@mishagrand777: Если хочешь депнуть мне давай, скорей! Ну, а если хватит на додеп то депни всё! Да тут медлить не к чему давай вьебём всё!! Всё окупиться поверь само,собой !!

Sergei_Soprano | 18
Sergei_Soprano | 18
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Sunday 25 May 2025 19:11:54 GMT
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skibidist42_
черемша⁴² :
закинте на додеп пж🙏⬇️
2025-06-16 16:11:41
0
mishagrand777
Sergei_Soprano | 18 :
[фото]
2025-05-28 20:26:41
0
mdseventysix
Димас76 :
Ахахаххахпхахпхпхпхп ,спасибо что сделал это с моим звуком
2025-05-30 08:05:26
3
vitalja_tyrboyob
لنبتتبنبتبمبزبكينثحثغقنثهي٣مث٧ :
тот самый друг за спиной злой математички
2025-06-17 15:59:57
0
gyaddzilla
Godz :
😂
2025-05-26 11:14:45
1
aae272112nx
aae272112nx :
👍👍👍
2025-05-26 09:59:05
1
saataipov
foodboll :
😳
2025-07-13 07:59:23
0
user4667277081197
ева :
😬
2025-07-12 11:22:57
0
user7914966109081
Лідія Мальована :
😂
2025-07-10 10:41:16
0
gleb35493
gleb :
😅
2025-07-02 08:13:21
0
user5056692609148
Назар Іванов :
❤️
2025-07-01 19:30:48
0
ivan_strykhar30
Ivan_Strykhar30 :
🇺🇦🇺🇦🇺🇦
2025-06-27 11:13:24
0
sqqq777
ARM777 :
❤️
2025-06-27 10:44:33
0
mark2410m
Питбайк :
😉😉😉
2025-06-16 20:50:53
0
user1719088256353
Дядя егор :
😁😁😁
2025-06-13 08:56:15
0
dream58337
Ferdinand ll :
👍
2025-06-13 07:26:30
0
hardikgold
Hardik :
😁
2025-06-09 21:17:37
0
user4351256576972
коплю на нож :
🥰
2025-06-09 09:17:36
0
lex.m94
Аlex M :
😂😂😂
2025-06-08 15:25:15
0
user40874605548014
• :
@DaN4ik🥷
2025-06-05 14:25:17
0
tima76340
tima :
😂
2025-05-30 20:31:22
0
mr..puzo
mr. puzo :
❤️❤️❤️
2025-05-30 18:53:47
0
privetxaker
Lonix :
🥰
2025-05-30 14:38:16
0
playcube2223
killer7778 :
😂
2025-05-30 14:20:35
0
e001kx790
E001KX790 :
🥰
2025-05-29 19:17:43
0
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Other Videos

I’m very familiar with gout. But I have never seen Tophi from gout this big.            Long term gout attacks can cause Tophi - hard chalky lumps under the skin. Made of build up Monosodium Urate crystals.                   Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It often comes on suddenly and is extremely painful, most commonly affecting the big toe, but it can affect other joints as well (e.g., ankles, knees, elbows, fingers). 🔍 Causes of Gout 	•	High uric acid levels in the blood (hyperuricemia), which may result from: 	•	Diet high in purines (e.g., red meat, organ meats, seafood, alcohol—especially beer, sugary drinks) 	•	Obesity 	•	Kidney disease 	•	Certain medications (like diuretics) 	•	Genetics ⚠️ Symptoms of Gout 	•	Sudden and intense joint pain 	•	Swelling 	•	Redness and warmth over the affected joint 	•	Limited range of motion 	•	Often begins at night 🧪 Diagnosis 	•	Joint fluid test (to identify uric acid crystals) 	•	Blood test (to measure uric acid levels) 	•	Imaging (X-ray, ultrasound, or dual-energy CT scan) 💊 Treatment Options During an Acute Flare-Up 	•	NSAIDs (e.g., ibuprofen, naproxen) 	•	Colchicine 	•	Corticosteroids (oral or injected) For Long-Term Management 	•	Lifestyle changes (diet, weight loss, hydration) 	•	Urate-lowering therapy (ULT) if attacks are frequent: 	•	Allopurinol 	•	Febuxostat 	•	Probenecid 🍎 Lifestyle & Diet Tips 	•	Limit high-purine foods: red meat, shellfish, liver 	•	Avoid alcohol and sugary soft drinks 	•	Drink plenty of water 	•	Lose excess weight 	•	Exercise regularly, but avoid strenuous activity during flares. #gout #tophi #inflammation #uricacid #healthcareworkers #physicianassociate #signsandsymptoms #scrublife
I’m very familiar with gout. But I have never seen Tophi from gout this big. Long term gout attacks can cause Tophi - hard chalky lumps under the skin. Made of build up Monosodium Urate crystals. Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It often comes on suddenly and is extremely painful, most commonly affecting the big toe, but it can affect other joints as well (e.g., ankles, knees, elbows, fingers). 🔍 Causes of Gout • High uric acid levels in the blood (hyperuricemia), which may result from: • Diet high in purines (e.g., red meat, organ meats, seafood, alcohol—especially beer, sugary drinks) • Obesity • Kidney disease • Certain medications (like diuretics) • Genetics ⚠️ Symptoms of Gout • Sudden and intense joint pain • Swelling • Redness and warmth over the affected joint • Limited range of motion • Often begins at night 🧪 Diagnosis • Joint fluid test (to identify uric acid crystals) • Blood test (to measure uric acid levels) • Imaging (X-ray, ultrasound, or dual-energy CT scan) 💊 Treatment Options During an Acute Flare-Up • NSAIDs (e.g., ibuprofen, naproxen) • Colchicine • Corticosteroids (oral or injected) For Long-Term Management • Lifestyle changes (diet, weight loss, hydration) • Urate-lowering therapy (ULT) if attacks are frequent: • Allopurinol • Febuxostat • Probenecid 🍎 Lifestyle & Diet Tips • Limit high-purine foods: red meat, shellfish, liver • Avoid alcohol and sugary soft drinks • Drink plenty of water • Lose excess weight • Exercise regularly, but avoid strenuous activity during flares. #gout #tophi #inflammation #uricacid #healthcareworkers #physicianassociate #signsandsymptoms #scrublife

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