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103 Interestingly, sleep deprivation has been shown to reduce synthesis of serotonin and melatonin from tryptophan, instead favoring tryptophan breakdown into compounds that may have toxic effects in the brain

Unknown factors include potential hormonal effects, cellular signaling imbalance, and unintended tissue growth responses after prolonged exposure

(PubMed) Yang SJ, Hwang SY, Choi HY, et al

A., Salmon, J

This February 2022 review 4 also speaks of creatine monohydrate being the gold standard of creatine supplements due to high bioavailability and its researched efficacy and safety

Concentrations of pyruvate which maintain PDH in the active form are sufficiently high so that, in energy-rich cells, the allosterically down-regulated, high K m form of PDH is nonetheless capable of converting pyruvate to acetyl-CoA