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Demyelination/remyelination is largely observed in white matter rich regions such as the corpus callosum (CC) and is accompanied by gliosis (microgliosis and astrogliosis) and neurodegeneration (Praet et al., 2014)

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Documented Long-Term Side Effects of Opioids Chronic or recurrent opioid use has been associated with: Central nervous system suppression , affecting alertness, coordination, and mood (35,36) Disrupted gut motility and microbiome balance , contributing to constipation, dysbiosis, and inflammation (38) Hormonal suppression , including reduced testosterone, altered HPA-axis signaling, and downstream endocrine disruption, which can worsen fatigue, depression, and pain perception (34) Impaired immune function , increasing susceptibility to infection (37) Reduced motivation and physical activity , slowing rehabilitation and tissue recovery (35) Why Opioids May Worsen Chronic Pain Over Time Because opioids suppress pain perception without addressing inflammatory, structural, or metabolic drivers, symptoms often return when doses decline—frequently with heightened sensitivity due to opioid-induced hyperalgesia