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For a patient who has symptoms or signs suggestive of use, statements such as: A lot of people who use meth feel like this when theyre in withdrawal or Ive treated patients who were coming off meth who tell me they felt like this, may help them to feel that they are not alone in their situation Harm reduction for people who use methamphetamine 1 Emphasise that illicit drugs such as methamphetamine are unregulated and could contain other toxic substances Advise people injecting methamphetamine not to share needles and where to get clean ones, see: www.nznep.org.nz/outlets

nine studies, 1151 participants), or a 31% relative improvement (95% CI 28% to 34%)

That means more than half of people who use meth go on to misuse the drug

In certain situations, cellular acyl-CoAs build-up as a result of an inborn error of fatty acid metabolism, and this also leads to an increase in acylcarnitines within the cell [12,14,15]