James is 38-years old, single, and comes from a family suffering the horrible aftermath of debilitating obesity. Both James’s father and older sister have passed away due to obesity related issues. Now, at a staggering 650-lbs, James is facing the exact same fate. He hides himself away during the day at his accounting office, dealing with the stress of his clients and demanding deadlines. James confesses, “Most people when they get off of work want to go grab a beer … I just want to eat.” James lives with his mother and eats whatever she cooks him, even though he’s already stopped through the drive-thru on his way home. James continues to hide away from people as he actively works in the field riding tractors and stacking hay. He has said multiple times, “It’s the only place I feel free.” James knows that he must lose the weight or he too will leave his mother prematurely. He wants to lose the weight in hopes of having a family someday and a life of his own.