DEAR DR. ROACH: With the current popularity of CBD and hemp products, I wonder your thoughts on Kratom, another plant-derived product. It is sold nearby. Is it an effective way to treat anxiety? - D.H.A.

ANSWER: Kratom is an herb (Mitragyna speciosa) often used as treatment for opioid withdrawal, as a stimulant or sedative (depending on dose), or as a treatment for such diverse medical conditions as diarrhea and muscle pain. It is also used as a recreational drug. I have talked to several people who are very enthusiastic users of this product and who feel it is safe and effective.

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