Category Archives: Outpatient Addiction Treatment for Primary Care

Methamphetamine Use May Risk Development of Parkinson’s Disease

March 25, 2015

Methamphetamine Use May Predispose Consumers to Future Development of Parkinson’s Disease

There are several neurodegenerative disorders but it will still not be right for anybody to talk about neurodegenerative disorders without mentioning the Parkinson’s disease. This disorder is the second most common after Alzheimer’s disease and it is affecting approximately ten million people worldwide. The probability of a person suffering from this disease increases with age with most people being diagnosed after the age of 50. Early in the course of the disease, the most obvious symptoms are movement-related. These include shaking, rigidity, slowness of movement, and difficulty with walking and gait. However, the symptoms worsens as time passes by, these may include cognitive and behavioral problems with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep, and emotional problems. PD is caused by degeneration of midbrain dopaminergic neurons that project to the striatum. The loss of striatal dopamine is responsible for the major symptoms of the disease. Although a small proportion of cases can be attributed to known genetic factors, most cases of PD are idiopathic. While the etiology of dopaminergic neuronal demise is mysterious, a combination of genetic susceptibilities, age, and environmental factors seems to play a critical role. Dopamine degeneration process in PD involves abnormal protein handling, oxidative stress, mitochondrial dysfunction, excitotoxicity, apoptotic processes, and microglial activation or neuroinflammation.

methamphetamine

Studies on animals on methamphetamine toxicity

Studies done on animals have shown that methamphetamine can cause long-term dopamine terminal damage as well as dopamine neuronal body loss. In rodents, repeated administration of methamphetamine causes a decrease in dopaminergic markers such as tyrosine hydroxylase (TH) and dopamine transporter. Accompanied by a reduction in TH activity, reduced levels of dopamine and its metabolites and decreased levels of vesicular monoamine transporter 2 (VMAT2). These effects occur primarily in the striatum but also in the cortex, thalamus, hypothalamus and hippocampus. Methamphetamine induces neurotoxicity in a dose-dependent manner as do other amphetamine-derivatives like MDMA. Although partial recovery of TH and dopamine transport fibers occurs after methamphetamine administration, methamphetamine-induced neurotoxicity is persistent. In mice, the greatest dopaminergic fiber loss is seen 24 hours after methamphetamine administration. Neurotoxic effects persist for more than seven days after methamphetamine exposure and one month after MDMA exposure. Drugs that induce PD symptoms and TH loss such as MPTP in mice also show a partial recovery with time in nonhuman monkeys and mice. The time courses and degrees of TH and dopamine transport fiber recovery after methamphetamine or after MDMA exposure are similar, suggesting terminal regrowth, as these two proteins are independently regulated. Researchers have also noted that there is partial recovery of dopamine levels in the striatum strongly suggesting that the regrown terminals are functional. However the mechanisms responsible for partial recovery are not known, but it is speculated that it might involve compensatory sprouting and branching as has been reported for regrowth following MPTP-induced damage. Dopamine terminal recovery has also been described in rhesus monkeys and velvet monkeys, although it appears to occur on a slower timescale than in mice. Methamphetamine-induced dopaminergic damage persists for more than 12 weeks in velvet monkeys and more than 3 years in rhesus monkeys, demonstrating the persistence of methamphetamine-induced brain damage.

Methamphetamine Toxicity in the Substantia Nigra

This drug doesn’t only cause fiber loss in TH but also produces dopamine cell body loss in the substantia nigra as shown in tests in mice that were treated with 3 methamphetamine injections (5 mg/kg) at 3-hour intervals. From the counts it is evident that 20 to 25% dopaminergic cell loss, measured at different time are linked to exposure to methamphetamine. The observed pattern of TH-stained neuron loss is very similar to the pattern of Nissl-stained neuron loss, indicating that neuronal loss is specific to dopaminergic neurons. Dopamine cell body loss was confirmed via staining with Fluoro-Jade, a general marker of neuronal degeneration that fluoresces after administration of known dopaminergic toxins such as 6-OHDA and MPTP. Fluoro-Jade stains scattered neurons degenerated in the substantia nigra after methamphetamine treatment. there is a possibility that the lack of complete recovery of TH fibers in the striatum is related to the loss of dopaminergic neurons in the Substantia nigra similar to what occurs in Parkinson’s disease.

