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When taking pictures, he only smiled at the moment he was taking the picture, but as soon as the picture was taken, he frowned again and put his hat on.[58] Considering that Kyle weighs 83 pounds (37.6 kg), he's actually a bit thinner than a fourth grader would be.[59] Kyle, who was shocked to hear this, asked his younger brother Ike to tell him honestly whether he was really ugly, and Ike responded with no comment .[60] Since the paper with the actual rankings was burned, it will never be known, but according to the deleted ending, Cartman is said to be in last place.[61] The Canadians of South Park are separated from their heads and chins, so their heads are shaken every time they speak.[62] For reference, this episode is ranked among the top 10 Except for one person [83] Cartman is Even the namuwiki document says that nine times out of ten it is Cartman

Due to the fact that there are so few cases requiring surgery it makes it difficult to really understand the effectiveness of other treatment strategies