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Picked this up for free, and I have to say, it's not what I expected from grabbing a ballet manga. There is ballet in it! But for this first volume, at least, the story is less about ballet and more about Subaru's trauma as a young child struggling with the fact that her twin brother is dying from a brain tumor. The anguish she feels, the sheer force of will she uses to pull herself along at points, the absolutely desperate way she dances for her brother - the mangaka draws these like a horror manga. Even though the story hits a couple of cliches from this scenario, the drawings make the emotional beats effective anyway, because the expressions are so evocatively drawn.
n.b. - a black (American military) character appears for a few pages, and in some panels is drawn in a racially stereotypical way.
The language in most of this volume is not that difficult aside from a few medical terms exchanged between the adults, but it does place during Subaru's early childhood. It is a manga for adults, so there is no furigana.