All of them are powerful pain drugs with similar chemical composition. Fentanyl is the only one that a doctor will prescribe, and that is unlikely too. He/she will only use it for the most severe pain like life-ending cancer pain. Receiving a little too much of the drug can be fatal. For Acetyl Fentanyl, it is highly unlikely that a legitimate doctor will prescribe it to you. Heroin dealers will sell this drug to users unknowingly. Fentanyl is mostly available in patches or slow dissolving lollipops designed to prevent overdosing. Acetyl Fentanyl, on the other hand, is primarily available in powder form and pills
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