Cannabis News
If Cannabis Use Disorder Is Real, What Does a Healthy Relationship With Marijuana Look Like?
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1 year agoon
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What does a healthy relationship with cannabis look like?
With the recent artice on Cannabis.net titled, “Cannabis Use Disorder Is Now a Real Thing?” getting so many comments and shares, it made me wonder, if too much weed is a disorder, what is a healthy, “thumbs up”, relationship with cannabis look like?
What is the ideal relationship between users and the substances they use? Whenever I hear about “Marijuana Use Disorder” or “the person has an unhealthy relationship to cannabis”, it makes me wonder, “what is a healthy relationship according to science, users, etc?”
What’s the average consumption of cannabis users? Do we have any real world data on that? Compared to the DSM-V, how many average users would be considered “heavy users”?
This is what we’ll explore in today’s article and more, and more importantly, create an accurate depiction of a “healthy” cannabis relationship.
What does the DSM-V say about Marijuana Use Disorder?
In our quest to define a healthy relationship with cannabis, it’s important to consider the perspective of authoritative sources like the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). I personally am not a big fan of the manual, however, I do recognize the need to list and try to define disorders on a psychological and clinical scale. Unfortunately, this is the only manual of the kind. This manual is widely recognized as a comprehensive guide to mental health conditions, providing a standardized framework for diagnosis and classification.
When it comes to cannabis, the DSM-V introduces the concept of “Marijuana Use Disorder.” This term is used to describe a range of behaviors associated with problematic cannabis use, often characterized by impaired control, social impairment, risky use, and withdrawal symptoms when use is reduced or stopped.
The DSM-V categorizes the severity of Marijuana Use Disorder based on the number of symptoms experienced. Mild Marijuana Use Disorder entails experiencing two to three symptoms, while moderate involves four to five symptoms, and severe involves six or more symptoms.
Some of the symptoms listed in the DSM-V include unsuccessful efforts to cut down or control cannabis use, spending a significant amount of time obtaining, using, or recovering from the effects of cannabis, and giving up or reducing important activities due to cannabis use.
It’s important to note that the DSM-V doesn’t necessarily label all cannabis use as problematic. Instead, it focuses on patterns of behavior that may indicate an unhealthy relationship with the substance. Context, frequency, and impact on daily life are key factors considered in assessing whether someone may have Marijuana Use Disorder.
While the DSM-V provides valuable insights, it’s essential to remember that not all cannabis use falls under the category of disorder. A significant portion of users have a healthy relationship with cannabis, using it responsibly and without negative consequences. To truly understand a healthy cannabis relationship, it’s necessary to consider a broader spectrum of factors beyond diagnostic criteria.
Here’s a list of all “problematic behaviors” that if you were to have a majority of them, would classify you as MUD:
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Unsuccessful efforts to cut down or control cannabis use.
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Spending a significant amount of time obtaining, using, or recovering from the effects of cannabis.
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Craving, or a strong desire or urge to use cannabis.
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Failing to fulfill major role obligations at work, school, or home due to cannabis use.
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Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis.
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Giving up or reducing important social, occupational, or recreational activities because of cannabis use.
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Using cannabis in situations where it is physically hazardous.
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Continued cannabis use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by cannabis.
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Tolerance, as defined by either needing markedly increased amounts of cannabis to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount.
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Withdrawal, as manifested by either the characteristic withdrawal syndrome for cannabis or using cannabis (or a closely related substance) to relieve or avoid withdrawal symptoms.
Okay, so now let’s look at what the average consumer consumes.
Average User Consumption
Determining the average amount of cannabis consumed per week can be quite complex due to factors like differing legal regulations, social stigmas, and the varying potencies of products available. However, by analyzing data from various sources, we can gain some insights into the average consumption patterns of cannabis users.
