think someone who is addicted to stretching their colon and pushing their guts out needs to be told that they are hurting themselves. The truth is most sex outside of committed, even masturbation which this is, can escalate cause permanent damage. getting a huge rush from this sort of self destruction ending up at the doctor is likely an exciting fantasy that makes them drawn push towards engaging with it. Excited they might permanently cause health problems makes it feel so much more dirty.
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