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studies of frequent kratom users in thailand and malaysia suggest there may be some long- term side effects associated with the use of high doses of kratom for a prolonged period of time. mitragyna speciosa ( commonly known as kratom) is a tropical evergreen tree in the coffee family native to southeast asia. it is indigenous to thailand, indonesia, malaysia, myanmar, and papua new guinea, where it has been used in traditional medicines since at least the nineteenth century. kratom has opioid properties and some stimulant- like effects. as of, the efficacy and safety of. up until, kratom was marketed in the united states as a dietary or nutritional supplement. due to numerous reports of health concerns and toxicity, the u. food and drug administration ( fda) has since banned its import.
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