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Maintenance After Losing 126lbs: What Nobody Tells You (with Rue Ndabalime & Emma Cottey)

SEASON 1 · EPISODE 10

 

With Rue Ndabalime & Emma Cottey  ·  4 Nov 2025  ·  27 min

Maintenance After Losing 126lbs: What Nobody Tells You - This Is My Journey podcast episode artwork
Maintenance After Losing 126lbs: What Nobody Tells YouThis Is My Journey
00:00 / 01:04

SHOW NOTES

 

My doctor told me I might not make forty.

 

Fifteen months later I was a hundred and twenty six pounds down, fifty seven kilograms, from twenty three point four stone to fourteen point seven stone. That is the part people clap for. Here is the part nobody films. In the SURMOUNT-4 withdrawal trial, eighty two per cent of the people who came off tirzepatide regained more than a quarter of what they had lost inside a year. So the clapping stops, the real work starts, and nobody asks how it is going.

 

In this episode I'm joined by Rue Ndabalime and Emma Cottey, two friends from the online GLP-1 community. Neither of them is a clinician. Both speak from their own lived experience of the same treatment. I hand them the microphone and they ask me what I usually ask everyone else.

 

We talk about the conversation that started it, my doctor's frank warning about my liver, blood pressure and cholesterol after Slimming World, Weight Watchers and years of trying everything else, how I sourced it, seeing Mounjaro on TikTok and realising my worry was never the needle but where to get it, why I started with Boots and why I now tell people to do the research, check the provider is registered with the General Pharmaceutical Council and stay away from the black market, the first four weeks of prioritised protein, three litres of water a day, movement and a calorie deficit, the headaches and the occasional nausea, why I put the easy start down to groundwork, not luck, the myth of the quick fix and why the injection is only half the story, the people I see getting no results who are usually skipping the eating, hydration and exercise, the non scale victories, the work trousers that suddenly fitted, the jawline I spotted months after the scales had already moved and why the mirror is the last to catch up, the mental side nobody warns you about, why sixteen months on I still see the person I used to be looking back at me, how the medication changed my body faster than my brain could keep pace, why you work on your mental health as hard as the physical, what maintenance actually is given I am still on the medication and have not come off it, why holding one exact number forever is unrealistic, why fluctuation is normal and why the job is checking in and correcting rather than obsessing, and my one regret, not enjoying losing the pounds more while it was happening. If you are close to your goal, in maintenance, or you have lost the pounds and still do not recognise the person in the mirror, this one is for you.

 

 

SOURCES REFERENCED IN THIS EPISODE

 

Post hoc analysis of the SURMOUNT-4 tirzepatide withdrawal trial. JAMA Internal Medicine, November 2025. 82 per cent of participants who came off tirzepatide regained more than a quarter of the weight they had lost within one year.

 

 

ABOUT THE GUEST

 

Rue Ndabalime & Emma Cottey

 

Rue Ndabalime and Emma Cottey are two friends from the online GLP-1 community. Neither of them is a clinician, and both speak from their own lived experience of the same treatment. In this episode they take the microphone and put the questions to Marc about his own journey and life in maintenance.

 

 

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FULL TRANSCRIPT

 

So today on This Is My Journey, we're turning the microphone around. I'm not just hosting, I am sharing my story. So in the UK, we know that these medications, the likes of GLP-1s, are more than a quick fix. And studies show that when people do stop their treatment, much of the weight they have lost can come back. And, you know, while reaching target is such an incredible milestone, staying there and building a life you love afterwards is... is where so many people struggle. And for me, I used to weigh 23.4 stone, which is roughly around 149 kilograms. On my journey, I've now managed to drop 126lbs, which is equivalent to 57 kilograms, which makes me now 14.7 stone, 93 kilograms, which is crazy to think. But now I'm in maintenance with my GLP-1, and I want to talk about what really happens next on this journey. So the real journey doesn't just stop when you hit your goal. It essentially evolves, and I've invited two of my friends, Emma and Roo, to ask the questions that I get asked all the time, but never really have the chance to answer. So if you're on a GLP-1, or you're just thinking about it, or you're wondering how to live well after that major change, well, this episode is the episode for you. So let's get into it, and I'll hand the ratings over to my friends, Emma and Roo. Welcome to This Is My Journey, the podcast where real people share real stories of transformation, resilience, and growth. I'm Marc and after navigating my own path through major lifestyle change, I created this space to open up honest conversations around identity, mindset and what it really takes to evolve. So along the way, we'll also hear from professionals, you know, from pharmacists to psychologists and fitness experts who help us make sense of the science and support behind these journeys. So whether you're just starting out deep in the process or you're finding your footing after big change, you are not alone. This is your place. This is my journey. Let's walk it together. Welcome back to This Is My Journey. And today's episode is a little bit different because the person sitting across from us, the one who usually asks all the questions, is the one answering them.

