Endocrinopathies and Their Recovery in a 20‐Year Cohort Study of People With Heroin Dependence

Opioid-induced endocrine suppression appears reversible with sustained opioid abstinence. Higher methadone dose, male sex, and depression were associated with hypogonadism. Despite frequent healthcare contact, patients remained undiagnosed, highlighting a gap in clinical awareness of opioid-associated endocrinopathies and the need for routine screening in opioid agonist treatment settings.

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Publication Details

Journal
Clinical Endocrinology
Published
2026-02-24
DOI
https://doi.org/10.1111/cen.70109
Primary Topic
Opioid Use Disorder Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Endocrinopathies and Their Recovery in a 20‐Year Cohort Study of People With Heroin Dependence

Katherine L. Mills, Maree Teesson, Christina Marel, SM Twigg et al.
Clinical Endocrinology
Opioid Use Disorder Treatment
article

Endocrinopathies and Their Recovery in a 20‐Year Cohort Study of People With Heroin Dependence

Katherine L. Mills, Maree Teesson, Christina Marel, SM Twigg, Paul Haber, Chris Tremonti
article en

Abstract

Opioid-induced endocrine suppression appears reversible with sustained opioid abstinence. Higher methadone dose, male sex, and depression were associated with hypogonadism. Despite frequent healthcare contact, patients remained undiagnosed, highlighting a gap in clinical awareness of opioid-associated endocrinopathies and the need for routine screening in opioid agonist treatment settings.

Clinical Endocrinology
The University of Sydney (AU), Royal Prince Alfred Hospital (AU), St Vincent's Hospital Sydney (AU)
Good health and well-being
Openalex Percentile: Top 47%
Opioid Use Disorder Treatment
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