Mark / Patty (South Carolina)

Mark is only months away from being a first-time father, but at age 40 and weighing 516 pounds, Mark is afraid if something doesn't change soon, he won't live to see his daughter grow up. Will he be able to turn his life around, or will being away from his pregnant wife be too much for him to take? Patty has survived a lifetime of tragedy, and has used food to medicate the pain for as long as she can remember. But now, at age 59 and weighing 312 pounds, Patty is ready to stop the cycle and start living again, not just for herself but also for her whole family.