 

Well, you've had bits and pieces about Marc's story before the weight loss, the mindset shifts, the ups and downs of your feet. But today, we're digging deeper. So Marc has been on this journey now for over a year. He has lost an incredible 57 kilograms or 126lbs, transformed his health and built a platform of social media of over 300,000 followers and helped thousands of people feel less alone on this journey. But what does life really look like after that kind of transformation? So we're going to talk about what led him to start GLP, the highs and lows along the way, what maintenance really feels like and how learning to live in his new body physically, mentally and emotionally. Marc, we are so proud of you, honestly. From me and Ru, I know we are so proud of you every single day. And it's about time that you tell your full story. So let's start at the beginning. What was the moment that made you say, enough is enough, I need to change my life? Well, thank you so much, guys, for doing this. I really appreciate it. It's lovely to have my friends interview me. So yeah, initially, some people might know, some people might not know. But my doctor told me about two years ago now that I might not make 40. So I... Really had a lot of health issues. I had problems with my liver, my high blood pressure, cholesterol. Just health was deteriorating. And yeah, I just had a very frank conversation with my doctor. He told me I might not live to C40. It was literally that frank. And yeah, from that moment then, I really just, tried to look at ways that I could try and get myself back on some sort of healthy road. And, you know, I did a lot of research and I tried countless different things, you know, Slimming World, Weight Watchers, all that stuff. And yeah, I think it was really, I just really needed some sort of different mechanism or different

 

I don't know, approach to trying to lose weight. I've kind of tried everything. Yeah, it was really just about doing my research, moving forward and seeing if I could lose the weight. And, you know, I'd seen a lot of talk about Zenpik and things like that in terms of celebrities taking it in America. I'd seen that was quite expensive, did not think it like it would be a reality for me, but had seen that Manjaro had come out and I actually seen it first on TikTok. So did a bit of research of like where I could maybe get it in the UK. which led me then to starting my journey with Onaglp1 in August 2024. And kind of the rest is history. So I've been on this journey now, 15 months. And yeah, it's been life changing for me. Oh my goodness. Out of interest, can you remember, who was the first person that you saw talking about it on TikTok? It was actually, well, there was a few different people. So I followed a guy called Josh. So he was the guy that I'd seen doing it. And then there was another girl called Gina. And I watched a lot of her videos. And yeah. And then there was another one called Katie. And between the three of them, I guess they were the three that sort of led me to doing more research. And really I'd seen that they had started to have results. And all very different results in terms of like how long it was, you know, taking them to get to where they were. But yeah, that was sort of the catalyst. Amazing. I know. So obviously that's, that's amazing. Well done for taking that first step. So a lot of people think taking that first step is the hardest part. What was going through your mind when you first decided, you know what, I'm actually going to start a GOP one? Did you have any doubts, any fears? Did you come across any sort of stigma like we've spoken before? Yeah, well, I suppose for me, the biggest thing that I sort of thought about was my where to get it safely. Because for me, you know, I just didn't know that it was possible to get it in the UK. So if I was to get it, I wanted to get it from somewhere that I actually knew. Because I've seen online pharmacies did... you know, deals to be able to get it and things. And, you know, for me, I just didn't have enough information there to be able to make a really informed decision. So I seen that Boots Pharmacy, which we all know did it. And that was where I started my journey. So I started with them.

