... The mechanism of toxicity of MSG is a very straight forward one: elevation of extracellular glutamate and excitotoxicity from overstimulation of the body's primary excitatory glutamate receptor, the NMDA-R. [38][39][40][41][42] Aspartame's mechanism of toxicity is a bit more complex and is driven by the following 6 components: phenylalanine, aspartic acid, methanol, formaldehyde, formic acid, and diketopiperazine, and the list of adverse effects associated with its use is truly staggering and include fatigue, depression, anxiety, seizures, headaches, migraines, tachycardia, breathing difficulties, irritability, weight gain, metabolic syndrome, tinnitus, numbness, dizziness, endocrine disruption (ie, Graves' disease), development of phobias, vision problems, night terrors, sleep apnea, and sleep disturbances. 41,42 From a biological and toxicological perspective, all of these adverse effects make perfect sense given the fact that TBI, known as the "acute phase, " the following excitotoxic events occur: terminal membrane depolarization along with excessive release of excitatory neurotransmitters (ie, glutamate, aspartate) leading to overactivation of N-methyl-D-aspartate (NMDA), α-amino-3-hydroxy-5-methyl-4-isoxazolpropionate, and voltage-dependent Ca 2+ and Na + channels. ...