Update: Fentanyl Killed Prince – Medication Eighty Times Stronger Than Morphine



Learn the serotonin connection in his death …. The toxicology released today on Prince shows he died of an overdose of the serotonergic pain killer Fentanyl. These drugs will often shut down the lungs as the serotonin constricts the broncial tubes. When it is eighty times stronger than morphine you have to ask what it is doing on the market! Now keep in mind that when they say he overdosed that does not necessarily mean he did that on purpose because the drug can accumulate in the system and the serotonin levels continuing to increase the longer he was on the drug can cause death via the elevated serotonin condition known as Serotonin Syndrome.

Elevated serotonin produces many of the symptoms Prince had been experiencing many of which could be called flu symptoms. Here is a list from several various sources: migraines, hot flashes, pains around the heart, difficulty breathing, a worsening of bronchial complaints, tension and anxiety which appear from out of nowhere, depression, suicide – especially very violent suicide, hostility, violent crime, arson, substance abuse, psychosis, mania, organic brain disease, autism, anorexia, reckless driving, Alzheimer’s, impulsive behavior with no concern for punishment, argumentative behavior, agitation or restlessness, dilated pupils, changes in blood pressure, nausea and/or vomiting,
diarrhea, rapid heart rate, tremor, loss of muscle coordination or twitching muscles, shivering and goose bumps, and seizures. And here is another list of symptoms:

  • Confusion: A serious symptom that may emerge is that of mental confusion. The person may struggle with memories, conversation, and may appear to be acting drugged or downright goofy. This increased mental confusion may make it difficult for the person to perform even menial cognitive tasks.
  • Death: The reason you need to seek immediate medical help if you suspect high serotonin is to avoid death. In some cases, high levels of serotonin are fatal and could end a person’s life. Always go into the doctor or emergency room if you have taken multiple serotonergic drugs as a combination.
  • Diarrhea: Some people develop severe bouts of diarrhea from serotonin toxicity. This is a neurotransmitter that is found in the GI tract and may be involved in digestive processes. Too much serotonin disrupts the GI tract and can result in us feeling sick with diarrhea.
  • Fever/Heavy Sweating: It is common to experience changes in body temperature as a result of serotonin syndrome. You may feel physically chilled and experience body shivers, but you may simultaneously be running a fever. If you have a fever, this is a sign that your body isn’t able to handle the serotonin increase.
  • Irregular heartbeat: It was already mentioned that you may experience an increased heart rate, but you may also experience an irregular heartbeat – which is problematic. An irregular heartbeat may put excess strain on your heart functioning. This is a sign that you need to be medically evaluated.
  • Loss of balance: If you feel as if you cannot properly walk or maintain balance, this is another sign of too much serotonin. There is often significant interference in our coordination when we have high levels of serotonin in the brain.
  • Muscle twitching: Your muscles may twitch excessively as a result of serotonin elevations. If you notice that certain parts of your body start to twitch, realize that it’s probably a result of serotonin toxicity.
    Seizures: In extreme cases, some people respond to serotonin increases by having seizures. To prevent a seizure, it is recommended to do whatever you can to lower your serotonin as quickly and as efficiently as possible.
  • Unconsciousness: Some people may end up fainting or becoming unconscious if serotonin levels rise too high. If you feel faint or as if you may pass out, it’s best to get into the emergency room as soon as possible.
  • Vomiting: Some people end up feeling so nauseous with flu-like symptoms that they end up vomiting. While vomiting may be good in that it could clear some serotonin-based drugs from the system, this is a sign that a person needs immediate medical intervention
  • Weakness
  • The warning is that if you experience any of these symptoms, you or someone with you should seek medical attention immediately. Unfortunately with all the misinformation about how dangerous it is to increase serotonin levels too few doctors are even familiar with these symptoms being connected to Serotonin Syndrome. Obviously they missed many of these symptoms in Prince.



One of the first cases of chemically induced psychosis was produced by two serotonergic medications prescribed by Sigmund Freud. Unless you have read my book Prozac: Panacea or Pandora? Our Serotonin Nightmare, you are likely unaware that Freud was a cocaine addict (Now you know where the “Father of Psychiatry” got all of his insane ideas!) Thrilled with the discovery of cocaine and addicted to it himself, Freud regularly prescribed the drug to the majority of his patients. When he tried to get a friend who was hooked on morphine, off of that drug by putting him on cocaine he quickly became one of the first recorded cases of cocaine-induced psychosis. Considering that both cocaine and morphine are serotonergic drugs I would imagine that the psychosis was more a combined effect of the two drugs since the two major types of psychosis both schizophrenia and mania/Bipolar are conditions of elevated serotonin.