According to surveys conducted in states where cannabis is legal, the average cannabis user consumes around 0.5 to 1 gram per day, which translates to approximately 3.5 to 7 grams per week. This estimation is based on self-reported data and can vary widely among individuals, taking into account factors such as frequency of use, method of consumption, and individual tolerance levels.
Sales data from legal cannabis markets also provides some insights. For instance, in states where cannabis is legal, dispensaries often sell products in measurements of grams or eighths of an ounce (3.5 grams). This suggests that many consumers are purchasing quantities in the range of 3.5 to 7 grams per transaction, which could last them a week or more.
It’s important to note that these statistics can vary based on the individual’s usage habits, whether they are occasional or regular users, and the intended purpose of consumption (recreational or medicinal). Moreover, cultural differences and shifts in attitudes towards cannabis may influence consumption patterns.
As cannabis legalization continues to evolve and more accurate data becomes available, we can expect a clearer picture of average consumption patterns to emerge. Additionally, the increasing availability of lower-dose products, such as edibles with precise THC content, may also impact the way users regulate their consumption.
Either way, we can assume that the average consumer smokes between a half to a full ounce per month.
Heavy Use
According to a recent Huberman Lab Podcast, “heavy marijuana use” is defined as more than twice per week. [Source]
Considering that the average user smokes between 3.5 grams – 7 grams per week, this would mean that the “average cannabis user” is a “heavy cannabis user” according to Huberman. How do I come to this calculation?
Simple really!
Considering that a single joint is about 0.9 grams of cannabis, 3.5 grams would roughly translate to five joints. As an experienced cannabis user, I can tell you that I won’t smoke a full joint in a single session.
This means that my joint lasts maybe the whole day. Using this as a base, we can assume that the average consumer consumes between 5-7 joints per week, or daily. Sometimes twice a day. Sometimes all throughout the day.
The vast majority of consumers then are “heavy consumers”. This is strange to me, because in the same podcast with Huberman, the assumption is that heavy use increases the possibility of schizophrenic or Bi-polar episodes later in life.
But if the vast majority of users are indeed, “heavy users”, shouldn’t we see a similar rise in diagnoses of Bi-Polar Disorder and Schizophrenic disorders?
In order to answer this question, I believe the best bet would be to analyze the data from states such as Colorado or California, compare the pre-legalization data with post-legalization data, remove factors such as “diagnostic techniques and classifications” and how they have changed over the years…and see if there is indeed correlation between cannabis use and these mental health issues.
However, finding this data is complicated. I have looked and there is no clear source on this, which makes me question the validity of the studies that claim that cannabis has an impact on these issues. If they are only using small sample sizes, and not correlating it with the overall statistics within region, I wonder about the accuracies of their assessments.
Irrespective of these issues, from what I had found, there wasn’t a statistically significant increase post legalization.
Do with that what you will.
What does a Healthy Relationship with Cannabis look like?
A healthy relationship with cannabis is characterized by balance, mindfulness, and a conscious understanding of its effects on physical, mental, and emotional well-being. It involves using cannabis as a tool to enhance certain aspects of life rather than as a means of escaping or numbing challenges. Here’s what a healthy relationship with cannabis may look like:
Moderation: A key element is using cannabis in moderation. This means avoiding excessive consumption that could lead to impairment, decreased productivity, or negative health effects. Users are conscious of their limits and aim to maintain control over their consumption.
Purposeful Consumption: Individuals with a healthy relationship to cannabis use it with intention. Whether for relaxation, creativity, pain relief, or spiritual exploration, they have a clear purpose for their use and are aware of how it aligns with their goals.
Mindful Awareness: Healthy cannabis users are attuned to the effects it has on their mind and body. They pay attention to how different strains, doses, and consumption methods impact them, making adjustments as needed to achieve the desired outcome.
Open Communication: Users in a healthy relationship with cannabis are open to discussing their usage with friends, family, and healthcare professionals. Of course, sometimes our social situations doesn’t allow for this open communication, however, if cannabis no longer is “taboo”, it becomes more manageable as a behavior. You can give it a “place” in your life.
