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434,435,436 In addition, fluoxetin-induced activation of astrocytic 5-HT 2B receptors induces transactivation of epidermal growth factor receptors, which, in turn, recruit MAPK/ERK or PI3K/AKT signalling cascades to regulate expression of several genes (such as Ca 2+ -dependent phospholipase A2, cPLA2, subtype 2 of adenosine deaminases acting on RNAs, ADAR2, or subtype 2 of kainate receptors, GluK2) related to mood disorders

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Yes the NNMT pathway is not sex-specific

The result can range from mild discomfort to debilitating pain that radiates down the legs