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The label "extreme" necessitates a discussion on consent and safety. In professional adult entertainment, acts that appear rough or extreme are negotiated beforehand. Performers set strict boundaries, and safety protocols are followed to prevent injury. Ethical production companies prioritize the well-being of their performers, ensuring that the "fantasy" of the video does not compromise the safety of the people involved.

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Individuals who do not identify strictly as male or female. The label "extreme" necessitates a discussion on consent