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Tammy struggles to cope after surviving a near-death experience; Amy realizes being an overweight mom may prove to be too much; Chris is desperate to get rid of excess skin; Amanda offloads some dead weight of her own.
After finding out Tammy's been robbed, Misty and Amanda visit to break the news in person; while Chris pushes ahead toward his surgery goal, Amy has a setback and is rushed to the ER; with her sisters by her side, Tammy faces the results of her weigh in.
Amy feels from giving birth and finding out Michael has COVID-19; after 20 years, Chris gets back on the horse; Tammy is almost at the finish line for surgery approval, but worries she won't pass her final assessments.
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.