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No. 1: Detroit, Mich.
It was a tough call, but Detroit took the cake with the most sleepless nights, seventh lowest health and fourth worst fitness rankings in the U.S., plus high pollution (No. 9 in the U.S.) and high stress levels (No. 7). To make matters worse, Detroit and its surrounding area is home to quite a few "ugly" guys -- Jack White, David Spade and Kid Rock to name a few. (Sorry, we know some of you think Kid Rock is sexy but, uh � we just don't.)

To determine who's the ugliest of them all, we looked at many studies and opinion polls on said undesirable qualities, from our own surveys like the Eight Cities with the Ugliest Guys (which considers how much sex the locals might not be having) to sources like Travel and Leisure Magazine, the American Fitness Index, U.S. News and World Report, Sperling's Best Places, Gallup, Men's Health and Forbes.com. We also looked up the birthplaces and residences of the ugliest celebrities named by The Good Surgeon Guide, AOL and by us in our personal list of ugly celeb guys. (To those who say, "but that's just, like, your opinion, man," we say, "okay, celebrities are usually somewhat attractive ... but have you SEEN these people?")

Finally, we compared the results and picked the cities that got the most mentions across the board. Ready for the results? Sit back, relax and see which not-so-hot spots made the list. If you live in one of these towns, you may want to pack your bags, or at least stock up on some quality hair care and skin care products -- stat.
BY CHARLI SCHULER | SHARES
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