 

Like everything, cost was a major factor, which led me then. I think once you're on this journey, you do start to see and understand a little bit better and where you can get it and where you can't get it and where is a legitimate provider and stuff. So yeah, that was initially the initial reservations to start. Obviously as well, you know, we all see the stuff about side effects. Side effects is such a massive part of this journey for a lot of people. So for me, it was again about... you know, doing my research and doing it the right way so that I was going to limit the side effects. But yeah, ultimately they were probably the two biggest reservations that I had. Let's talk about those first few weeks as they can be pretty wild. So what were they like for you kind of physically, mentally, emotionally? I would say the first few weeks, definitely the first four weeks are key to really setting yourself up successfully on this journey. And for me, it was all about, you know, prioritizing my protein, making sure my hydration was in, starting to exercise. And yeah, just really looking at my sort of calorie deficit and just really making sure that I was doing it. the best way that I could do it and commit to it as well. Because I think the biggest issue I find with a lot of people that do start this is people maybe that do want that quick fix and, you know, they do it, but don't actually want to do the work either. And there's so much that goes alongside taking these medications that, you know, it's not just you take the medication and it works. There's so much more to it. That would definitely be... the biggest thing, I suppose, at the start of this journey in terms of them first four weeks that I really was conscious that I really wanted to do right. And I have to say, you know, it worked. You know, I suffered very, very limited side effects. I think I had a headache. I know you were always on me because i always say i always had a sore head and you were like what do you mean a sore head and i'm like but what i mean is a headache so you know i had that at the very start but outside of that it was pretty good sometimes a little bit of nausea but i think that's all these are all very common side effects that you get with a lot of you know glp1 medications and even a lot of other medications not just glp1s you know a lot of medications will give nausea and things like that so yeah there are other things you can take to obviously combat them but

 

Yeah, no, I have to say the first four weeks for me were definitely were okay, but it was because I did what I consider the right way. Yeah. We don't. No, definitely. So it's just picking up on that point that you mentioned then, Marc, about all of the additional work that has to go into being on a GLP-1, because there is a bit of an idea, I think, that GLP-1s can be a quick fix. But, you know, as you've just said there and with the things that you share online, there is a lot of work that goes into it. So what have you learned about yourself through this process? I suppose you really have to commit and, you know, people do think it is just take the, take the job and you're all good. But that is only half the story, you know, realistically that helps, but actually you still have to do what you would normally do if you were on any other sort of get fit campaign. That's, that's really about eating healthy and exercising and doing that alongside a calorie deficit essentially to lose the weight. But yeah. I think, you know, people make these mistakes all the time in the sense that they don't do that sort of stuff. But for me, I think the research aspect was such a big part to my knowledge and to my experience. being able to do this the right way and have success on it. And I think a lot of people maybe who are thinking about starting this are on it and they're not maybe getting the results, you know, are potentially not doing it the right way. And I think what my advice there would be, would be to kind of step back. you know, have a look at what you're doing and then maybe do a bit of a reset in the sense of go back to basics, you know, prioritizing your protein, all that sort of stuff. Your hydration, hydration for me was such a big thing. Yeah, like three liters of water. I know we have all said this from time to time. It's like, drink your water, drink your water, drink your water. And it is so true because I definitely find the more I drunk, that's a bit cliche, but the more I shrunk, you know, that's just, you know, that's one of them things. But yeah. Awesome. As your friend would say, drink your water and mind your business, which you have. 100%. Yeah, and you've done very well, to be honest, Marc. And I think it ties nicely with my next question, from what Emma has to say. But obviously, you've started the journey, and you're in there now. You've done a few months, and you're doing protein, you're doing your every other day walks, you're drinking your water and you're minding your own business. But then what was the turning point? Do you know that point when you're like, ah,

 

actually click? When was that for you? And like, when did you actually feel like, okay, I'm in it now. It's working. I'm doing it right. Or something has changed. What was the point? What happened? If you can remember. You know, I think for me, it was definitely, I can remember the first time to look in, well, there's two moments. One was getting into a pair of work trousers was definitely a lot. You know, it was that moment was like, oh, I'm losing weight here. This is working. And, you know, I'd notice things on the scale, but you know yourself when you look in the mirror and you don't actually see any of them changes. Sometimes it's a physical change that you notice first, as in your body with clothes, as opposed to actually seeing the change in the mirror. For me, it was a very long time seeing that change in the mirror. But once I did see it. It came along really, really quickly. It's, you know, I think for me, yeah, definitely the first, the first thing was them work trousers. I bought a pair of trousers, new trousers because I was starting to go down the weight on the scales. And yeah, it was really just a case of it didn't fit me and all of a sudden they did fit me and it was, That was a big moment. I was like, yes, I can remember jumping at the top of the stairs. Like they fit. Even though they weren't that much smaller to what I was getting, but they were smaller. So it was a win. And then, like I say, the next time was probably when I actually noticed it in the mirror and I noticed... that I actually, it was more my jawline. I'd noticed that I had a bit more of a jawline than I had before. It wasn't more, it was less double chin and more jawline. So, so yeah, so that was my next moment. But yeah, I think once you start noticing those moments, then they all start coming thick and fast because, you know, your body is changing. And I think you just got to give yourself grace and time to allow your body to get to that point. That's not, this is not sprint. It's, you know, slow and steady wins the race, as I always say. So yeah, just allow yourself the time to get to them non-scale victory moments where you're like, things are working and you're, you know, you're seeing the changes.

