Gas Station Drugs: The Hidden Danger of Convenience Store Substances in Charlotte, NC
Walk into any gas station or convenience store in Charlotte, North Carolina, and you’ll likely see them—brightly colored packets with names like Neptune’s Fix, Tianaa, ZaZa Red, or OPMS kratom shots displayed near the checkout counter. Marketed as “dietary supplements,” “mood enhancers,” or “herbal remedies,” these unregulated substances have created a shadow addiction crisis across the United States, with devastating consequences many users never saw coming.
At Nova Transformations in Charlotte, we’ve witnessed a dramatic increase in people seeking help for addiction to these so-called “gas station drugs”—particularly tianeptine, which has earned the ominous nickname “gas station heroin” due to its opioid-like effects and brutal withdrawal syndrome. People often start using these substances believing they’re safe legal alternatives to prescription drugs or illicit substances, only to discover they’ve become severely addicted to products that can be harder to quit than traditional drugs.
This comprehensive guide explores what gas station drugs are, the most dangerous substances sold at Charlotte-area convenience stores (tianeptine, kratom, phenibut, synthetic cannabinoids), why they’re legal despite being dangerous, the severe health risks and addiction potential, withdrawal symptoms, and evidence-based treatment options available right here in Charlotte, NC.
Emergency department visits related to tianeptine (“gas station heroin”) in North Carolina annually
What Are Gas Station Drugs?
Gas station drugs are psychoactive substances sold legally at convenience stores, gas stations, smoke shops, and online—often marketed as dietary supplements, herbal remedies, or research chemicals to exploit legal loopholes.
Common Gas Station Drugs
| Substance | Brand Names | Effects | Addiction Risk |
|---|---|---|---|
| Tianeptine | Neptune’s Fix, Tianaa, ZaZa Red, Tianna | Opioid-like euphoria, pain relief | EXTREME – “gas station heroin” |
| Kratom | OPMS shots, MIT45, various brands | Opioid-like effects, stimulation | HIGH – physical dependence |
| Phenibut | Various nootropic brands | Sedation, anxiety relief (like benzos) | HIGH – severe withdrawal |
| Synthetic Cannabinoids | K2, Spice, various | Marijuana-like effects (much stronger) | MODERATE-HIGH |
| Tianeptine Sodium | Pure powder online | Same as tianeptine products | EXTREME |
Why They’re Called “Gas Station Drugs”
- Sold at convenience stores alongside energy drinks and snacks
- No prescription required
- Marketed as supplements or herbal products
- Easy access creates false perception of safety
- Often displayed near checkout for impulse purchases
Why They’re Dangerous
- Unregulated: No FDA approval, quality control, or safety testing
- Inconsistent dosing: Actual content varies wildly between products and batches
- Mislabeled: May contain substances not listed on label
- Highly addictive: Many cause severe physical dependence
- Dangerous withdrawal: Can be medically serious
- Drug interactions: Dangerous with other medications
- No medical oversight: Users don’t consult doctors
Tianeptine: “Gas Station Heroin”
Tianeptine has become the most notorious gas station drug, earning the nickname “gas station heroin” due to its opioid-like effects and extremely addictive nature.
What is Tianeptine?
- Prescription antidepressant in some European and Latin American countries
- Approved for depression treatment at doses of 12.5-50mg daily
- In gas station products, sold at doses of 12-700mg per bottle (far exceeding therapeutic doses)
- At high doses, acts on mu-opioid receptors like opioids
- Never approved by FDA for any use in United States
Common Brand Names in Charlotte Stores
- Neptune’s Fix
- ZaZa Red
- Tianaa (Red, White, Green)
- Tianna
- TD Red
- Many others—packaging changes frequently
Why It’s Called “Gas Station Heroin”
At the high doses in these products, tianeptine produces:
- Euphoria and intense pleasure (opioid-like high)
- Pain relief
- Relaxation and sedation
- Effects lasting 2-4 hours requiring frequent redosing
- Severe physical dependence within days to weeks
- Withdrawal syndrome worse than many prescription opioids
Tianeptine Withdrawal: Brutal and Dangerous
Withdrawal symptoms begin 3-6 hours after last dose and include:
- Severe nausea and vomiting
- Extreme diarrhea
- Intense muscle and bone pain
- Severe anxiety and panic attacks
- Depression and suicidal thoughts
- Insomnia
- Chills, sweating, fever
- Rapid heart rate
- Intense cravings
- Restlessness and agitation
Many users describe tianeptine withdrawal as worse than heroin withdrawal. The short duration of effects (2-4 hours) means users dose multiple times daily, and withdrawal begins rapidly when doses are missed.
