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    • Excitotoxins
  • Book a Discovery Call!
  • Functional Medicine Q&A
  • Massage Therapy
  • Infant Massage
  • Anatomy & Awareness

HOW THE BRAIN WORKS

The human brain is often described as the most complex structure in the known universe — a three-pound network of electrical activity, biochemical signals, and living architecture that coordinates everything we think, feel, and do. From the outside, it appears soft and silent. However, within the brain, billions of neurons constantly send rapid electrochemical signals, forming an intricate communication system that enables us to navigate the world.

To understand excitotoxins — chemicals that overstimulate and damage neurons — we must first understand the basic language of the brain: electrical signals, neurotransmitters, and energy.


Neurons: The Brain’s Messaging Cells

Each neuron is shaped like a branching tree. The “roots” (called dendrites) receive information from other neurons. The “trunk” (the cell body) integrates and processes that information. The “branch” (the axon) carries messages outward in the form of an electrical signal that eventually reaches the terminal, where neurotransmitters are released.

There are trillions of synapses in the human brain, and each one operates like a tiny communication gate. When a neuron fires, it sends an electrical impulse down its axon. When the impulse reaches the synapse, it triggers the release of neurotransmitters — chemical messengers that cross the microscopic gap to stimulate or inhibit neighboring neurons.


Excitatory vs. Inhibitory Signals (Note image 1 below)

Like the gas pedal and brake in a car, the brain relies on a delicate balance of:

  • Excitatory neurotransmitters, which increase the likelihood that a neuron will fire.
  • Inhibitory neurotransmitters, which quiet activity and prevent overstimulation.

This balance keeps the brain functioning smoothly — awake but not overwhelmed, responsive but not chaotic. One of the most important excitatory neurotransmitters is glutamate. In the right amounts, glutamate is essential. It sparks learning, strengthens connections between neurons, and helps sculpt the brain’s architecture during development.

But too much glutamate — or too much stimulation — can be dangerous.


The Brain’s Energy Demands

Unlike other organs, the brain cannot store much energy. It consumes approximately 20 percent of the body’s oxygen and approximately 25 percent of its glucose, despite comprising only about 2 percent of total body weight. Every thought, movement, emotion, and synaptic exchange requires energy.

Neurons must constantly power:

  • Electrical impulses
  • Neurotransmitter release and reuptake
  • Calcium pumps
  • Repair processes
  • Antioxidant defenses

This means that anything that disrupts the brain’s energy supply — such as illness, fever, low blood sugar, trauma, or aging — can make neurons more vulnerable to harm.


Why This Matters for Excitotoxins

Excitotoxins take advantage of the very systems the brain relies on — its excitatory receptors, calcium channels, and energy-dependent pumps. When neurons become overstimulated, they burn through energy rapidly. If the energy supply cannot keep up, protective systems collapse, and the neuron becomes overwhelmed.

Understanding excitotoxins begins with understanding this fragile balance:
The brain thrives on controlled stimulation — and is damaged by uncontrolled excitation.


WHAT EXCITOTOXINS ARE

Before diving into how excitotoxicity harms the brain, it’s important to understand what excitotoxins actually are. The term may sound intimidating or chemical, but the concept is surprisingly simple: an excitotoxin is any substance that overstimulates neurons to the point of causing injury or death.  At the center of this story are two familiar amino acids: glutamate and aspartate.


Glutamate and Aspartate: Helpful Until They Aren’t

Both glutamate and aspartate occur naturally in the body. They are found in proteins, in food, and most importantly, inside the brain, where they function as excitatory neurotransmitters. Glutamate plays a key role in:

  • Learning
  • Memory formation
  • Brain development
  • Synaptic growth
  • Plasticity (the brain’s ability to adapt and reorganize)

In the right amounts and in the right places, glutamate is essential for life. But in excess, glutamate becomes dangerous — which is why the brain tightly controls its levels.


What Makes a Substance an “Excitotoxin”? 

An excitotoxin is not simply a toxic chemical. Instead, it is a chemical that becomes toxic by over-activating glutamate receptors on neurons. These receptors include:

  • NMDA receptors
  • Kainate receptors
  • AMPA/Quisqualate receptors

These receptors act like “locks” on the surface of neurons. Glutamate is the “key” that fits them. In healthy amounts, a brief turn of these key sparks electrical activity that supports the brain's learning and communication.

However, when the key is turned too much—or for too long—the receptor becomes a doorway to destruction.


Where Do Excitotoxins Come From?

Excitotoxins can originate from several places:

1. Inside the Brain

Under stress, trauma, inflammation, or metabolic failure, neurons release too much glutamate. This internal overflow can directly injure neighboring cells.

2. From Food

Some forms of glutamate and aspartate, especially those that are free-form or chemically processed, are absorbed quickly into the bloodstream. Examples include:

  • Monosodium glutamate (MSG)
  • Hydrolyzed vegetable proteins
  • Textured proteins
  • Modified food starches
  • “Natural flavoring” that contains concentrated free glutamate
  • Aspartame (contains aspartic acid)

These can raise blood levels of excitatory amino acids far more rapidly than naturally occurring proteins in whole foods.

3. From Additives and Processing

Modern food processing often breaks proteins down into simpler amino acids — including free glutamate and aspartate. These are absorbed more rapidly and reach higher peak concentrations in the bloodstream.

4. From Metabolic Breakdown

Some toxins, plant compounds, or metabolic abnormalities can create excitotoxin-like molecules that overstimulate the same receptors.


Why the Brain Normally Handles Excitotoxins Well

The brain maintains multiple safety systems to prevent glutamate from becoming toxic:

  • The blood–brain barrier limits what enters the brain tissue
  • Astrocytes (support cells) vacuum up excess glutamate
  • Neurons regulate how much glutamate they release
  • Calcium pumps restore balance after activation
  • Antioxidants neutralize free radicals produced by stimulation

But these systems rely heavily on energy. When the brain’s energy supply falters, so do its defenses. When defenses falter, even normal levels of glutamate can become harmful.

This is why excitotoxins are not inherently “bad.”
They are dangerous only when they exceed the brain’s capacity to control them.


In Short

Excitotoxins = normal neurotransmitters or food-derived chemicals that become toxic when they overstimulate the brain’s excitatory receptors.

