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Home > Anti-aging Research > N-acetyl-L-cysteine (NAC)

N-acetyl-L-cysteine (NAC)

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  • N-Acetyl Cysteine Effective for Bipolar Depression - Medscape, 6/10/11 - "oxidative stress and inflammation play a role in the pathophysiology of bipolar disorder ... NAC is a cysteine analogue shown to effectively raise plasma levels of the primary antioxidant, glutathione. NAC also modulates cytokines, glutamates neurotransmission, and enhances neurogenesis ... significant differences (P < .001) were found between baseline and week 8 for all study measures. Minimal side effects occurred" - Note:  That seems like a high dose but I would think most would take a lower lower dose over a longer period of time which may be as effective.
  • Antioxidant Study Suggests Possibility of "Sunburn Pill" - Medscape, 12/11/09 - "The researchers theorize that people at increased risk for melanoma could take NAC as a "sunburn pill" before exposure to large amounts of sunlight. Such an approach, they add, could theoretically reduce a person's lifetime risk of melanoma and also minimize the problems associated with taking a daily medication"
  • Amino Acid May Help Reduce Cocaine Cravings - Science Daily, 10/23/09 - "N-acetylcysteine (NAC), a commonly available and generally nontoxic amino acid derivative, reverses changes in the brain's circuitry associated with cocaine addiction. The reversal appears to lessen the cravings associated with cocaine, thus providing protection against relapse" - See NAC products at iHerb.
  • Medication Effective For Acute Liver Failure In Early Stages Of Disease, Study Suggests - Science Daily, 10/8/09 - "Researchers found that 52 percent of acute liver failure patients in mild to moderate comas survived when treated with NAC, compared to just 30 percent of those treated with only a placebo. In patients experiencing more severe coma, treatment with NAC did not result in a significant difference in survival rates" - See NAC products at iHerb.
  • High-Dose N-Acetylcysteine Reduces Contrast Nephropathy - Medscape, 9/14/09 - "the odds of contrast-induced nephropathy were 54% lower in patients randomized to high-dose N-acetylcysteine, compared to those randomized to a control group"
  • Health Food Supplement May Curb Compulsive Hair Pulling - Science Daily, 7/6/09 - "Patients were given 1,200 mg of N-Acetylcysteine every day for six weeks. For the following six weeks, the dosage was increased to 2,400 mg per day. After nine weeks, those on supplement had significantly reduced hair-pulling. By the end of the 12 week study, 56 percent reported feeling much or very much improved, while only 16 percent on the placebo reported less pulling"
  • New Therapeutic Properties Of N-acetyl-L-cysteine Discovered - Science Daily, 1/19/09 - "N-acetyl-L-cysteine (NAC) combined with mesalamine produces a significant improvement in patients suffering from ulcerative colitis ... N-acetyl-L-cysteine, is a drug normally used for the treatment of chronic obstructive pulmonary disease (COPD) and to minimize the effects of cold and flu. Its hepatic protective properties also make this drug a useful tool in paracetamol intoxications ... N-acetyl-L-cysteine reduced the negative effects caused by azathioprine, a immunosuppressant of clinical use, on the liver"
  • Add-On Therapy Improves Depressive Symptoms In Bipolar Disorder - Science Daily, 9/2/08 - "sought to evaluate whether N-acetyl cysteine (NAC), an over-the-counter supplement that increases brain glutathione, might help alleviate depressive symptoms ... Glutathione is the brain’s primary antioxidant defense, and there is evidence of increased oxidative stress in bipolar disorder. Therefore, we studied the potential benefit of NAC treatment in bipolar disorder and found that it impressively remedied residual depressive symptoms" - See NAC products at iHerb.
