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Most patients notice a lift in energy within 24-48 hours, with mental sharpness improving over the week

The elevated calcium levels also impair mitochondrial function, triggering the release of proapoptotic factors, including cytochrome c, and activating caspase-dependent apoptotic pathways ( tThe excitotoxicity induced by METH also triggers neuroinflammation and amplifies its neurotoxic effects

Immunofluorescence staining was performed to assess macrophage polarization, with CD86 serving as a marker for pro-inflammatory M1 macrophages and CD206 for anti-inflammatory M2 macrophages