Content Warning: This article discusses drug use, heroin addiction, and trauma. John Makohen, a seasoned substance use counselor and author of *A Heroin User’s Guide to Harm Reduction*, shares his lived experience of life on the streets, the risks of drug use, and the lessons that shaped his journey toward recovery.

Critics continue to question substance use harm reduction. Advocates persist in fighting for it. But the data is precise: harm reduction saves lives. As patterns of drug use shift and risks increase, strategies such as overdose prevention centers, fentanyl test strips, and naloxone access offer a proven path forward. This isn't theory; it's survival. 

The phrase "Lived Experience" represents a growing movement in the field of substance use disorder (SUD) recovery, emphasizing the powerful effect of individuals sharing their journeys to inspire hope and foster healing in others.