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Peter Attia MDPeter Attia MD

243 ‒ The fentanyl crisis and why everyone should be paying attention | Anthony Hipolito

Watch the full episode and view show notes here: https://peterattiamd.com/anthonyhipolito/ Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ Anthony Hipolito is a sheriff’s deputy in Hays County, Texas with over 24 years of experience in law enforcement. In this episode, Anthony discusses his work to spread awareness about illicit fentanyl use and the drastic increase in accidental overdoses, especially in young people. Anthony explains the deadly nature of fentanyl, including how many counterfeit drugs are now being laced with deadly doses of fentanyl. He breaks down how fentanyl is being brought to the US and how younger and younger kids are being targeted. Additionally, Anthony discusses his goal of spreading awareness to our communities and provides important advice for what parents can do. We discuss: Intro - 0:00:00 0:00:08 - Anthony’s life of service in law enforcement 0:03:46 - Fentanyl: medical use, recreational use, and the recent rise in prevalence 0:13:12 - The story of a teenager dying from an accidental overdose of fentanyl 0:20:32 - The scope of deaths being caused by accidental overdoses (the majority of which are from fentanyl) 0:27:10 - How young kids are being targeted, and how fentanyl makes it across our borders and gets distributed 0:35:21 - What happens to a person when they overdose 0:40:28 - Whether laws around drug possession are helping or hurting, and the need to focus on helping people that feel the need to take these counterfeit drugs 0:47:16 - How fentanyl is being added to all kinds of drugs that you wouldn’t expect 0:52:21 - What can we do as parents? 0:56:15 - Narcan: a treatment for opioid overdoses 1:03:44 - Importance of awareness, having conversations with kids early in life, and other key takeaways for parents -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 45 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies.

Peter AttiahostAnthony Hipolitoguest
Feb 20, 20231h 13mWatch on YouTube ↗

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At a glance

WHAT IT’S REALLY ABOUT

Fentanyl Poisonings Are Killing Young Americans: What Parents Must Know Now

  1. Anthony Hipolito, a veteran law enforcement officer now doing community outreach in Hays County, Texas, describes fentanyl as a crisis that knows no boundaries and says Mexican cartels now make it cheaply and synthetically, using chemicals from China and India.
  2. Hipolito and Attia stress that these deaths are accidental poisonings from counterfeit pills that look identical to real ones, with Hipolito saying six in ten carry a lethal dose and Attia noting overdose deaths happen about every five minutes in the US.
  3. Hipolito says cartels smuggle the drug in vehicles, drones and candy boxes, that only 5 to 10 percent is intercepted at the border, and that dealers reach kids through Snapchat, Instagram and encrypted apps.
  4. The conversation weighs enforcement against compassion, with both men saying the key question is why someone feels the need to take a drug, and Hipolito saying rehab capacity and stigma are major gaps.
  5. Hipolito's advice to parents includes being nosy, learning every app their kids use, keeping Narcan easily accessible, and starting honest conversations early, while he and Attia argue this is a real crisis and not a moral panic.

IDEAS WORTH REMEMBERING

5 ideas

These deaths are poisonings, not intentional overdoses.

Hipolito and Attia stress that victims like Kevin McConville thought they were taking Percocet or Xanax for sleep or other needs, and counterfeit pills are indistinguishable from real ones.

Dosing is wildly inconsistent and often lethal.

Hipolito says two milligrams can kill, that one teen had eight milligrams in his system, and that six of ten counterfeit pills contain a lethal dose, so he likens taking one to Russian roulette.

Fentanyl is spreading into nearly every illicit drug.

Hipolito says it is in pills, cocaine, heroin, meth, and starting to appear in THC vapes elsewhere, and he would bet 90 to 99 percent of street cocaine contains it.

Social media has made access easy for kids.

Hipolito says pills are sold openly through Snapchat emojis and Instagram, and encrypted apps with disappearing messages make tracing sellers hard, so parents should learn every app their kids use.

Understanding the 'why' matters as much as enforcement.

Hipolito says he wants to remove stigma so kids ask for help, but notes rehab beds can have waits of weeks or months, and Attia says without answering why someone needs a drug, policy fixes feel like a Band-Aid.

WORDS WORTH SAVING

5 quotes

We're not gonna save everybody. We're just not. The war on drugs, we're never going to win. We're just not. But if we can take 10 pills off the street a day, that's... What we're seeing now is probably six people that we've saved because six out of every 10 illicit counterfeit pills have enough fentanyl to kill somebody.

— Anthony Hipolito

You're playing Russian roulette by, by taking a pill that you don't know where it came from.

— Anthony Hipolito

We have to take off the blinders, and we have to stop saying, "My kid won't do this."

— Anthony Hipolito

I'm not trying to do a say no to drugs talk. I'm, I'm trying to personalize it. I'm just trying to bring as much awareness to this crisis, and it is a crisis.

— Anthony Hipolito

This is not a panic. This is... I'm not trying to scare people, right? I just tell them what I know... Because it's real. It's not going anywhere.

— Anthony Hipolito

Fentanyl potency and how it killsCounterfeit pills and cartel productionBorder smuggling and social media dealingTeen accidental poisoningsDrug decriminalization and stigmaNarcan use and availabilityParental vigilance and early conversations

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