Tianeptine Addiction Progression
- Initial use: Often starts to self-treat depression, anxiety, or pain
- Tolerance develops rapidly: Need higher doses within days
- Dependence emerges: Withdrawal symptoms when doses missed
- Compulsive dosing: Using every 2-4 hours around the clock
- Financial strain: Products cost $20-40 each; users may spend $100+ daily
- Life disruption: Can’t function without tianeptine; work/relationships suffer
- Failed quit attempts: Withdrawal too severe to endure alone
- Desperation: May turn to online tianeptine powder in higher concentrations
🚨 Tianeptine is EXTREMELY Addictive
Emergency departments across Charlotte and North Carolina report:
- Dramatic increase in tianeptine-related visits
- Patients in severe withdrawal requiring hospitalization
- Many users had no history of drug abuse
- Started using tianeptine for legitimate depression/pain
- Became severely addicted within weeks
- Describe it as harder to quit than prescription opioids
If you’re using tianeptine, seek professional treatment immediately. Do not try to quit cold turkey—medical supervision is essential.
Time it takes to develop severe tianeptine dependence with daily use
Kratom: The “Natural” Opioid Alternative
Kratom is another common gas station drug with significant addiction potential. (For more detailed information, see our Feel Free beverage article which discusses kratom extensively.)
What is Kratom?
- Plant from Southeast Asia (Mitragyna speciosa)
- Contains alkaloids (mitragynine, 7-hydroxymitragynine) that act on opioid receptors
- Sold as powder, capsules, tablets, liquid shots, teas
- Marketed as “herbal supplement,” “natural pain relief,” “mood enhancer”
- Not FDA-approved for any medical use
- Legal in most states including North Carolina (though banned in some counties)
Common Kratom Products in Charlotte
- OPMS liquid shots (black bottles—very high potency)
- MIT45 liquid extracts
- K Shot
- Various kratom powders (red, green, white vein)
- Kratom capsules and tablets
Effects and Risks
Effects (dose-dependent):
- Low doses: Stimulation, energy, sociability
- High doses: Opioid-like sedation, euphoria, pain relief
- Duration: 2-5 hours depending on form
Addiction and Dependence:
- Physical dependence develops with regular use
- Withdrawal similar to opioid withdrawal (though generally less severe than tianeptine)
- Tolerance develops requiring higher doses
- Psychological dependence—difficulty functioning without it
Health Risks:
- Liver damage (reported in multiple cases)
- Seizures
- Respiratory depression (especially combined with other drugs)
- Death (rare but documented, especially with contamination or polysubstance use)
- Contamination with heavy metals, salmonella
Phenibut: The “Smart Drug” with Dangerous Withdrawal
Phenibut is less well-known than tianeptine or kratom but equally dangerous.
What is Phenibut?
- Central nervous system depressant developed in Russia
- Chemically similar to GABA (brain’s calming neurotransmitter)
- Prescription medication in Russia; sold as supplement in U.S.
- Marketed as “nootropic” (brain enhancer), anti-anxiety supplement
- Acts similarly to benzodiazepines (Xanax, Valium)
Effects
- Anxiety and stress reduction
- Euphoria and sociability
- Improved sleep
- Relaxation and calmness
- Effects last 8-24 hours
Why It’s Dangerous
Tolerance and Dependence:
- Rapid tolerance development (within days to weeks)
- Severe physical dependence
- Withdrawal similar to benzodiazepine or alcohol withdrawal
- Withdrawal can be medically dangerous—seizure risk
Phenibut Withdrawal Symptoms:
- Severe anxiety and panic attacks
- Insomnia
- Tremors
- Hallucinations
- Psychosis
- Seizures (can be life-threatening)
- Rapid heart rate, high blood pressure
- Confusion and disorientation
Like benzodiazepines and alcohol, phenibut withdrawal requires medical detox. Never quit phenibut cold turkey without medical supervision.