Maintaining Priorities: Responsibilities and commitments come first. Healthy cannabis users ensure that their cannabis consumption does not interfere with their work, relationships, or daily activities. If you use it for pain management, of course this will mean that you consume prior to activities – but anyone who uses cannabis for pain management knows that the “weed hits differently”. Nonetheless, getting shit done is absolutely key to being a healthy stoner.
Self-Awareness: They have a good understanding of their own tolerance levels and vulnerabilities. This self-awareness enables them to make informed choices about consumption and recognize signs of any negative impact. For example, if you notice you’re smoking more than usual, you may want to stop and consider what’s going on in your life. What is causing additional stress? Dealing with the real issues in your life as opposed to “smoking them under the rug”, is what constitutes a real healthy relationship.
For example, sometimes, I abstain from smoking to recalibrate myself, to test myself, etc…I eliminate cannabis from my daily behavioral activities to see if it has an impact on my psycho-spiritual wellbeing. It’s typically never the cannabis that interferes with my ability to perform, but sometimes cannabis can make it harder to spot the source of origin. A bit of abstinence can help you recalibrate, and once dealt with, you can return to typical consumption patterns.
Avoiding Dependency: Individuals with a healthy cannabis relationship do not rely on it as a sole coping mechanism. They have a range of tools and strategies to manage stress, anxiety, or other challenges. Do yoga, go to the gym, go for walks, etc. Don’t just have cannabis as your means of escape, have natural ways to do it. I use breathwork, meditation, and exercise as key factors to keep me balanced.
Respect for Others: Healthy users are considerate of those around them. They avoid imposing their cannabis use on others and respect non-users’ preferences and boundaries. This is just basic manners, if you don’t know how to behave with your substance…you’re an idiot. Cannabis users that “don’t give a fuck”, are the ones that give the art of consumption a bad name.
Some people don’t like weed, if you can’t “not smoke” for a few hours or days because of them, then you have become dependent on weed.
The Sticky Bottom Line
The biggest problem with academia telling users “what good use” is, is that the majority of them have no idea about what it means to be a regular user. They take sample groups, compare data, make conclusions.
This is nice for certain things, but for example, not understanding that the majority of users consume roughly a half ounce to a full ounce a month, meaning they consume more than what is considered “heavy”, is a blindness academia cannot comprehend.
Heavy use for them is twice a week. A regular user says, “I smoke daily!” and they do not have a problem with cannabis. This is why I wrote this article, to show you that there are ways to smoke “heavily” and still remain in a healthy relationship with the plant.
Hopefully, this gave you some perspective.
CANNABIS USE DISORDER IS WHAT, AGAIN? READ ON…
CANNABIS USE DISORDER IS A REAL THING, SAY WHAT?
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Webinar Replay: Post-Election Cannabis Wrap – Smoke ’em if You’ve Got ’em
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November 13, 2024By
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On Thursday, November 7th, Vince Sliwoski, Aaron Pelley and Fred Rocafort held a post election discussion “Post-Election Cannabis Wrap – Smoke ’em if You’ve Got ’em”. Watch the replay!
Key Takeaways from the “Smoke ’em if You’ve Got ’em – 2024 Post Election Cannabis Wrap” Webinar:
- Panelists:
- Vince Sliwoski: Oregon Business lawyer specializing in cannabis and commercial real estate.
- Aaron Pelley: Experienced in cannabis law since Washington’s legalization in 2012.
- Fred Rocafort: Trademark attorney working closely with the cannabis team.
- Election Results Overview:
- Most 2024 cannabis ballot measures did not pass.
- Florida, South Dakota, and North Dakota saw failures.
- Nebraska became the 39th state to legalize cannabis for medical use when it passed two cannabis initiatives, Initiatives 437 and 438.
- Federal and State-Level Developments:
- Medical use is currently legal in 38 states, and 24 states allow recreational use.
