![]() The patterns of when and how and where someone injects can change over time. The ability to identify track marks is one way to detect use. The more visible the injection site, the more likely a user is going to try to cover it up with clothing, make-up, or tattoos. ![]() Users will move to other areas of the body such as neck, groin, hands, feet, or face. When there is scarring, inflammation at the injection site, damaged or collapsed veins, lesions, or bruising, access to those veins becomes extremely painful or impossible. Most users start by injecting in their forearms. Heroin, cocaine, methamphetamines, prescription stimulants, and prescription opioids can be injected into the bloodstream through a vein. Needle fixation is when people become addicted not only to the drug, but also to the ritual of drawing their drug up into a needle, and the act of injecting it. Injection drug users have unique challenges because of additional social stigma, substantially increased risk for infectious diseases, the health consequences of injection drug use, and the addiction to the injection process itself. ![]()
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