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Corticosteroid medications, such as dexamethasone, also significantly decrease MAOA activity.[ref] A sudden suppression of MAO-A could increase dopamine and other neurotransmitter levels, sharpening awareness and quick decision-making, which makes sense in a situation that is suddenly stressful

Though it is naturally produced in the body, ageing, poor diet, environmental pollutants, and stress can lower its levels, resulting in increased oxidative stress and hyperpigmentation