Pregnancy (MAIN TROPE) - includes discussion of morning sickness and basic medical procedures; Abortion (brief mention); Childbirth not in hospital (on page); Chronic Illness - Hashimoto's Disease and Polycystic Ovary Syndrome (on page); Body Image Issues (on page); Medical fatphobia (on page); Alcoholic parent/alcoholism (discussed in detail); Alcohol consumption (on page); Vomit (on page); Parental sickness/death (discussed, not shown); Parental abandonment (discussed, not shown); Alzheimer's Disease (discussed, not shown); Troubled parent-child relationship (discussed, not shown); Marijuana Consumption (brief mention); Physical Violence (on page); Past Child Abuse (discussed with detail); Domestic Violence (mentioned, not shown); Ranching Activities; Explicit Sex Scenes including cum play, sex toy use, degradation (mild/moderate), breeding, hand necklace (not breath play)