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Waller et al

Physical symptoms include: Bloodshot eyes Nausea Fatigue Tremors Weight loss Increased heart rate Psychological symptoms include: Increased anxiety and depression Paranoia Hallucinations Mood swings Psychosis Behavioural symptoms include: Becoming more secretive about spice use Isolating yourself Neglecting daily responsibilities Downturn in personal hygiene and appearance Attempting to stop and being unable to Becoming more fixated on getting spice and using it If you recognise these symptoms in yourself or someone you know, then you should seek professional help

Moreover, socioeconomically disadvantaged neighborhoods are often located in food deserts where there is reduced availability of healthy food options and an abundance of unhealthy, calorie dense, nutrient poor fast food, as well as limited outdoor space for recreation and/or exercise

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