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The hard starting problems of diesel engines in below zero / freezing temperatures originate from two factors. One is the original cold air being drawn in to the turbocharger and compressed in to the engine?s cylinder head. The second is the fuel itself, can also be cold which sub zero / freezing temperature fuel is sprayed in to the cold engine?s combustion chamber, where it mixes using the cold air drawn thru turbocharger. If you are not in great shape to begin with, it isn't recommended you try this system because of a greater injury risk. If you still have considered trying it, it's recommended that you enter a good shape in advance. This can be easily accomplished by performing exercises on a regular basis and simply being consistent. People with an anxiety disorder often have co-occurring mental health problems, such as depression, and this can increase serious risks like suicide. Often severe anxiety disorder symptoms and panic attacks are a warning sign and increase the risk of suicide.