1000-lb Sisters - Season 4

Season 4
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.

Episodes

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; 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 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.

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
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.

A Lot of Cooks in the Kitchen
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.

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; when a new man enters Tammy's life, all bets are off; Amy feels the stress of motherhood; 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; 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 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.
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