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The main difference is that NAC acts as a precursor , helping your body make more glutathione, while glutathione provides immediate antioxidant protection

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doi: 10.1007/s10571-020-00947-7 59 ManciniD

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Summary: Ozempic may indirectly improve sexual wellbeing through weight loss, enhanced self-confidence and better metabolic control, rather than through direct pharmacological effects on sexual function