They are part of everyday biology but can become destructive under certain conditions.  If excitotoxins are the trigger, then excitotoxicity is the chain reaction—the process by which overstimulation turns into injury and, ultimately, neuron death. One of the most unsettling truths about excitotoxicity is that it can look quiet at first. A neuron may appear “fine” for a while—then fail later, sometimes abruptly, after internal damage has already been set in motion. That delayed collapse is one reason excitotoxicity is so difficult to recognize in real time, and why its consequences can appear long after the exposure that started it. 


(Please review the images below)

Image 1 - Excitatory vs Inhibitory Synapse

Image 1 - Excitatory vs Inhibitory Signals

Image 2 - Recepter Lock & Key Mechanisms

Image 3 - Two-Phase Neuron Death

Image 4 - The Excitotoxic Cascade

Image 5 - Bound vs Free-Form Amino Acids

The Brain’s “Lock and Key” System: Receptors That Control Excitation

Neurons don’t react to glutamate (or any excitotoxin) randomly. They react through receptors—specialized molecular “locks” on the neuron’s surface. Glutamate and aspartate function like “keys.” Under normal conditions, the key briefly turns the lock, the neuron fires, and the system resets. But excitotoxicity begins when the key keeps turning—too strongly, too often, or too long.


(see Image 2 above)

There are three major excitatory receptor families involved in excitotoxic injury:

  • NMDA receptors (especially important because they regulate calcium entry)
  • Kainate receptors
  • AMPA/quisqualate-type receptors

While all can be involved, the NMDA receptor is often described as the most consequential in excitotoxic damage because it acts like a gatekeeper for calcium influx, and calcium is where the cascade becomes lethal.


The “Calcium Flood”: How Excitation Becomes Cellular Breakdown

Think of calcium in neurons like gasoline in an engine: useful in controlled amounts, catastrophic in excess.


Under normal signaling, calcium enters a neuron in tiny pulses and helps coordinate functions such as neurotransmitter release and intracellular signaling. But excitotoxicity changes the rules. When excitotoxins overstimulate receptors—especially NMDA receptors—calcium channels can remain open too long. Calcium pours into the neuron, and the cell’s internal chemistry starts to spiral.


Once calcium levels within the neuron become excessive, multiple destructive pathways are triggered simultaneously. This is a cascade: enzymes are activated that begin to break down cell membranes, proteins, and internal structures. At that point, even if the original glutamate “surge” fades, the cell may already be on a path toward delayed failure.


The Two-Phase Pattern: “Immediate” vs. “Delayed” Neuron Death

One of the most distinctive ideas is that excitotoxic damage can appear in two different time patterns:

  1. Fast injury: neurons swell rapidly and fail soon after exposure (often associated with sodium/water shifts).
  2. Delayed injury: neurons look normal at first—then die later, after internal triggers accumulate.


This delayed pattern is important because it makes excitotoxicity appear deceptively safe in the early window: a person—or an organism—can appear stable while cellular damage is quietly progressing. In narrative terms, excitotoxicity can be a “slow fuse” that burns inside a neuron.


Text Visual: Two-phase model (conceptual)

EXPOSURE TO EXCITOTOXIN

        |

        |--- (Phase 1: immediate) ---> swelling / rapid dysfunction (minutes–hours)

        |

        '--- (Phase 2: delayed) -----> hidden internal cascade --> sudden collapse (hours–days)

(Note image 3 above)


Free Radicals: The “Spark Shower” That Multiplies Damage

Calcium overload doesn’t just damage the neuron directly—it triggers the production of free radicals. We need to frame free radicals as a central amplifier: once unleashed, they attack membranes, proteins, and even DNA. The brain is especially vulnerable because it has high metabolic demand and comparatively limited protective reserves.

The narrative arc here is important: excitotoxicity isn’t only “too much glutamate.” It becomes a multilayer emergency:

  • overstimulation → calcium flood
  • calcium flood → enzyme activation
  • enzyme activation → free radical production
  • free radicals → further damage and dysfunction


This creates a vicious circle, as oxidative stress can worsen glutamate regulation, increasing the likelihood of further excitatory buildup.

Text Visual: Excitotoxic cascade (high-level)

EXCESS EXCITATION (glutamate/aspartate)

        ↓

RECEPTOR OVERACTIVATION (esp. NMDA)

        ↓

CALCIUM OVERLOAD

        ↓

ENZYMES + MEMBRANE BREAKDOWN

        ↓

MITOCHONDRIAL STRESS + FREE RADICALS

        ↓

CELL FAILURE / NEURON DEATH

(Note image 4 above)


Energy Failure: Why Low Glucose, Illness, or Stress Makes Everything Worse

The brain’s defenses against excitotoxicity require enormous energy. The brain uses energy not only to think but also to maintain neuronal chemical stability. That includes powering:

  • glutamate “cleanup” systems (transport into supportive cells)
  • calcium pumps (pushing calcium back out or sequestering it safely)
  • restoration of electrical gradients after firing


When energy is low—due to hypoglycemia, oxygen shortage, illness, fever, trauma, or metabolic inefficiency—the protective pumps weaken. This creates a dangerous situation in which glutamate can accumulate precisely when the brain is least able to handle it.


This is one reason we repeatedly link excitotoxicity to conditions such as hypoglycemia, ischemia, and injury: these conditions don’t merely “stress” neurons—they reduce the energy required to prevent excitotoxic cascades from spreading.


Text Visual: Energy-dependent protection

NORMAL STATE:

Energy available → pumps work → glutamate controlled → calcium controlled → neuron survives

LOW-ENERGY STATE:

Energy drops → pumps weaken → glutamate rises → calcium rises → radicals rise → neuron at risk


Why Excitotoxicity Is Selective: “Hit Men” Neurons and Vulnerability Zones

Another important concept is selectivity. Excitotoxins do not necessarily harm all neurons equally. Instead, they tend to harm neurons that:

  • carry dense excitatory receptors
  • sit in regions with weaker protective barriers
  • have high metabolic demand
  • Already have reduced antioxidant reserves
  • depend on energy-intensive regulation


That’s why excitotoxicity can produce patterns: particular areas of the brain (and particular neuron populations) can be affected while nearby cells remain relatively intact. This selective pattern becomes crucial later when the narrative turns to neurodegenerative disease, because many such diseases appear to target specific neuron groups.


