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Kratom activates some of the same opioid receptors as traditional opioids, which means it can produce similar effects including dependence and withdrawal
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More than 4 million items of tirzepatide and semaglutide were dispensed on the NHS in England in 2025/2026 1 , while around 2.5 million people each month accessed GLP-1s privately at the end of 2025, according to James Kingsland, chair of the Digital Clinical Excellence (DiCE) network of primary care digital health providers
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