methamphetamine

Increased Risk of Parkinson’s Disease in Methamphetamine Abusers

There are literatures that have linked the abuse of amphetamine to the later development of PD. In a report of a study done by Callaghan and his colleagues, there is an increase in of PD in methamphetamine users in an epidemiological investigation based on data from California statewide hospital discharge records. The researchers identified 1,863 methamphetamine users, 9,315 patients hospitalized for appendicitis as a nondrug control group, and 1,720 cocaine users as a drug control group. All subjects were aged at least 50 years, had been hospitalized in California between 1990 and 2000, and had been followed for up to 10 years after discharge. The methamphetamine user group showed an elevated incidence of PD, with a 165% higher risk for development of PD than the patients from the control group. the results have been confirmed by the same group after doing the same research but in a much broader scope; 40,000 people hospitalized for methamphetamine versus 200,000 for appendicitis and 35,000 for cocaine and a 16-year follow-up period. From these two studies it is evident that methamphetamine use increases the chances of PD development in adulthood.

Drug abuse, addiction and independence are problems that people grapple with every day. These problems need to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this.  Call her on (843) 213-1480 for help.

Methamphetamine Use May Predispose Consumers to Future Development of Parkinson’s Disease

 

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Herbs For Pain and Addiction Treatment

March 24, 2015

Use of Jamaican Dogwood, Valerian, Wood Betony, Yellow Jasmine in Pain and Addiction Treatment

Addiction is still one of the major problems that we are still living with today. Though known for its devastating effects, addiction has still remained when of the many menaces that our youths as well as the older generation alike are still glued to. However there is a bitter reality that you need to be aware of, a reality that none of your already addicted friends will let you know of; the journey to addiction treatment and recovery is that which is not easily won. There are serious hurdles that you shall have to meet along the way as you fight on to reach the greener side of life where the chains of addiction are broken. Just like any other disease there are myriads of ways through which the treatment of addiction can be effected. one is through pharmaceutical ways of treatment and the other through natural ways of treatment that may at times be used alongside the orthodox ways of treatment or as an assortment of various herbs and a special choice of diets that helps restore the damage of drugs on the addict and hence making it possible for the addict to be treated of the illness. On the other hand when pharmaceuticals are used for treating drug addiction the doctors will mostly use a substitute of your drug to satisfy your craving for the drug of abuse you are addicted to. Though this may present a short term solution it still doesn’t let you be free from the drug as you will still continue using a substance that is thought to be less addictive and not so dangerous. However the reality is that this kind of treatment does not address the brain imbalances that an addict suffers after a long term use of a certain drug.

Addiction Treatment

As we have seen in previous articles the part of the body that is adversely affected by addiction to drug abuse is the nervous system. The neurotransmitters like the dopamine and the other crucial ones are literally damaged after a prolonged use of drugs. this therefore calls for a treatment option that will not only focus on ending the craving that addicts have for their substance of abuse but to help restore the whole person back to what he or she was before he got into drug use that has since chained him or her. Most pharmaceutical drugs do not consider this but mostly gear towards treating the symptoms of addiction like depression and anxiety that is normally done with sedatives while the underlying problem; the damage to the nervous system, is left unchanged. Through the years there have been different alternatives to addiction that have since come up and have been found to be effective. An example of these alternative therapies that have shown hope to addicts is the use of stem cell therapy that aims at restoring the damage caused by drugs. Despite the effectiveness of some of these alternatives the use of herbs in addiction treatment is yet to be scrapped off, this is solely because of the effectiveness of some herbs in treating addiction. Here are some of the herbs that can be used to help in the addiction treatment and recovery.

Jamaican Dogwood

Jamaican dogwood is mostly used for pain. It has sedative effect, reduces muscle spasm and cools nerve pain. It also reduces inflammations. It has often been the top choice for relieving nerve pain and it has been proved to be powerful in pain management.  It is derived from the bark of the dogwood tree, and can be taken in capsule or tincture forms as well as a tea from the bark’s powder.  Though known for pain management it can contribute in help with addiction as when used it helps to calm down the nerves and relive an addict off the withdrawal effects like depression and anxiety that most of the times can lead to relapse. However beneficial it is it can be potentially dangerous when used for self-medication. It is therefore safe to use it with instructions from an integrative addiction doctor as it is irritant and can cause numbness, tremors, salivation, and sweating.

