opioid pain killers

thebigt

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ok, granted that opioids were over-prescribed, but now they are over-correcting. my wife and I are friends with a couple who have a child that was hospitalized when she was hit by a car riding her bicycle. the child was crying out in pain and the hospital refused to give pain meds until the parents threw a fit...damn, medicine is becoming too freaking political!!!
 
cheftepesh1

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This is why medical marijuana is becoming bigger. Big pharmaceutical And the dr have saturated the market so much that now the people who really need the pain meds have to fight to get it. So sad this is what the world has come to.
 
Matthersby

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It’s true. They are punishing those who need them, take them as prescribed, and don’t sell them. 2-3 week supplies and an act of congress to get them filled when needed. Bureaucratic insanity.
 
ValiantThor08

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This is why medical marijuana is becoming bigger. Big pharmaceutical And the dr have saturated the market so much that now the people who really need the pain meds have to fight to get it. So sad this is what the world has come to.
THC would be a safer alternative to opioids too in the pain department.
 
Ari Gold

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It would be interesting to see if the medical community would ever look into something like kratom to help people come off of prescription opioids.
 
Aleksandar37

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ok, granted that opioids were over-prescribed, but now they are over-correcting. my wife and I are friends with a couple who have a child that was hospitalized when she was hit by a car riding her bicycle. the child was crying out in pain and the hospital refused to give pain meds until the parents threw a fit...damn, medicine is becoming too freaking political!!!
First, I hope she's doing better.

Second, what exactly was the reason given? Were the waiting on a doctor? Were they still waiting on tests, specifically neurological exams? Did she have a concussion? Were they afraid of giving the kid chronic post-traumatic headaches which can occur if you give them too many pain killers?

Right now everybody has their uninformed pitchforks out here in a thread of screw big pharma and the FDA is the devil and THC will cure everything because Joe Rogan said it in his podcast, when the reality is there are many valid medical reasons that might have been why they were reluctant to knock her out with pain killers. And she shouldn't be getting opioids for that.
 
Aleksandar37

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It would be interesting to see if the medical community would ever look into something like kratom to help people come off of prescription opioids.
It's being looked at, but it certainly isn't without significant risks itself. I hear that and automatically think of using methadone to get off of heroin and the legions of methadone addicts that occurred as a result.
 
Ari Gold

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It's being looked at, but it certainly isn't without significant risks itself. I hear that and automatically think of using methadone to get off of heroin and the legions of methadone addicts that occurred as a result.
That’s a good way of looking it.
 
rob112

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Friend of mine had an emergency c-section and only got a couple days worth of pain meds. My wife had three, last on a year and a half ago, and got a month supply. They are really cutting back.
 
ValiantThor08

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It would be interesting to see if the medical community would ever look into something like kratom to help people come off of prescription opioids.
I've used Kratom a few times. To me withdrawals are not that bad. Tolerance to kratom can come quick. I can see how Kratom would be a better alternative to get off opioids. The issue is, an opiod user would be disappointed with Kraton if they want to retain feeling high while detoxing, which is sad.
 
jswain34

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I've used Kratom a few times. To me withdrawals are not that bad. Tolerance to kratom can come quick. I can see how Kratom would be a better alternative to get off opioids. The issue is, an opiod user would be disappointed with Kraton if they want to retain feeling high while detoxing, which is sad.
Kinda missing the whole point of the detox thing lol. They shouldnt feel high when taking (therapeutic doses and routes) of buprenorphine or methadone either. Mitigating withdrawal symptoms without the patient being high so they can resume "normal" daily life is the entire point.
 
TheVenom

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Pharmaceutical companies are the pimps. Doctors are the whores. Patients are the Johns.

It's a government sanctioned racket ran by absolute predators who convince medical professionals that dealing = healing.
 
GrizzleB

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Kratom is addictive and the withdrawals suck. I speak from first hand experience. While its a good alternative to get off harsh main meds its easy to create a habit if dosing daily. From there your tolerance goes up, you dose more and more etc. If someone is able to dose recreationally only a few times a week than Id say its ok but once your using it multiple times a day is when you start to notice the negatives of when you haven't dosed.
 
