Casey first captured public attention in 2018 when he appeared on the TLC series Family By the Ton, weighing in at a staggering 845 pounds. At the time, the 40-year-old was living with his father, unemployed, and spending his days playing video games and overeating.

His daily routine left little room for hope, and his physical condition had deteriorated to the point where he could no longer use a traditional bathroom — instead, he was forced to bathe in an outdoor trough.

After being asked to leave his mother’s house due to his inability to hold a job, Casey realized he had hit rock bottom. His increasing weight and isolation made it clear that something drastic had to change.