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That is fundamentally inconsistent with the narrative that natural kratom leaf is itself a significant public health threat.” They are highly concentrated opioids manufactured through chemical conversion processes that fundamentally alter the natural composition of kratom.” For example, Tennessee has explicitly banned synthetic alkaloids while permitting natural plant products. A growing number specifically restrict high-concentration 7-OH products, but still consider natural kratom to be legal.

In June 2025, the FDA also issued warning letters to seven companies marketing concentrated 7-OH products.
Company CEO Cameron Korehbandi has also released a statement applauding the FDA for going after 7-OH.
As it contains opioids, kratom has the potential for dependence and addiction.
Over time, users can build a tolerance and face withdrawal symptoms, such as insomnia, nausea, muscle pain, irritability and even involuntary jerky movements, according to American Addiction Centers.
That happens when the liver processes and converts mitragynine, another kratom alkaloid, into even more 7-OH.
These kratom consumer protection acts dictate how the product is made, how it is marketed, and who is eligible to purchase.

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In 2024, Maizie Hepner, 24, started visiting a bar in Dubuque, Iowa that did not serve alcohol and instead offered beverages containing kava and kratom, psychoactive substances derived from plants. At least eight states have banned the plant-derived product as more people use it and some claim it’s addictive “Big kratom trade groups have spent years blaming 7-OH for harms caused by their own unregulated products, because it threatens their market share,” the Holistic Alternative Recovery Trust stated in an emailed message. Regulators said the products violated FDA rules because they have not been evaluated for safety and, in some cases, claimed to treat medical conditions, including pain, arthritis and anxiety. Store owners and distributors who continue to sell the illegal products will face felony drug charges under the state's Controlled Substances Act.

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"I just want to help people know that they're not alone and to see that there's hope on the other side. Because when I was in it, I truly was like, I have no idea how I'm gonna get out of this," she said. Kratom, in some forms, is currently banned in six states. "That's how they're marketed. They're wellness drinks. And we're just seeing that people are developing, very quickly, addictive behaviors and very severe withdrawal very fast." Buprenorphine is often used to treat heroin addiction.

This makes Rhode Island the first state to move from a full ban to regulated access. sids 2014 These enforcement actions signal increased federal scrutiny, regardless of whether scheduling moves forward. A formal rulemaking process, including a public comment period, is expected before any scheduling decision becomes final.

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Setting a new standard for kratom purity. It’s possible that a brick-and-mortar kratom shop will be able to provide test results for its kratom or some other benchmark to prove its quality, but it’s unlikely. At brick-and-mortar kratom shops, it’s a little trickier.

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Food and Drug Administration (FDA) for consumption or medical use, but it is often marketed for its purported ability to treat chronic pain, opioid dependence, opioid withdrawal, anxiety, depression, and other disorders. THINC Pure products are only for use in states where the sale and consumption of such products are legal. Ackerman went through treatment for alcohol and kratom addiction at Wellbridge Addiction Treatment and Research. New York state lawmakers recently unanimously passed legislation that prohibits the sale of synthetic kratom. Like other dietary supplements, kratom and 7-OH currently are lightly regulated under federal law. The FDA should support the direction set by the President and work toward a regulatory framework that protects consumers without eliminating lawful access to natural products.”

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For more information, visit and learn more at kratomanswers.org. Researchers concluded that kratom was generally well tolerated across all dose levels tested, with only nausea being the most commonly reported non-serious adverse event experienced by both the kratom and the placebo test groups. Reputable vendors will not ship to states where their products are prohibited.