When Sarah Neeley first stepped onto the small screen in season 6 of TLC’s My 600-lb Life, she weighed a staggering 642 pounds. Plagued by childhood traumas and further complicated by alcohol issues, Sarah seemed to be at the lowest point in her life. But sometimes, the bottom is the perfect place to start a climb. Undergoing life-altering changes, Sarah sought the expertise of the renowned bariatric surgeon Dr. Nowzaradan—commonly known as Dr. Now—and embarked on a journey of self-transformation that would inspire thousands across the nation.
Sarah Neeley didn’t just set weight loss goals; she crushed them. Aided by a stringent diet and regular workout sessions with her grandmother, she managed to lose 260 pounds by the end of her My 600-lb Life episode. Even after her journey with Dr. Now came to an end, she kept her spirits and her weight in check, tipping the scales at 393 lbs. To keep her supporters updated and motivated, Sarah has been actively posting on her Instagram account, detailing her ongoing physical and mental endeavors.
My 600-lb Life: Sarah as a Mother and Mentor
The positive outcomes of her transformation did not stop at physical attributes. Sarah faced the hurdles of life with newfound vigor, inspiring others who found themselves at similar roadblocks. She turned her Instagram into a platform of inspiration and hope. Her feed is not just pictures; it’s a testament to her journey through thick and thin.

If you scroll through her Instagram, you’ll find another significant milestone in Sarah’s life: motherhood. After experiencing the heartbreak of two miscarriages, Sarah welcomed her daughter, Gwen, into the world in 2020 through a cesarean section. Gwen seems to be the added motivation that Sarah needed to continue on her path of personal betterment. Although Sarah has not publicly disclosed her weight since giving birth, her Instagram bio affirms her commitment to maintain a healthy lifestyle.
My 600-lb Life: Sarah’s Fight Beyond The Scale
March 2022 saw Sarah sharing a deeply personal throwback photo that marked a pivotal moment in her life—a night when she picked up a substance that would go on to consume her existence. Acknowledging the peril it presented not just to her, but also to her loved ones, Sarah took the courageous step to enter rehab. Today, she utilizes her platform to raise awareness about drug abuse and addiction, reaching out to those in need with the simple, yet powerful message, “If you’re struggling please reach out. It can and will be okay if you want it enough.”
Sarah Neeley isn’t just Dr. Now’s successful patient; she’s an inspiration to many who find themselves battling their inner demons—be it weight, addiction, or mental health. Her journey serves as a living example that it is possible to rewrite your story, no matter how bleak the opening chapters may seem.