Health, social life and self esteem will suffer wikthout a hygiene routine.
Oral health will suffer if teeth aren't brushed regularly, with mouthwash. Gum disease is also a risk, as well as bad breath. Greasy hair, nasty body odour and body acne can occur without regular showers or baths. Because of your bad hygiene, people will find you less attractive and your social life will suffer - would you want to hang around with somebody who stank? This can lead to a lack of self esteem and even depression.
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