TheVenom

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Kratom is addictive and the withdrawals suck. I speak from first hand experience. While its a good alternative to get off harsh main meds its easy to create a habit if dosing daily. From there your tolerance goes up, you dose more and more etc. If someone is able to dose recreationally only a few times a week than Id say its ok but once your using it multiple times a day is when you start to notice the negatives of when you haven't dosed.

I've been told that rotating strains can help prevent this from happening as quickly. Any sort of truth to that?
 
Matthersby

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First, I hope she's doing better.

Second, what exactly was the reason given? Were the waiting on a doctor? Were they still waiting on tests, specifically neurological exams? Did she have a concussion? Were they afraid of giving the kid chronic post-traumatic headaches which can occur if you give them too many pain killers?

Right now everybody has their uninformed pitchforks out here in a thread of screw big pharma and the FDA is the devil and THC will cure everything because Joe Rogan said it in his podcast, when the reality is there are many valid medical reasons that might have been why they were reluctant to knock her out with pain killers. And she shouldn't be getting opioids for that.
I respect the decisions ER Docs make, as I worked alongside them in trauma, a few years before Joe’s podcast launched. My issue isn’t with them, although they are obligated to treat pain, I’m highly aware there are literally thousands of scenarios where they cannot treat it with opiates.
My issue is our government, the fda, and our healthcare system and their ridiculous amount of control over us. To “keep us safe, since we are incapable of doing that for ourselves” Unfortunately this is necessary for the average Joe that’s incapable of doing much of any research, or using google, or making informed decisions. I pay them for a service, so I have no problem walking out and finding someone else that will work with me. It’s just like when you get shitty service at a mechanic’s garage, you go somewhere else. The FDA cares not one bit about our health or safety. The only good thing they do is set standards for quality. Everything else pretty much forces us to go black market and sacrifice quality. I’d so much rather the heroin addict have options for kratom(which they are once again trying to ban) or other drugs that can help them. But THEY (healthcare, government, fda) want them on methadone or suboxone. Something 10,000 times more volatile and painfully addictive. Heroin withdrawal is a fucking cakewalk compared to methadone(the fda approved route for addiction) Then you have Kratom and thc which can be used to easily get off any opiate. Ones illegal, and the other is quickly on its way to being illegal. And they both grow right outta the ground. Think of the insanity of that. And we all just accept it. Because they are looking out for our best Interest. They allow alcohol and tobacco to be legal and those two killed more in the last 5 minutes than steroids have killed in 50 fucking years.

I don’t accept anything big Pharma and the FDA do for me. They are soulless and evil, corrupt and greed driven.
 
Aleksandar37

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I respect the decisions ER Docs make, as I worked alongside them in trauma, a few years before Joe’s podcast launched. My issue isn’t with them, although they are obligated to treat pain, I’m highly aware there are literally thousands of scenarios where they cannot treat it with opiates.
My issue is our government, the fda, and our healthcare system and their ridiculous amount of control over us. To “keep us safe, since we are incapable of doing that for ourselves” Unfortunately this is necessary for the average Joe that’s incapable of doing much of any research, or using google, or making informed decisions. I pay them for a service, so I have no problem walking out and finding someone else that will work with me. It’s just like when you get shitty service at a mechanic’s garage, you go somewhere else. The FDA cares not one bit about our health or safety. The only good thing they do is set standards for quality. Everything else pretty much forces us to go black market and sacrifice quality. I’d so much rather the heroin addict have options for kratom(which they are once again trying to ban) or other drugs that can help them. But THEY (healthcare, government, fda) want them on methadone or suboxone. Something 10,000 times more volatile and painfully addictive. Heroin withdrawal is a fucking cakewalk compared to methadone(the fda approved route for addiction) Then you have Kratom and thc which can be used to easily get off any opiate. Ones illegal, and the other is quickly on its way to being illegal. And they both grow right outta the ground. Think of the insanity of that. And we all just accept it. Because they are looking out for our best Interest. They allow alcohol and tobacco to be legal and those two killed more in the last 5 minutes than steroids have killed in 50 fucking years.

