Zinc withdrawal reddit. But zinc, I take 50mg/day and am fine.

Zinc withdrawal reddit Also, have you checked your blood pressure? Some of these solutions will make the withdrawal longer because they act on the same system in your brain, so be cautious and do your research before using them! Especially GABA agonists can prolong your withdrawal, things like fasoracetam can help you repair your brain long-term. I have to take DAO enzyme supplement before meals because of my Copper deficiency. Lysine: Good for the nervous system and also very very useful if you’re prone to cold-sores, which are easily triggered in withdrawal. Over time, this can damage the liver and lead to nutrient deficiencies that make the withdrawal and recovery process more difficult. Share your experiences, ask for advice, offer support, and discuss recovery. . Hello fellas'. 1000 mg calcium 2000 mg magnesium 500 zinc (2 tablets) 1800 mg valerian root ( 2 times per day) kava tincture extract ( 4 full droppers 2 times per day) 50 mg benedryl at night (400 mg L-theanine) 6 mg melatonin and a half pint of fuckin jack daniels Drugs targeting GABA are notoriously addictive and abrupt cessation of chronic usage is not advised, often causing severe physical withdrawal symptoms. Christian Goldsmith from Auburn University, Alabama, U. Just wanted to add “500mg at night of NAC and 500mg of NAC in the morning” changed everything for me. I thought it was zinc, but then again, sunscreens with zinc don't break me out. I am sorry I don’t have any ideas other than time except you might stay up on vit b’s and mag, ca+ and zinc supplements. Right after long, continuous usage: which is when I noticed withdrawal effects. I was using it for 4+ years then stopped immediately. Abrupt withdrawal from some GABAergic drugs, such as alcohol or benzodiazepines, can cause seizures or, in the worst case, death. Coffee gave me a short burst of energy which would turn into exhaustion after 2 hours. Posted by u/nowaythisway23 - 2 votes and 4 comments Supporting those that are taking antidepressants for anxiety, depression, OCD, panic disorder, etc. One of the most common side effects during withdrawal is depression. I finished my last tablet on Thursday and my next bottle will arrive in about 3 weeks. Kava, and some others, used in higher amounts for longer durations is ill advized. nih. Dr. It has caffeine so can help to taper but will eventually will be more of a problem than a help. Posted by u/[Deleted Account] - 3 votes and 5 comments Also Take Cal/mag/zinc with vit D Combo pill. I really feel like crap if I’m… Amitriptyline is a known med that can cause long q t wave symptoms. Technically you cannot get withdrawal from vitamins because you don't really develop a dependency on them like you would with addictive drugs. But zinc, I take 50mg/day and am fine. I had moved to Texas, and quickly learned that seasonal allergies are a year-round thing in TX. One report alleged a year recovery time from one high dose of NAC, and another alleged 8 week withdrawal from NAC and not yet full recovery. I will also sometimes just jump up and down in place for about 5-10 minutes and that helps with heavy breathing and palpitations. Please do your research thoroughly. It got rid of my anhedonia, depression, anxiety and what I thought was permanent sexual dysfunction caused by SSRI treatment. gov/31358387/ However it contradicts the AREDS study above, so it’s hard to say if it’s still true zinc has an affect. RDA for men is 11mg. Maybe it helps you to know that it won't last forever and that you will recover from it. Vitamin C. Maybe some of their inactive ingredients is comedogenic for many people. My personal bias because I am still getting over diazepam withdrawal (nearly there but still got sensitive nerves) has been to stick to natural products where possible. Whether a supplement can help you is yet to be determined. Something to consider is that it can be caused by lack of zinc, so eat some eggs or meat and it might go away. Like you, I started experiencing severe memory issues and brain fog when I was daily smoker for coping with severe polyneuropathy pain. Reddit iOS Reddit Android Reddit Premium About Reddit Advertise Blog Zinc Deficiency causes Anhedonia, voluntary Social Withdrawal, and NMDA receptor upregulation Zinc supplements are supportive for wound healing and helping with preventing infection, people who have a zinc deficiency can have slower wound healing and poorer skin and hair conditions, less efficient immune system etc, basically all the things we're trying to combat in tsw. Been taking a zinc and magnesium supplement because it helps with sleep. You are going through withdrawal which takes between 7 days to months for some. Zinc and Magnesium Supplement acts as an NMDA Antagonist, so it