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I wrote this when I was 15-16 maybe and this last week I was checking my old notes from my books and I wanted to recreated my thoughts with some art,,, I first draw it by hand and after, I transferred it to my iPad and ended doing an illustration using an acrylic pencil for the hands and mouth 👄, and last used magazine’s letters to make the quote
So to me this means
“The cause of suffering is desire, attachment and ignorance ... and it can be understood when the desire is not satisfied.”

Thanks for responding and giving some info about how this came together. I think it's cool you made some of your old stuff new again by recreating it. Very creative to use all the different methods to create this outcome. It reminds me of a creepy note a serial killer would leave so they don't get caught. I have always liked the collage letters that don't match. Keep up the creative art and thanks for sharing.