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During the study, patients with intestinal inflammation who were given NAC experienced less inflammation, reduced oxidative stress, an improvement in energy levels, and repair to intestinal tissue damage

Conservative titration protocol: Providers begin patients at low doses and increase gradually based on individual tolerance and progress, not a one-size-fits-all schedule

Abnousian A, Vasquez J, Sasaninia K, Kelley M, Venketaraman V

Contains beneficial ingredients like milk thistle and alpha-lipoic acid

So in ALS, rather than driving pathology, the baseline microbiome might be trying to counteract it, and losing key microbes removes that brake on microglial activation