In fact, I would say that if you don't start out with a decent amount of self-esteem it's about impossible to build back up.
I guess I'm not a good representative if this is true on average. I'm not experienced enough with psychology/neurology to actually suggest anything. On the other hand I could but it's not that the odds are against me, they're totally unknown to me.
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I think it's generally a good thing to try diet and exercise before having one's manhood removed for a longer life. And according to your data, it wouldn't do most of us much good on account of the fact that a majority, if not all, of the men on this site are already well past puberty. However, this was an interesting journey.