We don't know because it was subtle changes over a long period of time. I don't know about you but the time I spend looking at myself in the mirror has been decreasing over time. Consider this a gift, you never have to look or feel that way about yourself ever again, not if you don't want to! (ouch, I felt that coming right back at me. We all can learn from looking at ourselves for a little longer more often. Time for me to get real too!!)
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