I don’t accept anything big Pharma and the FDA do for me. They are soulless and evil, corrupt and greed driven.
The fact that you think something is safe because it grows out of the ground and that kratom and thc can "be used to easily get off any opiate" screams how horribly misinformed you are. If you want kratom and thc to actually be used, then support researchers who are looking into it rather than the online hype of people who want to sneak it in illegally and will move onto the next big hype after this goes south because those are the "evil, corrupt, and greed driven" people taking advantage of people that think using google is "research."
 
thebigt

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First, I hope she's doing better.

Second, what exactly was the reason given? Were the waiting on a doctor? Were they still waiting on tests, specifically neurological exams? Did she have a concussion? Were they afraid of giving the kid chronic post-traumatic headaches which can occur if you give them too many pain killers?

Right now everybody has their uninformed pitchforks out here in a thread of screw big pharma and the FDA is the devil and THC will cure everything because Joe Rogan said it in his podcast, when the reality is there are many valid medical reasons that might have been why they were reluctant to knock her out with pain killers. And she shouldn't be getting opioids for that.
thank you, she is recovering well. those are valid questions you pose, I have a knee jerk reaction when it comes to kids in pain...it very well could be one of the circumstances you listed. although when the parents insisted on giving their child something for pain they did so.
 
Aleksandar37

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thank you, she is recovering well. those are valid questions you pose, I have a knee jerk reaction when it comes to kids in pain...it very well could be one of the circumstances you listed. although when the parents insisted on giving their child something for pain they did so.
Good to hear! And yes, that's hard to watch, especially when it's someone you know or even your own kids. Doctors and nurses can come off as cold because they have a job to do beyond the emotional part and that means thinking of everything that could be injured, including internal injuries. And then some hospitals are just slow as hell to get anything done because they're short-staffed or lazy.
 
thebigt

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Good to hear! And yes, that's hard to watch, especially when it's someone you know or even your own kids. Doctors and nurses can come off as cold because they have a job to do beyond the emotional part and that means thinking of everything that could be injured, including internal injuries. And then some hospitals are just slow as hell to get anything done because they're short-staffed or lazy.
man, one of the hardest things to see is a child in pain-I couldn't do that job it would tear me up!!!
 
Aleksandar37

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man, one of the hardest things to see is a child in pain-I couldn't do that job it would tear me up!!!
I interviewed a guy once that used to be a medical examiner. He said they took turns weekly on who did the child autopsies. If it was your turn, you did a half day and drank the second half.
 
thebigt

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I interviewed a guy once that used to be a medical examiner. He said they took turns weekly on who did the child autopsies. If it was your turn, you did a half day and drank the second half.
i 100% can believe that!!!
 
Smont

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Pharmaceutical companies are the pimps. Doctors are the whores. Patients are the Johns.

It's a government sanctioned racket ran by absolute predators who convince medical professionals that dealing = healing.
Wasn't that in the movie excepted lol. Something along those lines
 
TheVenom

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Wasn't that in the movie excepted lol. Something along those lines
I dunno, I dont watch much TV. Maybe they were on to something though.
 
Aleksandar37

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Pharmaceutical companies are the pimps. Doctors are the whores. Patients are the Johns.

It's a government sanctioned racket ran by absolute predators who convince medical professionals that dealing = healing.
Guess that makes kratom pushers the escorts. They're still whores, but they call themselves escorts so they can pretend to be different.
 
GrizzleB

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I've been told that rotating strains can help prevent this from happening as quickly. Any sort of truth to that?
It will prevent buildup tolerance to specific strains but not from daily long term use. You will still become dependent if using multiple times a day for a prolonged period of time.
 
ValiantThor08

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Kinda missing the whole point of the detox thing lol. They shouldnt feel high when taking (therapeutic doses and routes) of buprenorphine or methadone either. Mitigating withdrawal symptoms without the patient being high so they can resume "normal" daily life is the entire point.
Exactly. But can be a difficult concept for an addict unfortunately.
 
thebigt

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Exactly. But can be a difficult concept for an addict unfortunately.
I've got to agree, even without withdrawal symptoms it is difficult since it is the high that is addicting.

lets face it, even the idea of never doing the drug of choice ever again is a challenging concept. this is why 12 step programs use the concept of one day at a time.
 
