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When I was pre-diabetic and over 200 pounds, about to be on meds, I went on a diet to lose the weight. No more threat of diabetes, no eating crap and insane portions, lost 70 pounds. And it was with a diet soda every day. I don't think it's the worst of the worst.
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That's me right now. My goal is a 7. I can get my 10s and 9s on right now but it's not pretty at all, haha.