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Acute otorrhea in children with tympanostomy tubes: prevalence of bacteria and viruses in the post-pneumococcal conjugate vaccine era

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This includes: Serotonin , often called the feel-good neurotransmitter Dopamine , which helps with motivation and pleasure Norepinephrine , which affects alertness and energy levels When B12 levels are low, these neurotransmitters may not be produced in sufficient amounts, leading to mood swings, irritability, and even depression