Infectious pathogens thought to promote the development of ME/CFS are summarised in Figure 4
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Researchers believe its potential benefits may stem from effects on oxidative stress, inflammation, and insulin sensitivity.13 Recent meta-analyses have reported improvements in several metabolic markers, while newer clinical studies suggest NAC may also support ovulation-induction outcomes in some women.20 21 People seeking fertility support Oxidative stress can affect both male and female fertility, which has led researchers to investigate NAC in several reproductive settings.32 In men, NAC combined with selenium has been shown to improve certain semen parameters.23 In women, NAC has been studied alongside IVF and other fertility interventions, with some research suggesting possible benefits for reproductive outcomes.24 Adults interested in healthy aging Interest in NAC has also expanded into healthy-aging research because of its role in glutathione production

Body composition models: in rodent research, GH-axis stimulation has been studied in connection with adipose tissue lipolysis and lean mass parameters
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Healthcare providers can help manage and mitigate side effects, ensuring the benefits outweigh the risks for each individual, taking into account the medical history of the patient and the potential drug interactions