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Loss of smell during COVID linked to structural, functional brain alterations
(healthimaging.com)
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Is “structural alterations” a delicate way of saying “damage?”
It can be, but isn't necessarily so. As an AuDHD (autism + ADHD) person, I have "structural alterations" that result in things being different in ways that can be positive or negative. The brain is also EXTREMELY plastic and able to adjust to a lot. That said, the short-run effects are almost always going to be inconvenient at best for the person in question.