All neurotransmitters can be synthesized, but their efficiency is enhanced through reuse, which conserves energy and nutrients. Some neurotransmitters may be "lost" during the reuse process, potentially diffusing away or being broken down by enzymes to prevent neural disruptions. Once broken down, the components are either recycled or excreted. The discussion touches on the idea of whether neurotransmitters present at birth remain in the body over time. It is unlikely that any original neurotransmitters are still present, as most cells, including neurons, undergo regular breakdown and replacement. While some neurons may not be replaced, the components of neurotransmitters are continuously recycled, making it improbable that any atoms from birth remain in the body.