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I always go out alone in public but still get anxious sometimes. The only time I get anxious is when I start to think people are looking at me. Otherwise I am pretty comfortable and normal person.
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what do you have to lose you want to keep living in that state until 40 or attempt to change even if it may kill you faster. Just start by reducing food first good luck OP dont give up

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those have tight neck holes looks dorky and uncomfortable just look at the white shirt example