 

That's nice. So I think it's nice for you to be able to acknowledge that it wasn't that quick. And when you started seeing yourself change, it wasn't something you'd wear every day to work, you know. And again, you know, my next question would be, once you see that change, people see the change. How was your support system? Like, how was your support system? Because I know this journey, we've all said it before, it can be lonely. There can be a million of us on this journey, Marc, but you'll feel so lonely while doing it. So for you, I'm wondering, you know, obviously we're your friends and you've got family, but what's kept you grounded? What has your support system been like? Not everybody's lucky, but some of us are lucky to have a support system. So what differences have you made in this whole journey? I suppose for me, like... You know, there's the usual ones, like you just said there, like your friends and family are all, my friends and family have 100% been really, really supportive. I haven't had really any negative thoughts about it or comments about it from friends or family. I think most people, anybody that has had some sort of thought, it's been more out of curiosity of what is this? What does it do? Is it safe? Which obviously I've done my research, I'm able to tell them yes. But yeah, outside of that, I would definitely say, you know, in general, most people have been very, very supportive. I should add that, you know, even in work and things like that, I find people have been very supportive. You do get the old person that maybe is just like disagree with medication in general, I think. Yeah. I think because these are quite new in the sense of the media and out there in the public, I think the media has sort of tainted the view on them a little bit. But, you know, that's all about views as opposed to what they actually do and how much money they're actually going to save the NHS down the line and things like that in terms of, you know, reducing obesity overall. Yeah. Definitely the online community, I have to say, like you guys, like we would never have met, we would never have even spoken or even knew any of us existed if it wasn't for the likes of TikTok or Instagram and things like that. So yeah, like for me, definitely the community online has been incredible. There are.

 

you know, nuances there as well. And some characters that maybe, you know, you wish you maybe hadn't encountered online, but yeah, for the most part, I think the community on there is great. And it's really great for sharing tips. It's really great for just sharing your experiences and also like just documenting your journey in general, because like, that's why I started TikTok in the first place. It was to hold myself accountable for my journey and almost just to treat it as a diary for my journey. my rate loss. So yeah, it's been definitely community wise, but yeah, friends and family have definitely been my rocks through this. And yeah, the added family now that I have in terms of like TikTok and all that there, I never would have anticipated this would have grown into what it has grown into. But yeah, I'm so grateful. And you know, there's nothing more than I love every day seeing people. messaging me or and you guys are the same you know people message us and just thanking you for you know inspiring them to start their journeys and things like that and just I suppose documenting you know your struggles because being that real vulnerable person yeah resonates with people and people appreciate that because that's that's the reality you know when people don't like anything that's sugar-coated it's just give me the real every day Everyday. Thank goodness for TikTok, eh? So, I'm going to go for, I'm after a scoop now for our listeners. So, Marc, let's get to a hard one, shall we? What has been the toughest part of your journey so far? The bit that maybe you're not sharing on your platforms? I would have to say I'm very honest in terms of what I do share, but I think... There's maybe two points to this. One is definitely the mental struggle. People don't talk about this enough. Mental struggle of this journey is very, very real. Just trying to get your head around being the person that you're not anymore is really, really hard. Looking in the mirror and not seeing that. Because you do still see the person that was maybe there before. And it takes a long time for that to shift. And even now, 15, 16 months down the line, I'm still really struggling with that. But, you know, that's the reality of this journey. But like we've just said there before, I think the community on social media and that is really great because...