Aleksandar37

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I've got to agree, even without withdrawal symptoms it is difficult since it is the high that is addicting.

lets face it, even the idea of never doing the drug of choice ever again is a challenging concept. this is why 12 step programs use the concept of one day at a time.
It's not the high that is addicting. Sorry to jump on your word choice, but this is more of a global comment since it's a fairly common misconception. If somebody gets high simply because they like the high, that's not addiction. Addiction is a very specific thing in medical terms and involves an actual change in the person's brain and it's more about not feeling bad than it is about getting high, especially in cases where the high doesn't even happen anymore. You can even be physically dependent on a drug and go through withdrawal, but not be addicted.

This is why I don't at all agree with people saying that kratom is a safe option or alternative for opioids. They can't even get the correct terminology down. I've repeatedly said that opioids never should have been used outside of cancer pain and terminal illness and I have even worked with a company that created a naloxone product for opioid overdoses, so I'm certainly not saying that opioids are all good. Kratom MIGHT help, but it still needs to be studied for efficacy and safety in humans and that takes time.
 
thebigt

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It's not the high that is addicting. Sorry to jump on your word choice, but this is more of a global comment since it's a fairly common misconception. If somebody gets high simply because they like the high, that's not addiction. Addiction is a very specific thing in medical terms and involves an actual change in the person's brain and it's more about not feeling bad than it is about getting high, especially in cases where the high doesn't even happen anymore. You can even be physically dependent on a drug and go through withdrawal, but not be addicted.

This is why I don't at all agree with people saying that kratom is a safe option or alternative for opioids. They can't even get the correct terminology down. I've repeatedly said that opioids never should have been used outside of cancer pain and terminal illness and I have even worked with a company that created a naloxone product for opioid overdoses, so I'm certainly not saying that opioids are all good. Kratom MIGHT help, but it still needs to be studied for efficacy and safety in humans and that takes time.
very interesting.

for me I just try to keep it simple and every morning tell myself that today I am not going to drink[one day at a time]. I still do this even after 20+years of sobriety-I am only one drink away from the dark side.
 
TheVenom

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very interesting.

for me I just try to keep it simple and every morning tell myself that today I am not going to drink[one day at a time]. I still do this even after 20+years of sobriety-I am only one drink away from the dark side.
Thats just how we do man. It took a while but it finally clicked in my head that I'll always be an addict. Every day I wake up and have to make a conscious DECISION to be a recovering addict instead of an actively using one. I'm not particularly proud of my past use (hooked at in incredibly young age) but once I reached a point where my perspective outgrew my ignorance, I started with my daily decision that I could be proud of.
 
thebigt

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Thats just how we do man. It took a while but it finally clicked in my head that I'll always be an addict. Every day I wake up and have to make a conscious DECISION to be a recovering addict instead of an actively using one. I'm not particularly proud of my past use (hooked at in incredibly young age) but once I reached a point where my perspective outgrew my ignorance, I started with my daily decision that I could be proud of.
yes...be proud!!!
 
dillface02241

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They pumped my wife so full of opiods when she fell off her horse, I thought she would die. I was scared for her, seeing all the news stories so I pulled the doctor out of the room and told him they are breaking protocol and giving her too much. His reply "don't worry, we have this (as he shows me s syringe), that will resuscitate her if that happens"......wtf??

she's been on opiods since...about a year.
 
thebigt

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It's not the high that is addicting. Sorry to jump on your word choice, but this is more of a global comment since it's a fairly common misconception. If somebody gets high simply because they like the high, that's not addiction. Addiction is a very specific thing in medical terms and involves an actual change in the person's brain and it's more about not feeling bad than it is about getting high, especially in cases where the high doesn't even happen anymore. You can even be physically dependent on a drug and go through withdrawal, but not be addicted.

This is why I don't at all agree with people saying that kratom is a safe option or alternative for opioids. They can't even get the correct terminology down. I've repeatedly said that opioids never should have been used outside of cancer pain and terminal illness and I have even worked with a company that created a naloxone product for opioid overdoses, so I'm certainly not saying that opioids are all good. Kratom MIGHT help, but it still needs to be studied for efficacy and safety in humans and that takes time.
given this information how would you explain the low recovery percentage, if this is true it seems recovery rates should be much higher?
 

