I feel like he needs to lube up the dildo more, looks like he struggles a little to slide it in. Also some shots of bussy with no plug in would be nice
he has clubbed fingers and toes, you can google to see what that means thought the pictures on google are a bit more extreme than what he has going on... but his are still not that great to look at imo
I remember reading once that sometimes he almost fainted when cumming. Allegedly he was on a diet that allowed him to keep the feminine body but weakened his health. If this is true, might be related.
He used to have Acute Kidney Failure before
Post it on his old personal Facebook account but i think he recovery from it
His nail i think he just has some bad fingerpaint on it