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This imbalance between excitatory glutamate and inhibitory GABA is a central feature, with direct measurements in animal models showing altered GABA/glutamate homeostasis in key auditory centers like the inferior colliculus and AC following acoustic trauma (Zemaitis et al., 2021)

increase by ~200 mcg every 2 weeks as tolerated

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It points you toward trying alternatives rather than persisting with something that does not fit

Copper peptides and L-ascorbic acid vitamin C don't play well together

doi: 10.1016/j.jid.2016.10.048 112 RichmondJMBangariDSEssienKICurrimbhoySDGroomJRPandyaAGet al