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So, what you posted is a report that has not been subjected to randomized double-blind placebo based controlled study which from my reading takes about 6-7 years to develop and complete
doi: 10.1016/j.clim.2018.08.012
DOI: 10.1016/j.bbabio.2009.02.001 19
NAC can enhance the effects of nitroglycerin, potentially leading to increased side effects such as headache, dizziness or lightheadedness
A combined topical + oral study showed better effect than monotherapy
Nature 653 , 933941 (2026)