will prevent Glutamate levels and calcium levels from jumping as a result of Pregabalin or Gagapentin withdrawal. The half life of antidepressant has little to do with withdrawal or taper. I once had it for around 3 days after going to a party with really loud music. ? Low doses does not promote euphoric effects or hallucinations and has low toxicity, the main compound is acting on nicotine receptors in brain and can supress withdrawal symptoms similar to Wellbutrin (which is also used officially by doctods on nicotine withdrawal) but requires prescription. NAC chelates Zinc and Copper along with other heavy metals, I developed histamine intolerance after using it for a few months. In addition to that, not all of it absorbed. Absolutely depression is linked to inflammation. All of the joint pain disappeared after stopping, but of course TSW emerged. It had the biggest impact on my cognitive functions, such as, brain fog, fatigue, muscle aches, memory issues, being able to instantly think of what I need too or hold that thought/idea without forgetting in 5-seconds while completely unmotivated. I understand alkies tend to be zinc deficient. Then you’ll also have to consider pooping if that stops, depending on how much you smoked. They include 1. In general, however, the acute withdrawal of 2 people with the same history can vary much in intensity. I had a similar experience with zinc picolinate though, it seemed I was getting too much zinc. Kava kava is super bad for your liver, regardless of what part of the plant it is made from. Zinc gluconate has been much more effective for me. In combination with Magnesium, it will eliminate psychosis that will allow the gaba to travel at certain levels. I think it made the healing process longer. Magnesium and zinc are minor tranquilizers, as is niacinamide (it actually mimics the action of valium). In very high doses, zinc can act as an aromatase inhibitor and reduce estrogen Welcome to Quitting Kratom! Our purpose is to give and receive support with QUITTING KRATOM, withdrawal & recovery. Don't promote reckless behavior. It can take months. I saw something called Natural Calm. I didn't taper off so slowly, maybe 2-4 weeks, I didn't know about that 10% rule of thumb. They don’t tell you enough about how hard the withdrawal is though. My symptoms: I had almost every symptom of TSW. Yes, this is true. Zinc in oxide form doesn't bind to the finger structures on the metal-regulatory transcription factor (MTF-1). I took zinc and B6 in relatively normal amounts (30mg zinc bisglycinate + 25mg P5P) and developed zinc-induced copper deficiency and B6 toxicity on blood tests. It works faster and is better absorbed. Take vitamins: B6, zinc, magnesium and fish oil supplements are all shown to help mood. (Over 80%) You can find liquid zinc sulfate on Amazon for like 15-20 bucks. S. Self-administered zinc appears to have caused severe copper deficiency, with secondary anemia and neutropenia. Anyway, what I really wanted to talk about was ZINC. Did anyone experience withdrawal from inositol? I see many articles online which say inositol does not cause withdrawals, but I also see people reporting their own experience with bad anxiety agter stopping. TOGETHER we CAN! Zinc has completely changed my life. I've found that Guarana can help a little. Read up so you understand what might be going on. Zinc is a trace mineral humans need in order to remain healthy. Taking it at night and Nah, cause your mind is no longer dependent on it. I mean there is zero withdrawals I think people think too much or read and being on the withdrawals mentally. I recently came across a article which spoke about zinc deficiency in males suffering from sexual exhaustion. However: The Vitamin D dosage you took was very high, and you may have too high of a blood level. Get app Get the Reddit app 300 mg; potassium, 100 mg; iron, 20 mg; zinc, 20 mg; manganese, 6 mg; copper, 1 mg; chromium, 400 mcg; selenium, 60 mcg; molybdenum, 50 It took like 4-5 months until the emotional instability due to the withdrawal ceased. As for the oozing, I just let it dry. Keep in mind you'll find clinical studies that say it does or doesn't work. I posted the following as a response to a fellow redditor, but felt that it would be beneficial to post it as its own thread so others could perhaps utilize it to help themselves through kratom withdrawal also. ncbi. I found a 2019 article about AREDS2 and zinc. Has anyone used this zinc oxide diaper rash cream for oozing/raw skin? If so, did it help you? Are there any side effects? Thanks! minerals: zinc 20 mg, copper 2 mg (10% of zinc amount to prevent copper depletion, although Cu is an oxidant), selenium 100 mcg endogenous compounds: acetyl-carnitine (ALCAR) 1000 mg, lipoic acid 600 mg, ubiquinol (CoQ10) 100 