To change before you get sick or are in failing health is to admit to yourself that you will not live forever. You and everyone you've ever loved and everyone that has ever been alive will die....and that's a hard little pill of reality to swallow for most people.
Also if you are abusing drugs, alcohol, food, whatever you may not be able to see or understand the damage you are doing to yourself therefore you unknowingly hurt yourself until a doctor says "Stop that"


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