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This is why I don't at all agree with people saying that kratom is a safe option or alternative for opioids. They can't even get the correct terminology down. I've repeatedly said that opioids never should have been used outside of cancer pain and terminal illness and I have even worked with a company that created a naloxone product for opioid overdoses, so I'm certainly not saying that opioids are all good. Kratom MIGHT help, but it still needs to be studied for efficacy and safety in humans and that takes time.
This is why I am so for regulation of kratom, which is being looked at in Castle Rock, CO and other progressive cities now. Kratom has enormous upside and health benefits from the alkaloids, but it needs to be better studied and there needs to be oversight. There are few natural substances with the benefits that kratom offers.

I was heavily involved and invested in the initial legalization of marijuana here in CO and everyone was nay saying my stance on regulation, but look where we are now. It's a good thing.
 
Aleksandar37

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given this information how would you explain the low recovery percentage, if this is true it seems recovery rates should be much higher?
People start using again for a lot of reasons. If you get forced to stop doing cocaine and strippers, but you like doing it, you might start doing it again because you like it. Your body might just feel better on cocaine so you start doing it again. Some of it is environmental, meaning you go into rehab and then start hanging back with the same group of friends or even just the same surroundings and chances are you're using again...the same has been replicated in rats with environmental cues/triggers. People go back on for the same reason they started typically, it feels good and helps you escape the crappy job, family, etc for a bit.

Addiction is another level. Addiction is physical dependence plus the mental part, so you're now willing to do whatever it takes to get drug no matter how much it harms you. Your wife left you, you lost your job, you're homeless, and the drug doesn't even really make you feel all that great anymore, but you still rob stores to pay for it

People use the word addiction all the time for stuff that isn't addiction (e.g. I'm addicted to Coca Cola) and that's fine. The issue is when people start speaking in medical terms and claim a product helps with addiction, because now they're talking about a very specific thing.
 
thebigt

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People start using again for a lot of reasons. If you get forced to stop doing cocaine and strippers, but you like doing it, you might start doing it again because you like it. Your body might just feel better on cocaine so you start doing it again. Some of it is environmental, meaning you go into rehab and then start hanging back with the same group of friends or even just the same surroundings and chances are you're using again...the same has been replicated in rats with environmental cues/triggers. People go back on for the same reason they started typically, it feels good and helps you escape the crappy job, family, etc for a bit.

Addiction is another level. Addiction is physical dependence plus the mental part, so you're now willing to do whatever it takes to get drug no matter how much it harms you. Your wife left you, you lost your job, you're homeless, and the drug doesn't even really make you feel all that great anymore, but you still rob stores to pay for it

People use the word addiction all the time for stuff that isn't addiction (e.g. I'm addicted to Coca Cola) and that's fine. The issue is when people start speaking in medical terms and claim a product helps with addiction, because now they're talking about a very specific thing.
that sounds like a really fine line...if you are not having issues using cocaine why would you stop?

on the other hand i have known people who got into trouble when using alcohol but weren't alcoholics-several of those people were able to modify their drinking and continued to drink in moderation without issues---but I think the risk of actually becoming a alcoholic is very real for those people.
 
Aleksandar37

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that sounds like a really fine line...if you are not having issues using cocaine why would you stop?

on the other hand i have known people who got into trouble when using alcohol but weren't alcoholics-several of those people were able to modify their drinking and continued to drink in moderation without issues---but I think the risk of actually becoming a alcoholic is very real for those people.
I'm over-simplifying it as there is an underlying difference in what happens biologically and which brain structures are affected in addiction versus what happens in dependence. If you have the disposable income for it and don't mind the many other harmful health issues that come with cocaine use, maybe there isn't another reason to stop lol. Although, if you start using it more than just once in a while, chances are it's going to escalate quickly.
 
thebigt

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I'm over-simplifying it as there is an underlying difference in what happens biologically and which brain structures are affected in addiction versus what happens in dependence. If you have the disposable income for it and don't mind the many other harmful health issues that come with cocaine use, maybe there isn't another reason to stop lol. Although, if you start using it more than just once in a while, chances are it's going to escalate quickly.
how about dependence is 1st stage of addiction, kind of like a benign tumor that could become malignant?
 
thebigt

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Depends on the drug, but sure, sort of.
after thinking about this I remembered something they said at the VA drug and alcohol rehab-many years ago.... some people are genetically more apt to become addicts/alcoholics than others...you ever saw research involving genetics and addiction?
 
