I imagine he doesn't give a damn about Jack's forced grumpy boomer birthday wishes. I made a post here (last year I think?) showing where Garrett had surrounded himself with better and legitimately successful people, including a "REAL Father Figure".
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He did end up at the hospital at some point and admitted he needed to lose weight. He posted some gym pics and seemed to be doing okay. He still needs to lose more weight, but overall he seems successful and happy. He got himself a nice girlfriend, they've been traveling to beautiful beaches together, and Garrett is buying property. So, yeah, I'd say all is well.
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IMO the guy looks like he might be loud and obnoxious and never shut up about weed, but he isn't choking anyone, he can still use both of his arms, his girlfriend looks genuinely happy, and he shares happy experiences from his travels instead of bitching and moaning about prices at Disney World. Garrett is doing well and still gets to smoke weed. That has to chap Jack's ass.