Synthetic Cannabinoids (K2, Spice)
Synthetic cannabinoids are lab-made chemicals sprayed on plant material and marketed as “synthetic marijuana” or “fake weed.”
What Are They?
- Laboratory-created chemicals designed to mimic THC
- Much stronger than natural marijuana (up to 100x potency)
- Constantly changing chemical formulas to evade laws
- Unpredictable effects—no quality control
Common Names
- K2
- Spice
- Black Mamba
- Scooby Snax
- Many others (names change frequently)
Dangers
- Severe health emergencies: Rapid heart rate, vomiting, violent behavior, suicidal thoughts
- Psychosis: Paranoia, hallucinations
- Seizures
- Kidney damage
- Death: Multiple fatalities documented
- Addiction: Can cause dependence and withdrawal
Synthetic cannabinoids are far more dangerous than natural marijuana and have caused mass overdoses.
Why Are These Drugs Legal?
The most common question: if these substances are so dangerous, why are they sold legally?
Legal Loopholes
- Marketed as supplements: Labeled “dietary supplements” or “not for human consumption”
- DSHEA loophole: 1994 Dietary Supplement Health and Education Act allows substances to be sold as supplements without FDA pre-approval
- Constantly changing formulas: When one chemical is banned, manufacturers create slight chemical variations
- State-by-state regulation: Federal government slow to act; states have different laws
- International sourcing: Many manufactured overseas and imported
Regulatory Efforts
Some progress is being made:
- Several states have banned tianeptine (Michigan, Minnesota, Alabama, others)
- North Carolina is considering tianeptine ban
- DEA has listed kratom as “drug of concern”
- Some synthetic cannabinoids scheduled as controlled substances
- FDA issued warnings about tianeptine and kratom
However, regulation lags behind the problem, and new substances constantly emerge.
⚠️ “Legal” Does NOT Mean “Safe”
Just because a substance is sold at a gas station doesn’t make it safe:
- Tobacco and alcohol are legal but kill hundreds of thousands annually
- Many dangerous substances remain legal due to regulatory gaps
- Gas station drugs are unregulated—no safety testing
- Legality is based on technicalities, not safety
Don’t let legal status fool you into thinking gas station drugs are safe.
Health Consequences of Gas Station Drug Use
Short-Term Risks
- Overdose
- Severe nausea and vomiting
- Respiratory depression
- Seizures
- Psychosis and hallucinations
- Dangerous drug interactions
- Emergency department visits
Long-Term Health Effects
- Physical dependence and addiction
- Liver and kidney damage
- Cardiovascular problems
- Cognitive impairment
- Mental health deterioration (depression, anxiety)
- Withdrawal complications
- Financial devastation (spending hundreds weekly)
Deaths Related to Gas Station Drugs
- Multiple tianeptine-related deaths documented
- Kratom implicated in dozens of deaths (often combined with other substances)
- Synthetic cannabinoid deaths
- Phenibut withdrawal deaths from seizures
Gas Station Drug Addiction Treatment at Nova Transformations
At Nova Transformations in Charlotte, NC, we provide specialized treatment for addiction to tianeptine, kratom, phenibut, and other unregulated substances.
Our Approach
1. Medical Assessment and Withdrawal Management
For tianeptine addiction:
- Medical evaluation of dependence severity
- Coordination with medical detox facilities for supervised withdrawal
- Symptom management medications (for nausea, diarrhea, anxiety, pain)
- Buprenorphine (Suboxone) may help some patients
- 24/7 monitoring during acute withdrawal phase
For phenibut addiction:
- Medical detox essential—seizure risk
- Benzodiazepine taper protocol
- Hospitalization may be necessary for severe dependence
- Never attempt to quit phenibut alone
For kratom addiction:
- Outpatient detox often possible (less medically dangerous than tianeptine/phenibut)
- Symptom management
- Some patients benefit from short-term buprenorphine
2. Intensive Treatment Programs
Partial Hospitalization Program (PHP):
- 20-30 hours weekly treatment
- Intensive support during early recovery
- Medical monitoring
- Daily individual and group therapy
Intensive Outpatient Program (IOP):
- 9-12 hours weekly treatment
- Evidence-based therapies
- Relapse prevention
- Peer support groups
3. Dual Diagnosis Treatment
Our dual diagnosis program addresses underlying conditions:
- Depression: Many started tianeptine/kratom to self-medicate
- Anxiety disorders
- Chronic pain: Finding non-addictive pain management
- PTSD and trauma
4. Education and Understanding
- Learning about gas station drug dangers
- Understanding how marketing exploits legal loopholes
- Recognizing addiction patterns
- Developing healthy coping strategies
5. Relapse Prevention
- Identifying triggers
- Developing coping skills
- Avoiding convenience stores/gas stations early in recovery
- Building support network
- Long-term aftercare planning
✨ Why Choose Nova Transformations for Gas Station Drug Treatment?
