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2023 Jan 9;31(2):537544

It can mean more binding protein in circulation, vitamin released from injured cells, reduced clearance by the liver or kidneys, recent intake, or analytical interference, where the measured value does not accurately reflect the true B12 status

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Although NAC is promising as a supplement to both boost glutathione levels and potentially mitigate some of the issues related to oxidative stress, the research is not conclusive, and some of the findings are disease-specific