If you have read my book you will also recall the case of a neighbor I mentioned who took Prozac for two years and when he quit cold turkey became so manic that he thought he was an ambassador to the Queen of England for five months. I think the mayor of Los Angeles is still upset that he never got the funds promised to him during that manic state! 🙂

Several years after recovering from that manic episode after realizing what had caused it and watching his diet closely he began to smoke again and eat junk food. Once again finding himself beginning to suffer depression a well meaning friend talked him into trying Effexor. After all it is spelled differently so maybe it will work differently? NOT! Once the metabolism of serotonin is impaired by an antidepressant taking any other drug that increases serotonin can be a serious problem. About the only real difference in the Effexor, he quickly learned, was that it was even stronger. ONE PILL of Effexor was all it took for him to go into a six month manic episode this time!

He became a Scotish Crown Prince overnight and walked the neighborhood in a Scottish kilt with a sword on his side and held business meetings on my roof as he had been roof as he had been renting a room from me. (Luckily for him there were not so many officers on these drugs at that point so he did not get shot for walking around like that.) As the mania went on it became apparent that he was going to have a heart attack if his glandular system did not slow down. So we decided to try to get Noni juice down him to balance his sugar levels, stop the seizure activity and therefore stop the manic episode. The Noni worked rapidly! He began sleeping again that first night and within two weeks he was normal again. Unfortunately he did not get the Noni before he appeared on a local TV station to pledge matching donations for their Three Tenor program they were having as a fund raiser! Of course the money for that was coming to him as soon as he was to be officially crowned at my home with the invited guests being all of the Utah government leaders and leaders of the LDS Church. And he personally invited Randall Carlisle, a TV reporter for channel 4 news in Salt Lake City. (Luckily for me none of them showed up at my front door for his coronation!!!)

Now that you have that background, this is where the Fentanyl comes in and one of the many reasons I warn to never use antidepressants and pain killers together. Several years after the last manic episode I got a call from friends who were renting my home while I was living out of state. They called to let me know that they were sure this same friend was having yet another manic episode. They were renting the upstairs and he was still in the downstairs apartment. They were right. When I spoke with him I learned he had been given Flexeril, another serotonergic pain killer similar to Fentanyl, for the fibromyalgia pains he had gotten from using Prozac for two years! Not given in a hospital setting where there could be monitoring as this report says should be the case with the administration of Fentanyl. Just as with Prince. He was not given this drug in a hospital setting only. He was out on his own as well. The serotonin toxicity they can produce can be deadly as we have seen with the death of Prince. And as we saw several years ago with the death of Anna Nicole Smith’s young son, Daniel, while he was sitting in a hospital visiting his new baby sister. Daniel too died of this same medication interaction.

But this is why it is so important to not use these pain killers together with antidepressants. And many antidepressants are given as pain killers like Tramadol often is. So be careful if you are taking various pain killers that they are not mixing one of those antidepressants with a drug like flexeril or fentanyl many are given antidepressants as pain killers for fibromyalgia. Cymbalta is another common antidepressant given for pain. Or they are given pain killers after they use antidepressants which produce fibromyalgia! All so ironic since fybromyalgia has long been known as a condition of ELEVATED serotonin! Fibromyalgia is a form  of arthritis and arthritis is listed as a “frequent” side effect of antidepressants. Bottom line is that many patients are mixing these drugs and are not in a safe place at all doing so.


Ann Blake Tracy, Executive Director,

International Coalition for Drug Awareness

drugawareness.org & ssristories.NET

Author: ”Prozac: Panacea or Pandora? – Our Serotonin Nightmare – The Complete Truth of the Full Impact of Antidepressants Upon Us & Our World” & Withdrawal CD “Help! I Can’t Get Off My Antidepressant!”

WITHDRAWAL WARNING: In sharing this information about adverse reactions to antidepressants I always recommend that you also give reference to my CD on safe withdrawal, Help! I Can’t Get Off My Antidepressant!, so that we do not have more people dropping off these drugs too quickly – a move which I have warned from the beginning can be even more dangerous than staying on the drugs!