 

me sticking up a video talking about this and having so many people comment underneath it or DM or whatever and say, I totally get what you're going through. I feel this too. It definitely makes you feel less alone. And, you know, for me, that really brings encouragement and support that maybe other people in your life, friends and family can't actually give you because they don't have that experience. So, so yeah, definitely I would say that is one of the biggest struggles. I think outside of this journey and just documenting it on TikTok and social, it is a struggle. with certain people on social media and stuff as well and just trying to combat the negativity side of it but for the most part it's it is really good but i would say yeah overall in terms of this journey everything has been great but my big lesson would be really work on your mental health just as much as the physical because it is such a shift that you're going to go through in terms of your whole person that you have to work on that whole holistic approach to health and your well-being definitely yeah So just picking up on what you've mentioned there about your mental health. So how has your relationship with your body changed since losing 57 kilograms? Like you mentioned about looking in the mirror and maybe not seeing the new you. So do you ever feel like new you or do you still feel like the same person from last year? No, I think it's a really great question. And it is one, like I say, I'm still working on it every day. I probably will for a long time to come because you guys know as much as I do, you know, when you live in your body for so long and you're a certain size, you know, that's who you see. And when you're not that, definitely, I think because this medication, like for me, this medication changed me, not super fast, but fast enough that my brain couldn't keep up with it. So, you know, I think... It is a hard question to answer, but it's one just that I'm working on every day. And it's, it is a process. I think for anybody that is listening out there, that's going through it, you know, you'll all understand what I mean whenever... I'm hoping that eventually I will come to terms... Not come to terms with it, but more adjust to the fact that it'll not be something that I'm so conscious about all the time. But it is a tough question to answer because it's one that I'm still kind of going through. So it is... It's very real. You're still processing, isn't it? Yeah, still processing. Because, you know, this body is...

 

Essentially, it's a new body. Yes, it is my body, but it's not one that I have ever been used to, how it feels or looks. And don't get me wrong, I love how my new body feels and how it looks. And I want it even to look better than what it looks like, which is why I wanted to work a lot more on my fitness and stuff. But... But yeah, I just think it's, it's, it's always going to be a work in progress. But then, you know, in reality, our bodies are always a work in progress. You know, I think if anybody going to the gym or any, you know, fitness buffs out there, I know, I mean, you, you love your gym, Ru, you do too, in terms of your workouts and stuff. And, you know, I think your, when I'm saying your body is your temple, so you got to worship. Oh yeah. I think your, well, we know you love your body. Your body is a temple. You remind us of it every day, but yes, literally guys, I'm not even joking with you. If you tune into Ru's, Ru's lives, it's like, oh, look at my body. Oh yeah, it's honey. Literally every day. I don't know if you resonate with what I'm saying because you have the body confidence of, I don't know, but yeah. I think that is such a good answer, even though we're saying it's a hard answer, because I think there will be so many listeners at home now resonating with everything that you've said there. I certainly do. Yeah. I know. And I like what you've said, Mac, about that new you. And I think it's taken so long for all of us and you sitting there for us to actually accept that. I think people can accept us out there, but we have to accept ourselves as well. And I think you've done that so incredibly well. And so has Emma, to be honest. So fast forward, Marc, you've done it. 57 kilos. Even saying it sounds like I'm like, come on, friend, take it. You and I was called maintenance mod, right? Yes. You're maintaining and you're moving, you're grooving and you're doing it, honey. So what does maintenance actually look like? And what surprised you the most? Yeah, I suppose for me, maintenance is it's literally just about maintaining. So obviously for me, I'm still on the medication. I have not come off of it as part of my maintenance plan. And yes, I am just.

 

