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methylphenidate), which increase synaptic dopamine by directly blocking dopamine transporter (DAT)

This is especially important during descent, when pain from ear pressure most typically occurs

executive dysfunction, which can include problems with planning, cognitive flexibility, abstract thinking, rule acquisition, initiating appropriate actions and inhibiting inappropriate actions, and selecting relevant sensoiy information, fluctuations in attention and slowed cognitive speed, memory (especially in recalling learned information), visuospatial difficulties e.g

DSIP, if effective, would layer on deeper slow-wave support rather than replace these staples