WITHDRAWAL HELP: You can find the hour and a half long CD on safe and effective withdrawal helps here: http://store.drugawareness.org/ And if you need additional consultations with Ann Blake-Tracy, you can book one at www.drugawareness.org or sign up for one of the memberships in the International Coalition for Drug Awareness which includes free consultations as one of the benefits of that particular membership plan. For only a $30 membership for one month you can even get 30 days of access to the withdrawal CD with tips on rebuilding after the meds, all six of my DVDs, hundreds of radio interviews, lectures, TV interviews I have done over the years PLUS access to my book on antidepressants (500 plus pages) with more information than you will find anywhere else (that is only $5 more than the book alone would cost) at www.drugawareness.org. (Definitely the best option to save outrageous postage charges for those out of the country!)

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CELEXA: Police Officer Who Shot Man Was On Celexa:

Paragraph six reads: “Holt, who investigators determined

fired the fatal shot, was ultimately released from duty. Gabriel

continues to work for the Breckenridge police department.”

Paragraph 79

reads:  “Toxicology reports taken on the three officers showed that

Holt also had 1450 NG/ML of Celexa in his urine. There were no

drugs or other substances detected in results for Gabriel or



Breckenridge shooting death not forgotten

It has been one year

since Michael Richardson was shot to death by Breckenridge police, but the

grieving continues for family and friends.

Shai Berry, a family friend,

organized Justice for Mike to raise funds to help Richardson’s family. Her

response is typical of those with questions that have lingered since his


“Mike didn’t have to die that night,” Berry said. “Not only his

death, but the way he died left a hole in the hearts of so many that only

justice can begin to heal.”

Richardson, 37, of Albany, died from a single

gunshot wound during a confrontation with police at 12:36 a.m. Nov. 29, 2008,

initial reports said.

Breckenridge police officers Scott Gabriel and

Jason Holt were on paid leave until the grand jury in May determined there was

not enough evidence to prosecute them for the shooting.

Holt, who

investigators determined fired the fatal shot, was ultimately released from

duty. Gabriel continues to work for the Breckenridge police


Many questions have surrounded the case in the weeks and

months after the shooting death.

The Reporter-News filed a public

information request with the Department of Public Safety and received copies of

the reports from officers and witnesses involved, as well as copies of in-dash

videos recorded at the scene.

However, a request to the city of

Breckenridge for the personnel files of the two officers was challenged by

attorneys for the city, even after the Attorney General of Texas ruled that the

city should release the files.

To date, the city has not turned over the

officers’ personnel files.

Mark Haney, a Fort Worth attorney who

represents Richardson’s family, also has been denied access to the officers’

personnel records.

Haney said last week he plans to file a federal

lawsuit alleging civil rights violations.

“We intend to file suit because

we believe that the death of Michael Richardson should never had occurred but

for the actions of the police department, and we intend to hold them accountable

for that loss,” Haney said. “The citizens of Breckenridge need to have some

light shined on that police department.”

Andy Messer, the attorney hired

by the city of Breckenridge, said he will “vigorously defend” the city and the

officials should a lawsuit be filed.

“We expected a lawsuit the minute we

received notice of their representation of counsel,” Messer said.


has filed motions blocking the release of the personnel records.


think the Texas Rangers investigation shows the important facts of the case,”

Messer said. “We think the officers were justified in their actions.”


day before

The day before the shooting, Richardson spent Thanksgiving

with his mother Connie Jackson and his sister and her three children.


did all of the cooking and everyone kind of helped,” Connie Jackson remembered.

“We watched football and stayed close to home.”

Then everybody napped for

a while, got up a little later and ate some more.

“I remember Michael got

him a great big piece of pecan pie and got on the bed and watched football,” his

mother recalled.

He slept at her house that night. They all got up early

that morning to go shop.

First they stopped to get cell phones for

Richardson’s two sons, Bryant and Bryson, both teenagers. Then the family went

to Walmart.

“We were calling each other on cell phones in the store and

finally as I was checking out I saw him by the Christmas trees and waved,”

Connie said.

That would be the last time she saw her son


After shopping, Richardson and some friends were out shooting

feral hogs. He left with a cooler loaded down with Gatorade and set out with a

rifle he kept in his truck.

“He usually never drank when he was hunting,”

said his uncle, James Jackson.

The hunting trip with a friend was the

reason her son had a gun in his truck, his mother, said Connie


Afterward, he went back to Albany where he lived, dropped off

the gifts for his two sons, Bryant and Bryson, cleaned up and headed back to


Hours before death

When he returned to Breckenridge

later that evening, Richardson reportedly headed over to Potter’s Bar and Grill.