One of the most provocative arguments is that excitotoxicity is not just a laboratory concept—it’s a real-world issue because certain excitotoxins appear in the modern food supply.  This is a problem of exposure + vulnerability: many people may tolerate small exposures without obvious symptoms, but the same exposure can become dangerous in infants, in people under metabolic stress, or in those with underlying neurological vulnerability.


This section doesn’t require you to accept every conclusion to grasp the mechanism: if free glutamate and free aspartate rise quickly and repeatedly in the bloodstream, and if the brain’s protective systems are weakened (by age, illness, low glucose, injury, or genetics), then the brain is pushed closer to the threshold where excitotoxic cascades become more likely.


(Note image 5 above)

"Free” vs. “Bound” Amino Acids: Why Processing Changes Exposure

A key distinction is between amino acids that are bound in intact proteins and those that are already free (or easily released). Whole foods contain protein that must be digested and broken down gradually. But processed foods often contain ingredients in which proteins have been chemically or industrially broken down, producing higher levels of free glutamate and related excitatory amino acids that can be absorbed more rapidly.


In narrative terms: imagine two fires. One is a slow-burning log (bound protein). The other is dry kindling soaked in fuel (free-form excitatory amino acids). Both can burn, but one ignites faster and reaches a higher temperature.


The “Big Three”: MSG, Hydrolyzed Proteins, Aspartame

THE BIG THREE widely discussed dietary contributors:

(1) MSG (Monosodium Glutamate)

MSG is described as a taste enhancer whose active component is glutamate.  From culinary use to industrial production, its wide distribution in processed foods.

(2) Hydrolyzed Vegetable Protein (and similar hydrolyzed proteins)

Hydrolyzed proteins are especially concerning because they can contain multiple excitatory amino acids (not just glutamate). It describes hydrolysis as a process that breaks proteins down into smaller components, including glutamate and aspartate.

(3) Aspartame (contains Aspartate)

Aspartame is discussed as an artificial sweetener containing aspartate, another excitatory amino acid that can stimulate glutamate-type receptors. The liquid sweetened products can deliver aspartame quickly.


“Hidden Names”: Why Labels Don’t Always Look Like “MSG”

A major point I am making is that glutamate and related excitatory compounds may appear under ingredient names that do not clearly say “MSG.” The text highlights examples such as “natural flavoring” and hydrolyzed proteins as categories that may contain significant amounts of free glutamate.


This matters because it changes exposure from occasional (“only when I add MSG”) to frequent (“it’s in many processed foods by default”).


Text Visual: How exposure becomes “invisible.”

If you only avoid the word “MSG” on labels:

    You may still be exposed to ingredients that can contain free glutamate/aspartate.

VISIBLE SOURCE → MSG listed directly

LESS VISIBLE    → hydrolyzed proteins / “natural flavoring” / broth-flavor bases 


Why Liquids Can Be More Potent Than Solids (Speed Matters)

Liquid forms of excitotoxins can elicit a sharper rise in blood levels because they are absorbed more rapidly than solid food mixtures. The text applies this idea to soups, sauces, and diet drinks—anything that delivers excitatory amino acids in a rapid, concentrated form.


Excitotoxicity is not only about the total amount but also about the peak concentration and duration of receptor activation. Faster absorption can lead to higher peaks, and higher peaks increase the risk of exceeding a biological threshold at which protective systems are overwhelmed—especially when energy is low.


“Stacking” Effect: Why Combinations Can Intensify Risk

Excitotoxins may have compounding effects when consumed together, particularly combinations of glutamate and aspartate and mixtures that include multiple excitatory amino acids. The practical implication is that a meal containing several processed “flavor-enhancing” ingredients, plus a sweetened beverage, can create a combined excitatory load greater than that of any single ingredient.


Text Visual: The stacking idea

Single source exposure:

    glutamate OR aspartate

Stacked exposure (common processed meal pattern):

    glutamate + aspartate + additional free-form amino acids


Why Children and Pregnancy Receive Extra Emphasis

Development is a period of intense neural wiring, and the protective systems that regulate excitatory amino acids are still maturing. Infant and child vulnerability is increased because:

  • The developing brain is more sensitive to excitatory overload, and
  • Protective “barriers” and regulatory mechanisms are not fully mature early in life.


Pregnancy as a special circumstance: if maternal blood levels rise sharply, and if placental or barrier systems are imperfect or stressed, then exposure may occur during critical developmental windows.


Practical Framing (without overpromising certainty)

Even when taking a cautious stance, the logic is internally consistent: faster absorption, higher peaks, repeated exposure, and vulnerable brain states increase risk.


And those vulnerable states include many everyday conditions the text mentions—low blood sugar, illness, fever, injuries, and aging—conditions that weaken energy-dependent protective pumps and increase susceptibility to excitotoxic cascades.

Image 6 - Low Energy Weakens Neuron Defenses

ENERGY METABOLISM & WHY IT MATTERS

Below is a clear, comprehensive explanation of how excitotoxicity contributes to neurodegenerative diseases.


(Note image 6 above)

How Excitotoxicity Affects Neurodegenerative Diseases

Excitotoxicity is increasingly understood as a common final pathway that contributes to the damage seen in many neurodegenerative diseases. While each disease has its own triggers, genetics, and risk factors, excitotoxicity often helps explain why certain neurons die, why the damage spreads, and why the diseases accelerate over time.


Below are the major ways excitotoxicity shapes four key neurodegenerative conditions: Alzheimer’s, Parkinson’s, ALS, and Huntington’s disease.


1. Alzheimer’s Disease (AD)

Key idea: Glutamate overstimulation worsens memory loss and neuron death.

In Alzheimer’s disease, several factors converge to trigger excitotoxic vulnerability:

A) Glutamate receptor overactivation

Alzheimer’s-affected neurons often have overly sensitive glutamate receptors, especially NMDA receptors. Even normal glutamate levels can overstimulate these weakened cells.

B) Energy failure in AD brains

Alzheimer’s brains undergo early mitochondrial decline, meaning neurons can’t generate enough ATP to power the pumps that prevent calcium overload.

Low energy → pumps fail → glutamate builds up → calcium pours in → cell death.

C) Free radicals + amyloid amplify excitotoxicity

Amyloid‑β and tau-related pathology impair glutamate uptake and increase oxidative stress.
The result: a vicious cycle where inflammation + free radicals → more glutamate dysfunction → faster cognitive decline.

Bottom line:

Excitotoxicity helps explain the progressive memory loss, hippocampal degeneration, and early synaptic failure typical of Alzheimer’s.


