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UHD 8K, photorealistic, ultra realistic, hyper detailed, extreme focus, beautiful young woman, 19 years old, extremely slim waist, wide hips, large natural breasts, lying on medical exam table, legs lifted and spread in stirrups, cotton hospital gown pulled up, bare bottom exposed, large enema nozzle inserted deep in anus, transparent tube filled with clear fluid, liquid visibly flowing, swollen belly, tense and strained expression, flushed cheeks, sweat on skin, moaning face, wet hair sticking to forehead, gloved hands holding tube and pressing her down, bright clinical lighting, high-detailed skin texture, medical tray with enema bag, clamps, lube, doctor and nurse in background, clean tiled floor, chrome medical equipment, explicit medical fetish scene, <lora:SDXLHighDetail_v6-000005:.9>, <lora:Rawfully Stylish v0.2_epoch_20:1.2>, <lora:bombshell_v2:1.2>, (creampiex-ray effect showing penis ejaculation inside vagina inside body:1.5)