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Since Vyvanse is a prodrug, it doesnt work until its been metabolized in your body, which doesnt happen right away

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When the brain is exposed to external forces, as in the case of TBI, glutamate is overly released, leading to activation of the N-methyl-D-aspartate receptor, influx of Ca 2+ , and efflux of Na + in the synapses, disturbing the ionic homeostasis in the synapses

This receptor is expressed on pituitary somatotrophs and, when started, boosts growth hormone release through a pathway distinct from GHRH