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When I cast spells, or hold ceremonies- offering or devotional ceremonies- which it seems you are doing, I always do these things in silence without writing or speaking words.
To send out my intent for what I want accomplished- in your case help with your health- I hold my intent in my heart, or feel my intent rather than speak it. This works for me fine.
To feel health and the offering for health- such feeling focuses such as feeling gratitude, love, the healing done already- or holding healing thoughts for others in your heart may help?
Just a suggestion, which you don't have to try if you don't want. A mere consideration.
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