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Neuromodulators are substances that work alongside neurotransmitters to influence the excitatory or inhibitory responses of receptors in the nervous system. Unlike neurotransmitters, they don't directly activate ion-channel receptors. It can be challenging to distinguish between transmitters and modulators when many substances are present.12

Neurotransmitters are chemical agents released by neurons to transmit nerve impulses across a synapse to neighboring neurons, muscle cells, or gland cells. They are synthesized by neurons and stored in vesicles at the axon's terminal end. When a nerve impulse arrives, these vesicles release neurotransmitters into the synaptic cleft, where they bind to receptors on the next cell, altering its ion permeability and potentially triggering an electrical impulse. Examples include acetylcholine, dopamine, and norepinephrine.34

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