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In this article, we present 4 cases from our medical practice to increase awareness of the role of sweet tea in obesity and diabetes management. We start with a history of Southern-style “sweet tea” and discuss the importance of screening for beverage intake in the clinical setting. We note the associations between sugar-sweetened beverage intake and weight that we often see in our clinics. Then we discuss resistance to changing a “sweet tea habit.” Finally, we sound an alert about the spread of sweet tea to other parts of the country. The cases we present are not atypical for clinical populations.