mg, beta-alanine 1600 mg Zinc can absolutely potentiate kratom! It's one of the BEST potentiators that I've ever used. She’s been in bed for 5 days and can’t seem to function at all. Quarelling with family during work 4. I went through it myself, it took me a good 35 days to be totally itch free. Offering suggestions based on first hand experiences. I think these are safer to consume via whole foods. So I have been having severe eczema for quiet a while. The Essential Toxin: Impact of Zinc on Human Health. I have read here and other websites and some literature referenced around that copper levels may impede zinc absorption. That can take a long time and it's always better to let your body adjust to a gradual reduction. I hope it can help you too! Multivitamin with Zinc, Selen etc. That's the only way to prevent any dangerous side effects. I was battling caffeine addiction and I would go on and off caffeine. Elevated levels of free zinc ions can bind to zinc finger structures of the metal-regulatory transcription factor (MTF)-1, thus inducing the expression of thionein. People were complaining that they gained weight and had acne post-insertion, EVEN THOUGH they hadn't taken hormonal BC prior (so weren't experiencing hormone withdrawal). Corticosteroids can be over prescribed for some inflammatory conditions paradoxically creating more inflammation. Numerous former fappers have sworn it has brought them out of flatline and most are claiming solid morning wood daily. I just recently got my lab work results back and I’m not anemic, my zinc and magnesium levels are “normal” but I’m still feeling really shitty most of the day. A community for those prescribed Lexapro or Cipralex, also known as Escitalopram. Good luck. L-Theanine is a nice gaba supporter. I see a few non-believers commenting here, and I just want to say: CETIRIZINE WITHDRAWAL IS REAL, AND IT IS HELL! I started taking Z about 2 years ago for seasonal allergies (itchy eyes, runny nose, etc). I stopped taking it a month ago because i heard it should be cycled 2 months on and one month off and since i stopped taking it my imune system is so bad, i have been sick 3 times in that one month and now i have A month ago I started supplementing vitamin d and zinc with copper and it completely transformed my life. I came here hoping that someone has experience in withdrawal symptoms of overusing Adderall and what supplements they found helpful in getting the body to feel as close to normal as possible. Zinc: So important for your immune and nervous system, especially with bloody covid. Oysters are particularly good sources of zinc. gov This thread is archived Zinc supplementation of 40mg+ can have a fairly long-lasting impact on your body's ability to absorb copper, there was a study where a woman was using 100mg of zinc a day or something and even after stopping zinc supplementation for a few weeks oral copper supplementation wasn't able to reverse her deficiency and they had to administer it I’ve found that zinc oxide works even better than hydrocortisone at getting rid of erythema. If you really want to take your Zinc game up a notch. All resolved after withdrawal of zinc. Are you supplementing copper and zinc at the same time? Both of these minerals should be taken to prevent mineral imbalance. It is a lot more bioavailable and doesn't cause nausea or copper depletion. Zinc. Apr 10, 2014 ยท 3. Like magnesium, zinc plays hundreds of roles in your body. So, I started taking Z daily. I can apply zinc oxide one day and wake up the next day with perfect skin. Don’t take magnesium without taking zinc, but the mag helps the efficiency of heart and blood flow, which in turn helps ur cardio system and quite possibly those headaches. SSRI withdrawal is a result of your body taking time to readjust to losing serotonin reuptake inhibition. I've taken several other supplements that DID interfere with benzos IMO (vitamin D, quercetin, inositol to name a few), but not zinc. If you take zinc I would recommend doing so in the morning. Long qt is very serious. Zinc is also very important for the functioning of the enzyme, hormone, and immune systems. I am currently on day 6 of Zyrtec withdrawal. The only time I do have serious symptoms is when I try to jump at this point, it worsens my opioid withdrawal which I’m also going through with Sublocade, and it creates a dopamine deficit feeling - lot of yawning, restlessness, etc. Not the worst option to experiment with though, will end up being somewhat similar to ashwagandha even if this parameter fails. I like your post. Get app Get the Get the Reddit app Scan this QR code to download the app now. A gym membership. nlm. I used to exfoliate it every morning and that would make the skin raw and ooze a lot and I kept drying it but it kept oozing. It can help ease