Abstract: Background and Objectives: Chronic nitrous oxide (N 2 O) misuse causes heterogeneous neuropsychiatric toxicity. Methods: We retrospectively reviewed three middle‐aged adults with chronic N 2 O misuse and neuropsychiatric presentations. Results: Presentations included cognitive impairment, hallucinations, and variable neurologic dysfunction. Homocysteine was markedly elevated in all...
Since late 2023, according to conversations between investigators and smoke shop employees, gas stations and smoke shops in Virginia have been selling mushroom gummies, marketed as nootropics (substances taken to enhance cognitive function) or psychedelics.These gummies are labeled to contain either Amanita muscaria or proprietary mushroom nootropic blends.Unlike other hallucinogenic mushrooms...