Im a fashionable guy, clean cut, workout, but after my heart surgery in november I couldnt lift so I gained some pounds, often being fashionable is very hard for me , because im tall and its near impossible to find clothes that fit me well. I have to order things online and 1 out of 5 things I get will actually be okay. Staying clean cut is easy, but even when I was in my prime, my face just isnt that attractive.
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Feelings show... Become happy and you will like the way you look a lot better!
And by hurts, i meant actual physical pain... Try fasting, if you have heart issues that will help tremendously!