- Republican support for marijuana legalization is growing.
- Federal Policy Implications:
- Schedule III Rescheduling: The process to move cannabis to Schedule III is ongoing, which could significantly impact the industry.
- Importance of Federal Appointments: The future of cannabis policy depends heavily on who is appointed to key positions in the administration.
- International and Domestic Trade:
- Schedule III status could ease import/export restrictions on cannabis.
- Unified control of House, Senate, and presidency might expedite legislative progress.
- Economic and Industry Impact:
- Cannabis stocks experienced volatility post-election, reflecting investor uncertainty.
- Federal legalization and banking reforms are crucial for industry stability and growth.
- Future Outlook:
- The potential for federal rescheduling remains strong, with hearings scheduled for early 2025.
- State-level initiatives and regulatory developments will continue to shape the industry.
“How Long Does One Puff of Weed Stay in Your System?”… This topic can be difficult to answer since it is dependent on elements such as the size of the hit and what constitutes a “one hit.” If you take a large bong pull then cough, it might linger in your system for 5-7 days. A moderate dose from a joint can last 3-5 days, whereas a few hits from a vaporizer may last 1-3 days.
The length of time that marijuana stays in the body varies based on a number of factors, including metabolism, THC levels, frequency of use, and hydration.
Delta-9-tetrahydrocannabinol, or THC, is the primary psychoactive component of cannabis. THC and its metabolites, which remain in your body long after the effects have subsided, are detected by drug tests.
Since these metabolites are fat-soluble, they cling to bodily fat molecules. They could thus take a while to fully pass through your system, particularly if your body fat percentage is higher.
THC is absorbed by tissues and organs (including the brain, heart, and fat) and converted by the liver into chemicals such as 11-hydroxy-THC and carboxy-THC. Cannabis is eliminated in feces at a rate of around 65%, while urine accounts for 20%. The leftover amount might be kept within the body.
THC deposited in bodily tissues ultimately re-enters the circulation and is processed by the liver. For frequent users, THC accumulates in fatty tissues quicker than it can be removed, thus it may be detectable in drug tests for days or weeks following consumption.
The detection time varies according to the amount and frequency of cannabis usage. Higher dosages and regular usage result in longer detection times.
The type of drug test also affects detection windows. Blood and saliva tests typically detect cannabis metabolites for shorter periods, while urine and hair samples can reveal use for weeks or even months. In some cases, hair tests have detected cannabis use over 90 days after consumption.
Detection Windows for Various Cannabis Drug Tests
Urine Tests
Among all drug tests, urine testing is the most commonly used method for screening for drug use in an individual.
Detection times vary, but a 2017 review suggests the following windows for cannabis in urine after last use:
– Single-use (e.g., one joint): up to 3 days
– Moderate use (around 4 times a week): 5–7 days
– Chronic use (daily): 10–15 days
– Chronic heavy use (multiple times daily): over 30 days
Blood Tests
Blood tests generally detect recent cannabis use, typically within 2–12 hours after consumption. However, in cases of heavy use, cannabis has been detected up to 30 days later. Chronic heavy use can extend the detection period in the bloodstream.
Saliva Tests
THC can enter saliva through secondhand cannabis smoke, but THC metabolites are only present if you’ve personally smoked or ingested cannabis.
Saliva testing has a short detection window and can sometimes identify cannabis use on the same day. A 2020 review found that THC was detectable in the saliva of frequent users for up to 72 hours after use, and it may remain in saliva longer than in blood following recent use.
In areas where cannabis is illegal, saliva testing is often used for roadside screenings.
Hair Tests
Hair follicle tests can detect cannabis use for up to 90 days. After use, cannabinoids reach the hair follicles through small blood vessels and from sebum and sweat surrounding the hair.
Hair grows at approximately 0.5 inches per month, so a 1.5-inch segment of hair close to the scalp can reveal cannabis use over the past three months.