2. Parkinson’s Disease (PD)

Key idea: Energy deficits in dopamine neurons render them particularly vulnerable to excitotoxic damage.

Neurons of the substantia nigra — the cells that die in Parkinson’s — have a specific energy-production flaw.

A) Defective mitochondrial complex I

In PD, these neurons often have impaired Complex I (a component of the electron transport chain).
This makes them energy-poor, even under normal conditions.

B) Energy-poor neurons cannot regulate glutamate

When glutamate activates their receptors:

  • They cannot pump calcium out efficiently
  • They cannot clear excess glutamate
  • They run out of ATP rapidly

A small excitatory stimulus becomes a toxic overload.

C) Excitatory input from the cortex accelerates degeneration

The substantia nigra receives strong glutamatergic (excitatory) input from the frontal cortex.
If these inputs become dysregulated — due to stress, injury, or aging — they can overstimulate already vulnerable nigral neurons.

Bottom line:

Excitotoxicity contributes to the selective destruction of dopamine neurons, which causes tremor, stiffness, imbalance, and slowed movement.


3. Amyotrophic Lateral Sclerosis (ALS)

Key idea: Glutamate buildup around motor neurons is a defining feature of ALS.

The connection between excitotoxicity and ALS is one of the strongest and clearest.

A) ALS patients have high glutamate levels in blood and spinal fluid

This suggests chronic exposure of motor neurons to glutamate excess.

B) Glutamate transporters are damaged

ALS patients often lack key transporter proteins that normally remove glutamate from the spaces around neurons.

Low transport = glutamate lingers = prolonged receptor activation.

C) Motor neurons are naturally vulnerable

Motor neurons:

  • are huge
  • have long axons
  • require enormous energy
  • have many excitatory receptors

This combination means that even a modest excess of glutamate can trigger an overwhelming calcium influx.

D) Free radicals + excitotoxicity combine to kill the neurons

ALS motor neurons show massive oxidative damage—exactly what glutamate-induced excitotoxicity produces.

Bottom line:

Excitotoxicity is considered one of the core drivers of motor neuron death, muscle wasting, and progressive paralysis in ALS.

Especially NMDA and kainate receptors, which are activated by toxins.


4. Huntington’s Disease (HD)

Key idea: The striatum — the region destroyed in HD — is rich in excitatory receptors that glutamate can overstimulate.

Huntington’s disease affects a very specific brain region: the striatum.

A) Striatal neurons have dense glutamate receptor clusters

Especially NMDA and kainate receptors, which excitotoxins activate.

B) Genetically damaged neurons become hypersensitive

Mutant huntingtin protein disrupts:

  • calcium regulation
  • mitochondrial energy production
  • glutamate receptor stability

These neurons become “primed” for excitotoxic damage — far more sensitive than normal neurons.

C) Glutamatergic input from the cortex targets the striatum

The striatum receives heavy excitatory input from the cerebral cortex. In HD, this input can become excessive or unregulated — accelerating cell death.

D) Kainate-like excitotoxins mimic Huntington’s pathology

Experiments show that injecting kainate or quinolinic acid (excitotoxins) into the striatum produces the same pattern of cell death seen in actual HD.

Bottom line:

Excitotoxicity helps explain the early, selective destruction of striatal neurons and the movement disorders of Huntington’s.


The Unifying Theme Across All Diseases

Despite their differences, these diseases share several excitotoxic features:

1. Energy failure → neurons can’t protect themselves

Whether due to aging, genetics, or metabolic stress, reduced ATP production impairs neuronal function.

2. Impaired glutamate clearance

If glutamate remains at the synapse longer, receptors remain overstimulated.

3. Calcium overload

This is a hallmark of excitotoxicity and a direct cause of neuronal death.

4. Free radical damage

Oxidative stress amplifies damage, even after the initial trigger subsides.

5. Selective vulnerability

Only certain neurons die because only certain neurons have:

  • high receptor density
  • high metabolic needs
  • weak antioxidant defenses
  • strong excitatory input

This is why each disease affects specific regions of the brain rather than the brain as a whole.


In the simplest terms:

Excitotoxicity acts like an accelerator pedal, accelerating the degeneration of vulnerable neurons.

Whether the underlying disease begins with:

  • amyloid
  • dopamine deficiency
  • mutated huntingtin protein
  • dysfunctional glutamate transport
  • mitochondrial defects


…excitotoxicity magnifies the damage.

It doesn’t always start the disease —
But it often helps drive it forward.

MORE ON ENERGY METABOLISM 

(Why low glucose, mitochondrial strain, and metabolic stress make excitotoxicity far more dangerous)


One of the most important themes in the science of excitotoxicity is that energy determines vulnerability. Neurons need an extraordinary amount of energy to maintain stability. Every electrical signal, every neurotransmitter release, every reset of a synapse, and every protective mechanism in the brain depends on a constant supply of ATP — the body’s energy currency.

This means that even small disruptions in energy production can leave the brain exposed, creating conditions in which excitotoxicity becomes far more damaging than it would otherwise be.


Why the Brain Is an “Energy-Hungry” Organ

The brain accounts for only about 2% of body weight, yet it consumes roughly 20–25% of the body’s glucose and oxygen. Unlike muscles or the liver, the brain cannot store energy for later use. It needs a continuous supply, minute by minute.

Neurons require energy to operate:

  • Sodium–potassium pumps (restore electrical balance)
  • Calcium pumps (remove dangerous calcium buildup)
  • Glutamate reuptake transporters (clear excitatory signals)
  • Mitochondria (energy factories that regulate cell survival)
  • Antioxidant systems (protect against free radicals)

If any of these energy-dependent systems slow down, the neuron becomes more susceptible to overstimulation.


What Happens When Energy Drops

When energy production falters — due to low blood sugar, fever, infection, trauma, stroke, hypoxia, or simple fatigue — neurons lose their ability to regulate their internal chemistry.

In particular:

  1. Glutamate transport slows down
    → glutamate stays in the synapse longer
    → receptors remain overstimulated
  2. Calcium pumps weaken
    → calcium begins to accumulate
    → mitochondrial stress builds
  3. Antioxidant defenses fail
    → free radicals increase
    → membranes and proteins are damaged
  4. Electrical balance collapses
    → neurons fire uncontrollably
    → metabolic demand skyrockets
    → even more energy is consumed


This creates a catastrophic feedback loop. The more energy a neuron uses to recover, the less energy it has left to protect itself — and the more vulnerable it becomes to excitotoxic injury.