  • Before A CT Scan Or Angiogram, Many People Should Take Inexpensive Drug To Protect Kidneys - Science Daily, 2/18/08 - "The inexpensive drug, called N-acetylcysteine, can prevent serious kidney damage that can be caused by the iodine-containing "dyes" that doctors use to enhance the quality of such scans ... N-acetylcysteine is already widely used to clear mucus in cystic fibrosis patients, and to treat overdoses of acetaminophen"
  • Treatment With NAC Is Associated With Better Outcomes For Children With Liver Failure, Study Suggests - Science Daily, 1/3/08 - "The children who received NAC spent fewer days in intensive care, and in the hospital overall. 43 percent survived with their native liver, compared to 22 percent of children who did not receive NAC. And death rates while awaiting transplant, after transplant, and after ten years were notably lower in children who had received NAC"
  • N-acetyl Cysteine May Aid in Treatment of Schizophrenia - Doctor's Guide, 10/16/07 - "The study showed that NAC improves certain symptoms of schizophrenia, and therefore implicated glutathione deficiency in the pathogenesis"
  • Short-Course N-Acetylcysteine Effective for Acetaminophen Overdose - Medscape, 10/4/07 - "A shortened course of as few as six oral doses of N-acetylcysteine appears to be an effective treatment for certain patients with acute acetaminophen poisoning"
  • Health Food Supplement May Curb Addiction Of Pathological Gamblers - Science Daily, 9/11/07
  • How Vitamin C Stops Cancer - Science Daily, 9/10/07 - "Both of these cancers produce high levels of free radicals that can be suppressed by feeding the mice supplements of antioxidants, either vitamin C or N-acetylcysteine (NAC) ... Some rapidly growing tumors consume enough energy to easily suck out the available oxygen in their vicinity, making HIF-1 absolutely critical for their continued survival. But HIF-1 can only operate if it has a supply of free radicals. Antioxidants remove these free radicals and stop HIF-1, and the tumor, in its tracks" - See vitamin C products at iHerb.
  • One Type Of Antioxidant May Not Be As Safe As Once Thought - Science Daily, 9/4/07 - "The research team administered both NAC and nitrosothiols to mice for three weeks. The NAC was converted by red blood cells into the nitrosothiol, S-nitroso-N-acetylcysteine (SNOAC). The normal mice that received NAC and SNOAC developed PAH. Mice missing an enzyme known as endothelial nitric oxide synthase did not convert NAC to SNOAC, and were protected from the adverse effects of NAC, but not SNOAC. This suggests that NAC must be converted to SNOAC to cause PAH ... Could regular use of NAC produce the same effects in humans? The next step is to determine a threshold past which antioxidant use becomes detrimental to heart or lung function"
  • N-Acetylcysteine May Reduce Cocaine Craving - Medscape, 7/26/07
  • Cysteine Containing Chewing Gum For The Prevention Of Upper Digestive Tract Cancers? - Science Daily, 5/22/06
  • Intravenous N-Acetylcysteine During Haemodialysis Reduces the Plasma Concentration of Homocysteine in Patients With End-Stage Renal Disease - Medscape, 5/16/06
  • Addiction: Supplement May Stifle the Craving for Cocaine - New York Times, 12/20/05
  • Acetylcysteine May Be Helpful for Pulmonary Fibrosis - Medscape, 11/23/05
  • High Dose N--Acetylcysteine in Patients with COPD - Medscape, 7/18/05
  • Antioxidant, B vitamin combo to slow dementia? - Nutra USA, 12/6/04 - "the glutathione precursor N-acetylcysteine (NAC) is not only a potent antioxidant but also a source of cysteine. Cysteine is required to generate hydrogen sulphide - an important neuromodulator and vasorelaxant. Levels of hydrogen sulphide levels are severely decreased in the brains of Alzheimer’s disease patients"
  • No Difference between N-Acetylcysteine and Fenoldopam for Thwarting Contrast-Induced Nephropathy - Doctor's Guide, 11/8/04 - "A randomized study failed to show a significant difference in the ability of oral N-acetylcysteine (NAC) and intravenous fenoldopam (FEN) to prevent the deterioration in renal function"
  • NAC supplement for brain damage in boys - Nutra USA, 5/4/04 - "Because it enhances the production of the enzyme glutathione, NAC is thought to both stave off disease and play an important role in boosting the immune system"
  • N-Acetylcysteine Beneficial for Chronic Lung Disease - Healthwell Exchange Daily News, 10/2/03
