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Everyone naturally has endogenous opioids inside their body, which can bind to special receptors, called opioid receptors, to activate several effects in the body. When an endogenous opioid attaches to the right receptor, it can lead to several effects in the body including:
* Analgesia to relieve pain;
* Slowing down of breathing;
* Tiredness;
* Difficulty defecating.
Tramadol manipulates this natural process by activating the same receptors that the endogenous opioids do, in particular the mu opioid receptors. It mimics the effect of natural opioids in your body to provide pain relief.

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