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Rotating injection sites may help avoid scar tissue buildup

Reassess before any escalation: A dose increase should follow a protocol need and a review of prior observations

Opioid receptors cannot tell the difference between opioids that are made naturally by the body, such as endorphins, opioids that are produced by plants, such as heroin from the opium poppy or mitragynine from kratom (opiates), or opioids that are created in a laboratory, such as fentanyl and loperamide (synthetic opioids)

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Mahomoodally MF, Dsir A-LD, Rosette MA-LE