It's Tammy's wedding day; Amanda and Misty take Caleb to task over his true intentions; Amy struggles to get the venue decorated and keep her emotions in check; a wardrobe malfunction and a case of cold feet threaten to derail the nuptials.
Tammy announces her engagement to the family and reveals that her big day is only two weeks away; Amy takes up maid of honor duties; the family wonders if there's another reason Tammy is rushing down the aisle.
Tammy wants to come home, but a setback causes a major blowup between her and the family; when a new man enters Tammy's life, all bets are off; Amy feels the stress of motherhood; Amanda contemplates a new chapter.
After years of struggling, Tammy finally has her weight loss surgery, but things are not as straightforward as expected; Amy meets with Dr. Procter and gets an ambitious weight loss goal.
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.
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.
Tammy hits a tipping point at rehab, and more bad news from back home sends her into a downward spiral; Chris gets a reality check during a check in with Dr. Smith; the family says goodbye to a beloved family member.
Tammy's seemingly good progress inspires Amy to visit, reuniting the siblings for the first time in months; Amanda begins a new chapter in her life; Amy learns she's at risk of serious complications if she doesn't get her eating under control.
Having survived yet another brush with death, Tammy recovers at rehab, but a new scare threatens her life; the family adjusts to life without Tammy; Amy's big surprise stuns everyone.
Amy sees a pediatric dietitian and faces some difficult truths about Gage's diet. Dr. Smith makes a house call and confronts Tammy about her partying lifestyle. While on the road with Chris, Tammy's health hits a dangerous low point.
Amy and Michael finally move out of the duplex, while Tammy's partying phase takes a turn for the worse. Amanda tries to get through to her sister before it's too late, and Amy's in for a rude awakening at her annual check up with Dr. Procter.
After a rift on the family vacation, Amy returns home and drops a bomb on Tammy. While Amy focuses on her new life, Tammy makes a decision that takes her even further away from her weight-loss goals.
The family vacation starts off terribly when Tammy refuses to enter the cabin; Chris hopes he's lost enough weight to fulfill a life-long dream.
While Chris makes progress after his surgery, Tammy gets discouraging news; Amy plans a unique bash for Tammy's 35th birthday; the family excitedly plan their first vacation together with all five siblings, but concerns rise about Tammy's mobility.
Chris faces a weigh-in to get approved for bariatric surgery; with Tammy's weight at a standstill, Amy and Michael make a life-altering decision; the family's fears about Tammy's choice in partners are realized.
Tammy must see a new therapist, but things don't go the way she'd hoped. Amy wants to lose her excess skin, but she gets bad news at the plastic surgeon's office. Chris faces the scale. If he's below 400 pounds, his surgery is on.
After Tammy's bad doctor's appointment, Chris comes down on Amy for enabling her sister. The family worries Tammy's new boyfriend is leading her down the wrong path. Amy's idea of having a meet and greet to help Tammy has its own set of problems.
When Amy tries to get her house in order, she must confront some demons from her past. Tammy admits to a few cheat days just before her first doctor's appointment since rehab. Chris steps on the scale that could change his life.
Amy is upset that Tammy's new nurse isn't pushing her enough. Tammy has started slacking, and the family worries about what could be the cause. Chris and Tammy clash when he confronts her about the new man in her life.
Tammy is back from rehab, and Amy comes to a drastic decision regarding her sister. With his bariatric surgery on the line, Chris tries to shed weight.
Tammy makes a life-altering decision. Amy finally gets a taste of the life she's always wanted, and an emergency surgery has repercussions for Chris.
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.
Amy undergoes gastric bypass surgery to change her life, but endangers herself by not sticking to the post-op diet. Tammy seeks support from her love interest, Jerry. Two months later, the sisters reveal the changes they've made.
Amy decides to have a real wedding ceremony because if she gets approved for surgery, she's afraid she may not survive. After the wedding, the sisters head to Atlanta hoping for a life-changing final weigh-in.
After a stressful first month of dieting, the sisters head back to Atlanta for their one-month check in with Dr. Procter to find out if they are on the right path to their weight goals. The results force Amy to make a difficult decision.
Amy and Tammy eagerly begin their weight loss journey. Sticking to their diets is a matter of life or death but proves to be a real struggle. The pressure to reach their goals culminates in a huge fight that threatens their diets and relationship.
Amy and Tammy go to Atlanta to meet Dr. Procter to discuss weight loss surgery. When they arrive, Dr. Procter gives Tammy a hefty weight loss goal before he will approve her for surgery, meanwhile the Dietician has more bad news for Amy.
The Slaton's are larger-than-life sisters who have always relied on each other and food for support. Amy, age 31, is desperate to have children, but hasn't been able to due to her weight. While Tammy, age 32, is one step away from being bedridden.
Sisters Amy and Tammy must lose weight to qualify for bariatric surgery.
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