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The fourth listing image depicts an enema bag.

Have liquid inflations not been implemented yet?

They were prior to the Live2D update, since then we removed them to focus on the inflation model. The difference between water and air used to be a different viewing angle.

I see; is there any intention to bring it back?

At the moment... No not really but I could see it sometime down the line

Very good; I also noticed that the calories of consumables were listed and explained in the tutorial, but nothing happens when you go over the character's daily allowance.

Have weight changes not been implemented?

For amber yes but you have to make her gain around 20 lbs. Every time you you go a calorie over the limit that's equal to about 0.045lbs so try to get as much as you can.

(+1)

I just checked that out.

I had to take her from 150lbs to 200lbs before her model changed. 

Is that her final stage or is there more if I keep going?

that will not be her final stage in the future but it's her final stage for this update yes.