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Adding synthetic opioids to cocaine is especially risky when people using cocaine dont realize it contains this dangerous additive

For some, paying more at the pump is worth the tradeoff if it will reduce the breakdowns in trains and rail switches, which have caused numerous rush hour nightmares at Union Station

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This discussion includes that the long-term safety of NVPs is unknown, that there is a lack of high quality evidence of the health benefit from a tobacco harm reduction approach using NVPs, and that people who use NVPs have an approximately double the risk of relapse to combustible tobacco smoking compared with non-NVP users