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"etins (2023, 2025) describe how the *combination* of (a) sedative adulterants resistant to naloxone, (b) xylazine wounds, (c) methamphetamine co-use displacing cocaine, and (d) housing precarity has created a clinical picture distinct from the heroin era."

From The Fentanyl Crisis Research Synthesis: Sharpest Evidence for a Long-Form Hamilton/Ontario Essay

Supports Neutral fact · The combination of sedative adulterants resistant to naloxone, xylazine wounds, methamphetamine co-use displacing cocaine, and housing precarity has created a clinical picture distinct from the heroin era.

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Byte offset 0 · length 255 bytes

Extracted 22 July 2026

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