The comments came during the singer-songwriters appearance on Jameela Jamil's new Instagram show, I Weigh Interviews, in which Smith described body image issues as the basis of all my sadness.

View this post on Instagram In the premier episode of I Weigh Interviews, Jameela Jamil discusses fame, body image and the daily practice of self acceptance with musician Sam Smith. A post shared by I Weigh (@i_weigh) on Mar 15, 2019 at 12:58am PDT

Literally everything Ive ever been sad about is my weight, Smith said. I struggle with it every day.

Smith, 26, shot to fame with his Grammy-winning 2014 debut, In the Lonely Hour, which included hits Stay With Me, Money On My Mind, and Im Not the Only One. The singer has enjoyed continued success, including for his Oscar and Golden Globe winning theme song to Spectre-the 2015 James Bond entry. But he has also been open about his struggles with his body image, noting that he has had difficulty accepting his fluctuating weight throughout his youth and career.

In the interview with Jamil, the actress and body positivity activist, Smith says that he was teased as a child for holding a lot of weight in my chest, and in a particularly horrible incident had his breasts grabbed by another boy on the playground.

I had liposuction. I was 12 years old, Smith said. At the time, I think I was very happy about it. It didnt really change anything. I think I put the weight back on in two weeks because I havent figured out my relationship with food, so it didnt really change anything. But being 12 years old and having liposuction on your chest is quite a big deal.

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While Smith says in the interview that he gets very, very dark sometimes, he told Jamil that has recently been able to get out of those holes a bit quicker-at least in part because he started therapy in the last year.

Smith also opened up in the interview about his non-binary gender identity, telling Jamil that he has considered getting a sex change in the past but that learning more about his genderqueer identity has been revelatory.

Maybe Im not a man, maybe Im not a woman-maybe Im just me, Smith said. And maybe thats okay.