the symptoms of withdrawal during detox and improve the chances of a successful recovery. Ideal ratio for zinc and copper should be 8:1 Look up the content of elemental (actual) zinc in whatever product you are taking. TOGETHER we CAN! I have tried going off them twice and end up getting back to them after less then a year. (If it weren't for that, there would basically be not much of a problem). You will need to take b12 or b complex if you take niacinamide. It is supposed to be the best magnesium supplement for anxiety and many other issues. Adding stevia sweetener things to your diet, or increasing sweet foods like little candies helps with the sweet taste withdrawal. Vitamin D3: Essential for overall health. Example: 50mg of Zinc Gluconate is actually 7mg elemental zinc. Serum Magnesium and Zinc are notoriously bad testing procedures (getting zinc status is better done from RBCs, and Magnesium from WBC/RBC/cheek mucosa, but those tests aren't standard of care and are expensive, and not enough clinicians even know about them, or can only be tested by private labs), but assessing Vitamin D status is relatively I am currently on day 6 of Zyrtec withdrawal. Hey guys, I have been no pmo for the better part of 3months but am still in a flatline with absolutely no morning wood. Kratom isn’t an opiod. Based on this, I was wondering if I increase the Oysters (and/or add a Zinc supplement with my dose) and thus potentiate the Vyvanse further, does this mean that having a lower Vyvanse dose with enough Zinc would match the strength/effectiveness of a higher Vyvanse dose but with lower side effects than a higher dose (given that the actual In one little pill (the TSM documentary) they mentioned briefly zinc. Except for tapering, we don't condone any use of Kratom whatsoever. I’ve been using zipzoc / zinc bandages on my arms and hands the last few days (changing the bandages daily and washing my skin before I replace) I had an infection on my arms and hands where I was oozing and crusting over with yellow and cracking skin. You don’t NEED Zyrtec. I'm using the following supplements: 4000iu vitamin d, 1000mg vitamin c, Vitamin b complex, Vitamin b12, Magnesium, Black seed oil. But what you said makes sense. I just want to say: CETIRIZINE WITHDRAWAL IS REAL, AND IT IS HELL! I started taking Z about 2 years ago for seasonal allergies (itchy eyes, runny nose, etc). This combo pill targets the exact things that adderall depletes. It would make me very stressed out all day long but jet I couldn't go without it. I take a liposomal gaba / theanine under the tongue. This is just a longlist! Some members have used various 'nootropics' for Kratom withdrawal. Or check it out in the app stores Thank you for the information. A lot of people say they use sudocream or zinc based creams and that they help. And if your looking for a good taper off opiods and don’t mind benzos I recommend Chlordiazepoxide (Librax) they have Librium and Librax I recommend Librax specifically because it helps relax your stomach so much and stomach is big part of withdrawls and why you feel so sick and shitty. , have discovered that zinc can protect against the superoxide responsible for oxidative stress when taken together with a component found in foodstuffs such as wine, coffee, tea and chocolate. Insomnia 2. Posted by u/julie_anette - 4 votes and 5 comments Zinc oxide 15% cream Has basically completely eliminated any white bumps that I had all over my body and oddly enough gotten rid of my excruciating nerve pain when aleve and Tylenol would just wear off and cause stomach issues for me. It actually went back to almost normal, especially when I applied the oil periodically during the day and also at night. Zinc is an aphrodisiac and Testosterone Booster, but it will only raise testosterone levels if the user is deficient in zinc. The withdrawal effects are severe anxiety and fear, seemingly like most of you who are experiencing them - she stopped cold turkey about two weeks ago rather than weaning off, though she's considering getting back on it to wean off because the symptoms are so bad. You need to taper off your benzo very slowly. Topical Steroid Withdrawal, taking it one week at a time. r/TS_Withdrawal A chip A close button. In our experience, exercise, although perhaps difficult during acute WDs, is the 'best medicine' to help with Kratom withdrawal. I got tinnitus during benzo withdrawal after loud noise exposure that stayed. I suffered 2 weeks of horrific mental sluggishness and lack of motivation before I decided to get back on Piracetam and taper down on a weekly schedule. 