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There are worms without anuses. Imagine existence with single input/output orifice. Yummy! And there is difference in worms with mouth and anus of which develops first. Some worms species begin with an anus first and then add a mouth. This fully explains where assholes come from!
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It's just a metaphor. Almost all organisms stick things in one end and shit them out the other. Life is a disease. There is only one cure: Extinction.