - LaShanta's Story

Season 7 - Episode 16 - Aired 4/17/2019

A mother of 4, bed-bound for 2 years, Lashanta relies on her kids to keep her cleaned and fed. Her last chance to break the cycle of food addiction that's killing her is to join Dr. Now's program, but it will take a village just to get her out the door.

Watch Now:Apple TV
William's Journey
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#20 - William's Journey

Season 12 - Episode 2 - Aired 3/13/2024

William was always mobile and fairly athletic -- that is, until he wasn't; it's been years now since a knee injury derailed his sports career, and he's ballooned up over 600 pounds; now, to lose weight he'll have to face up to how bad it's gotten.

Syreeta's Journey
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#21 - Syreeta's Journey

Season 11 - Episode 4 - Aired 2/22/2023

Syreeta thinks that anyone trying to help has an ulterior motive, but now she's gotten so big she desperately needs help. She's learning to let down her guard for her husband, but weight loss surgery will be tough if she can't learn to trust the surgeon.

Watch Now:Apple TV
Wess' Journey
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#22 - Wess' Journey

Season 11 - Episode 3 - Aired 2/15/2023

Wess gets off to a great start in Dr. Now's program, but when the cravings continue after surgery, Dr. Now sends him to therapy to confront his demons. Now, Wess must ask himself whether he is ready to live his truth as a gay man in small town Texas.

Larry's Journey
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#23 - Larry's Journey

Season 10 - Episode 13 - Aired 1/26/2022

For Larry, a second weight loss surgery would mean a second chance at a career as a gospel recording artist. But a beautiful singing voice doesn't pair well with a 600-pound eating habit. If Larry can't make the choice to change, then no one can help him.

Isaac's Journey
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#24 - Isaac's Journey

Season 9 - Episode 8 - Aired 2/17/2021

Isaac helped raise his siblings after his mom suffered a debilitating stroke when he was 10. While learning to cook for his family, he began comfort-eating. Now to avoid eating himself to death, Isaac must learn to take care of himself for a change.

Watch Now:Apple TV
Melissa M's Story
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#25 - Melissa M's Story

Season 9 - Episode 5 - Aired 1/27/2021

Melissa has isolated herself at home and lost many friends to avoid feeling the shame of what her food addiction has done to her body. Now, the only way to get her life back is to leave it behind to start a new one with Dr. Now's help in Houston.

Watch Now:Apple TV