- Specialized experience: Treating tianeptine, kratom, phenibut addiction
- Medical expertise: Understanding severe withdrawal syndromes
- Detox coordination: Access to medical detox when needed
- Dual diagnosis care: Addressing underlying depression, anxiety, pain
- Non-judgmental approach: Understanding you thought these were safe
- Evidence-based treatment: Using proven therapeutic approaches
- Comprehensive care: Medical, psychological, social support
- Charlotte location: Convenient throughout Mecklenburg County
- Insurance accepted: Working with most major providers
Get Help for Gas Station Drug Addiction in Charlotte Today
If you’re struggling with tianeptine, kratom, phenibut, or other gas station drugs, you’re not alone—and recovery is possible. The expert team at Nova Transformations in Charlotte provides specialized treatment for these dangerous substances.
We accept most major insurance plans. Unfortunately, we do not accept Medicare or Medicaid at this time.
Confidential assessment available 24/7. Don’t try to quit alone—professional help dramatically improves success rates.
Frequently Asked Questions About Gas Station Drugs
Gas station drugs are unregulated psychoactive substances sold legally at convenience stores, gas stations, smoke shops, and online. They’re marketed as dietary supplements, mood enhancers, nootropics, or herbal remedies to exploit legal loopholes that allow them to be sold despite not being FDA-approved. Common gas station drugs include tianeptine (marketed as Neptune’s Fix, Tianaa, ZaZa Red) called “gas station heroin” due to opioid-like effects and severe addiction potential, kratom sold as powders, capsules, and liquid shots with opioid-like effects, phenibut a central nervous system depressant similar to benzodiazepines causing dangerous withdrawal, synthetic cannabinoids (K2, Spice) which are fake marijuana products far more dangerous than real cannabis, and various other nootropic and research chemicals. These substances are dangerous because they’re completely unregulated with no quality control or dosage standardization, highly addictive causing severe physical dependence, produce dangerous withdrawal symptoms that can be medically serious, have unpredictable effects since contents vary between batches, and lack FDA approval or any safety testing. Just because they’re sold legally at gas stations doesn’t make them safe—legality is based on regulatory loopholes, not safety.
Tianeptine is a prescription antidepressant medication used in some European and Latin American countries at therapeutic doses of 12.5-50mg daily for depression treatment. However, it has never been FDA-approved in the United States. In gas station products sold in Charlotte and throughout the U.S., tianeptine is present in doses ranging from 12-700mg per bottle—far exceeding any therapeutic dose. It’s called “gas station heroin” because at these high doses, tianeptine acts on mu-opioid receptors in the brain producing effects remarkably similar to opioids like heroin, OxyContin, or morphine including intense euphoria and pleasure, significant pain relief, relaxation and sedation, and effects lasting only 2-4 hours requiring frequent redosing throughout the day. Tianeptine causes severe physical dependence within just days to weeks of regular use, produces brutal withdrawal symptoms beginning 3-6 hours after the last dose including extreme nausea and vomiting, severe diarrhea, intense muscle and bone pain, severe anxiety and panic, depression and suicidal thoughts, and many users report tianeptine withdrawal being worse than prescription opioid or even heroin withdrawal. Emergency departments across Charlotte and North Carolina have seen dramatic increases in tianeptine-related visits. If you’re using tianeptine products like ZaZa Red, Neptune’s Fix, or Tianaa, seek professional treatment immediately—this is an extremely dangerous substance despite being sold legally.
