Dr. Now Tells Seana “There Is Not Much More We Can Do”

Another week has gone by and you know what that means: Another patient making their way down to Texas for a Dr. Now visit. For the uninitiated, Dr. Now is the celebrity bariatric surgeon and star of My 600-lb Life, who, through his signature tough-love program, helps morbidly obese patients turn their lives around.

This week, we get to see a year in the life of Seana Collins, a 22-year-old Kansas City native whose weight is at 660 pounds when we meet her. “Every day of my life feels like it’s harder than the last and like things keep getting worse for me because of my size,” she says upon introduction, adding that she doesn’t “want to look this way” and feels “like I’m trapped most of the time because of how hard it is to move and get around.”

So, how is Seana doing now that the show has stopped filming? Has she managed to lose any weight during her year in Dr. Now’s care? Keep reading for everything you need to know about her progress on the show. (Fair warning: Some spoilers ahead.)