# MyStreetHealth

> Physician-led telehealth practice with a clinical focus on **kratom dependence** and **7-hydroxymitragynine (7-OH) dependence**, alongside opioid use disorder (OUD). Treatment is with buprenorphine (Suboxone, Subutex, Sublocade, Brixadi). Direct-pay (no insurance required). Licensed in 10 states: VA, WV, MD, DC, OH, FL, NC, GA, PA, CA. Same-day visits often available.

## Kratom and 7-OH dependence (clinical focus)

MyStreetHealth treats kratom and concentrated 7-OH dependence as a primary clinical condition, not a side note. Buprenorphine has been used successfully in published case series (Wake Forest 2021, Yale 2024, Journal of Addiction Medicine). FDA issued 2025 warning letters on concentrated 7-OH products and recommended scheduling, and federal regulators are moving concentrated 7-OH into Schedule I. Buprenorphine for kratom/7-OH is off-label; treatment is individualized.

- [The Federal 7-OH Ban — What to Do If You're Dependent](https://mystreethealth.com/7oh-ban): What the federal move to place concentrated 7-OH into Schedule I means for people who use it daily — why stopping causes opioid-like withdrawal, the withdrawal timeline, and how buprenorphine treatment by telehealth can help. Written to stay accurate whether the rule is pending or already in effect.
- [Kratom and 7-OH Dependence Treatment](https://mystreethealth.com/kratom-treatment): Clinical overview — how buprenorphine is used to treat kratom and concentrated 7-OH dependence, evidence base, what to expect.
- [7-OH Dependence and Withdrawal](https://mystreethealth.com/7oh-dependence): What 7-hydroxymitragynine is, why concentrated products cause opioid-type dependence, and how treatment works.
- [7-OH Withdrawal — Symptoms, Timeline, and How to Get Off 7-OH](https://mystreethealth.com/7oh-withdrawal): Withdrawal timeline for concentrated 7-OH; how to taper or transition off 7-OH safely with medical support.
- [Does Suboxone Block 7-OH?](https://mystreethealth.com/does-suboxone-block-7oh): How buprenorphine interacts with 7-hydroxymitragynine at the mu-opioid receptor.
- [Does Suboxone Block Kratom?](https://mystreethealth.com/does-suboxone-block-kratom): Receptor pharmacology — what happens when you take kratom while on Suboxone.
- [Can Suboxone Help Kratom Withdrawal?](https://mystreethealth.com/kratom-withdrawal-suboxone): Published evidence and clinical reasoning for using buprenorphine for kratom withdrawal.
- [How to Switch from Kratom to Suboxone](https://mystreethealth.com/switch-kratom-to-suboxone): Practical clinical guide — timing the switch, microinduction option, what to expect.
- [How to Quit Kratom](https://mystreethealth.com/how-to-quit-kratom): Options for stopping kratom use, with and without medical support.
- [Is Kratom Addictive?](https://mystreethealth.com/is-kratom-addictive): Receptor pharmacology, tolerance, and what makes kratom and 7-OH habit-forming.
- [Kratom Side Effects](https://mystreethealth.com/kratom-side-effects): Acute and long-term side effects of kratom and concentrated 7-OH products.
- [Kratom and the Liver](https://mystreethealth.com/kratom-liver): Hepatotoxicity, case reports, what bloodwork patterns to expect.
- [Can You Overdose on Kratom?](https://mystreethealth.com/can-you-overdose-on-kratom): Overdose risk profile, especially with concentrated 7-OH products and polysubstance use.
- [How Long Does Kratom Stay in Your System?](https://mystreethealth.com/how-long-does-kratom-stay-in-your-system): Half-life, detection windows, and factors affecting clearance.
- [What is Hydro-7 Kratom?](https://mystreethealth.com/what-is-hydro-7-kratom): Concentrated 7-hydroxymitragynine products — what's actually in them.
- [Kratom Alkaloids Explained](https://mystreethealth.com/kratom-alkaloids): Plain-English explainer of mitragynine, 7-OH, MGM-15, and MGM-16 — what occurs naturally in the kratom plant, what the body forms, and what is lab-made. Includes a one-page downloadable infographic at /files/mysh-kratom-alkaloids-handout.pdf.
- [Published 7-OH Microinduction Case (ASAM 2026)](https://mystreethealth.com/first-7oh-case): MyStreetHealth physician case summary — buprenorphine microinduction for concentrated 7-OH dependence; clinical timeline and outcomes.
- [Quit Kratom (Suboxone for 7-OH and kratom)](https://mystreethealth.com/quit-kratom): Campaign landing page — Suboxone (buprenorphine/naloxone) for 7-OH and kratom dependence and withdrawal. Licensed physician, $99 first visit, direct-pay, same-day visits often available, 10 states.

