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It's not just fentanyl, it's opioids in general. Junkies have been doing this long before fentanyl was available.
True, but fentanyl is really popular right now.
junkies have been doing junkie things for sure. the fold is something unique; have seen heroin addicts, meth addicts and other kinds but never seen them fold themselves in half while staying upright. they do it for so long it leads to serious muscle issues in the lower spine. https://sfist.com/2024/07/17/doctors-and-users-explain-why-fentanyl-users-are-slouched-over-so-often/
It might be more prevalent with fentanyl but it's not unique to it, I remember seeing the fold happening decades before fentanyl was around. I do think it is unique to opioids though, there's a similar thing that can happen with dissociates but it's got a different character to the movement and poses.