Factors Affecting THC and Metabolite Retention
The length of time THC and its metabolites stay in your system depends on various factors. Some, like body mass index (BMI) and metabolic rate, relate to individual body processing, not the drug itself.
Other factors are specific to cannabis use, including:
– Dosage: How much you consume
– Frequency: How often you use cannabis
– Method of consumption: Smoking, dabbing, edibles, or sublingual
– THC potency: Higher potency can extend detection time
Higher doses and more frequent use generally extend THC retention. Cannabis consumed orally may remain in the system slightly longer than smoked cannabis, and stronger cannabis strains, higher in THC, may also stay detectable for a longer period.
How Quickly Do the Effects of Cannabis Set In?
When smoking cannabis, effects appear almost immediately, while ingested cannabis may take 1–3 hours to peak.
The psychoactive component THC produces a “high” with common effects such as:
– Altered senses, including perception of time
– Mood changes
– Difficulty with thinking and problem-solving
– Impaired memory
Other short-term effects can include:
– Anxiety and confusion
– Decreased coordination
– Dry mouth and eyes
– Nausea or lightheadedness
– Trouble focusing
– Increased appetite
– Rapid heart rate
– Restlessness and sleepiness
In rare cases, high doses may lead to hallucinations, delusions, or acute psychosis.
Regular cannabis use may have additional mental and physical effects. While research is ongoing, cannabis use may increase the risk of:
– Cognitive issues like memory loss
– Cardiovascular problems including heart disease and stroke
– Respiratory illnesses such as bronchitis or lung infections
– Mood disorders like depression and anxiety
Cannabis use during pregnancy can negatively impact fetal growth and development.
Duration of Effects
Short-term effects generally taper off within 1–3 hours, but for chronic users, some long-term effects may last days, weeks, or even months. Certain effects may even be permanent.
Bottom Line
The amount of time that cannabis remains in your system following a single use varies greatly depending on individual characteristics such as body fat, metabolism, frequency of use, and mode of intake. Frequent users may maintain traces of THC for weeks, whereas infrequent users may test positive for as little as a few days. Hair tests can disclose usage for up to 90 days, while blood and saliva tests identify more recent use. Urine tests are the most popular and have varying detection durations. The duration that THC and its metabolites are detectable will ultimately depend on a number of factors, including dose, strength, and individual body chemistry.
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Is Kratom Addictive? Understanding Dependence, Risks, and Safe Usage
Published
2 days agoon
November 12, 2024By
admin
Is kratom addictive? Discover the potential for dependence on Kratom, the risks involved with its use, and how to approach its consumption responsibly.
From 2011 to 2017, over 1,800 calls to poison centers involved kratom in the U.S. This significant number highlights the concern regarding kratom addiction.
However, without Food and Drug Administration (FDA) oversight, and due to various consumption methods like teas and capsules, there are significant health risks. Safe use of kratom is now in question due to these issues.
Research debates how dependence develops, outlining signs like loss of control and withdrawal symptoms. These signs are seen in regular kratom users. Ironically, some people switch from drugs like heroin to kratom, looking for a legal alternative.
Understanding Kratom: Origins and Prevalence
Kratom comes from the Mitragyna speciosa tree in Southeast Asia. It can act like a stimulant or like opioids, based on how much you take. People use it in different ways, for a small energy boost or stronger effects at higher doses.
The legal status of kratom in the U.S. is complicated and changing. It’s a hot topic because some worry about its misuse. It’s still legal in several states. This shows how different places handle drug rules. The National Institute on Drug Abuse is looking into its medical benefits. But, the FDA hasn’t approved it for medical use yet. The DEA calls it a “drug of concern,” which means policies might change.
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From 2011 to 2017, poison control centers in the U.S. got over 1,800 reports about kratom. This shows it’s widely used and might pose health risks.
