Evidence-based explanations of alcohol, drugs, toxicology testing, laboratory methods, interpretation, and forensic science.
Category: Forensic Toxicology
California Dual Employment: Working for a Competitor
California generally voids employee noncompete agreements, but that does not necessarily prevent an at-will employer from terminating a worker who simultaneously works for a competitor. The result depends on duties of loyalty, trade-secret conduct, contract terms and other statutory protections.
The Okorocha Mid-Year Street Drug Report of 2026
No credible dataset measures the quantity of illicit drugs actually sold in the United States at the state or national level. Seizures reflect enforcement activity, forensic identifications reflect laboratory submissions, and the only defensible national market-size estimate covers 2006–2016. The…
Medetomidine in the Fentanyl Supply: Risks and Testing
Short answer: Medetomidine is a veterinary sedative now appearing in parts of the illegal fentanyl supply. It can deepen sedation, slow the heart, lower blood pressure, complicate overdose care, and cause a severe withdrawal syndrome. It is not approved for human use. Reviewed and updated July 24, 2026. What is…
Kratom and 7-OH in 2026: Evidence, Risks and Regulation
Short answer: Kratom is a plant whose main alkaloid, mitragynine, acts on several biological systems, including opioid receptors. No kratom product is FDA-approved to diagnose, treat, cure, or prevent a disease. Concentrated 7-hydroxymitragynine products can present different and potentially greater risks than traditional leaf preparations. Reviewed and updated July 24,…
Ed Barley’s Alleged No-Shows Leave L.A. County Defenders Scrambling
Public defenders have repeatedly contacted the author after Ed Barley allegedly failed to appear for court-authorized expert work, leaving defense teams scrambling despite county-paid appointments. This post argues that the pattern makes Barley unreliable.
Acetaldehyde in Blood-Alcohol Testing: What It Means
Short answer: Acetaldehyde can be detected in blood specimens, especially when decomposition, storage, or analytical conditions are relevant. Its presence does not by itself prove that ethanol formed after death, that a blood-alcohol result is false, or that fermentation occurred. Reviewed and updated July 24, 2026. What is acetaldehyde? Acetaldehyde…
Why Smart People Believe Irrational Things
Short answer: Intelligence can make complex reasoning easier, but it does not guarantee accurate starting assumptions, relevant knowledge, intellectual humility, or a willingness to question a favored conclusion. Smart people can be skilled at defending a belief as well as testing it. Reviewed and updated July 24, 2026. Intelligence and…
Suboxone and Tooth Decay: FDA Warning and Prevention
Short answer: Suboxone and other buprenorphine medicines that dissolve in the mouth have been linked to cavities, tooth erosion, infection, fractures, and tooth loss. The FDA emphasizes that buprenorphine’s benefits for opioid use disorder clearly outweigh this risk. Do not stop it on your own. Reviewed and updated July 24,…
Rare GLP-1 Side Effects: Evidence and Warning Signs
Short answer: Most side effects of GLP-1–based medicines are gastrointestinal, but uncommon serious problems can include pancreatitis, gallbladder disease, kidney injury from dehydration, severe allergic reactions, and complications from delayed stomach emptying. Risks and label language differ by drug and indication. Reviewed and updated July 24, 2026. “GLP-1” is not…
Depo-Provera and Meningioma Risk: What Studies Show
Short answer: Several large observational studies report an association between depot medroxyprogesterone acetate (DMPA, commonly known as Depo-Provera) and meningioma, especially with prolonged exposure. The studies do not prove that the drug caused an individual tumor, and relative risk is not the same as absolute risk. Reviewed and updated July…
Lamotrigine and Stevens-Johnson Syndrome: Warning Signs
Short answer: Lamotrigine (Lamictal) can cause rare, life-threatening skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Because a harmless rash cannot always be distinguished early from a serious one, a new rash requires prompt medical advice. Reviewed and updated July 24, 2026. What the boxed warning says The FDA-approved…
Pink Cocaine (Tusi): What It Contains and Why It Is Risky
Short answer: “Pink cocaine,” often called tusi or tucibi, is not a standardized drug. It is usually a dyed mixture of other substances and often contains neither cocaine nor 2C-B. The greatest danger is that the ingredients and strength can change from batch to batch. Reviewed and updated July 24,…
