Russo died as a result of the “toxic effects of fentanyl and methamphetamine,” according to the San Diego County Medical Examiner’s Office.

Denise Russo’s cause of death has been made public.

The former star of the 2011 VH-1 reality series The X-Life died at the age of 44 from “toxic effects of fentanyl and methamphetamine,” according to the coroner’s Saturday report from the San Diego County Medical Examiner’s Office, and her death was ruled an accident.

According to a statement from the San Diego County Medical Examiner’s Office on March 10, Russo died on March 5 at a friend’s house.

According to the medical examiner’s office, first responders arrived on the site after 911 was contacted. Russo was discovered asleep on the ground, surrounded by drug paraphernalia.

Russo was confirmed dead after “aggressive attempts at resuscitation,” according to the ME.

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A former X-Life cast member, Susie Stenberg, told TMZ that Russo was “the most loving and loyal person.”

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