As The Cinemaholic reports, Sarah Neely had a tough time on "My 600-lb Life," initially struggling to stick to Dr. Now's plan, which she started weighing in at 642 pounds. However, she gradually hit her goals and qualified for surgery, subsequently shedding more than 300 pounds, as per a follow-up episode. At one point, Sarah weighed in at 197 pounds, which created an incredible shift in her lifestyle. However, the former reality star sadly suffered a miscarriage and later entered rehab for her addiction problems, as she revealed in an Instagram post at the time. Thankfully, she's been doing really well in recent years, from working at Drury Inn & Suites in Albuquerque, New Mexico to celebrating one year of sobriety in 2020 (via Instagram).

The "My 600-lb Life" star got engaged to partner Jonah Carpenter in April 2020, as per Instagram, with the happy couple welcoming their first child, daughter Gwendolyn Snow Carpenter, later that same year. Sarah utilizes her social media accounts to encourage others who may be struggling with similar issues to follow in her footsteps and get the help they need. 

"Life is truly amazing," the former reality star told Starcasm in 2020, on foot of her pregnancy announcement. She added, "I'm ready for my life. A peaceful quiet life with my new starting out family. Being a good wife and a good mom are my focus. Enjoying life. That's all I want after all the chaos I've already lived."