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Going off memory, I think cocaine on its own really isn’t THAT bad as far as hard drugs go, but when combined with alcohol it metabolizes into “cocaethylene” which is highly toxic and basically shreds your heart.
And I’ve never met anyone that uses coke WITHOUT booze.
Started getting gout flares a few years ago even though I eat a mostly plant-based diet and slowed my drinking down. Finally got on Allopurinol this year and it has been a miracle! Gout pain is no fucking joke.