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How did it start?
How was Karlie corrupted into what she was?
Some gentle coercion tends to do the trick...
After being stuffed up with a huge plug she pulled from a dumpster, Karlie finally managed to remove it after two weeks - resulting in a viciously gaped hole and a deluge of backed up diarrhoea that didn't seem to want to stop.
look, if you live in a sewer and subsist entirely off other people's waste, You're not gonna have the healthiest digestion.