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do everything you can to make yourself as attractive as possible. go to the gym because being skinnyfat is unacceptable from a looks perspective. you, without even noticing, have a fat, bloated face. You show little to no bone structure, you need to lean out. Eat less to lose fat. But why not do it at the same time as you gain muscle? go lift. Skincare is easy, just wash your face and if it's really bad get some creams for the acne like a cleanser. if you have something like cystic acne go to a dermatologist asap to get rid of it. it's death tier. For teeth invest in an orthodontist but be careful they don't fuck your bones in the process. Braces on the maxilla can push it back and make your face look subhuman. In terms of social interaction you just need to shut the fuck up and learn how to mimic the normies, mostly shut the fuck up and stop yourself from autistic outbursts, but you won't be able to keep up a facade of being a normie in a relationship. You also said only 4/10s have shown interest in you. But you're not much better, so don't expect models. date at your level. If you by miracle get a girl that's much better looking than you, she'll always be looking to upgrade, how do you think that'll work out?