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Fisting, also known as hand insertion or fist insertion, is a form of penetrative sex that involves inserting one's hand into a partner's vagina or anus. Like any other sexual activity, it requires communication, consent, and caution to ensure a safe and enjoyable experience for all parties involved.

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ALS, or Amyotrophic Lateral Sclerosis, is a progressive neurological disease that affects nerve cells in the brain and spinal cord. It is also known as Lou Gehrig's disease, named after the famous baseball player who was diagnosed with it in 1939. ALS causes the loss of muscle control and can lead to paralysis, but it does not affect a person's cognitive abilities or sensory perceptions. Fisting, also known as hand insertion or fist