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We now know the full cast of 90 Day Fiance: Happily Ever After? Season 4.

One of the couples returning for this spin-off is Ashley Martson and Jay Smith.

But we don’t have to wait for the (reported) premiere date of April 28 to see how they’re doing.

We also don’t have to rely upon scraps from Instagram.

Ashley has opened up to In Touch Weekly about her health, her marriage, and the major way that one has impacted the other.

Take a look below and see how their marital dynamic has changed since Ashley’s latest surgery.