Dissociative decisions, dichotomy between this or that

Everything I do is a want, a need, or requires the pitter pat

Of neurons scattering in all directions

Receptors in agony dumping their neurotransmitter collections

The inflection of my voice dwindles while I follow

An American's misguided keto, voraciously consuming tallow

I cannot make restitution for how I've sacked my constitution

Unless I practice ablution