score_9, score_8_up, score_7_up, masterpiece, best quality, 2d anime, source_anime, BREAK, KayamaAyumi, 1girl, mature female, long hair, black hair, ahoge, violet eyes, black thighhighs, lab coat, brown sweater, garter straps, belt, breasts, curvy, looking at the viewer, blush, smiling, stethoscope, listening to the viewer's chest with the stethoscope, from above, pov, dutch angle, school doctor's office, <lora:KayamaAyumi:0.85><lora:Expressive_H:1>
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score_6_down, score_5_down, score_4_down, 3d, realistic, worst quality, low quality, bad quality, lowres, extra digits, 6 fingers, flat color, sketch, lineart, text, japanese text, kanji, english text, muscular, jpeg artifacts, child, underbust, merged bodies,motion, toilet, merged clothing, sitting,bed, motion blur, grabbing another's hand,bad anatomy, blowjob, sitting, deformed hand, earrings, sweat, necklace
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