Fans have been following Tammys ups and downs for years, butTammys weight-loss journeyis heading into brand-new territory.

After facing a string of health issues,Tammy was finally cleared for bariatric surgeryin season 6.

While she made major progress, she also faced some heartbreaking setbacks.

image of 1000-lb sisters Tammy slaton looking worried with a spotlight background

Custom image by Cesar Garcia

Now, she’s at a crossroads, trying to figure out her next move.

Tammy finds it hard to walk because of the skin.

Shes described herself as a daggone penguin.

jasmine alan cumming

Custom image by Cesar García

However, Tammy isdoing nothing to quit her vaping habit.

Reality TV is more popular than ever.

Tammy didnt even tell her doctors about it.

a montage of Amanda Halterman with Amy And Tammy Slaton in the background with question marks

Custom image by Cesar García

She claims to be vaping for anxiety because it calms her down.

I just think shes finding excuses not to quit and hampering her own chances of getting surgery.

Her voice is laced with envy whenever she talks about Amy losing weight.

1000LB sisters TV Poster

Tammy has not really become a better person.

1000-Lb Sistersairs Tuesdays at 9 p.m. EDT on TLC.

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