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Kratom’s main ingredients bind to opioid receptors very strongly, stronger than morphine even. This fact is key to understanding its effects.
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As more people use kratom, more are reporting serious health problems. These include liver and heart issues, and tough withdrawal symptoms, particularly in those already sick.
The statistics show mounting worries about kratom in the U.S. As its use grows, it’s becoming more important to health policies and laws. What happens next will depend on further research and legal decisions.
Is Kratom Addictive: Investigating the Substance’s Nature
The question of kratom’s addictiveness focuses on how it affects brain receptors and its long-term health implications. The ongoing debate highlights concerns about dependence and the risk of addiction. Scientists are closely looking at these issues.
How Kratom Works in the Brain
Kratom’s main alkaloids, mitragynine and 7-hydroxymitragynine, bind to the brain’s opioid receptors, similar to painkillers and narcotics. This connection suggests a potential risk of dependence. These alkaloids are key to kratom’s pain relief but also point to possible addiction concerns, especially with frequent, high-dose usage.
Patterns and Consequences of Long-term Use
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Using kratom often, especially in large doses, can increase the risk of dependence and intense withdrawal symptoms, similar to opioid withdrawal.
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Although some use it for pain or to improve mood, long-term kratom users might see serious health problems, like liver damage and mental health issues.
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Withdrawal symptoms, including irritability, nausea, and sleep problems, show kratom’s impact on one’s physical and mental health.
Assessment of Addiction Risks
Studies indicate a significant risk of addiction to kratom, especially with high doses or frequent use. Dependence develops as the body gets used to kratom, leading to tolerance and a need for more to feel its effects. Withdrawal symptoms emphasize this risk, as highlighted by health experts.
Physiological Effects: Kratom’s Impact on the Body
There is a lot of debate about the safety and use of kratom. This herbal extract comes from the Mitragyna speciosa plant. It has drawn attention for its possible harmful effects on the body. The FDA has issued many warnings about kratom, raising safety concerns.
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Kratom Adverse Effects: Kratom users have reported side effects like nausea, vomiting, and confusion. More serious issues include high blood pressure and liver damage. These problems highlight the risks of using kratom.
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Herbal Extract Safety: Some kratom products contain heavy metals and pathogens. These can cause severe health issues, including death. This shows the importance of safety in herbal products.
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FDA Warnings and Regulations: The FDA has linked kratom to over 35 deaths and warns against using it. They point out the lack of medical uses and the risk of addiction.
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Physiological Impact: Kratom’s effects depend on the dose and the user’s body. Yet, it can lead to dangerous outcomes like liver damage and seizures.
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Safety Concerns from Authorities: Federal agencies like the DEA are worried about kratom’s safety. Although not a controlled substance, monitoring suggests users should be careful.
Kratom might offer temporary relief for some ailments, but it comes with significant risks. The FDA’s warnings should make people think twice. If considering kratom, it’s crucial to talk to a doctor first. Experts stress the need for safety and caution with herbal extracts.
Conclusion
Kratom’s role in health and regulation is complex, with views and research findings widely varied. Some people use kratom for its claimed health benefits, but it’s a hot topic. Experts advise caution and suggest consulting a doctor before using kratom due to the unclear effects.
Clinical studies using scores like SOWS and COWS haven’t confirmed withdrawal symptoms from kratom. This adds to the debate, especially when some users report withdrawal. This makes kratom a controversial subject among different findings and user experiences.
When it comes to treating opioid addiction, kratom can be both helpful and harmful. Some have used it successfully to fight addiction. Yet, some states have banned it. This highlights the need for regulations and consistent product quality. It also raises questions about kratom’s legal status due to mixed actions by authorities.
The situation shows how complex kratom is in the realm of substance use and law. Without clear evidence supporting either its benefits or risks, it poses a challenge. More research is needed to guide regulations and health advice. For now, anyone thinking of using kratom should be careful, seek medical advice, and keep up with laws and health guidelines.
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