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The subjective effects which last approximately four hours are highly variable and often difficult to describe, but can include: Intense closed and open eye visuals Re-experiencing of memorable events Distortions in sense of time, place, and sometimes sense of self Possible auditory and sensory hallucinations A deep state of introspection Profound spiritual experiences Perceived contact and interaction with other entities Temporary alterations in mood and emotion that can range from terror to euphoria

Similarly, our definition of opioid mortality may underestimate suicides as the underlying cause of death

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