Highly concentrated kratom products, including isolates, represent a significant shift away from traditional use and can be problematic due to increased potency.

“And this is also where we feel that things have become problematic. And so if we go back to paracelies and you know hundreds of years ago talking about the poison is in the dose um where we where we've seen somewhat um nonproatic use I would say the majority of nonproatic use is with that leaf material more of that closer to traditional use but as you start to make these concentrates and extracts and and and now isolates which are even a whole another discussion because they're no longer even creating products.”