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In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.
Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.
Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).
Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.
Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.