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2 A 2020 meta-analysis pooled data from 12 randomised-controlled trials (RCTs) looking at the effect of NAC on biomarkers of oxidative stress, and found a significant decrease in malondialdehyde (a marker of oxidative stress) 7

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Nonalcoholic fatty liver disease: the pathogenetic roles of insulin resistance and adipocytokines

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It is also explored for mitigating damage from nonsteroidal anti-inflammatory drugs

Diagnostic tools may include: Ultrasound: A dynamic and cost-effective way to detect tendon thickening or partial tears MRI: The gold standard for visualizing tendon degeneration, tears, or fluid buildup in the subacromial space Diagnostic injections: Local anesthetic injections can help confirm the source of pain Early and accurate diagnosis can guide non-surgical treatment plans and prevent progression to more severe shoulder damage