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Data do not currently show a significant presence of Captagon in Tennessee, but this substance serves as a strong example of the type of threat posed by the combination of high demand for stimulants but a restricted supply of legitimate prescription medications, all in the backdrop of widespread sale of pill-pressed counterfeit drugs

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In tribal communities, Mapacho is used for healing guidance and to bridge the gap between the human and spirit realms, as well as for prayer, medicine, and to honor the spirits of the forest

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First and foremost, we present self-reported changes in substance use, which were assessed retrospectively by survey respondents