In a report taken by investigators from the Texas Rangers, owner and bartender

Amy Potter said that Richardson usually came into the bar once or twice a


On Friday, Nov. 28, the bar was busy, with about 140 customers

inside. Potter told investigators she had never met Richardson but knew who he

was. Several of her bartenders knew him.

She said he usually drank Vodka

and 7-Up but “sometimes he drinks fake drinks to give the impression he is


That night, Richardson paid for two rounds of shots for

friends and paid for five mixed drinks. He paid his tab of $230 at 12:15 a.m.

Potter said he was buying drinks for friends and handing them out just before

last call.

“Everyone said Michael was sober when he left the bar,” Potter

said in the statement. He took local bail bondsman Buddy Moser home that


In his statement to investigators, Moser said when Richardson

asked him if he needed a ride home, he said he did. When the two left the bar,

he told investigators he thought “Michael was acting fine and was all right to


“I went into my house and heard what sounded like seven

gunshots,” Moser’s affidavit says. “I never thought it was involving Michael.”

Moser said he called his son after hearing that Richardson had been


“At no time did I ever see a gun in Michael’s truck,” Moser


As he drove away from Moser’s home, Richardson reportedly ran over

a trash can and was dragging it under his truck, he made his way down the street

and eventually landed with his truck hung up on a chain-link fence at the

intersection of West 1st Street and North Court Avenue. In his statement to

investigators, homeowner William Lord said he believed Richardson was about to

drive his truck through the home there.

Lord went to the driver’s side

window and asked Richardson what he was doing but noted he had a blank look on

his face.

The initial call to 911 was made by a woman who reported her

mailbox down.

Officers’ accounts

According to Reporter-News

archives, when officers arrived on the scene, they found Richardson’s pickup

caught on an aluminum gate post with the wheels spinning.

The officers

said Richardson did not respond to their verbal commands, and they believed he

was reaching for a .22 caliber rifle, so one of the officers fired into the


The investigation revealed that both officers fired their weapons

and that the fatal shot was fired from Holt’s gun.

Holt was dispatched to

the scene at 500 Court Street at 12:38 a.m.

Holt, who had been a police

officer for a little less than six years, said when he was approaching the

scene, he noticed a large cloud of smoke coming from a red 2007 Dodge Ram

pickup. Holt said he believed Richardson, who he called “the suspect” was

attempting to drive through the home and wanted to get away from


In his statement, Holt claims he saw Richardson reach down and

touch the scope on the rifle so he opened fire.

Meanwhile Officer Scott

Gabriel arrived on the scene with Wayne McMullen, the city code enforcement

officer who was accompanying him on patrol.

In his statement, Gabriel

said he tried to get Richardson’s attention, by attempting to break out the

windows of the vehicle with a baton or the butt of his revolver, but he could


He then fired shots into the tires of the vehicle and his weapon

jammed. Gabriel said he saw a rifle in the front seat but did not indicate he

saw Richardson reaching for it.

There was only one streetlight

illuminating the area, and Richardson’s windows had a dark tint. In the two to

three minutes from the time Holt arrived to the time shots were fired, Holt

maintains in his statement that he saw Richardson reach for the


“Without any other choice, I reacted by firing several shots at

the suspect driver, through the passenger side front window,” Holt wrote in his

report. Holt said he recalled firing seven shots into the


Gabriel was on the driver’s side of the vehicle when he radioed

dispatch that “shots had been fired,” according to his statement.


heard multiple shots being fired from the direction that Officer Holt was at,”

Gabriel reported.

Gabriel said the truck stopped moving, and he went to

the passenger side to assess the situation.

Meanwhile, Holt had radioed

in for an ambulance.

All three officers said Richardson looked at them

with a blank stare, like he did not know what was going on.

One of the

shots hit Richardson just above the right ear and killed him.


Gabriel finally got the door of the vehicle open, he noted Richardson was

slumped over to the right side with blood coming from his head. Gabriel assisted

medics in loading Richardson onto the ambulance.



Texas Ranger Sgt. Shane Morrow was called to the scene to

conduct the investigation.

Immediately after the shooting, Holt was

escorted to the patrol car of DPS Trooper Grant Atkinson. Moments later, the

weapons of Holt, Gabriel and McMullen were confiscated, and the three officers

were taken to the police department where they gave their


Moments after the shooting, Gabriel reported that he

retrieved the rifle from the passenger side of the vehicle. Atkinson

corroborated that report, saying he offered cover while Gabriel retrieved the


“I did not see the exact location of the rifle since I was at the

back of the pickup,” Atkinson’s statement says.

