Some remain addicted to the pills, and don't switch over to heroin. That's the case of a 26-year-old yoga teacher and grad student at UW-Milwaukee.
http://wuwm.com/post/grip-heroin-part-5-painkillers-often-are-gateway-heroin-addiction
http://wuwm.com/post/grip-heroin-part-5-painkillers-often-are-gateway-heroin-addiction
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