On September 12, the Los Angeles County Department of Public Health (LACDPH) announced that 7-Hydroxymitragynine had been linked to three overdose deaths. FDA slide warning of 7-OH as an emerging public health threatIn August, just after the FDA recommended banning 7-OH under Schedule I of the CSA, Louisiana passed a bill that banned both 7-OH and kratom explicitly. Florida became the first state to ban 7-OH on its own. “At low doses, 7-OH can have stimulant-like effects and at higher doses it has opioid-like effects,” LACDPH continued in its press release. This was a key factor in HHS’ decision to reject efforts to ban kratom and 7-OH.”Groups like the American Kratom Association, meanwhile, are quick to draw a distinction.