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Lamers, C

It also induces the reverse transport of these transporters (Sulzer et al., 1995), leading to the release of monoamines from the neuronal cytoplasm into the synaptic cleft ( 2.1.2 Vesicular monoamine transporter 2 inhibition METH inhibits vesicular monoamine transporter 2 and disrupts monoamine storage in synaptic vesicles ( 2.1.3 Calcium dysregulation and excitatory neurotransmission METH enhances glutamate release, leading to NMDAR overactivation and increased calcium influx into neurons (Staszewski and Yamamoto, 2006)

You might do other things to help with hormonal balance, and you find that nothing helps

To control it, inject a small amount of air into the vial first (about 0.5 mL) through the needle before adding water

Sterilize the Stoppers: Vigorously wipe the rubber stopper on top of each vial with a fresh alcohol prep pad