Witness Angelo Santos,

who lived across the street, said he saw an officer break out the driver’s side

window after the shots were fired.

“The officer reached in the driver

side door and grabbed a long brown item that appeared to be a rifle with black

clip … and handed it to a fireman,” Santos recalled in his


Meanwhile, Richardson was transported to the Stephens County

Memorial Hospital, where doctors pronounced him brain-dead. He was then sent to

Harris Hospital in Fort Worth, where he was pronounced dead. His body was then

transported to the Tarrant County Medical Examiner’s Officer for an


The next day

Within 24 hours, the Texas Rangers released

Richardson’s bullet-ridden truck to his family.

And the next day, family

and friends gathered at the local wrecking yard for a memorial service to honor

Richardson. They looked at and touched the truck, which was riddled with more

than 20 bullet holes and still had Richardson’s blood covering the


“He never even had a traffic ticket,” his father Wayne

Richardson said at the service.

The truck was impounded again about a

month after the shooting, so investigators could continue the


The science

The Tarrant County Medical Examiner’s

Office ruled the death a homicide. Richardson died from a single gunshot wound

behind his right ear, which was determined to have come from Holt’s gun, a .40

caliber Glock semi-automatic handgun.

The autopsy, conducted by Dr. Nizam

Peerwani, revealed that Richardson had an enlarged heart, but there were no

other remarkable findings.

Toxicology results released in February by the

Tarrant County Medical Examiner’s Office show Richardson’s blood alcohol level

was at .053 percent, below the .08 legal limit for intoxication in


The level of the antidepressant citalopram, known by the brand

name Celexa, was found in Richardson’s blood and wasn’t remarkable at 52 NG/ML

(nanograms). Ibuprofen also was detected in his system.


reports taken on the three officers showed that Holt also had 1450 NG/ML of

Celexa in his urine. There were no drugs or other substances detected in results

for Gabriel or McMullen.

Officers’ jobs

Almost immediately

questions swirled around the officers and the circumstances involved in the

shooting. Holt, 29, had only been with the department for one year and eight

months before he was fired. In the five years and seven months that Holt has

been a certified peace officer, he has worked for five law enforcement agencies,

including Breckenridge.

He also worked at the Lamb County Sheriff’s

Office, Idalou Police Department, Borger Police Department, Petersburg Police

Department and as a jailer for the Floyd County Sheriff’s Office, according to

the Texas Commission on Law Enforcement Officer Standards and Education, or


Records now indicate Holt was hired by the Wheeler County

Sheriff’s Office in August. TCLEOSE records do not show that any disciplinary

actions have been filed against him.

Gabriel, 34, remains on the

Breckenridge police force, having worked there his entire career, according to

TCLEOSE records. Gabriel became a certified peace officer in May of


The family’s hope

Connie Jackson still carries the message

in a fortune cookie that was pulled out of her son’s car the day hundreds of

friends and family gathered at the wrecking yard.

It reads: “A great

honor will be bestowed upon you in the coming year.”

His mother said the

best honor would be answers to this case.

“I would like to get to the

bottom of this and find out why my son was killed,” she said.

In a

perfect world, she wants her son back, but she knows that is


“Plus I want my son’s name cleared, of being a drunk and

pulling a gun on a police officer because I want his kids to be able to hold

their heads up and know how respected he was.”

Justice for Mike


the days and weeks that followed Richardson’s death, friend and family

questioned the actions of the police.

“It is important for us to make

sure if something like this ever happens again, it is handled without taking a

man’s life,” said Berry, who founded Justice for Mike. “Mike’s family,

especially his young boys, are still feeling the anguish of losing him. Their

pain is as raw as it was one year ago.”

Berry said she and others are

overwhelmed with emotion on the anniversary of Richardson’s death.


hope this story reminds everyone exactly what they have to be thankful for this

year. I am completely overwhelmed with emotion this week,” she said. “I hope

someday we can look back on all this and know we both made a difference


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PROZAC & 6 other drugs: Toxicology of Brittany Murphy, Actress: California

NOTE FROM Ann Blake-Tracy:

Why would anyone be surprised at this sudden heart attack in a
32 year old with this combination of drugs? This is far too similar
a combination of prescriptions that young healthy soldiers are returning
home on and dying in their sleep.
Sentence three reads:  ” Included in the drug list that
TMZ reported were Topamax, anti-seizure medication, Klonopin and Ativan for
anxiety and the pain relievers Klonopin, Ativan, Vicoprofen,
.  Also,  depression medication
Fluoxetine [PROZAC ] and
hypertension medication Propranolol.”