No, kratom and tianeptine are completely different substances, though both are commonly sold at gas stations and both have opioid-like effects and addiction potential. Kratom is a plant from Southeast Asia (Mitragyna speciosa) containing alkaloids (mitragynine and 7-hydroxymitragynine) that act on opioid receptors, sold as powder, capsules, or liquid shots with brands like OPMS, MIT45, and K Shot, produces stimulation at low doses and opioid-like sedation at high doses, causes physical dependence and withdrawal similar to but generally less severe than opioid withdrawal, and has been used traditionally in Southeast Asia but is unregulated in the U.S. Tianeptine is a synthetic prescription antidepressant in some countries but never FDA-approved in the U.S., sold in products like ZaZa Red, Neptune’s Fix, and Tianaa at extremely high doses, acts directly on opioid receptors at these doses producing effects nearly identical to prescription opioids, causes severe physical dependence much faster than kratom (often within days), and produces withdrawal that many describe as worse than heroin withdrawal. Both substances are dangerous and addictive, but tianeptine is generally considered significantly more dangerous with faster addiction development and more severe withdrawal. Many gas stations sell both substances, often displayed together near the checkout. For detailed information on kratom, see our Feel Free beverage article.
Yes, Nova Transformations provides comprehensive, specialized treatment for addiction to gas station drugs including tianeptine, kratom, phenibut, synthetic cannabinoids, and other unregulated substances in Charlotte, North Carolina. Our evidence-based programs include medical assessment evaluating severity of physical dependence, withdrawal management coordination with medical detox facilities when needed especially for tianeptine and phenibut which cause dangerous withdrawal requiring medical supervision, symptom management medications to ease withdrawal discomfort including medications for nausea, diarrhea, anxiety, muscle pain, and insomnia, medication-assisted treatment when appropriate such as buprenorphine (Suboxone) for some tianeptine patients, Partial Hospitalization Program (PHP) providing 20-30 hours of intensive weekly treatment during early recovery, Intensive Outpatient Program (IOP) with 9-12 hours of structured weekly care, individual therapy addressing underlying reasons for use such as self-medicating depression, anxiety, or chronic pain, group therapy with others recovering from similar substance, dual diagnosis treatment for co-occurring mental health conditions, education about gas station drug dangers and how marketing exploits legal loopholes, relapse prevention training, and comprehensive aftercare planning. We understand many people started using these substances believing they were safe legal alternatives to prescription drugs, only to become severely addicted. We provide non-judgmental, compassionate care. Call (704) 961-9322 for a confidential assessment.
No, you should NOT attempt to quit tianeptine cold turkey without medical supervision. Tianeptine withdrawal is extremely severe and can be dangerous. Symptoms begin within 3-6 hours of the last dose and include extreme nausea and projectile vomiting, severe diarrhea leading to dangerous dehydration, intense muscle and bone pain, severe anxiety and panic attacks, depression and suicidal thoughts which can be life-threatening, insomnia and inability to sleep for days, rapid heart rate and elevated blood pressure, chills, sweating, and fever, and intense cravings making it nearly impossible to maintain cessation without support. The withdrawal is often described as worse than heroin or prescription opioid withdrawal and lasts 5-10 days for acute symptoms with post-acute symptoms persisting for weeks or months. Attempting to quit alone leads to extremely high relapse rates—most people cannot endure the severity of withdrawal without medical help. Professional treatment dramatically improves success rates through medical detox with 24/7 monitoring and symptom management, medications to reduce withdrawal discomfort, psychological support during the most difficult phase, safe tapering protocols when appropriate, and transition to ongoing addiction treatment. If you’re dependent on tianeptine (ZaZa Red, Neptune’s Fix, Tianaa, or other products), call Nova Transformations at (704) 961-9322 immediately. We can coordinate medical detox and provide comprehensive treatment. Do not suffer through this alone—help is available.
Gas station drugs remain legal despite being dangerous due to regulatory loopholes and gaps in the law. They’re marketed as “dietary supplements” or “not for human consumption” exploiting the 1994 Dietary Supplement Health and Education Act (DSHEA) which allows substances to be sold as supplements without FDA pre-approval or safety testing as long as they’re not explicitly marketed for treating diseases. Manufacturers use misleading labels calling products “mood enhancers,” “herbal supplements,” or “nootropics” rather than drugs. When one chemical formula gets banned, manufacturers create slight chemical variations (analogs) that aren’t yet specifically illegal creating a regulatory whack-a-mole problem. Regulation happens state-by-state rather than federally meaning laws vary widely—some states have banned tianeptine while it remains legal in others including North Carolina currently. Many substances are manufactured overseas and imported making regulation difficult. The FDA and DEA move slowly compared to how quickly new substances appear on the market. Some progress is being made with several states banning tianeptine, North Carolina considering tianeptine ban legislation, DEA listing kratom as “drug of concern,” and FDA issuing warnings about tianeptine and kratom dangers. However, “legal” absolutely does NOT mean “safe”—tobacco and alcohol are legal but kill hundreds of thousands annually. Gas station drugs are unregulated with no quality control, safety testing, or medical oversight. Don’t let legal status fool you into thinking these substances are safe.
