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The details are shown in the CONSORT diagram (Fig. 1) and the patients’ baseline characteristics are detailed in Table 2. Barely out of the starting gates, on the hells of the bloody and genocidal century that preceded it, the 21st century already is a time of war, violence, environmental disasters, and terrorism against human populations, animals and the Earth as a whole. Undoubtedly, the intersectional struggles that animate social and spatial justice approaches for liberation are responding to a catastrophic set of unprecedented economic, social, environmental, and political turmoil that pose a real threat to end the world as we know it (Shannon, 2014). “Central to the process was the banning, as anti-social and demonic, of all non-productive, non-procreative forms of female sexuality” (Federici, 2014, pp. 192–194). 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This physiologic reflex has both protective and thermoregulatory functions [ ].Many male patients seeking aesthetic surgery are looking to alter their genitalia for personal, and often sexual enhancements, despite having physiologically normal function. This is followed by a review of the literature surrounding surgical male genital enhancement procedures that include the use of autologous tissue and implants. Dr Kevin Zorn shares the experience of one of his patients in his late 30s with previous childhood hypospadias repair who is beyond happy with his 1.25-inch girth increase, reporting improved sexual confidence and performance and his wife noting the “best orgasms ever” after a decade of marriage. What distinguishes AlphaBites from other male vitality supplements is its commitment to natural ingredients without synthetic additives or harsh chemicals. 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