These are the people who are featured in"My 600-Lb Life.

For them, surgery was their only hope of gaining a productive life.

After their mother’s death, they relied on Clarence to provide their food and transportation.

Dr. Younan “Now” Nowzaradan

However, Clarence was resistant to the therapist’s advice, and left in the middle of the session.

In a “Where Are They Now?”

follow-up (perDistractify), fans learned of some setbacks regarding the siblings.

Perrio siblings in Dr. Now’s office

He felt confident he could get down to his goal weight without following the doctor’s eating plan.

The sibs make occasional appearances on social media, though Clarence hasn’t posted to hisFacebook accountsince 2020.

Brandie is a little more forthcoming.

Brandie and Clarence Perrio

On herpage(she appears as “Brandi Michelle”), she shares humorous memes and family photos.

Best of all, in the summer of 2023, sherevealedshe has returned to college.

“Never too late to go back!”

Roshanda Perrio maroon dress and hat

Roshanda’s journey involved a lot of work.

Before she could be cleared for surgery, she needed to lose 200 pounds on her own.

Once she accomplished that, she underwent the operation and continued to drop the weight through diet and activity.

Now, she’s one ofthe stars of “My 600-Lb Life” who look much different today.

PerDistractify, Roshanda has now lost approximately half of her original 803 pounds.

Still, some fans are disappointed that Roshanda isn’t twig-thin after so many years post-surgery.

I don’t even eat like that…there is other ways to gain weight.

Ask wat happen before u come on my s*** judging me."