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After welcoming a baby boy in 2011, the duo announced in August 2013 they were expecting their second child before getting married a few days later. Their second child, a daughter named Jaxie, was born in Febuary 2014. In August 2019, things appeared to be over between the two when Mackenzie announced she was "freshly single." But when Mackenzie turned 25, she revealed a reconciliation between her and Josh. 

In 2021 episodes of Teen Mom OG,  Mackenzie and Josh were still attempting to work on their relationship. But in July 2022, the couple broke up after 12 years together. 

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