Wood Betony

Wood Betony

This herb is commonly found in Europe. This plant is rich in medicinal properties. To begin with the fresh, undried leaf of wood betony is a natural pain reliever. This analgesic is good for addiction as it helps in calming the nerves as well as fighting some common symptoms of addiction like depression anxiety and insomnia.

Valeria

Valeria has great sedation properties. As have been revealed by past literature, Valeria has great influence on the cerebro-spinal system. In a recovering addict this herb can be used to promote nerve relaxation and sleep. Insomnia is a common symptom that most addicts battle with, with valerian a recovering addict can be helped evade the grave effects of insomnia and anxiety. It does this by exerting an influence quieting and soothing in its nature upon the brain and nervous system. Other herbs that have been found to be helpful in the journey of addiction treatment and recovery are; Yellow Jasmine, St. Johns worts and chamomile among others

Finally, Here at AWAREmed Health and Wellness Resource Center we are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. Call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Use of Jamaican Dogwood, Valerian, Wood Betony, Yellow Jasmine in Pain and Addiction Treatment

 

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How Profitable Is It To Create Natural Addiction Clinics?

March 23, 2015

There are lots to benefit from when an addict decides to get treatment from a natural addiction clinic. To begin with, most of these natural addiction clinics are also holistic meaning they not only focus on treating the symptoms of addiction but focuses on whole person healing that entails correcting all the defects that might have been caused by the prolonged use of the drugs of abuse. This is just another great reason that make addicts go for natural addiction clinics as opposed to pharmaceutical prescriptions that may only address the issues of addiction related symptoms and cravings but will not focus on achieving whole person healing by healing the parts of brains and the entire nervous system that have since stopped coordinating well for optimum health of the addict. The profitability of natural addiction clinics is peaking in some parts of the world while in others it has already climaxed due to the embrace with which the addicts have welcomed the exceptional ability of nature’s healing powers. Today many addiction patients will prefer to get attended to in a holistic rehabilitation center that advocates for natural addiction treatment. This has led to the mushrooming of different natural addiction centers, some of which have stayed till now offering beneficial addiction treatments to addicts while some that sprang up with the sole aim of reaping big profits have disappeared. What does this tell us? Okay, creating a natural addiction clinic can be very profitable but you as a doctor needs to be more concerned with the wellbeing of your patients than your drive to enrich yourself. AWAREmed Health and Wellness and Resource is an example of an establishment that advocates of natural healing as they are holistic, this facility has remained till now because it was created with a mission to avail the best alternative treatments to patients battling some of the most common diseases that patients find a nightmare to treat such as cancer and addiction. This establishment is a living testimony of how profitable an establishment that advocates for natural healing can be profitable when founded on the stones of care and love for patients as well as laced with unending quest to avail better and safer treatment options to patients battling addiction.

addiction Clinics

Natural addiction Clinics can benefit all addicts

Another reason that has made natural addiction clinics more popular is the fact that these clinics are well equipped and are always founded by integrative doctors who are experienced in addiction treatment and hence know the extent to which specific drugs or substances affect the person and which option of treatments can best yield the much needed result.  the natural addiction clinics employs some of the traditional addiction treatments that are known to be effective and goes a long way in achieving whole person healing as opposed to treatment of just symptoms and calming down some of the common side effects of drug withdrawals like depression and anxiety. There’s no requirement for attending these clinics except that participants must deeply desire sobriety. However, most participants have been through a traditional rehab program and not had the success they desired. Natural addiction clinic programs are considered alternative types of treatment because they don’t follow the traditional model, which focuses on psychotherapy, 12-step programs and other support groups but focuses on all the benefits that can be drawn from the nature’s natural healing powers to help heal an addict with minimal or no side effects at all.

