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Epinephrine, also known as adrenaline, is both a hormone and an excitatory neurotransmitter. As a neurotransmitter, epinephrine is involved in regulating visceral functions, metabolism, mental focus, arousal and cognition. A dysfunction of epinephrine levels can result in various mental and physical health issues, such as depression, fatigue, anxiety, changes in blood pressure, lack of focus and sleep problems.