Hi, Dr. Smith:

Quote: "Not exactly an interaction per se, but since depletion has been mentioned, opioids (and chronic pain itself) can suppress hormones in the pituitary-adrenal-gonadal axis which can result in depletion."

Do you have a link to the documents that mention this? I read everything I can find on opioids to be better educated about this type of medications, considering I will have to take them for the rest of my life because nothing else works against my severe chronic full body RSD pain.

Do you know if opioids, which I will have to take for the rest of my life because of my severe chronic full body RSD pain, can suppress hormones in the thyroid and cause hypothyroidism?

Thanks for the information.