addiction ClinicsThe natural addiction clinics incorporate the use of herbs and specific diets to help restore the balance in the brain chemistry and quell cravings. The natural addiction clinics are not only for those who are addicted to drugs and substances alone but also for those with behavioral addictions like gambling, sex addiction and even pornography.  Natural addiction clinics may offer such services as nutritional counseling, psychiatric support, massage, yoga, Tai Chi, herbal therapies and adventure-based therapies that cater to all manner of addictions, both behavioral and substance related. These centers also have staffs who are vastly experienced in handling addiction cases. They can also customize treatment to suit every patient’s condition belief and preferences all in a bid to restore the mind the body and the spirit. The fact that the natural addiction clinics are home for all addicts further opens great avenues for qualified doctors who opt to create natural addiction clinics.

Another factor that makes natural addiction clinics preferable is the environment in which most of them are located, natural addiction clinics are not mostly established in busy town centers but on the mountains, or by a lake or the ocean. The setting is usually peaceful and idyllic in order to promote healing. Most holistic addiction doctors believe that locating these clinics in such places helps the patients to connect with nature which further helps them to recover even faster.

Offers variety of treatment options

The extent to which a person is affected by drug use will warrant the type of treatment that he gets, it is also good to note that different people will react to a given treatment differently and this is why a specific treatment that worked for a given addict may fail to work for another addict. This is why most natural addiction clinics avail different treatment options that addicts can benefit from. Some of the traditional approaches to healing like meditation are god for an addict but if for some reason you are not comfortable you are often given the freedom to skip the session. It is your determination for sobriety that shouldn’t run out.

Finally, even if creation of natural addiction clinics were to yield supernormal profits, it is good to stay within the focus which is to avail better healing options for all addicts. Dr. Dalal Akoury of AWAREmed Health and Wellness Resource center has championed the use of integrative medicine in healing addicts for years; find her at Myrtle beach, South Carolina.

How Profitable Is It To Create Natural Addiction Clinics?

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Correcting Neurotransmitter Imbalances with IV Amino Acids

March 14, 2015

Correcting Neurotransmitter Imbalances with IV Amino Acids

When taken, drugs will alter the normal the bodily functions. That is no news to even those who use drugs of abuse, in fact the basic definition of a drug is; any substance that when taken will interfere with the normal functions of the body. However some drugs do not only alter minor body functions but go a step further in inhibiting the functions of neurotransmitters to a greater extent.  Most of the drugs that can mimic or interfere with the functions of the neurotransmitters in any way are mostly drugs of pleasure that are prone to abuse and are hence illegal in many parts of the world. The brain and the entire nervous system functions in a way that the entire body needs them to work properly, you can’t imagine how fast the coordination between the central nervous system and the peripheral nervous system is but most important fact to note is that any interference within the nervous system even only to a neurotransmitter goes a long way in affecting the entire body. The brain has various mechanisms through which it accomplishes all the functions of the body. The effect of drugs on the neurotransmitters can be underestimated by those who haven’t known how the neurotransmitters work, here is how the neurotransmitters work.

Neurotransmitters

How Neurotransmitters Work

Neurotransmitters are very crucial in the nervous system. They are the chemicals that transmit messages from one nerve cell to another. Nerve cells are known as neurons. The nerve impulse travels from the first nerve cell through the axon, a single smooth body arising from the nerve cell to the axon terminal and the synaptic knobs. Each synaptic knob communicates with a dendrite or cell body of another neuron, and the synaptic knobs contain neurovesicles that store and release neurotransmitters. The synapse lies between the synaptic knob and the next cell. For the impulse to continue traveling across the synapse to reach the next cell, the synaptic knobs release the neurotransmitter into that space, and the next nerve cell is stimulated to pick up the impulse and continue it. An interference with the neurotransmitters can adversely affect the flow of message within the nervous system. This is what most drugs of abuse do. They affect the harmonious flow of information from the brain to the rest of the body maiming its normal functions. Let’s look at how drugs affect specific neurotransmitters in the nervous system.

