My 600-lb Life fans are devastated after finding out that James King, one of the TLC show’s most infamous cases, died on April 3 at a Nashville, Tennessee hospital. The husband, father, and grandfather of 19 kids, who lived in Paducah,Kentucky, was just 49 years old. James once topped the scales at 843 pounds, astounding audiences and the show’s famed Dr. Younan Nowzaradan. Here’s what you should know about James, and his two appearances on My 600-lb Life.