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Some common signs include: General Physical Signs Constricted or pinpoint pupils Slow, shallow, or labored breathing Flushed, warm skin Excessive sweating and itching Nausea, vomiting, and constipation Impaired coordination and balance Slurred speech and drowsiness Nodding off or losing consciousness Signs of IV Heroin Use Track marks, scars, or puncture wounds along veins Abscesses, infections, or skin ulcerations at injection sites Bruising or discoloration around injection areas Collapsed or hardened veins Behavioral Signs Withdrawal from family, friends, and social activities Secretive or suspicious behavior Sudden financial difficulties or borrowing money Neglecting responsibilities at work, school, or home Mood swings, irritability, or depression Changes in sleep patterns Wearing long sleeves or pants, even in warm weather, to conceal injection sites A Personal Story of Heroin Addiction and Recovery An anonymous recovering heroin user shares her experience: I tried to hide my heroin use from my family by being careful about where I went and who I was with when using

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