Aleksandar37

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after thinking about this I remembered something they said at the VA drug and alcohol rehab-many years ago.... some people are genetically more apt to become addicts/alcoholics than others...you ever saw research involving genetics and addiction?
Again, sorry for the late response, but work blew up. The whole nature vs nurture or genetics vs environment is a huge target for addiction research. There have been human studies down in twins and siblings, but also countless in mice and rats where they manipulate genetics and look for a behavioral effect.

Genetics has gotten a lot more complicated as well with a lot of focus being given to epigenetics, which is basically when your DNA/genes aren't changed, but the steps from DNA to behavior, eye color, height, etc are (this is my attempt at a simplified one sentence explanation, so let me know if that makes zero sense!). Basically the thought used to be that you're born with a set of blueprints and that's that, but that's not the case. Your body may decide to read those blueprints multiple ways and you or random external factors might influence how your body reads those blueprints. And taking drugs or the person's mother taking drugs while pregnant or breastfeeding now has an even bigger potential impact.
 
ValiantThor08

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I think everyone is addicted to something. Food. Work. Women. Drugs. Working out. Self image. Money. Power. Some peoples addictions are more visibly detrimental than others.
 
Aleksandar37

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I think everyone is addicted to something. Food. Work. Women. Drugs. Working out. Self image. Money. Power. Some peoples addictions are more visibly detrimental than others.
Just because somebody really likes doing or having something doesn't make it addiction. If I enjoy working out or have pride in my work and that results in a lot of money, why is that a bad thing?
 
ValiantThor08

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Just because somebody really likes doing or having something doesn't make it addiction. If I enjoy working out or have pride in my work and that results in a lot of money, why is that a bad thing?
Didn't say it was necessarily a bad thing. I just don't believe that addiction is an "illness" or a disease that can be medicated. I know it is just the state of men in general. I admit my condition lol. Everyone is addicted to something.
 
thebigt

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Again, sorry for the late response, but work blew up. The whole nature vs nurture or genetics vs environment is a huge target for addiction research. There have been human studies down in twins and siblings, but also countless in mice and rats where they manipulate genetics and look for a behavioral effect.

Genetics has gotten a lot more complicated as well with a lot of focus being given to epigenetics, which is basically when your DNA/genes aren't changed, but the steps from DNA to behavior, eye color, height, etc are (this is my attempt at a simplified one sentence explanation, so let me know if that makes zero sense!). Basically the thought used to be that you're born with a set of blueprints and that's that, but that's not the case. Your body may decide to read those blueprints multiple ways and you or random external factors might influence how your body reads those blueprints. And taking drugs or the person's mother taking drugs while pregnant or breastfeeding now has an even bigger potential impact.
a lot to digest there....I think what the old school of thought back then was that some people had genetics that were more prone to addiction than others...the theory was that some were addicts/alcoholics after 1st use due to genetics...I think they called it the addictive gene-I am going from memory from many years ago so this might be inaccurate.
 
Aleksandar37

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Didn't say it was necessarily a bad thing. I just don't believe that addiction is an "illness" or a disease that can be medicated. I know it is just the state of men in general. I admit my condition lol. Everyone is addicted to something.
You can believe whatever you want, but you're scientifically and medically incorrect. You're calling things addiction that are not addiction.
 
ValiantThor08

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ad·dic·tion

/əˈdikSH(ə)n/

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noun

the fact or condition of being addicted to a particular substance, thing, or activity.
 
Aleksandar37

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a lot to digest there....I think what the old school of thought back then was that some people had genetics that were more prone to addiction than others...the theory was that some were addicts/alcoholics after 1st use due to genetics...I think they called it the addictive gene-I am going from memory from many years ago so this might be inaccurate.
Oh for sure, there are people who are genetically predisposed to becoming addicts. The same way that somebody can be genetically predisposed to a disease and then an external trigger causes it. The general idea is still unchanged, but how it happens at a cellular and molecular level has become clearer.
 

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