Mitochondria: The Gatekeepers of Survival

The mitochondria are the tiny power plants inside every neuron. When excitotoxicity causes excess calcium to enter the cell, mitochondria absorb some of it to protect the neuron. But too much calcium disables them.

Overloaded mitochondria begin to:

  • produce fewer ATP molecules
  • leak free radicals
  • lose the ability to regulate cell death pathways


Once mitochondrial failure begins, the neuron moves closer to the “point of no return.” This mitochondrial vulnerability is a major connecting thread in Alzheimer’s, Parkinson’s, ALS, and Huntington’s — and it explains why certain neurons die first. Their mitochondria are already operating near their limit

.

Why Low Blood Sugar (Hypoglycemia) Is So Dangerous?

Hypoglycemia is one of the most potent triggers of excitotoxic vulnerability.

Why?

Because glucose is the brain’s primary fuel. When glucose levels drop:

  • Glutamate clearance slows dramatically
  • Receptors become more sensitive to stimulation
  • Calcium pumps lose power
  • Free radical production increases
  • Neurons become hyperexcitable


In this state, even normal levels of glutamate can cause injury.

This is one reason young children—whose reliance on glucose and smaller energy reserves makes them particularly sensitive to excitatory overload—are particularly sensitive to it.


Fever, Illness, and Inflammation: Hidden Energy Drains

During illness, the body diverts energy toward immune function. Fever raises metabolic demand even further. In the brain, this can weaken protective systems precisely when inflammation increases glutamate release.


Fever + inflammation + low energy = a perfect environment for excitotoxicity.


This also helps explain why neurological symptoms can worsen during infections, why head injuries are more serious when accompanied by fever, and why metabolic stress dramatically increases vulnerability to excitotoxins.


The Aging Brain: When Energy Decline Becomes Chronic

Aging brings:

  • Reduced blood flow
  • Mitochondrial decline
  • Lower antioxidant reserves
  • Slower recovery from metabolic stress
  • Weaker barrier systems and slower glutamate regulation

This renders the elderly uniquely susceptible to excitotoxic damage, even in the absence of dietary exposure.

Age-related energy decline is repeatedly linked to:

  • worsening memory
  • increased oxidative stress
  • Reduced glutamate tolerance
  • A greater risk of neurodegenerative disease

Energy decline is not merely a “symptom” of aging—it is a major driver of vulnerability.


“Energy Determines Threshold”: The Core Principle

Simple but powerful idea:

When energy is high → neurons resist excitotoxicity. When energy is low, neurons can be killed by normally harmless concentrations of glutamate.


This principle ties together everything in the narrative:

  • Why are infants vulnerable?
  • Why does illness increase risk?
  • Why do certain diseases progress?
  • Why aging magnifies excitotoxic damage?
  • Why do some food exposures become more harmful under metabolic stress?

In the brain, energy is safety. Without it, even essential neurotransmitters can become destructive.


EXCITOTOXINS & NEURODEGENERATIVE DISEASES

(Integrated extended explanation: Alzheimer’s, Parkinson’s, ALS, Huntington’s)

Neurodegenerative diseases are among the most devastating conditions of modern life. They gradually erode memory, movement, personality, independence, and in many cases, life itself. Although each disease has unique features, they all share two powerful underlying forces:

  1. metabolic vulnerability
  2. susceptibility to excitotoxic injury


Excitotoxicity does not always initiate these diseases — but it often drives their progression, accelerates neuronal loss, and shapes the pattern of degeneration that defines each illness.  Excitotoxicity is a “common downstream pathway” through which diverse stresses, genetic factors, toxins, or aging converge.


Below is a unified, narrative explanation of how excitotoxicity operates within each major neurodegenerative disorder.


Alzheimer’s Disease: When Memory Circuits Become Vulnerable

Alzheimer’s disease begins with subtle failures in energy metabolism long before symptoms appear. Mitochondrial decline in memory-critical brain regions—especially the hippocampus—weakens neurons’ ability to regulate glutamate and calcium.

Why are these neurons at risk?

  • They have dense NMDA receptor fields
  • They are highly active and rely heavily on glucose
  • They undergo heavy synaptic remodeling
  • Aging reduces antioxidant defenses

How excitotoxicity amplifies Alzheimer’s pathology

  1. Impaired glutamate clearance
    Transporters that normally remove glutamate begin to fail.
    This causes synapses to stay overstimulated longer than they should.
  2. Calcium overload
    Overstimulated NMDA receptors permit excessive calcium influx.
    Calcium then triggers destructive enzymes and the production of free radicals.
  3. Interaction with amyloid and tau
    Amyloid‑β increases oxidative stress and weakens mitochondrial function.
    Tau tangles impair nutrient and energy transport.
    Combined, they make neurons hypersensitive to glutamate.
  4. Synaptic failure precedes neuron death
    Long before neurons die, the synapses connecting them wither.
    This early synaptic damage explains the first signs of memory loss.


These interacting processes form a vicious cycle:

  • metabolic failure
  • impaired glutamate regulation
  • excitotoxic injury
  • deeper metabolic failure
  • cognitive decline


Parkinson’s Disease: Energy Failure Meets Excitatory Overload

Parkinson’s disease centers on the death of dopamine-producing neurons in the substantia nigra. These neurons have an unusual vulnerability: they naturally fire at a high metabolic rate and have a known defect in Complex I, a mitochondrial enzyme needed for energy production.

Why are these neurons vulnerable?

  • High energy demand
  • Impaired mitochondria
  • Dense glutamatergic input from the cortex
  • Lower antioxidant reserves

Excitotoxicity in Parkinson’s

  1. Energy-poor neurons cannot regulate glutamate
    With impaired mitochondria, neurons lose the energy needed to pump calcium out or remove glutamate from synapses.
  2. Cortical input becomes dangerous
    The substantia nigra receives strong excitatory signals.
    In a healthy brain, this is manageable.
    But in Parkinson’s, these signals become toxic.
  3. Calcium-triggered cell death
    Dopamine neurons absorb calcium rapidly.
    When overloaded, they activate destructive pathways leading to degeneration.


This helps explain why these specific neurons die first—not because they are exposed to higher glutamate levels, but because they are less able to tolerate it.


