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The “fenty fold” (also “fenty lean” or “fentanyl fold”) is a startling but common occurrence among regular users of fentanyl, and other illicit drugs like xylazine, where they are bent at the waist, slumped forward, in a rigid position. Their heads are bowed, their knees are bent, and they are often unable to respond or move. 1. Central motor inhibition Fentanyl suppresses activity in motor pathways responsible for extensor tone, particularly in the spinal muscles. This results in loss of anti-g
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