Functional magnetic resonance spectroscopy (fMRS) can be used to investigate neurometabolic responses to external stimuli in-vivo, but findings to date are inconsistent. We performed a systematic review and meta-analysis on 49 human fMRS studies that measured levels of the primary neurotransmitters Glutamate (Glu), Glx (Glutamate + Glutamine), and GABA. Data were extracted, grouped by metabolite, stimulus domain, and brain region, and then analysed by determining standardised effect sizes. The quality of individual studies (such as the choice of acquisition parameters and reporting quality) was rated with a standardised check list. When results were analysed by metabolite type across all studies, small to moderate effect sizes of 0.29-0.47 (p < 0.05) were observed for changes in Glu and Glx regardless of stimulus domain and brain region, but no significant effects were observed for GABA. Further analysis suggests that Glu, Glx and GABA responses differ by stimulus domain or task and vary depending on the time course of stimulation and data acquisition technique. In summary, we establish effect sizes and directionality of GABA, Glu and Glx response in all currently available fMRS studies. This work provides normative ground to improve consensus and reproducibility of fMRS research and highlights the importance of standardised reporting and minimal best practice.