Brittany Murphy’s autopsy report is on LOCKDOWN!  The
list of prescription drugs that were found in the house were leaked to TMZ and
made public.  Included in the drug list that TMZ reported were Topamax,
anti-seizure medication, Klonopin and Ativan for anxiety and the pain relievers

Klonopin, Ativan, Vicoprofen, Hydrocodone.  Also,
depression medication Fluoxetine and hypertension medication

TMZ received notes laying out the timeline of
Brittany’s death on Sunday morning.  The information was apparently
confidential and was not authorized for the media to publish.  The
investigators don’t know where the information came from or how TMZ got a hold
of the information.

TMZ would not say where the information was

The investigators are not confirming that the prescription drug
list that was leaked is the same as to what they found at the house.  The
investigators are now searching for whoever leaked the

Toxicology tests may take 4-8 weeks to confirm exact cause
of death.  For now, Brittany has died from “natural” causes meaning there
is not visual trauma to her body leading to her death.

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CELEXA: Woman Stabs Boyfriend: He Kills Her Before they Die: Florida

Last paragraph reads:  “Lori Adams had Tylenol and traces of the antidepressant Citalopram [Celexa] in her system, according to the toxicology report. She also had a blood alcohol level of .24. Marshall’s blood alcohol level is unclear, officials said. The toxicologist found a .15 level in his liver but could not get a blood alcohol level, Hunter said. He advised that Marshall’s level would have been much lower than Adams’ blood alcohol level.”

Paragraph four reads:  “Investigators have maintained that Lori Adams attacked Marshall first with a 7-inch kitchen knife. While she was able to cut him badly, Marshall managed to take the knife away from Adams and stab her to death, according to statements from investigators and reports from the Calhoun County Sheriff’s Office. Marshall then walked around his own home leaving a trail of blood until he slipped and fell next to Adams on the kitchen floor.”


Autopsy confirms double homicide

Lori Adams and Fred Marshall killed one another in rare case, investigators say

August 30, 2009 12:38:00 PM
By S. BRADY CALHOUN / News Herald Writer

ALTHA – The case of the Calhoun County couple who are believed to have killed one another in a knife fight might be at an end.

The autopsies for 46-year-old Lori Adams and 66-year-old Fred Marshall were released to the public Friday. The reports confirm what investigators have said since the couple’s bodies were discovered in Marshall’s Altha home on June 18, that Marshall and Adams killed one another in a rare double homicide.

“Pending some new information we have closed this case,” said Calhoun County Sheriff David Tatum. He added that it was “a very unique crime but a crime wherein both of the offenders and both victims died.”

Investigators have maintained that Adams attacked Marshall first with a 7-inch kitchen knife. While she was able to cut him badly, Marshall managed to take the knife away from Adams and stab her to death, according to statements from investigators and reports from the Calhoun County Sheriff’s Office. Marshall then walked around his own home leaving a trail of blood until he slipped and fell next to Adams on the kitchen floor.

One mystery that might never be solved is the exact date of the deaths. At a minimum Marshall and Adams had been dead for a couple of days by the time their bodies were discovered, said Dr. Michael Hunter, the medical examiner for Florida’s 14th Judicial Circuit. However, it is impossible to tell exactly how long their bodies laid next to one another in the kitchen of the Altha home, Hunter said.

The autopsy states that Marshall was stabbed seven times. He had wounds in the upper right chest, the upper right and upper left abdomen, two wounds on his right arm and two more in his left arm. Marshall had one incapacitating wound to his left arm, Hunter said, adding that it would have taken a long time for him to die from those injuries.

Hunter said his findings in Marshall’s death supports the theory that Adams attacked Marshall first and that Marshall took the knife away from her and stabbed her to death.

Adams’ autopsy states that she was stabbed 10 times and had wounds to the face, the upper abdomen, her back and her chest. The killing blow was to the left chest and penetrated Adams’ heart, Hunter wrote. After this blow, Adams would have died very quickly and would not have had time to stab Marshall, he said.

None of the injuries on either victim could be described as self inflicted, Hunter said, ruling out the idea that one party killed the other and then killed himself or herself.

Adams had Tylenol and traces of the antidepressant Citalopram in her system, according to the toxicology report. She also had a blood alcohol level of .24. Marshall’s blood alcohol level is unclear, officials said. The toxicologist found a .15 level in his liver but could not get a blood alcohol level, Hunter said. He advised that Marshall’s level would have been much lower than Adams’ blood alcohol level.

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