ALS (Amyotrophic Lateral Sclerosis): A Direct Connection to Glutamate Excess

ALS provides one of the clearest examples of excitotoxicity in action.

Key discoveries

  • ALS patients often have elevated glutamate levels in spinal fluid
  • They show damage to glutamate transporters
  • Motor neurons have high metabolic demand and long axons
  • Mitochondrial and oxidative damage are widespread

How excitotoxicity drives ALS progression

  1. Glutamate builds up around motor neurons
    Damaged transporters cannot clear it effectively.
  2. Motor neurons absorb calcium excessively
    These neurons are densely packed with excitatory receptors.
    Calcium overload overwhelms them quickly.
  3. Mitochondria collapse
    They cannot manage the calcium flood, producing bursts of free radicals.
  4. Widespread oxidative injury
    These damage motor neuron membranes, DNA, and mitochondria —
    accelerating paralysis.

Excitotoxicity is so central to ALS that one of the first approved ALS drugs (riluzole) works by reducing excitatory glutamate signaling.


Huntington’s Disease: Selective Vulnerability in the Striatum

Huntington’s disease offers a uniquely clear window into selective vulnerability. The striatum — the region most affected — is rich in NMDA and kainate receptors, making it a “hot zone” for excitotoxic injury.

Why is the striatum affected first

  • High density of excitatory receptors
  • heavy glutamatergic input from the cortex
  • A genetic mutation produces energy deficits
  • The mutant huntingtin protein disrupts calcium and mitochondrial balance

Excitotoxic features of Huntington’s

  1. Glutamate receptor hypersensitivity
    Mutant huntingtin makes receptors more “excitable.”
  2. Severe energy deficits
    Mitochondrial impairment precedes cell death.
    This reduces glutamate tolerance drastically.
  3. Experimental replication
    Injecting excitotoxins like kainate or quinolinic acid into the striatum reproduces the exact same pattern of neuron death seen in Huntington’s.
    (This is one of the strongest experimental links between excitotoxicity and any disease.)
  4. Cortical–striatal loops collapse
    Degeneration in these circuits explains the characteristic:
    • involuntary movements
    • loss of coordination
    • emotional dysregulation


The Common Thread: Why Excitotoxicity Accelerates All These Diseases

Across all major neurodegenerative diseases, excitotoxicity shares several defining effects:

1. It turns energy deficits into neuron loss

Low ATP → weak glutamate clearance → calcium overload → cell death.

2. It causes selective regional damage

Only neurons with both high receptor density and high metabolic demand collapse.

3. It creates a self-fueling cycle

Excitotoxicity increases free radicals →
Free radicals damage mitochondria →
Mitochondria fail →
More excitotoxicity →
More damage.

4. It explains rapid progression

Small initial triggers can trigger large, destructive cascades, especially in aging or stressed brains.

WHY SOME BRAINS ARE MORE VULNERABLE

(Genetics, age, illness, metabolic stress, and development)


If excitotoxicity were equally dangerous to everyone, always, at all ages, society would see far more widespread neurological injury. But that is not how biology works. The brain has powerful defenses — and equally powerful vulnerabilities. Excitotoxic damage is heavily influenced by who you are, how old you are, what condition your brain is in, and what stresses you are experiencing when exposure occurs.


Two complementary ideas:

  1. Excitotoxins are not equally harmful in all circumstances,
  2. But certain conditions drastically lower the brain’s safety margin.


Age: The Developing Brain and the Aging Brain Are Both High-Risk

Infants & young children

The developing brain is highly sensitive to excitatory signals because:

  • Synapses are forming rapidly
  • Receptor systems are not fully regulated
  • Myelination is incomplete
  • Glutamate transporters are immature
  • The blood–brain barrier is still developing
  • Energy reserves are low

In this state, even small excitatory overloads can disrupt development or cause subtle long-term deficits. 


Older adults

The aging brain has a different but equally dangerous vulnerability profile:

  • Reduced mitochondrial output
  • Higher oxidative stress
  • Less efficient glucose transport
  • Slower glutamate clearance
  • Fragile synapses
  • Weakening barrier systems
  • Greater inflammation

Together, these changes mean that an elderly brain is more easily overstimulated and slower to recover.


Energy Status: Low Energy = High Risk

As discussed previously, low energy markedly increases excitotoxic vulnerability. Some key energy-lowering conditions include:

  • Hypoglycemia
  • Fever or illness
  • Trauma or concussion
  • Stroke or oxygen deprivation
  • Intense physical exertion
  • Fatigue
  • Aging
  • Chronic inflammation
  • Mitochondrial disease

When energy declines, glutamate pumps weaken, calcium homeostasis collapses, free radicals increase, and even normal activity can become toxic.

This is why individuals under metabolic stress may suffer more severe symptoms from the same exposure.


Genetics: Some People Don’t Clear Glutamate Efficiently

Genetic differences in:

  • Glutamate transporter efficiency
  • Antioxidant capacity
  • Mitochondrial resilience
  • Receptor sensitivity

People with genetically weaker detoxification pathways or transporter proteins will accumulate glutamate longer in synapses and experience stronger, more prolonged receptor activation. This increases excitotoxic risk dramatically.


Illness & Inflammation: Hidden Intensifiers

During infection or inflammation:

  • Cytokines increase glutamate release
  • Fever raises metabolic demand
  • Antioxidants are diverted to fighting pathogens
  • Mitochondria work less efficiently
  • The blood–brain barrier may weaken

This combination explains why neurological symptoms in children (and sometimes adults) worsen during fever — and why injuries during illness are more dangerous.


Brain Injuries: Vulnerability After Trauma

After a concussion or head injury:

  • Glutamate release spikes
  • Calcium dysregulation begins immediately
  • Energy use skyrockets
  • Blood flow may be impaired

This post-injury window is among the most vulnerable periods in the human brain. Even moderate excitatory stimulation during this period (from stress, fever, or metabolic imbalance) can greatly increase damage.


Stress & Hormones: Adrenal Response Matters

The stress response alters vulnerability:

  • Cortisol increases excitability in certain brain regions
  • Chronic stress lowers energy reserves
  • Stress increases inflammation and free radicals

Under chronic stress, neurons essentially “run hot.”
If a significant excitatory stimulus occurs, they are closer to the tipping point.


