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However, it is important to distinguish between a healthy fetish and a disorder. Research indicates that the vast majority of enthusiasts engage with the fetish without distress. In a survey of over 5,300 Brazilians, while over 60% reported multiple paraphilic fantasies, the rate of clinically significant disorders (those causing harm or distress) was dramatically lower. This highlights that for most, podolatria is simply a part of their sexual identity, not a pathology. As one content creator explained to O Globo , the requests are often "not just about sex, they are sensations, provocations".

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The developers of this dataset (both literal and figurative) have announced a roadmap for 2026. However, it is important to distinguish between a

The steps include: