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Amino Acid

N-Acetyl Cysteine (NAC)

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N-Acetyl Cysteine (NAC). Glutathione precursor with mucolytic, hepatoprotective, and psychiatric uses.

How it works. Provides cysteine for glutathione synthesis; modulates glutamate via cystine-glutamate antiporter.

What the research supports. 3 graded claims. Strongest: Reduces acetaminophen-induced hepatotoxicity (strong).

How much to take. Typical dose: 600–1800 mg/d (divided). Empty stomach if tolerated, else with food.

Side effects and interactions. 1 medication interaction listed. Serious: Rare allergic reaction (IV).

Stacking. Pairs well with Glycine.

Common forms. Available as NAC, Liposomal NAC.

Key studies. 10 studies cited. The strongest are listed with links to PubMed.

Community. Experiences from people who have tried N-Acetyl Cysteine (NAC). Anecdotes are not medical advice.

N-Acetyl Cysteine (NAC). Glutathione precursor with mucolytic, hepatoprotective, and psychiatric uses.

Molecular structureC5H9NO3S · 163.20 g/mol

What it is

Acetylated form of L-cysteine; FDA-approved antidote for acetaminophen overdose.

Also called

NAC

Food sources

Synthesized from cysteine

Goals

How it works

Provides cysteine for glutathione synthesis; modulates glutamate via cystine-glutamate antiporter.

Pathways

  • GSH synthesis
  • Glutamate modulation

Effects

  • ↑Glutathione increases
  • +Hepatocyte protection supports
  • ↓Compulsive behaviors decreases

What the research supports

Reduces acetaminophen-induced hepatotoxicitystrong
Improves symptoms of trichotillomania / OCDmoderate
Improves PCOS insulin sensitivity & ovulationmoderate

Strong: consistent results across large trials or meta-analyses. Moderate: several trials, mostly positive. Limited: small or mixed studies. Preclinical: animal or cell research only.

Typical dose
600–1800 mg/d (divided)
TimingEmpty stomach if tolerated, else with food
With foodEither
Best formMost evidence is based on the nac form.
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Side effects & interactions

Common side effects

  • GI upset
  • Sulfur-like odor

Serious

  • Rare allergic reaction (IV)

Medication interactions

Nitroglycerinmoderate

Potentiates hypotension.

Check any supplement–medication combination with your pharmacist before starting.

Combines with

Pairs well

  • GlycineBoth rate-limiting for GSH synthesis.

Common forms

  • NAC
  • Liposomal NAC

Key studies

10 studies cited in total.

PubMed: N-Acetyl Cysteine (NAC) — Reduces acetaminophen-induced hepatotoxicity ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching N-Acetyl Cysteine (NAC) and "Reduces acetaminophen-induced hepatotoxicity". Filter by RCT, meta-analysis, or year on the results page.

PubMed: N-Acetyl Cysteine (NAC) — Improves symptoms of trichotillomania / OCD ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching N-Acetyl Cysteine (NAC) and "Improves symptoms of trichotillomania / OCD". Filter by RCT, meta-analysis, or year on the results page.

PubMed: N-Acetyl Cysteine (NAC) — Improves PCOS insulin sensitivity & ovulation ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching N-Acetyl Cysteine (NAC) and "Improves PCOS insulin sensitivity & ovulation". Filter by RCT, meta-analysis, or year on the results page.

Discussion

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