suppose, take it every day as it comes. I'm not trying to obsess too much over the scales. I'm trying to maintain my weight. And the big thing I'm trying to drum into everybody is once you've reached maintenance, it is not about staying that exact weight for the rest of your life. That is never going to happen. That's so unrealistic. You are going to fluctuate. You're going to go lower than that, lower than what your goal weight is. You're going to go higher than what your goal weight is. The key is to always checking in with yourself. If you are going over, that you're maybe doing something to try and bring yourself back down again. So for me, it's definitely, But yeah, I'm just trying maybe now not to be as serious as I maybe would have been on my journey to losing weight. Because now that I'm maintaining, I don't need to lose weight anymore. So that's, you know, talking about that, we're adding in extra calories and things like that. So yeah, maintenance is going well. I've enjoyed my summer and, you know, we're coming up to Christmas now. And that's going to be another challenge in itself. Because as we all know, the drinks, the food, all that stuff. So yeah. So yeah, no maintenance is, it's a different ball game altogether to being on your journey because, you know, you do have a lot more temptations now and things like that. But that's also the beauty of, I suppose, me still taking the medication because I'm still not having that fit noise. And whereas, you know, I maybe would have had a packet of biscuits in one night. You know, now I'm only having one or two, which is, you know, it's a big deal. Amazing. And I think it's so nice that you are here, Marc, and you're at the end, or you've reached where you want to be, and you're maintaining, and you're doing that part of the journey now. But let's say there's Barbara out there, and she's thinking, I need to start. It's my day, and I need to start the research. I need to do something to help myself. What would you tell Barbara? Barbara, if you're listening, listen up. Well, Barbara, Barbara, I hope you're listening. If there's a Barbara right there, let me know. Yeah, I would say if anybody is thinking about starting, key to starting is do your research. If you are going to follow people on social media, You know, make sure you're following the right people. There are so many people out there. It gives a wrong advice, gives, you know, things that you maybe shouldn't do. I have always been a massive advocate of doing things the right way, and I've got the results done at the right way, so there's no need to do things the wrong way. So definitely do your research. You know, if you're going to go with a provider, make sure their provider is GPHC registered because so many fakes and scammers out there that you don't want to get caught up in that black market and

 

Do it the right way in the sense of what I've been saying there. Do your, you know, your healthy eating, prioritizing your protein and all that. Hydration. And the big thing is enjoy it because, you know, this journey is, it can be a long journey and it will be for the rest of your life. So, you know, enjoy losing the weight. That's my biggest regret is not enjoying it fully. And I think if I was to do it again now, it would be completely different in the sense that I would definitely enjoy. the wins that I was having on my journey a lot more. Well, on behalf of Barbara, thank you. And Barbara feels more comfortable now. So go for it, Barbara. You can do it, Barbara. Yes, Barbara, you can do it. So final question, Marc. So what is next for you? And I don't just mean like the platforms, the podcast, but about you as a person. Where do you see your journey and yourself evolving from here? It's such a really hard question to answer, but right now I'm just, like I've just said previously there, I'm enjoying being in my body. A lot of people talk about loose skin and things like that. I've never really had it. I am considering I have a bit of a genetic sort of neck condition in terms of loose skin and stuff in my neck. So I'm talking to maybe someone that can work with that and help me deal with that. that's something that's separate obviously to being on this journey. But yeah, I think for me, that is kind of what's next. You know, I looked at a lot of aesthetic stuff and all, because once you get down to the size you want to be, you kind of want to look your best. So, you know, and I am a massive advocate of As long as you feel your best, do whatever makes you happy. So yeah, for me, it's just about working on my body. And, you know, like I said, I want to look at my fitness a lot more, really start to work on building muscle and toning up and getting the body shape that I actually really want. And yeah, just I'm going to continue doing what I'm doing. I love doing social media stuff. I'm just going to continue doing that because I know so many people now value what we all do. But yeah, who knows what the future goals in terms of things, you know, opportunities hopefully will arise over the next few months, years or whatever. Who knows? But, uh, but yeah, no, for, for the minute and just enjoy life in this new body and mind and enjoy all the new friends and our lovely.

 

outings that we have been getting up to lately and all that there. So, but yeah, on behalf of me, I suppose, just to finish up, thank you so much guys for giving up your time, for asking me the questions because, you know, it's, it's easy me sitting and asking everybody else questions and asking you guys questions, but it's definitely not just as easy answering them all. So I really appreciate you taking the time to answer the questions and yeah, who knows what the future holds for all of us. Just to say thank you, Marc. You know, obviously, yes, we are friends. But I think for me and Emma, for me personally, you have been incredible. The highs and lows, you know, you've been quite an amazing support system and network for me. So keep doing what you're doing. And friend, the sky is the limit. And enjoy that body. Enjoy your body. Yes. Thank you, Marc, for allowing us to ask you the questions, to get our arm back on you and continue being you and being that inspiration to me and Ru and everybody else. Well, thanks so much, guys. Peace out.

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