My understanding is as follows: Something will only manifest if you believe it can. This is why most people will not be able to successfully manifest an ability to fly. No matter how much they want it, and how clearly they visualize it, and how carefully they word their intention, in the back of their minds they will still "know" that people cannot fly. Similarly, I bet you believe on some or all levels that hands do not regenerate or otherwise reappear. Because of this, you will not be able to manifest it.
Even for attainable goals, the first step is to fully believe that it can happen, and that you deserve it. Until that barrier is overcome, none of the rest of the I-M model will be able to help.
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