Ep 1. Moments of Truth

In the first episode of season 4 of My 600-lb Life, entitled "Moments of Truth," we are introduced to a new group of individuals who are struggling with extreme weight issues. Each individual shares their story of how they ended up at such a high weight, and the emotional and physical toll it has taken on their lives.

One of the individuals featured is Charity, a 32-year-old woman who weighs more than 700 pounds. Her weight has caused her to become largely immobile and dependent on her husband and mother to take care of her daily needs. Charity's struggle with eating has led her to consume an astounding 10,000 calories a day, and she knows that without help, she will not survive much longer.

Another person featured in this episode is Melissa, a 39-year-old who weighs over 600 pounds. Melissa is a mother of three and has struggled with her weight since childhood. Her weight has led to a number of health issues, including difficulty breathing, sleep apnea, and back pain. She is hopeful that by seeking help, she can turn her life around and be there for her children.

Throughout the episode, we see the individuals meet with Dr. Nowzaradan, who is widely recognized as one of the leading experts on extreme weight loss. Dr. Nowzaradan works with each of them to develop a personalized weight-loss plan, which includes adopting a low-calorie and low-carbohydrate diet, as well as incorporating regular exercise into their daily routines.

One of the key themes of the episode is the emotional toll that extreme weight gain and obesity can have on a person. We see each of the individuals struggle with feelings of shame and embarrassment, and they are forced to confront the reasons why they turned to food as a way of coping with their emotions. Through therapy and counseling, they begin to come to terms with their emotional trauma and learn new strategies for dealing with their feelings.

Despite the challenges they face, each of the individuals featured in "Moments of Truth" is determined to make a change and take control of their lives. With the help of Dr. Nowzaradan and his team, they begin the difficult but ultimately rewarding journey of losing weight and regaining their health and independence.

Overall, "Moments of Truth" is an emotional and inspiring episode that showcases the struggles of those who are battling extreme obesity, while also highlighting the importance of self-care and personal responsibility in achieving long-term health and wellness.