In November 2004, she appeared as a presenter at the American Music Awards and garnered attention because of her strange behavior. During her live appearance, she made cryptic, murmured comments about her body and TrimSpa. This incident became comedic material for the rest of the presenters and became part of the news the next day. Tabloids speculated that she was under the influence of pills or some other controlled substance. Her representatives explained that she was in pain due to a series of grueling work-outs and had difficulty reading the prompter due to being nearsighted and not wearing her contact lenses. After reportedly losing some 80 pounds, Smith returned to her form from the early 1990's.

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