How Drugs affect Dopamine and GABA

One of the neurotransmitters that are highly targeted by drugs of pleasure is Dopamine. To some people it is known as the ‘bliss neurotransmitter’. It is responsible for good feeling, the euphoric feelings that drug addicts seek from various drugs of abuse. Dopamine has great influence on well-being, alertness, learning, creativity, attention and concentration. Levels of dopamine should be optimal in the brain since when the level of dopamine is low it can leave us craving food, sex or stimulation. When the dopamine level is too high it can cause addictive behaviors. It has been observed that patients who are put on medications to boost dopamine level especially the Parkinson’s patient, they will form an addictive behavior like gambling when the levels of dopamine shoots beyond the optimal level. Dopamine boosts the feelings of pleasure but when the levels are too high it may result in Paranoia or a suspicious personality. Dopamine is also released when there is high stress. Therefore the level of dopamine should be regulated to ensure sound health. This is where the functions of inhibitory neurotransmitters set in, however with influence of drugs this coordination between excitatory neurotransmitters and inhibitory neurotransmitters is maimed.

Nicotine influences mood, cognition, and body function by binding to and activating nicotinic acetylcholine receptors (nAChRs) located on neurons in the brain. When activated by either nicotine or the endogenous neurotransmitter acetylcholine, the nAChR opens a channel that allows ions to pass through the neuron’s membrane from the exterior to the interior of the cell and trigger changes that activate the cell. When you take tobacco or other drug with nicotine the nicotine will have interactions with nAChRs and therefore any nicotine dependence treatment should focus on altering these interactions.

Nicotine produces rewarding effects by interacting with nAChRs on neurons in the brain’s mesolimbic reward system. This system comprises dopaminergic neurons that originate in the ventral tegmental area often shortened as VTA and release the neurotransmitter dopamine in regions involved in information processing, memory, and emotions, such as the nucleus accumbens (NAc), hippocampus, amygdala, and prefrontal cortex (PFC). Increases in dopamine levels within the mesolimbic system give rise to rewarding effects. Nicotine directly enhances dopamine levels in the mesolimbic system by interacting with nAChRs on the dopaminergic neurons and causing them to release more of the neurotransmitter. Nicotine also modulates dopamine release indirectly by binding to nAChRs located on excitatory glutamatergic and inhibitory gamma aminobutyric acid (GABAergic) neurons in the ventral tegmental area. These glutamatergic and GABAergic neurons originate from a number of brain areas, such as the NAc, hippocampus, PFC, amygdala, ventral pallidum, and pedunculopontine tegmental nucleus, and regulate the activity of dopaminergic neurons.

Neurotransmitters

Restoring nicotine addiction can’t be done with IV amino acid to restore NER balance

Nicotine is one of the most available addictive substances. You can find it in tea but it can be found in greater proportions. Unfortunately, Nicotine addiction is never easy to fight. And the bitter truth is that nicotine addiction can’t be fought successfully without IV amino acid to restore NER balance. IV amino acids are the best in restoring the balances in the neuroendocrine system. The IV amino acids are the best in detoxification and getting rid of the effects of nicotine and curbing nicotine addiction by ensuring the balance of neuroendocrine chemicals.  With IV amino acid, dopamine has been noted to be the major cause of addiction can be regulated. IV amino acids is used as an  outpatient program which focuses on biochemical detoxification of the body and brain hence perfect treatment for nicotine addiction.

Any addiction treatment must focus on restoring the general well-being of the patient that can only be achieved by restoring the neurotransmitters affected. This is why we at AWAREmed are dedicated to ensuring that we offer the best neuroendocrine restoration. Dr. Dalal Akoury (MD) is one of the few doctors that have embraced the benefits of NER in fighting addiction. Call on her and be helped in finding the best solution for nicotine and other substances addiction.

Neurochemical and Imbalances Involved In With Nicotine & Smoking

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Substance Use Disorder Treatment with Nervine Herbs

February 27, 2015

Substance Use Disorder Treatment with Nervine Herbs

The basic knowledge of drugs is that they are substances that interfere with the normal functioning of the body. This therefore means that after using some drugs and substances a person’s behavior will be altered by the substances he has used. However it should be known that there are far more damages that drug and substances use cause to an individual health wise. Substance use disorder, also known as drug use disorder, is a condition in which the use of one or more substances leads to a clinically significant impairment or distress. In this context contrary to common knowledge that substance can mean any physical matter, the term substance here is used to mean drugs. Substance Use Disorder refers to the overuse of, or dependence on, a drug leading to effects that are detrimental to the individual’s physical and mental health as well as the effect on other people’s welfare.

