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Despite how long he was clean he was still a heroin addict in the past. Most people just don't become heroin addicts.
This just goes to show that addiction and mental health problems don't go away. It's constant battle for those who suffer from it.
If you ever have to take someone to emergency psych (and I hope you don't) the first question they ask is "have they taken any drugs; including: speed, MJ, coke, opioids".