I watched this episode of my 600 pound life. Incredibly sad. He was big when him and his wife met, but it just kept getting worse. He actually put in a lot of work, and lost i think over 100 pounds in the first few months. They then tried to remove one of those large masses on his legs, and unfortunately he was already addicted to painkillers. They had to put him on some light painkillers because the pain wouldn't be manageable without them, and trying to take him back off them put him into a mental shutdown, followed by his body shutting down. He died during the filming of the episode. I believe he was the first person on the show to die during filming.