Americans think negatively about their bodies four times a day — and it’s quietly reshaping their lives.

That’s according to a new survey conducted by Talker Research on behalf of Eden Health , which revealed the heavy emotional toll body image dissatisfaction continues to take across the U.S. A staggering 69% of respondents said that when they look in the mirror, the first thing they notice is something they want to fix.

In fact, the average respondent said they feel completely uncomfortable in their skin half the time.

Negative self-image appears to influence everything from wardrobe choices to social engagement.

Nearly one in six said they actively avoid social situations due to how they feel in their body (15%), and more than half believe they’d finally get to enjoy clothes if

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