326,327 Importantly, zinc may inhibit neuronal NMDA glutamate receptors, which are dysregulated in those with depression, and raise BDNF levels, which can promote neuroplasticity After some research I discovered it was related to my steroid use so I stopped cold turkey. Don’t listen to your doctor who says keep taking it; they are in big pharma’s pockets. Irritation(cause by not being able to sleep) 3. Though for a lot of folks they start getting milder in the 2-4 week range after abstaining. Don't needlessly tell people to do a fast taper. Zinc has a multitude of functions in the body, including reducing oxidative stress, modulating neurotransmitter receptor function, and regulating gene expression. I use Paula's Choice TWENTY PERCENT niacinamide with no issues, but The Ordinary broke me out terrible. Zinc supplementation withdrawal I was taking 33mg of Zinc bisglycinate every day for 2 months reason was to boost testosterone. If I take high dose magnesium glycinate with 400+mg elemental magnesium, I absolutely need to take calcium, but they compete for absorption along with zinc, so I take each an hour or more apart. That’s, of course, for 3 days then the redness starts to comeback, just like the steroid cicle. It can take several months up to a year for the withdrawal to subside. Welcome to Quitting Kratom! Our purpose is to give and receive support with QUITTING KRATOM, withdrawal & recovery. FAU researchers working together with Prof. https://pubmed. Every-time I try to cut down or stop taking it I fall into deepening depression and my fatigue is the worst it’s ever been. I also advice to be careful with loud noises (wear earplugs in loud environments because I believe we are more sensitive to get tinnitus because benzo withdrawal itself can cause tinnitus). If someone is dependent on phenibut don't tell them to do an unaided cold turkey withdrawal. Just off hand I can recall a zinc taste acuity test double blind 300 participant's that also took zinc blood plasma lvls and found the zinc taste test to be pretty damn accurate. During my last withdrawal from meds,my sexual function returned and there are some negative withdrawal effect. And damiana or scull cap help with the mental stimulation, “high”. I hate how much limitations benzo withdrawal has caused in my life. Withdrawal symptoms exist since the THC has such a strong effect on your happy hormones. Please be positive and supportive. What worked for me was diaper/zinc oxide cream during the really bad, cracked, inflamed phases, and then when it got a bit better, The Ordinary's rosehip seed oil. This sub is for offering support, sharing experiences, sharing information, helping people in withdrawal or tapering. It is a GABA antagonist so it may make your symptoms mildly worse but it may also promote healing. 4. Will it help a benzo withdrawal? Who knows. My naturopath has put me on the following to help with restoring oils in the skin barrier, preventing infection and helping with the itching: High dose evening primrose oil, High dose flax seed oil, Zinc, Pellamex - food supplement in the form of a drink that During this time you can experience withdrawal effects. [> If you are feeling suicidal call 1-800-273-8255. Been off 2 months now and felt great when I stopped and even better now. The magic is always: quitting for good. Lobelia helps reduce the physical nicotine withdrawal. Try to stay busy and active. Dosages can vary depending on the kind of zinc and how much elemental zinc you take, the most absorbable forms are zinc picolinate, zinc orotate, and zinc glycinate. Don't take these thoughts too seriously. Try the Sucrosomial Zinc that Nootropics Depot sells. NAC is also processed by the SUOX pathway so proper Molybdenum status is also important when using NAC. Tinnitus can be temporary. (steroid withdrawal begins). Old post i know but for arm reduction i feel like i needed to say that in my case ,one single high dose of lyrica,500/600 mg erased almost all of my symptoms in like 4 hours. Previously, I was never able to take zinc without getting very sick. They will often be paired together. Magnesium zinc and calcium pill is really good for you. Going to get her showered up and refreshed soon. I would not worry about zinc. CETIRIZINE WITHDRAWAL IS REAL, AND IT IS HELL! I started taking Z about 2 years ago for seasonal allergies (itchy eyes, runny nose, etc). Safe space for individuals experiencing withdrawal from substances, and recreational drugs, Whether you're on the path to recovery, seeking advice, or offering support. Also zinc and magnesium will help your thyroid and hormones return to normal function. Mostly it is related to TSW (topical steroid withdrawal), and my skin is far… A recovery-related subreddit for recovering benzodiazepine users. First, I couldn't regulate my body temperature. Hang in there. I'd say be cautious with magnesium because it can help calm the nerves and muscle aches, but it also has the unfortunate side effect of causing diarrhea sometimes. So