: Despite the high stakes, James struggled significantly with the program. Instead of losing weight, he gained 158 lbs in just four months, reaching a peak weight of approximately 840 lbs.
: A major focus of the episode was the relationship between James and his girlfriend, Lisa. Dr. Now frequently confronted Lisa for sneaking non-diet food (such as Chinese takeout) to James, even after he was hospitalized for heart and lung issues. Life After the Show [S5E11] James K's Story
The episode follows James and his family as they embark on a high-risk journey from Kentucky to Houston, Texas, seeking life-saving bypass surgery from Dr. Younan Nowzaradan . : Despite the high stakes, James struggled significantly