On the season finale of "1000-Lb. Sisters," Tammy Slaton, a 38-year-old woman, embarked on a journey with her sisters Misty and Amy to seek approval for extensive skin removal surgery. After being turned down by her previous surgeon due to the complexity of her case, Tammy visited Dr. Peter Rubin in Pennsylvania. Despite initial excitement over getting approved for surgery on her lower stomach and chin, Tammy faced an unexpected hurdle: her vaping habit. Dr. Rubin emphasized the need for Tammy to quit vaping and improve her protein levels before proceeding with the surgery.

The Struggle for Approval

Tammy's determination to undergo skin removal surgery was met with several challenges. Her first surgeon had declined to handle her extensive case, leading her to consult Dr. Peter Rubin. The new doctor agreed to perform surgery on specific areas but highlighted the necessity of addressing her health issues first. Tammy expressed her desire to transform her life through this procedure, aiming to walk more comfortably and even pursue modeling. However, her secret vaping habit became a significant obstacle.

Dr. Rubin explained that nicotine use could severely impact wound healing and increase the risk of infections post-surgery. He advised Tammy to stop vaping entirely and focus on improving her nutritional status. This revelation left Tammy feeling frustrated and conflicted. Her sisters, especially Amy, acknowledged the difficulty Tammy would face in quitting vaping, as it had become a crutch for her anxiety. The reality star admitted that she vaped multiple times daily, even during the night, which underscored the depth of her dependency.

Facing the Reality of Addiction

Tammy's vaping habit has evolved into a significant addiction, complicating her path toward surgery. Recognizing the importance of quitting, Dr. Rubin gave Tammy a clear timeline of two months to address her health concerns. The process involves not only stopping nicotine use but also boosting her protein levels. This dual challenge requires immense willpower and support from her family. Tammy's reaction to this news was emotional, showcasing the internal struggle she faces.

Amy shared her concerns about Tammy's transition from food addiction to vaping, noting how difficult it would be for her sister to break free from this new habit. During a candid moment with the show's producers, Tammy expressed her frustration and reluctance to discuss vaping, indicating her deep-seated resistance. Behind the scenes, she was heard using her vape again, highlighting the ongoing battle she must wage against her addiction. Despite these setbacks, Tammy remains hopeful about transforming her life and achieving her goals once she overcomes this critical hurdle.