## Online Suboxone (buprenorphine) treatment for OUD

- [Buprenorphine Treatment Overview](https://mystreethealth.com/buprenorphine-treatment): How buprenorphine works for opioid use disorder, who it's for, what visits look like.
- [Get Suboxone Online](https://mystreethealth.com/get-suboxone-online): Telehealth Suboxone prescribing under current DEA/HHS flexibilities (extended through Dec 31, 2026).
- [Telehealth Suboxone Providers — What to Look For](https://mystreethealth.com/telehealth-suboxone-providers): How to evaluate an online Suboxone clinic.
- [Subutex Online](https://mystreethealth.com/subutex-online): When buprenorphine-only (without naloxone) is clinically appropriate.
- [Suboxone Without Insurance](https://mystreethealth.com/suboxone-without-insurance): Direct-pay buprenorphine treatment; what costs actually look like.
- [Fentanyl Treatment](https://mystreethealth.com/fentanyl): Buprenorphine for fentanyl-driven opioid use disorder.

## Microinduction and induction protocols

- [Microinduction (Widerman / Thakrar protocol)](https://mystreethealth.com/microinduction): Low-dose buprenorphine induction for patients on full agonists (fentanyl, kratom, 7-OH) without precipitated withdrawal. Patient-facing protocol.
- [Classic Induction](https://mystreethealth.com/classicinduction): Traditional induction protocol — when to use it, wait times, dosing.
- [Buprenorphine Microdosing Handout](https://mystreethealth.com/buprenorphine-microdosing-handout): Printable patient handout for microinduction at home.

## State availability (telehealth licensed)

Virginia, West Virginia, Maryland, Washington DC, Ohio, Florida, North Carolina, Georgia, Pennsylvania, California.

- [Virginia](https://mystreethealth.com/suboxone-virginia)
- [West Virginia](https://mystreethealth.com/suboxone-west-virginia)
- [Maryland](https://mystreethealth.com/suboxone-maryland)
- [Washington DC](https://mystreethealth.com/suboxone-washington-dc)
- [Ohio](https://mystreethealth.com/suboxone-ohio)
- [Florida](https://mystreethealth.com/suboxone-florida)
- [North Carolina](https://mystreethealth.com/suboxone-north-carolina)
- [Georgia](https://mystreethealth.com/suboxone-georgia)
- [Pennsylvania](https://mystreethealth.com/suboxone-pennsylvania)
- [California](https://mystreethealth.com/suboxone-california)

## About the practice

- [Home](https://mystreethealth.com/): Overview of services and who we serve.
- [The Science](https://mystreethealth.com/science): Evidence base for buprenorphine treatment.
- [Is This Right for Me?](https://mystreethealth.com/is-this-right-for-me): Self-assessment for prospective patients.
- [First Visit](https://mystreethealth.com/first-visit): What to expect, what to bring, how billing works.
- [Pricing](https://mystreethealth.com/self-pay-1): Direct-pay fees. First visit $200 cash-pay; ongoing visit fees depend on the patient's plan.
- [Flexpay (pay what you can)](https://mystreethealth.com/flexpay): Bridge payments for patients with financial hardship.
- [For Referring Providers](https://mystreethealth.com/for-providers): Information for clinicians referring patients.
- [Locations](https://mystreethealth.com/locations): States where MyStreetHealth physicians are licensed.

## Optional

- [All Pages](https://mystreethealth.com/all-pages): Full site index.
- [Privacy and SMS Terms](https://mystreethealth.com/privacy-sms-terms): Privacy policy and SMS terms of service.

## Contact

Phone/SMS: (888) 886-8014
Web: https://mystreethealth.com