We understand you’re asking this question, but we cannot and will not provide information about where to purchase these dangerous, addictive substances. If you’re looking for tianeptine, kratom, or other gas station drugs because you’re dependent on them and experiencing withdrawal, please seek professional help immediately rather than continuing to use. If you’re considering trying these substances out of curiosity or because someone told you they’re “legal and safe,” please don’t—they’re extremely addictive and dangerous despite being sold at convenience stores. Many people who casually tried tianeptine products like ZaZa Red or Neptune’s Fix “just once” became severely addicted within days to weeks and now struggle with brutal addiction they never anticipated. The fact that these products are sold legally at gas stations creates a false sense of safety, but they cause severe physical dependence, dangerous health effects, and withdrawal that can be medically serious requiring hospitalization. If you’re struggling with gas station drug addiction, Nova Transformations in Charlotte provides confidential, non-judgmental treatment. Call (704) 961-9322 now. If you’re experiencing severe withdrawal, go to the nearest emergency department or call 911—tianeptine and phenibut withdrawal can be dangerous. Recovery is possible, but continuing to use these substances only makes addiction worse. Get help today.
References and Resources
- U.S. Food and Drug Administration (FDA). (2024). FDA Warns Consumers Not to Purchase or Use Tianeptine Products. Retrieved from https://www.fda.gov/
- Centers for Disease Control and Prevention (CDC). (2024). Notes from the Field: Tianeptine Exposures Reported to Poison Centers. MMWR Morbidity and Mortality Weekly Report.
- Drug Enforcement Administration (DEA). (2024). Kratom (Mitragyna speciosa) Drug Fact Sheet. Retrieved from https://www.dea.gov/
- Substance Abuse and Mental Health Services Administration (SAMHSA). (2024). Emerging Drugs of Abuse. Rockville, MD: SAMHSA.
- Bakota, E. L., Arndt, K. A., Robles, J. R., et al. (2022). Severe Opioid Withdrawal Syndrome Related to Tianeptine Use. Journal of Addiction Medicine, 16(3), e189-e191.
- Grundmann, O. (2017). Patterns of Kratom use and health impact in the US. Drug and Alcohol Dependence, 177, 244-249.
- Samokhvalov, A. V., Paton-Gay, C. L., Balchand, K., & Rehm, J. (2013). Phenibut dependence. BMJ Case Reports, bcr2012008381.
- American Association of Poison Control Centers. (2024). Tianeptine and Novel Psychoactive Substances.
- North Carolina Department of Health and Human Services. (2024). Emerging Drug Threats in North Carolina. Retrieved from https://www.ncdhhs.gov/
- Rushton, W. F., & Thirakul, P. (2022). Emergency Department Management of Tianeptine Toxicity: A Review. Journal of Emergency Medicine, 62(4), 483-491.
Charlotte-Area Addiction Resources:
- Nova Transformations Charlotte: (704) 961-9322
- Carolinas Poison Center: 1-800-222-1222 (24/7 for overdose/poisoning)
- Crisis Line: Call or text 988 (Suicide & Crisis Lifeline)
- SAMHSA National Helpline: 1-800-662-HELP (4357)
- Charlotte Emergency Departments: 911 for medical emergencies
- Narcotics Anonymous Charlotte: https://charlottena.org/
- SMART Recovery Charlotte: Science-based support groups
Medical Disclaimer: This article is for informational and educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Gas station drug addiction and withdrawal require professional medical care. Tianeptine and phenibut withdrawal can be medically dangerous—never attempt to quit without medical supervision. If experiencing severe withdrawal symptoms, seek emergency medical care immediately. Always consult qualified healthcare providers for treatment decisions.
Last Updated: November 6, 2025 | Author: Nova Transformations Clinical Team | Location: Charlotte, North Carolina
