MACI Bookout's ex Ryan Edwards criticized her efforts to raise money for her disease Polycystic ovary syndrome, and asked why the cause needs a whole "month of awareness."
The star is very outspoken about the hormonal disorder, as she regularly helps raise money and understanding for the condition.
, 29, spent the majority of tonight's episode telling viewers about PCOS and what they could do to show their support.
She shared: "Every year I bring awareness to polycystic awareness syndrome. In years past I've gone to Washington, D.C. and lobbied for the cause."
The reality star helped to bring recognition by "turning Chattanooga teal" in 2019, and during 2020 the cause sponsored a "personal 5K" to "help end PCOS."
Maci took part in the 5K, which she ran near home with the support of her husband Taylor McKinney and three children Bentley, 12, Jayde, five, and Maverick, four.
Bentley's father, , spoke about the cause later in the episode, as he and his wife Mackenzie discussed Maci's involvement in the run.
"Did you know it's PCOS month?" Mackenzie asked her husband while sitting on the porch.
"Not a clue," he admitted, then asking: "What is PCOS?"
"It's a condition that affects women," Mackenzie explained, as Ryan snarkily replied: "Why does it need a month?"
"I'm just confused on why you have awareness about something that you can't control," he slammed.
"They have like cancer awareness and addiction awareness. It's just so people know what it is," Ryan's wife reasoned.
The mom of three then mentioned the effect of the disease on her own daughter, closing: "That would just be really tough to have to go through that with Stella ya know? I pray that doesn't happen to her."
"That would not be very fun at all," Ryan laughed in retort.
Ryan's sarcastic opinion towards Maci's cause comes as no surprise, as the .
Earlier this week Maci took to Twitter to show her continued distaste for her baby daddy, as Bentley is so wise beyond his years. I love that he has set boundaries and maci and Taylor support him."
She also showed her support for a second Tweet, claiming: "He's deflecting and his wife is in severe denial. His behavior this week, along with Bentley's experience at the party, told the real story. Keep being the kick-ass mom that you are."
Tensions ran high between the co-parents of late, after Bentley decided he didn't want to go to his half-brother Jagger's birthday party which took place at Ryan and Mackenzie's house.
Maci broke the news to Ryan's mom on the phone, who then called the father to explain the decision.
"So mom called and says ," Ryan told Mackenzie in a heated scene.
The controversial father's wife replied that with the situation, and Ryan agreed: "Thanksgiving and Halloween before, now Jagger, she always says yes and we tell the kids he'll be here and they get excited and then the day of she calls and say no.
"Mom's reasoning was the cameras are around and he wouldn't feel comfortable but I think that's just her covering for Maci.
"She doesn't want to make Maci mad in fear of Bentley not being able to come over.
"I know she wants to see Bentley but there comes a time when you can only take so much of Maci's bulls**t."
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, slamming: "I am over it Ryan.
"I am responsible for these kids emotions and feelings and they don't deserve that. It's one thing to be a petty b**ch, fine, but when you're including my kids, that's not okay with me."
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"She's just a spiteful evil b**ch," Ryan replied.