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THE BRAIN THAT CAN'T LET GO

You Already Know How It Starts

A Prescription. A Surgery

A Season Of Pain That Needed Managing

This Is The Part Nobody Explains

What The Brain Looks Like After The Pain Is Gone

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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OKAY BACK FROM INSIDE YOUR HEAD 🧠

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WHAT TOLERANCE ACTUALLY MEANS 📈

The Brain Is An Adaptation Machine

Its Primary Function Is Not To Feel Good

Its Primary Function Is To Maintain Equilibrium

When Opioids Flood The Mu Receptors At Several Times The Intensity Of

Anything The Brain Produces Naturally

The Brain Responds

It Reduces The Number Of Available Mu Receptors

Fewer Receptors Mean Less Response To The Same Dose

This Is Tolerance

It Is Not A Flaw In Willpower

It Is The Brain Doing Precisely What It Was Built To Do

The Consequence Is That The Dose That Stopped The Pain Last Month Does Not Stop It This Month

More Is Required To Reach The Same Floor

The Ceiling Keeps Rising

The Floor Keeps Dropping

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THE NEW BASELINE 📉

Long Term Opioid Use Suppresses The Brain's Natural Endorphin Production

The Brain Outsourced The Job

It Recognizes That An External Supply Is Arriving Reliably

Natural Production Becomes Unnecessary

When The External Supply Stops

The Brain Cannot Immediately Recover What It Stopped Making

The Person Is Not Trying To Chase A High At This Stage

They Are Trying To Feel Neutral

They Are Trying To Experience A Baseline That No Longer Exists Without The Drug

This Is The Mechanism That Makes "Just Stop" A Sentence That Only

Makes Sense From The Outside

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WHAT THE BODY DOES 🌡️

Withdrawal Begins Between Six And Twenty Four Hours After The Last

Dose Depending On The Opioid

Muscle Cramps That Feel Like The Bones Are Trying To Exit The Body From The Inside

Profuse Sweating Followed By Chills

Nausea. Vomiting

Diarrhea

All At Once

Insomnia So Complete That The Body Is Exhausted And Wired Simultaneously

Restless Legs That Make Stillness Impossible

Severe Goosebumps Across Every Surface Of The Skin

That Last Symptom Is Where The Phrase "Cold Turkey" Comes From

The Skin Of Someone In Full Opioid Withdrawal Resembles A Plucked Bird

Acute Symptoms Peak At Forty Eight To Seventy Two Hours

They Begin To Resolve Around Day Five To Seven

The Brain Takes Months To Restore Baseline Dopamine Production

None Of This Is Exaggeration

None Of This Is Weakness

THE CRAVING THAT OUTLASTS THE WITHDRAWAL 🔁

Physical Withdrawal Is The Short Fight

The Longer Fight Is What Happens After

The Brain Encoded Opioids Into Long Term Memory At The Deepest Level Available To It

The Hippocampus Filed The Relief

The Warmth

The Stillness, And Every Detail Surrounding Them

A Hospital Smell

A Particular Song

The Color Of A Room

A Season. A Level Of Stress.

Any Of These Can Fire The Craving Circuit Independently Of Any Conscious Choice

The Person Does Not Decide To Crave

The Circuit Fires First

Research Published In The Journal Of Neuroscience Has Shown That Cue Triggered Cravings

Can Remain Active For Years After A Person Has Stopped Using

The Brain Does Not Forget A Reward That Size

It Simply Waits

WHY THE SYSTEM THAT FAILED YOU HAS TO BE THE ONE THAT HELPS YOU 💬

The Prefrontal Cortex Is Structurally Altered By Long Term Opioid Use

The Region Responsible For Impulse Control

Long Term Decision Making, And The Override Of Immediate Craving Loses

Signal Strength To The Limbic System

The Part Of The Brain That Knows This Is Dangerous

Cannot Consistently Out Shout The Part That Has Filed This As Survival

This Is Not A Character Failure

This Is A Rewired Circuit

Medication Assisted Treatment Works

Buprenorphine And Methadone Bind To Mu Receptors Without Producing

The Same Euphoria

They Stabilize The Baseline That Opioid Use Destroyed

They Give The Brain Time To Rebuild What It Stopped Making

The Brain That Learned This Can Relearn

It Takes Longer Than Anyone Wants It To

It Requires More Support Than A Discharge Paper And A Referral

The Same System That Handed Someone A Paper Cup In A Hospital Room

Owes Them More Than That On The Way Out

The End

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