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Recovering from the coronavirus, Tammy now needs constant oxygen, and her weight spirals; Chris faces his final weigh-in; Amy makes a big decision about her future; with Tammy's romance heating up, the family takes matters into its own hands.
Amy gets unsettling news about the birth of her baby as her high-risk pregnancy has last-minute complications; with their next weigh-in ahead of them, Chris and Tammy are cautiously optimistic until Tammy steps on the scale.
When Tammy and Amy go see a psychic, they both get disturbing news. The family rallies together, and they are willing to try anything to help Tammy lose weight. Amy must face her worst fears when she's rushed to the ER.
Amy counts down the days until her delivery with an eccentric photo shoot, while the family worries that Jerry is derailing Tammy's diet. Tammy reveals her big secret to Jerry.
Tammy's boyfriend, Jerry, comes to visit just in time to celebrate the sisters' favourite holiday: Halloween. Tammy's sister Misty questions Jerry's intentions. Amy has to face another weigh-in after her concerning appointment with Dr. Procter.
Tammy's new doctor gives her what feels like an insurmountable weight goal, but it's not the only challenge she's facing. Amy and Michael drop a bomb that changes everything.
The Slatons are shocked by the cause of Amy's trip to the emergency room. Plus, Tammy must step on the scales again after a month of not sticking to her diet.
Tammy and Amy blame each other for their issues in therapy. When Tammy gets devastating news from Dr. Procter, her brother Chris makes a life-altering decision. A very pregnant Amy can't stop overeating, and the results are disastrous.
The Slatons head back to Atlanta to see Dr. Proctor. Amy is worried about dropping the news that she got pregnant so soon after surgery, against doctor's orders. Tammy returns knowing she's gained all the weight back.
While Amy reaps the benefits of weight-loss surgery, her sister Tammy worries that she gained weight during quarantine. A visit to urgent care gives Amy life-changing news. Tammy's family confronts her over her health.
Sisters Amy and Tammy must lose weight to qualify for bariatric surgery.
After surviving a near-death experience, Tammy struggles to cope with her new reality. Then, she makes a life-altering decision, one that no one saw coming. With baby number two on the way, Amy feels her family is complete, but she soon realizes being an overweight mom may prove to be too much. Chris is desperate to get rid of excess skin and qualify for skin removal surgery, while Amanda offloads some dead weight of her own.
