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I'll stand by this no matter what: Unless you have some sort of disability, grunting (especially excessively) is unnecessary. It's embarrassing and distracting.
Heavy breathing is the most you need, and that can be done quietly.
I'm not sure about this particular case. He said he was breathing heavily, but grunting is a pretty obvious thing comparatively.
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Knowing that death is certain and that the time of death is uncertain, what's the most important thing?
—Bhikkhuni Pema Chödrön
Humankind cannot bear very much reality.
—From "Burnt Norton," Four Quartets (1936), T. S. Eliot
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