is vitamin E. Helps nicotine withdrawal in rodents but doesn't have human data on that parameter yet. It shows no correlation with genes and AREDS2 zinc levels. It seems like it is actually helping. Supplement wise though do your magnesium, zinc and keep up the exercise. true. Zinc Deficiency causes Anhedonia, Voluntary Social Withdrawal, and Upregulation of Hippocampal NMDA Receptors, in rats (2015) ncbi. Best to go low and space out zinc, don’t want to mess up zinc/copper ratio. I took Effexor for a year then just stopped and zero withdrawal and felt so much freaking better off it. You do get some zinc from food and yes it's bad to take too much, no disagreement Maintain a steady diet, hydrate a fuck ton, introduce vitamins, exercise exercise exercise, then hydrate more. Nicotine is gone in a couple days, which is the reason you get a buzz every morning cause you're already in withdrawal when you wake up. Eat fermented foods and apple cider vinegar with “the mother” for enzyme and probiotic support. Nutrition plays a critical role in the road to recovery. Magnesium and zinc are both good for helping reduce anxiety. Elemental magnesium even 400mg can cause some deficiencies in other nutrients like calcium and zinc. I am dreading it, but after watching dopesick on Hulu, I want off pharmaceuticals too. Try melatonin for sleep maybe. 5 times i had a withdrawal,on the first one when i was at the worst of it and in despair i gobbed lyrica like candy,and after 2 hours i was so wobbly and jerking but in a Is it possible that I'm suffering from ZMA withdrawal symptoms? I have taken ZMA for over 2 years, 2 tablets every night. Join us in r/Withdrawal for more insights on medication, behavioral, psychological, & media withdrawal. It is being treated with oral antibiotics and obviously covered in zinc bandages now. But in the AREDS and AREDS2 studies, they showed zinc levels as well had no impact. Don't worry about zinc interacting with benzos, that's not going to happen. Without it, you will have maybe 4-6 weeks of this, sometimes longer. Theanine is very safe. After researching, I found anecdotal reports (like 2 or 3) of similar situations happening, with long recovery time, as well as info about NAC potentially being neurotoxic by way of L-Cysteine excitotoxicity. Hey friends, I'm writing on behalf of my non-redditor wife who is having a horrible time getting off Gabapentin. I figured, what’s the harm?! Ugh. You will need to take a small dose of copper if you take 50mg of zinc. Cannabis regulated your moods and without it, you have similar symptoms as caffeine addicts, sugar addicts, and verging on other addictions. No joke, I remember wanting to approach people to tell them that this place, the gym, has been such an important tool. Further reminder: You will feel low or worthless or stupid while going through withdrawal, especially rapid withdrawal. This sub is for those wanting to QUIT FOR GOOD. Filter your water with a highly rated pitcher filter and remineralize it with balanced trace minerals/electrolyte supplement, I use “keto chow”. Minor benzo withdrawal is characterized by tremor, anxiety, nausea, vomiting, and insomnia. sexual Anhedonia Then I randomly started looking for helpful supplements (for depression, anxiety, anhedonia, cognition, brain development etc) and created a stack which 100% (no joke) vanished my withdrawal symptoms and especially the depression and negative thoughts. Double stacking vitamin Pills every day may not harm you, but it could cause metabolic imbalances which lead to a whole host of other problems including renal disorders. Delirium tremens (DTs) is the most severe form of benzo withdrawal, manifested by altered mental status (global confusion) and sympathetic overdrive (autonomic hyperactivity), which can progress to cardiovascular collapse. THAT is the amount of zinc you are actually taking. Opiate withdrawal is a sprint (physically tougher), quitting kratom is not a sprint but a marathon as someone once wrote here. Yes my friend, it’s the big Z withdrawal you are going through. Fairly popular around here but you didn't have much luck with it. Laboratory investigation showed high zinc level, copper deficiency, low ceruloplasmin level, and ringed sideroblasts. Taurine, vitamin C, L-carnitine, L-theanine in the morning and magnesium, zinc, melatonin at night will help. but the classic depression and hopelessness of Gabapentin withdrawal I had in the beginning of the taper is Supporting those that are taking antidepressants for anxiety, depression, OCD, panic disorder, etc. 18 votes, 11 comments. So it is most likely their formulation to blame. We've no opinions on "minimal usage" or usage for pain management, etc. hysw ztsea vtvss gtija owc emeahy kjrx pyqfro ogtlwv iic xuqiihc xenexbd xbpmik pwhpf byw