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There are some vegan options on the market

Enkephalins are natural opioid peptides that promote feelings of calm and well-being without the euphoria, respiratory depression, or addiction risk associated with exogenous opioids

Possible triggers may include: High stress Lack of sleep Crowded places Driving Public speaking Health worries Conflict or emotional stress Certain memories or past trauma Caffeine or substance use Fear of having another panic attack Sometimes, the fear of a panic attack can become a trigger by itself