  • Pre-treatment With Acetylcysteine For Cardiac Catheterisation Reduces Contrast-Induced Nephropathy - Doctor's Guide, 12/5/03
  • Thiol-Containing Antioxidant Shows Promise in Preventing Contrast Nephropathy - Doctor's Guide, 8/25/03 - "Treatment with acetylcysteine, a thiol-containing antioxidant, shows promise in preventing contrast nephropathy in patients with chronic renal insufficiency"
  • High Cysteine Levels Linked to Lower Rates of Breast Cancer - Doctor's Guide, 7/15/03 - "Women in the highest quintile for measured cysteine levels in this study had a 56% lower risk of invasive or in situ breast cancer than women in the lowest quintile ... The findings were more pronounced when only invasive cancer was considered ... Cysteine or its precursors might have the potential to be chemoprotective against breast cancer"
  • N-Acetyl Cysteine Prevents Kidney Damage from Coronary Procedure - New Hope Natural Media, 5/1/03 - "Up to 15% of people undergoing coronary angiography may experience kidney damage from the contrast dye ... randomly assigned to receive either 600 mg of oral NAC twice a day on the day before and the day of the procedure or a similar looking placebo ... Only 4% of those taking NAC, compared with 12% of those taking the placebo, experienced a 25% increase in blood creatinine within 48 hours of receiving the contrast dye"
  • Cardiovascular End Points Reduced With Antioxidant Acetylcysteine In Haemodialysis Patients - Doctor's Guide, 2/28/03 - "They were assigned to receive either acetylcysteine 600 mg twice daily or a placebo ... Primary end point was a composite variable composed of cardiac events that included fatal and non-fatal myocardial infarction, death from cardiovascular disease, necessity for either coronary angioplasty or by-pass surgery, ischaemic stroke, peripheral vascular disease requiring amputation or need for angioplasty ... A primary end point was established in 18 of the 64 [28%] haemodialysed patients who received acetylcysteine, and 33 of 70 [47%] patients undergoing haemodialysis assigned to the control group" - [Abstract]
  • N-Acetyl Cysteine Improves Insulin Resistance in Women with Polycystic Ovary Syndrome - New Hope Natural Media, 12/12/02 - "PCOS ... affects up to 10% of all women of reproductive age ... characterized by enlargement of the ovaries, irregular menstrual cycle, failure to ovulate, obesity, high levels of insulin in the blood and insulin resistance, excessive hair growth (due to increased testosterone) and infertility. More than 50% of all women with PCOS have high insulin levels, which may be a risk factor for diabetes, high blood pressure, blood clots and heart disease ... Women with high initial insulin levels who took NAC had a significant reduction in insulin levels following the glucose tolerance test and also showed improved insulin sensitivity"
  • Acetylcysteine Can Reduce Cardiovascular Events in Patients with Endstage Renal Disease - Doctor's Guide, 10/1/02 - "therapy with acetylcysteine appears to significantly reduce cardiovascular events among haemodialysis patients" - See iHerb and Vitacosticon acetyl-l-cysteine products.
  • N-Acetylcysteine Helpful for Eye Disorder - New Hope Natural Media, 9/26/02
  • Getting More Glutathione? - Dr. Weil, 8/29/02 - "To my knowledge, the only supplement that effectively raises glutathione levels in the body is N-acetyl-L-cysteine (NAC). My colleague Kathleen Johnson, a dietician here at the Program in Integrative Medicine, tells me that other glutathione supplements are ineffective because they’re digested before they can get into the bloodstream"
  • Putting Antioxidants To Use In Functional Formulas - Functional Foods & Nutraceuticals, 5/02 - "N-acetylcysteine (NAC), like alpha-lipoic acid, is a potential antioxidant and precursor to glutathione. However, NAC is also a powerful immune stimulant. For example, an Italian study of 262 elderly subjects found that 600mg NAC, taken twice daily, reduced flu symptoms by two-thirds.18 Large dosages of NAC—up to several grams daily—can extend the life expectancy of patients with AIDS,19 and some research suggests that it may also reduce the risk of cancer"
  • Acetylcysteine Prevents Renal Problems After Angiography - Doctor's Guide, 3/18/02 - "Changes in creatinine mean values after 48 hours were -0.4 (±0.3) and +0.1 (±0.3) mg/dL for treatment and control groups, respectively (p<0.001). The benefit was larger in patients with baseline creatinine levels higher than 2 mg/dL, at -0.4 (±0.4) compared to +0.5 (±0.3) mg/dL (p<0.001)"
