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Indeed the role of NAC on sexual hormones is characterised as decreased serum levels of testosterone and androgen levels among PCOS women, reduced levels of FSH and LH and increased levels of testosterone in infertile men (Reference Ghomian, Khadem and Moeindarbari5)

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The results underscore the role that changes in myocardial energetics towards more efficient pathways may have in the cardioprotective effects of SGLT2i

Rare side effects include nausea, fishy body odor (at high doses), or mild digestive upset

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Gabe MBN, van der Velden WJC, Smit FX, Gasbjerg LS, Rosenkilde MM