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Moreover, platelets share common biological and molecular characteristics with neurons (calciumdependent activation and secretion mechanism, cell surface receptor, and secretory vesicles with neurotransmitters such as serotonin, dopamine, glutamine, and GABA transporters) [75]

P., Walega, D

The major differences in this condition are the presence of small blisters, or vesicles , on the external ear, significant pain in the jaw, ear, face, and/or neck, and hearing disturbances, but these findings may occasionally be lacking (zoster sine herpete)

Most evidence is from animal studies, but the consistency of results across 100+ studies and multiple tendon types is significant