If you’ve been scrolling through social media lately or keeping up with the latest episodes of The Chrisleys: Back to Reality, you probably noticed that Chase Chrisley looks… different. There is no other way to put it. He’s thinner. His energy is off. Honestly, for a guy who used to be the life of the party, seeing him looking like a "blank shell" as his sister Savannah put it, has been genuinely jarring for long-time fans.
This isn’t just about someone hitting the gym too hard or trying a new Hollywood diet. We are talking about a serious, multi-year health struggle that finally came to a head in late 2025. It’s a mix of mystery physical ailments, a scary weight loss journey, and a public battle with sobriety that even his own family didn't see coming until it was almost too late.
The Mystery Illness: Why Chase Couldn't Eat
For about four years, Chase was dealing with a brutal gastrointestinal issue that he mostly kept under wraps. It wasn't until the cameras started rolling for the family's new reality series that the world saw the extent of it. Imagine not being able to keep a single meal down. Not even water, sometimes.
Chase revealed that his body started "rejecting food" entirely. He’d be at dinner, take two bites, and have to bolt to the bathroom to vomit. He lost about 15 pounds in a very short window, which on his frame, looks like a lot more. It got so bad that Todd Chrisley—freshly home after his 2025 pardon—said seeing his son that thin made his "heart break."
What were the doctors looking for?
The medical team didn't just give him an antacid and send him home. Because the symptoms were so persistent and the weight loss so extreme, they ran the gamut on testing. We're talking:
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- Gallbladder functionality tests to see if his system was processing fats correctly.
- Stomach motility studies to figure out why food wasn't moving through his system.
- Brain CT scans because, believe it or not, chronic vomiting and neurological issues can sometimes be linked to things like brain tumors.
Luckily, Chase eventually shared that the "tumor" scare didn't materialize into a diagnosis, but the fear was real. He later mentioned on a podcast that doctors finally found the "right medication" to manage the stomach issues, though he admits that the immense stress of his parents being away for two years definitely made everything ten times worse.
The Sobriety Battle: "I Wasn't Sober at All"
This is where things get complicated. In early 2025, specifically around March, Chase was posting on Instagram about being "one month sober" and feeling better than ever. It followed a messy arrest in January for a bar fight where he allegedly slapped a manager. He was trying to turn the page.
But by September 2025, the truth came out. He wasn't sober.
In a raw moment on The Chrisleys: Back to Reality, Chase admitted he had been lying to everyone. He was struggling with alcohol and, as hinted in various podcasts and fan discussions, potentially other substances he referred to as "burying the trauma." Savannah Chrisley had been vocal about her doubts, saying he didn't "look healthy" enough to be clean. It turns out, her intuition was spot on.
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The Turning Point: Checking Into Rehab
The season finale of the show was heavy. We saw Chase on a plane, visibly scared, heading to a treatment facility. He didn't just go for the cameras; he went because he felt like he was "going to die" if he didn't.
Todd Chrisley was the one who dropped him off. It’s a bit surreal seeing a father who just got his own freedom back immediately having to hand his son over to a different kind of institution. Todd's take was pretty powerful, though. He told Chase that his time in prison was a "chapter," not the whole book, and the same applied to Chase’s addiction.
The Recovery: How is Chase doing now?
As of early 2026, the updates are looking a lot more positive. After completing his stint in rehab, Chase has been working on making amends. One of the most emotional moments was a Zoom call between him and Savannah where he apologized for not being there for her while their parents were away.
Here is the current status of his health journey:
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- Physical Health: He is reportedly on a medication regimen that has stabilized his stomach issues. He's gained back some of the "gaunt" weight and looks much more like the Chase we remember from the early days of Chrisley Knows Best.
- Mental Health: He's been open about "handling trauma" rather than burying it. The stress of the legal battles, the prison sentences, and the public scrutiny clearly took a toll that a gym membership couldn't fix.
- Business Focus: He launched Gold Drop, a line of alcohol-free sparkling water. It’s a classic celebrity move, sure, but for him, it seems to be a way to stay connected to a social lifestyle without the booze.
What we can learn from this
Chase’s situation is a textbook example of how physical symptoms—like chronic vomiting and weight loss—are often the body’s way of screaming that the mind is overwhelmed. You can’t treat a "mystery stomach issue" if the underlying cause is untreated trauma and substance abuse.
If you or someone you know is going through something similar, the biggest takeaway from the Chrisley saga is that "burying it" eventually causes a leak. Whether it's through a doctor or a treatment center, getting the right eyes on the problem is the only way to stop the spiral.
Next Steps for You:
If you've been experiencing unexplained weight loss or chronic GI issues, don't just chalk it up to "stress." Schedule a full metabolic panel and a GI consult to rule out physical malfunctions like gallbladder issues or gastroparesis. If you're also struggling with burnout or substance use, look into dual-diagnosis programs that treat both the physical and the psychological side of health. You can't fix the engine if you're only looking at the paint job.