  • Antioxidant Boosts Cognitive Function In Alzheimer's Patients - Intelihealth, 11/15/01 - "the antioxidant N-acetylcysteine (NAC) may improve certain cognitive skills in people with Alzheimer's disease ... Although participants in the NAC group did not outperform placebo patients in day-to-day activities, they did fare significantly better than the placebo group on certain cognitive tests"
  • N-acetylcysteine Improves Blood Vessels - Nutrition Science News, 5/01 - "Researchers suspect this is because NAC enhances the bioavailability of the relaxing substance nitric oxide, but because nitric oxide has a short half-life and cannot be measured by current methodology, they were unable to determine this directly. In addition, NAC may act as an antioxidant that protects nitric oxide destruction"
  • Glutathione: The Eye Healer Within - Nutrition Science News, 4/01 - "Supplementing with glutathione to boost glutathione levels is not well understood. Glutathione is a large molecule that is not easily absorbed, but it is a tripeptide with cysteine—a sulfur-bearing amino acid—in the middle. As cysteine is broken down in the digestive tract, its sulfur is absorbed and utilized to make more glutathione"
  • Can Cirrhosis be Prevented? - Nutrition Science News, 1/99

Abstracts:

  • Deficient synthesis of glutathione underlies oxidative stress in aging and can be corrected by dietary cysteine and glycine supplementation - Am J Clin Nutr. 2011 Jul 27 - "Compared with younger control subjects, elderly subjects had markedly lower RBC concentrations of glycine (486.7 ± 28.3 compared with 218.0 ± 23.7 μmol/L; P < 0.01), cysteine (26.2 ± 1.4 compared with 19.8 ± 1.3 μmol/L; P < 0.05), and glutathione (2.08 ± 0.12 compared with 1.12 ± 0.18 mmol/L RBCs; P < 0.05); lower glutathione fractional (83.14 ± 6.43% compared with 45.80 ± 5.69%/d; P < 0.01) and absolute (1.73 ± 0.16 compared with 0.55 ± 0.12 mmol/L RBCs per day; P < 0.01) synthesis rates; and higher plasma oxidative stress (304 ± 16 compared with 346 ± 20 Carratelli units; P < 0.05) and plasma F(2)-isoprostanes (97.7 ± 8.3 compared with 136.3 ± 11.3 pg/mL; P < 0.05). Precursor supplementation in elderly subjects led to a 94.6% higher glutathione concentration, a 78.8% higher fractional synthesis rate, a 230.9% higher absolute synthesis rate, and significantly lower plasma oxidative stress and F(2)-isoprostanes. No differences in these measures were observed between younger subjects and supplemented elderly subjects ... Glutathione deficiency in elderly humans occurs because of a marked reduction in synthesis. Dietary supplementation with the glutathione precursors cysteine and glycine fully restores glutathione synthesis and concentrations and lowers levels of oxidative stress and oxidant damages. These findings suggest a practical and effective approach to decreasing oxidative stress in aging" - See l-glycine products at iHerb and NAC products at iHerb.
  • Long-term dietary antioxidant cocktail supplementation effectively reduces renal inflammation in diabetic mice - Br J Nutr. 2011 Jun 3:1-8 - "Diabetic nephropathy is a serious complication for diabetic patients, yet the precise mechanism that underlies the development of diabetic complications remains unknown. We hypothesised that dietary antioxidant supplementation with single N-acetylcysteine (NAC) or vitamin C combined with either vitamin E or vitamin E and NAC improves diabetic renal inflammation through the modulation of blood glucose levels, oxidative stress and inflammatory response. Experimental animals were treated with alloxan monohydrate to induce diabetes. Mice were divided into five groups and supplemented with single or a combination of antioxidants. Body weights and blood glucose levels were measured once a week. After 8 weeks of dietary antioxidant supplementation, mice were killed and blood urea N (BUN) and plasma creatinine levels were measured to evaluate renal function. NF-κB protein was indirectly demonstrated by the phosphorylated IκBα (pIκBα) level, and the expressions of oxidative stress- and inflammatory response-related proteins were also determined. We demonstrated that dietary antioxidant supplementation decreased lipid peroxidation levels demonstrated by thiobarbituric acid-reacting substances, BUN and