Sam, Billie, Adam and Dan are four New Yorkers who are dealing with their individual eating disorders together. All four of them lean on one another for support and are good friends. They attend Belttighteners, which is a recovery program that approaches their issues extremely ruthless ways. Sam is trying to shape his date into a woman from a hot TV commercial, which horrifies Billie. Dan struggles with his choice for a gastric bypass surgery and Adam chases down a deliveryman for food.

Dan' wife throws him out of the house after she learns about his sexual experiment. Billie begins to work out more, but discovers the reason behinds a girl's figure. Also, Sam is in pain after his scissors slip out of his hands during personal self-grooming.