Sarah Neely looks unrecognisable after overcoming her struggles with food addiction and substance abuse.
The My 600lb Life had a cellulitis infection and was struggling to wash or move her body after her weight soared to 642lb (45.9 stone) when she was just 24 years old.
During her appearance on the TLC reality show, Sarah admitted she had struggled with her weight ever since she was a child and by the time she was eight, she weighed 200lb (14.3 stone).