Life-Altering News

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.

Tippin' the Scales

The Slatons head back to Atlanta to see Dr. Procter. 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.

Wake-Up Call

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.

A Fork in the Road

The Slatons are shocked by the cause of Amy's trip to the emergency room. Chris and Tammy see a new doctor, where Tammy must step on the scale again after a month of not sticking to her diet.

Dropping Bombs

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.

There's Something About Jerry

Tammy's boyfriend, Jerry, comes to visit just in time to celebrate the sisters' favorite holiday: Halloween. Tammy's sister Misty, however, questions Jerry's intentions. Amy has to face another weigh-in after her concerning appointment with Dr. Procter.

Jerry Bites Back

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.

Everybody Hurts

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.

Labor of Love

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.

Do or Die

Recovering from COVID-19, Tammy now needs constant oxygen, and her weight spirals. Chris faces his final weigh-in, and Amy makes a big decision about her future. With Tammy's romance heating up, the family takes matters into their own hands.

Welcome to Rehab

With her weight spiraling, Tammy makes a life-altering decision. Amy finally gets a taste of the life she's always wanted, but, unfortunately, it's short-lived. An emergency surgery has repercussions for Chris.

Goodbye Freedom

Tammy is back from rehab, and Amy kisses her freedom goodbye as she comes to a drastic decision regarding her sister. With his bariatric surgery on the line, Chris tries to shed the weight he's gained but is shocked when he and Tammy step on the scale.

Tammy's New Squeeze

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.

Heavy Hoarders

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.

Pushed Too Far

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.

Man vs. Scale

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.

The Moment of Truth

Chris faces the ultimate 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.

A Very Slaton Vacation

While Chris makes progress after his surgery, Tammy gets discouraging news. Amy plans a unique bash for Tammy's 35th birthday. The family excitedly plans their first vacation together with all five siblings, but concerns rise about Tammy's mobility.

Smoky Mountain Meltdown

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. A last attempt to save the vacation ends in another confrontation. The siblings discover Tammy's secret.

Moving On Up and Partying On Down

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.

End of an Era

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.

Never Say Never

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.

The Sweet and Sour Life

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, and Amy's big surprise stuns everyone.

Can't Have Your Cake and Eat It Too

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.

I Don't Want To Taco Bout It

Tammy hits a tipping point at rehab, and then more bad news from back home sends her into a downward spiral. Chris gets a reality check during a check in with Dr. Smith, and the family says goodbye to a beloved family member.

Icing on the Cake

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.

Greatest Thing Since Sliced Bread

After doing the unthinkable, Tammy tells Dr. Smith that she met her weight goal and, later, gives her family big news. Chris serves up an unusual main course at a family gathering. The family worries when Amy's C-section takes much longer than expected.

A Lot of Cooks in the Kitchen

Amy reels from giving birth and finding out Michael has COVID-19. After 20 years, Chris gets back on the horse -- both figuratively and literally. Tammy is almost at the finish line for surgery approval but worries she won't pass her final assessments.

Proof Is in the Pudding

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.

Forbidden Fruit

Tammy wants to come home, but a setback causes a major blowup between her and the family. Then, when a new man enters Tammy's life, all bets are off. Meanwhile, Amy feels the stress of motherhood, and Amanda contemplates a new chapter.

Walkin' on Eggshells

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, and the family wonders if there's another reason Tammy is rushing down the aisle.

Apple of My Eye

It's Tammy's wedding day! Amanda and Misty arrive and 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.

Bringing Home the Bacon

As Tammy heads home after 14 months in rehab, she's forced to make the most difficult decision of her life. Fed up with not having help, Amy feels her marriage is starting to unravel. Amanda and Misty reveal they're getting bariatric surgery.

Fork You! I'm Done!

Tammy hosts a housewarming party and has a few choice words for her mom. Amy's world is turned upside down when she finally confronts Michael over his lack of help with raising their two boys. Meanwhile, Caleb hasn't been honest with Tammy.

Well-Done and Over With

After the blowout with Michael, Amy decides to make the hardest decision of her life. Chris and Tammy have a long overdue appointment with Dr. Smith. Worried about surgery, Amanda and Misty do a last-minute cleanse to sweat out nicotine.

The Grapes of Wrath

Amanda and Misty get big news and take a major step in their health journey. Amy and Tammy blow off some steam. Amy gets some devastating news from her lawyer that sends her reeling.

The Custard-y Battle

Amy faces Michael in court at their first divorce hearing. Chris finds an unusual way to get healthy food. Tammy explores the possibility of having kids. Later, Tammy heads to rehab for a recon mission after learning some information about Caleb.

Fried, Cried and Tried

Caleb surprises Tammy with a romantic dinner date, but it goes south when Tammy learns what's on the menu. The Slatons attend a Zumba class together, but Amy's lack of self-care leads to a meltdown that has the whole family feeling déjà vu.

Dill With It

The family preps for their very first beach vacation, and Tammy hits some major milestones. While everyone flies, Amy opts for a nine-hour car ride which leaves her and the boys cranky. Then, Chris gives Amy some tough love.

Boiling Point

Amanda reels after leaving dinner. Chris crosses something off his bucket list, and a dolphin tour takes an unexpected detour. Tammy tries to have fun but misses Caleb. Fed up with her siblings critiquing her, Amy reaches her boiling point and explodes.

Sunflower

Amy is ashamed of her behavior in Florida and wants to make amends, but she worries Amanda won't accept her apology. When Tammy gets some devastating news, her whole world is turned upside down, and her family rallies behind her in support.