The Core Principle: Vulnerability = Stimulation ÷ Protection

You can think of vulnerability as a balance:

  • Stimulation (↑)
    • glutamate
    • aspartate
    • fever
    • stress
    • injury
    • inflammation
  • Protection (↓)
    • low energy
    • weak mitochondria
    • immature development
    • barrier breakdown
    • aging
    • genetics
    • oxidative stress

When stimulation outweighs protection → excitotoxicity.


When protection outweighs stimulation, normal function is maintained.

This model explains why the same exposure can be harmless to one person and dangerous to another, and why the brain can tolerate excitatory inputs one day but collapse under them during illness, stress, or fatigue.


This brings us to the next major topic:

What modern lifestyle factors—diet, chronic stress, sleep deprivation, inflammation, and environmental exposures—push many brains closer to excitotoxic thresholds?

Image 7 - Lifestyle Risk Factors

(See Image 7 above)

MODERN LIFESTYLE FACTORS THAT INCREASE EXCITOTOXIC RISK

(How today’s environment pushes the brain closer to overstimulation)

Excitotoxicity is not merely a scientific concept or a rare neurological phenomenon. Many features of modern living push the brain closer to its biological limits, lowering its protection against excitatory overload and increasing vulnerability. The brain evolved for an environment with stable rhythms, whole foods, slow digestion, predictable stress patterns, and strong metabolic balance. But the world most people inhabit today is very different.


Exposure alone does not create danger—risk arises from the combination of exposure and reduced physiological resilience. Modern life tends to erode the brain’s protective systems through multiple simultaneous influences.


Below are the major lifestyle factors that amplify the effects of excitatory stress.


Ultra-Processed Foods Increase Excitatory Load


The modern diet is rich in ingredients that did not exist historically:

  • hydrolyzed proteins
  • flavor enhancers
  • concentrated broths and extracts
  • processed snacks
  • premade sauces
  • fast-absorbing sweetened beverages


These foods are more likely to contain free-form excitatory amino acids (like glutamate or aspartate) that absorb quickly and can raise blood levels more sharply than whole-food proteins.

Additionally, many processed foods combine multiple such ingredients, creating the “stacking effect” described earlier — where a typical meal includes several excitatory triggers at once.


Chronic Stress Pushes the Brain into a Hyperexcitable State

Stress is one of the most underappreciated factors increasing excitotoxic vulnerability.

During chronic stress:

  • Cortisol levels rise
  • Inflammation increases
  • Glutamate release increases
  • Energy is diverted to the stress response
  • Neurons fire more frequently
  • Antioxidants are depleted


This creates a neurochemical environment in which excitatory signals are amplified, and neurons are already operating near their metabolic limits.


In this state, even everyday overstimulation—strong emotional inputs, loud environments, and intense multitasking—can become taxing for sensitive brain regions.


Sleep Deprivation Reduces Glutamate Regulation

Sleep is when the brain:

  • clears glutamate from synapses
  • restores mitochondrial function
  • reduces oxidative stress
  • repairs membranes
  • rebalances neurochemistry


Sleep deprivation interferes directly with these processes. Studies suggest that a lack of sleep increases extracellular glutamate levels and reduces the brain’s ability to reset synaptic activity.

This means poor sleep doesn’t just make you tired — it pushes your brain closer to a state of excitatory imbalance.


Inflammation & Immune Stress Amplify Excitotoxins

During infection, injury, or chronic inflammation:

  • The body releases cytokines
  • Cytokines increase glutamate release
  • Inflammation reduces glutamate uptake
  • Fever disrupts energy metabolism


The brain becomes overheated, energy-poor, and flooded with inflammatory signals. These are ideal conditions for excitotoxic pathways to be activated. This is why individuals often experience cognitive fog, irritability, or sensitivity during or after illness.


Blood Sugar Instability Weakens the Brain’s Defenses

Modern eating patterns—processed carbohydrates, skipped meals, sugary drinks—lead to rapid fluctuations in blood glucose. When blood sugar drops too low (hypoglycemia):

  • Neurons lose access to glucose
  • glutamate clearance slows
  • Calcium pumps weaken
  • The brain becomes more excitable


This is why mood swings, headaches, and mental fog often occur during periods of low blood sugar — these are mild signs of reduced neurochemical stability.

Hypoglycemia dramatically intensifies excitotoxic vulnerability, especially in children.


Environmental Toxins and Pollutants Increase Oxidative Stress

Air pollution, heavy metals, pesticides, and industrial chemicals can weaken:

  • mitochondrial energy production
  • antioxidant systems
  • glutamate transporters


When these systems falter, the same excitatory load produces a stronger effect.

This is one reason certain populations living in high-pollution environments show higher rates of neurological symptoms, even when dietary exposures are similar.


Sedentary Lifestyle & Poor Nutrition Reduce Brain Resilience

Modern conditions — low physical activity, nutrient-poor diets, and chronic overfeeding — harm neuronal protection through:

  • reduced blood flow
  • weaker antioxidant defenses
  • impaired insulin signaling
  • chronic inflammation
  • increased free radicals

These weaken the brain’s ability to resist excitatory stress.


Technology & Overstimulation Increase Excitatory Demand

While not biochemical, the modern sensory environment — constant screen time, information overload, rapid mood triggers — contributes to:

  • elevated glutamate release
  • chronically heightened attention circuits
  • Reduced recovery time between stimulation cycles

Overstimulation is not the cause of excitotoxicity, but it adds strain to already overworked neural circuits.


Modern Life Multiplies Risk Factors Simultaneously

The most important insight is that these factors stack.

A typical modern day might involve:

  • poor sleep
  • processed breakfast
  • stress at work
  • dehydration
  • energy dips
  • inflammatory foods
  • screens into the evening
  • incomplete rest


Each factor slightly weakens neuronal stability. Together, they push the brain steadily toward a more vulnerable metabolic state, creating conditions where excitatory signals carry greater risk.

All of this raises an urgent question:

What can we do to protect the brain from excitotoxic stress?


TAKEAWAYS & PREVENTION

By this point, the picture is clear: excitotoxicity isn’t a single chemical, ingredient, or disease. It is a process — a chain reaction inside the brain that depends on balance, resilience, and timing. Some of that balance is shaped by biology, but much of it is shaped by the choices we make and the conditions we live in.

This section translates the science into clear, practical takeaways without oversimplifying the complexity of the systems involved.


