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tweet by Johann Hari: The core of addiction is not wanting to be present in life, because pour life is too painful a place to be. This is why imposing more pain or punishment on a person with an addiction problem actually makes their addiction worse.
Probably about the same. They they take low doses usually, only a a subset of users go on to take heroic doses and or IV. That's what makes it so dangerous, you are yo-yoing dosage trying to find that sweet spot, all it takes is one too large of a dose with a few drinks and you are night night forever, or choke on your own spit or vomit.