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Additionally, physiological changes regarding muscle and bone cellular constitution could alter the pharmacodynamics of therapeutic drugs 118
Other factors that determine how stress impacts the levels are: Genetic differences: Studies on identical twins show similar cortisol response, before and after psychological stress, which suggests our responses are genetically programmed
A systematic review and meta-analysis of the epidemiological literature
DSIP has been shown to influence neurotransmitter levels, including serotonin (5-HT), glutamate, dopamine, and melatonin, which are crucial for sleep regulation 2