plasma creatinine levels in diabetic kidneys. Moreover, dietary antioxidant cocktail supplementation improved blood glucose levels and selectively regulated the expressions of Cu-Zn superoxide dismutase, haeme oxygenase-1, pIκBα, inducible NO synthase, cyclo-oxygenase-2 and C-reactive protein in diabetic kidneys effectively. These findings demonstrated that diabetic renal failure was associated with inflammatory responses induced by hyperglycaemia. In addition, results in the study suggest that antioxidant cocktail supplementation may have beneficial effects on diabetic nephropathy through selective reduction of blood glucose levels and inflammatory response"
  • N-acetylcysteine in psychiatry: current therapeutic evidence and potential mechanisms of action - J Psychiatry Neurosci. 2010 Nov 1;35(6):100057 - "This review outlines the current literature regarding the use of NAC in disorders including addiction, compulsive and grooming disorders, schizophrenia and bipolar disorder. N-acetylcysteine has shown promising results in populations with these disorders, including those in whom treatment efficacy has previously been limited. The therapeutic potential of this acetylated amino acid is beginning to emerge in the field of psychiatric research"
  • N-Acetylcysteine interacts with copper to generate hydrogen peroxide and selectively induce cancer cell death - Cancer Lett. 2010 Jul 26 - "NAC/Cu(II) significantly alters growth and induces apoptosis in human cancer lines, yet NAC/Zn(II) and NAC/Fe(III) do not. We further confirmed that this cytotoxicity of NAC/Cu(II) is attributed to reactive oxygen species (ROS). These findings indicate that the combination of Cu(II) and thiols generates cytotoxic ROS that induce apoptosis in cancer cells. They also indicate a fourth class of anti-neoplastic metal-binding compounds, the "ROS generators""
  • Effects of N-acetylcysteine on Semen Parameters and Oxidative/Antioxidant Status - Urology. 2009 May 8 - "To examine whether a beneficial effect of N-acetylcysteine (NAC) on semen parameters and oxidative/antioxidant status in idiopathic male infertility exists ... NAC had significant improving effects on the volume, motility, and viscosity of semen" - See NAC products at iHerb.
  • N-acetylcysteine versus AScorbic acid for Preventing contrast-Induced nephropathy in patients with renal insufficiency undergoing coronary angiography NASPI study-a prospective randomized controlled trial - Am Heart J. 2009 Mar;157(3):576-583 - "High-dose NAC seems more beneficial than ascorbic acid in preventing contrast-induced renal function deterioration in patients, especially diabetic patients, with renal insufficiency undergoing coronary angiography"
  • Effect of alpha-tocopherol, N-acetylcysteine and omeprazole on esophageal adenocarcinoma formation in a rat surgical model - Int J Cancer. 2008 Oct 20 - "oxidative stress subsequent to gastroesophageal reflux is an important driving force of esophageal adenocarcinoma (EAC) formation in the esophagogastroduodenal anastomosis (EGDA) rat model. This study investigated the possible tumor inhibitory effects of 2 antioxidants, alpha-tocopherol (389 and 778 ppm), N-acetylcysteine (NAC, 500 and 1,000 ppm), and their combination (389 and 500 ppm, respectively), as well as an antacid therapeutic agent, omeprazole (1,400 ppm) ... alpha-Tocopherol dose-dependently decreased the incidence of EAC (p = 0.03), with 778 ppm alpha-tocopherol reducing the incidence of EAC to 59% (16/27) in comparison with 84% (26/31) in the control group (p = 0.04). Supplementation of alpha-tocopherol also increased the serum concentration of alpha-tocopherol. NAC at 500 and 1,000 ppm did not significantly decrease EAC incidence; however, the combination of alpha-tocopherol 389 ppm and NAC 500 ppm significantly reduced the incidence of EAC to 55% (15/27) (p = 0.02). alpha-Tocopherol alone or in combination with NAC significantly reduced the number of infiltrating cells positively stained for 4-hydroxynonenal. Omeprazole showed only a slight nonsignificant inhibitory effect at the dose given"
