Taylor Swift spoke to Great American Country regarding this song about a friend who suffered from anorexia: "I wrote the song 'Tied Together With a Smile' the day after I found out that one of my best friends who, a little back story on her, she's gorgeous. All the guys want to date her and all the girls want to be her. She is literally a pageant queen. I wrote this song the day I found out that she was bulimic and, you know, that is one of those moments when your heart kinda stops. How can somebody that seems so strong have such a horrible, horrible weakness? Something that is killing her. Luckily, I have talked to her about it and she has gotten help and she is fine now."
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