One Big Happy Family

In this case, being "One Big Happy Family" is not a good thing. Each member of the Cole family weighs in at over 300 pounds. Cameras track their progress as they attempt to make healthy changes to their lives and address the issues that got them to this point. There's no personal trainer or nutritionist or chef to lean on -- they have only each other as they struggle, as many other Americans do, to lose the excess weight and become more healthy.