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In fact, most clinicians interpret depression as a monoamine neurotransmitter imbalance, making serotonin, dopamine and/or adrenaline the primary targets for most conventional first-line antidepressant treatments

To perform the injection or aspiration, the needle is inserted directly into the bursa

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Additionally, certain pharmacological agents, including cisplatin, downregulate renal OCTN2 expression, increasing urinary carnitine excretion and potential deficiency states (19)

However, when the starving muscles of an ME/CFS or Long COVID patient consume all the available peripheral BCAAs, this delicate balance is shattered