Oops didn't mean to be as elusive about this as I was. I'm always surprised about this but a lot of users have no clue what the fuck they're taking. Then again, they don't care. It could be laced with bleach and they'd still inject it into their veins, but then again, addicts... I've actually had a patient tell me his dealer INSISTED he was selling X after I warned him (the patient) absolutely not to touch the 'new' stuff because it was Y and very very dangerous in terms of overdose risk. Sorry can't be more specific as it would possibly give my location away. (My patients tell me everything in case you're wondering...not sure why)
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From my experience, most people get CLEAN when they go to jail. They look much much better after they've been in jail for a while, off the hard stuff, and stabilized on psych meds. Unfortunately this doesn't tend to last once they're released...
I never minimized the effects of drugs nor said they were 'good/health neutral' (was very careful with my wording in my prev posts); just stating that alcohol and caffeine aren't necessarily unhealthy. Nothing is black and white and it's absolute ridiculous imo to live in absolutes like that. As for hard drugs, I agree there's a high societal burden***, but I'm not one to judge the occasional social user re "health" just like I'm not in a place to judge a poorly managed pt on their lack of health. You only live once, and people have different priorities, so... there's that.
***I should also add there's a huge market for buying/selling presciption drugs; it's not just a problem with the hard stuff you typically think about