The Brain Thrives on Balance, Not Extremes

Excitotoxicity teaches an important lesson: healthy neurons need a stable internal environment. They depend on:

  • consistent energy
  • moderate stimulation
  • low inflammation
  • functional mitochondria
  • healthy blood flow


The brain is remarkably adaptable, but it is also metabolically fragile. Disruptions in energy, sleep, nutrition, or stress can tilt the balance toward vulnerability.


Energy Stability Protects Against Excitotoxicity

The most powerful protective factor is steady energy availability.

This includes:

  • eating regular meals
  • Prioritizing whole foods over processed ones
  • avoiding extreme blood sugar swings
  • supporting mitochondrial health
  • getting sufficient rest


The brain’s ability to clear glutamate and regulate calcium is directly tied to its energy levels. When energy is low, vulnerability rises.


Reduce Chronic Stress to Lower Excitatory Load

The science is clear: chronic stress does not simply “feel bad” — it chemically alters the brain.

Stress increases:

  • glutamate release
  • calcium influx
  • inflammatory cytokines
  • free radical production
  • metabolic strain


Reducing long-term stress through sleep, downtime, exercise, and emotional regulation doesn’t just feel good — it reduces the excitatory load on neurons.


Support Mitochondrial Health

Healthy mitochondria are the backbone of excitotoxic resistance.

They maintain:

  • ATP production
  • calcium buffering
  • antioxidant defense
  • synaptic resilience


Supporting mitochondrial function through sleep, aerobic exercise, nutrient-dense foods, and adequate oxygenation helps maintain neuronal strength under excitatory stress.


Avoid Excessive Exposure to Free-Form Excitatory Amino Acids

You don’t need to eliminate entire food groups, but being mindful of:

  • Heavily processed foods
  • hydrolyzed proteins
  • concentrated broths/extracts
  • flavor enhancers
  • “Natural flavoring” when used extensively
  • Fast-absorbing sweetened beverages


These are not harmful in isolation, but frequent, stacked, or high‑peak exposures may be problematic for vulnerable individuals.


Protect the Brain During Vulnerable States

Certain conditions lower resilience, including:

  • fever
  • infection
  • head injury
  • sleep deprivation
  • intense physical exertion
  • aging
  • hypoglycemia

During these periods, it’s wise to:

  • avoid large excitatory exposures
  • rest aggressively
  • keep blood sugar stable
  • reduce sensory overload
  • avoid excess stress
  • hydrate properly
  • favor simple, nutrient-dense foods


The brain needs extra support when stressed or recovering.


Uphold the Fundamentals: Sleep, Nutrition, Movement, Calm

When you strip away the details, the message is very human:

A brain that is well-fed, well-rested, and well-supported is naturally resistant to excitotoxic stress.

This includes:

  • consistent sleep
  • regular exercise
  • whole-food nutrition
  • stable eating patterns
  • emotional balance
  • unmanaged stress reduction
  • avoiding long periods without food
  • meaningful social connection
  • protecting the brain from trauma

These foundational behaviors raise the brain’s resilience more than any supplement or nutrient could.


Knowledge Is Prevention

Understanding excitotoxicity empowers people to:

  • Identify vulnerable periods
  • make healthier food choices
  • support metabolic stability
  • reduce overstimulation
  • care for their brains during illness
  • understand symptoms related to energy and excitability
  • The purpose is not fear — it’s awareness.
    A balanced, informed approach is far more protective than extreme avoidance or perfectionism.

Image 8 - Functional Medicine Model

Conclusion: How Functional Medicine Illuminates Excitotoxins and Helps Restore Balanc

(See Image 8 above)

Excitotoxicity shows us a powerful truth: the brain is both resilient and profoundly sensitive. It thrives when energy, nutrition, cellular repair, and neurochemical balance work in harmony—and it falters when these systems are strained. Functional medicine offers a framework uniquely suited to addressing this complexity. Instead of viewing excitotoxins as isolated threats, it looks at the whole terrain of a person’s biology: their metabolism, inflammation levels, diet, stress load, environmental exposures, sleep rhythm, and genetic predispositions. In doing so, it clarifies why excitotoxins affect some people profoundly while others remain resilient.


Through specialized laboratory testing, functional medicine can identify early imbalances that mainstream care often overlooks. Tests assessing mitochondrial function, nutrient status, detoxification pathways, blood sugar regulation, inflammatory markers, oxidative stress, and glutamate-related pathways can reveal vulnerabilities long before symptoms appear. By understanding how an individual processes energy, clears toxins, handles stress, or regulates neurotransmitters, clinicians can pinpoint where excitatory overload is occurring—and why.


Food also serves as a powerful therapeutic tool. Rather than focusing solely on eliminating ingredients such as MSG or aspartame, functional medicine emphasizes whole-food nutrition that stabilizes blood sugar, supports mitochondrial function, reduces inflammation, and provides antioxidants essential for neurological protection. Strategic dietary adjustments—such as balancing protein intake with slow-burning carbohydrates, increasing magnesium-rich foods, supporting healthy fats for neuronal membranes, and reducing intake of ultra-processed foods—can significantly enhance the brain’s resilience to excitotoxic stress.


Lifestyle medicine completes the picture. Sleep restoration, stress reduction, circadian alignment, gentle movement, and nervous system regulation are not merely “wellness trends”; they directly influence glutamate clearance, calcium balance, mitochondrial output, and antioxidant capacity. Each healthy habit shifts the brain back toward stability and away from metabolic fragility. Over time, these practices build a physiological environment in which excitatory signals are no longer overwhelming but appropriately regulated.


Most importantly, functional medicine provides long-term support, not quick fixes. Because excitotoxic vulnerability develops gradually—through stress, aging, diet, illness, environment, and genetic predisposition—the path back to balance also unfolds over time. With ongoing guidance, individuals can strengthen the very systems that protect neurons: energy metabolism, detoxification, antioxidant reserves, gut–brain communication, and stress regulation. This sustained support may not only improve day-to-day well-being but also help reduce the long-term risk factors associated with neurodegenerative diseases.


Ultimately, functional medicine offers something both scientific and deeply hopeful: the understanding that excitotoxicity is not an inevitable fate. By identifying a person’s unique biochemical patterns, supporting their resilience, and restoring balance to the body’s interconnected systems, we can create conditions in which the brain can heal, adapt, and thrive. And in doing so, we give ourselves the best chance to protect the brain throughout life—safeguarding memory, movement, clarity, and vitality for years to come.


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