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Int he same boat mate. I lost 115 pounds after high school and look a hell of a lot better - but I'm still autistic. On the exterior I look like the quintessential frat boy asshole, but I'm still the same insecure fatass in private. I can get a girl home but I can never keep them around. Kinda sucks.
Self confidence is difficult, even if you're good looking and what not. It's all about confidence.