Posting this to start discussion on this episode.

Season 13 Episode 3: Karen

Aired: In the U.S. January 15, 2025 on TLC & Discovery+ at 8 PM ET/7 PM CT. Streaming on Max the following day.

Synopsis: Karen has gotten so out of control with her eating that she's developed a fear of leaving the house and interacting with the world at her size. She needs Dr. Now's help, but can Karen ever qualify for weight loss surgery if she won't leave the house?

SPOILERS ARE ALLOWED HERE. DO NOT READ IF YOU HAVE NOT WATCHED THIS EPISODE. YOU HAVE BEEN WARNED.