  • Efficacy of a Vitamin/Nutriceutical Formulation for Early-stage Alzheimer's Disease: A 1-Year, Open-Label Pilot Study With an 16-Month Caregiver Extension - Am J Alzheimers Dis Other Demen. 2008 Dec 1 - "We examined the efficacy of a vitamin/nutriceutical formulation (folate, vitamin B6, alpha-tocopherol, S-adenosyl methionine, N-acetyl cysteine, and acetyl-L-carnitine) in a 12-month, open-label trial with 14 community-dwelling individuals with early-stage Alzheimer's disease. Participants improved in the Dementia Rating Scale and Clock-drawing tests (Clox 1 and 2). Family caregivers reported improvement in multiple domains of the Neuropsychiatric Inventory (NPI) and maintenance of performance in the Alzheimer's Disease Cooperative Study-Activities of Daily Living (ADL). Sustained performance was reported by caregivers for those participants who continued in an 16-month extension. Performance on the NPI was equivalent to published findings at 3 to 6 months for donepezil and exceeded that of galantamine and their historical placebos. Participants demonstrated superior performance for more than 12 months in NPI and ADL versus those receiving naproxen and rofecoxib or their placebo group. This formulation holds promise for treatment of early-stage Alzheimer's disease prior to and/or as a supplement for pharmacological approaches"
  • N-Acetylcysteine prevents ifosfamide-induced nephrotoxicity in rats - Br J Pharmacol. 2008 Feb 18 - "NAC markedly reduces the severity of renal dysfunction induced by ifosfamide with a significant decrease in elevations of serum creatinine (57.8+/-2.3 vs 45.25+/-2.1 mumol l(-1)) as well as a reduced elevation of beta(2)-microglobulin excretion (25.44+/-3.3 vs 8.83+/-1.3 nmol l(-1)) and magnesium excretion (19.5+/-1.5 vs 11.16+/-1.5 mmol l(-1)). Moreover, NAC significantly improved the ifosfamide-induced glutathione depletion and the decrease of glutathione S-transferase activity, lowered the elevation of lipid peroxides and prevented typical morphological damages in renal tubules and glomeruli" - See NAC products at iHerb.
  • Long Term N-Acetylcysteine and L-Arginine Administration Reduces Endothelial Activation and Systolic Blood Pressure in Hypertensive Patients with Type 2 Diabetes Mellitus - Diabetes Care. 2008 Feb 11 - "The NAC+ARG administration seems to be a potential well-tolerated antiatherogenic therapy since it improves the endothelial function in hypertensive patients with type 2 diabetes by improving NO bioavailability via reduction of the oxidative stress and increase of NO production. Our study's results give prominence to its potential use in the primary and secondary cardiovascular prevention in these patients"
  • N-acetylcysteine for the prevention of postoperative atrial fibrillation: a prospective, randomized, placebo-controlled pilot study - Eur Heart J. 2008 Feb 8 - "The result of this study indicates that NAC treatment decreases the incidence of postoperative AF" - See NAC products at iHerb.
  • Effects of folic acid and N-acetylcysteine on plasma homocysteine levels and endothelial function in patients with coronary artery disease - Acta Cardiol. 2007 Dec;62(6):579-85 - "either folic acid 5 mg or NAC 600 mg or placebo daily for eight weeks ... endothelium-dependent dilation (EDD) ... Folic acid and NAC therapies decreased plasma homocysteine (from 21.7 +/- 8.7 micromol/l to 12.5 +/- 2.5 micromol/l, P < 0.001; from 20.9 +/- 7.6 micromol/l to 15.6 +/- 4.3 micromol/l, P = 0.03, respectively), and increased EDD (6.7 +/- 6.1% P = 0.002, 4.4 +/- 2.6% P < 0.001, respectively) compared with placebo. There was no significant difference in improving EDD between the folic acid and the NAC group"
  • Telmisartan, an Angiotensin II Type 1 Receptor Blocker, Inhibits Advanced Glycation End-product (AGE)-induced Monocyte Chemoattractant Protein-1 Expression in Mesangial Cells Through Downregulation of Receptor for AGEs via Peroxisome Proliferator-activated Receptor-gamma Activation - J Int Med Res. 2007 Jul-Aug;35(4):482-9 - "Candesartan, an Ang II type 1 receptor blocker, did not suppress AGEs-induced superoxide generation. Telmisartan and the antioxidant, N-acetylcysteine, completely inhibited AGEs-induced MCP-1 overproduction by mesangial cells"
  • Acetylcysteine for Prevention of Acute Deterioration of Renal Function Following Elective Coronary Angiography and Intervention: A Randomized Controlled Trial - JAMA, 2/5/03 - "Acetylcysteine protects patients with moderate chronic renal insufficiency from contrast-induced deterioration in renal function after coronary angiographic procedures, with minimal adverse effects and at a low cost" - See iHerb or Vitacosticon acetyl-l-cysteine products.

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