Lyric discussion by cookieman 

What's very dominant in the verse is the repeated playing of a dissonant interval (minor 2nd) that really helps dictate that sad feeling (along with the arrangements, the drums and the everything else, of course).

Anyhow. I tend to disagree that sugar is an alias for cocaine due to the rest of the sentence ("hits her teeth") and the fact that Ryan most often refers to drugs more explicitly - but it may very well be, it's not as if Ryan Adams isn't known to use alcohol and drugs...

What stick out the most in the lyrics is the emphasis of stasis ("we sleep all day", "slow response", "coma comes" etc.).

Other than that... The general feeling is easy enough to interpret, I think, but the "why", "how" and "with who" are unknown and keeps everything beyond the general feeling a personal matter.

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