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ALS, or Amyotrophic Lateral Sclerosis, is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. It leads to loss of muscle control and, eventually, paralysis. ALS is commonly known as Lou Gehrig's disease, named after the famous baseball player who was diagnosed with it. ALS-NELLA.-.ALS.SCAN.DVD.51.-.LIV.-.LESBIAN.-.FIST

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Fisting, or fist sex, involves inserting a lubricated fist into the vagina (for a person with a vagina) or anus (for a person with a rectum). It's a practice that requires significant trust, communication, and caution to avoid injury. ALS is commonly known as Lou Gehrig's disease,