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Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, et al

So with the rise of really, really pure methamphetamine, basically available everywhere in the western US, its become a natural thing for people to use that to offset the negative aspects of fentanyl. While its still an open question whether mixing meth with fentanyl use is more deadly in the short term, the fact that people are combining the drugs raises a host of thorny problems for healthcare providers

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