The diagnosis of substance abuse disorder has improved treatment of patients. Before his approach to treatment of addiction related cases, doctors used to treat addiction and other clinically significant abuse as separate issues but with substance use disorder diagnosis, doctors can simultaneously treat both addiction and non-addiction related dysfunctional substance abuse in patients. the rule of this approach of treatment is that the doctor will identify the specific cause of problems to an individual for example if a person is alcohol-related issues then he Is termed to suffer alcohol use disorder  while a person suffering from cocaine is termed to be suffering from stimulant use disorder.

Nervine Herbs

a person suffering from any substance use disorder will exhibit at least three and at most eleven specific symptoms related to the use of the substance with the most prominent examples of these symptoms being substance cravings, an inability to curb substance intake, the development of tolerance to a substance’s effects, serious life disruptions that stem from substance use, use of substances in clearly dangerous circumstances and devotion of significant time or resources to either using a substance or recovering from substance intake. However, people affected by the minimum number of symptoms have mild substance use disorder, while people affected with many or most of the required symptoms have major or severe substance use disorder but all of these people need substance use disorder treatment in order to be free from the effects of the drugs they are using.

Treatment of substance use disorder with nervine herbs

What are Nervine Herbs?

The Nervines are herbs that are very essential in supporting the nervous system. The nervines may work as tonics and to create a mild calming effect. The tonic nervines may include the Skullcap and the oat tops while Catnip and chamomile can be used for mild calming of the nervous system. Apart from these two categories there are also nervines that work as strong sedatives on the nervous system, they may include the Hops and the Valerian among others. Generally the nervine herbs are used to relieve nagging muscle tension and spasms, circular thoughts, insomnia, and the occasional worry that has become a part of day to day life. Some of these herbs provide multiple nervine actions, such as Skullcap which relaxes the muscles, helps calm worried thoughts, and nourishes the nervous system. Others such as Oat Tops, are not necessarily relaxing to the physical body, but help restore and support healthy nerve functioning when taken on a regular basis.

The nervous system is Composed of the all the nerve tissues in the body and plays very critical roles in the body. They are composed of the nerve tissues that receive stimuli and transmit stimuli to the nervous systems and to initiate responses. The central nervous system consists of the brain and the spinal cord and functions as the points of collection of all the nerve impulses. This is how the nervous system works; the sensory nervous system receives the stimuli, the central nervous system interprets them while the motor nervous system initiates responses.

The nervous system are very vital in the body and so they ought to be performing at optimum always, however due to some of the substances that a person may use such as drugs and alcohol the communication between these nerve tissues may be tampered with leading to rise of some complications in a person . Therefore there is need for the entire nervous system to replenished, relaxed and strengthened and nothing does that better than the nervines. The nervines are herbs that are specifically for the nervous system. They correct all the defects in the nervous system as well as strengthening the nervous system.

Nervine Herbs

Here are some of the useful Nervine Herbs

Catnip – this nervine is a very gentle sedative that is used in solving insomnia related problems. Some drugs may often leave the user with sleeplessness after along use. Catnip could be the answer. It’s also good for headaches.

California poppy – this herb has anti-anxiety, sedative, and analgesic properties. It’s used to promote relaxation in those seeking rest from nerve pain.

Passion flower – This stunning plant offers anti-spasmodic power and is helpful with tension headaches, occasional nerve pain, nervous restlessness, and restful sleep. Good for many symptoms of substance use disorder.

Lavender – Calming herb that is often used in aromatherapy applications for its mild calming action. This herb is uplifting hence good for low moods. It is good for mild anxiety and improves sleep quality.  For persistent depression use lavender with holy basil and damiana.

Finally, Here at AWAREmed Health and Wellness Resource Center we are committed to availing help to addicts by availing some of the most integrative approaches to healing an addict. We advocate for natural healing to all kinds of addiction. In case you are struggling with addiction just call on Dr. Dalal Akoury (MD) at Myrtle Beach, South Carolina for help.

Substance Use Disorder Treatment with Nervine Herbs

 

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