As Ruby returns for a fourth season, so does her weight. Ruby's impressive weight loss journey has screeched to a halt as she struggles to cope with a whopping 60-pound gain. Now, more than ever, Ruby must face her demons head-on--and learn how to maintain a healthy lifestyle. Ashamed of her setback, Ruby sinks into depression and reflects on what has brought her to this state of disrepair. When her friends Georgia and Jeff, ex-boyfriend Denny, and personal trainers Drew and Shazi confront her about her weight gain, Ruby starts with excuses. However, she eventually becomes determined to overcome her weight battle once and for all. Can she push through the pain, and work with her team to move in the right direction?