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And what we think is happening is that because youre suppressing those same systems in the brain, you get, number one, less desire for those things, and also less reward from those things. Grunvald said hes seen it in his patients, especially with alcohol

Anal 72 KuratsuneH.YamagutiK.LindhG.EvengrdB.HagbergG.MatsumuraK.et al (2002)

Over time, this may affect energy levels, exercise performance, recovery, digestive health and overall wellbeing

JAMA Psychiatry 72:757766 de Wit M, Jones DG, Sessler CN, Zilberberg MD, Weaver MF (2010) Alcohol-use disorders in the critically ill patient

Jpn J Surg 14(4):269277

These experiences may go beyond chronic stress leading to depression and anxiety