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NAC may also increase the clearance of certain medications like carbamazepine (used for nerve pain), potentially reducing their clinical efficacy

J Transl Med 19:111 Malaguarnera M, Gargante MP, Cristaldi E et al (2008) Acetyl L-carnitine (ALC) treatment in elderly patients with fatigue
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Li, Y., Gorelik, G., Strickland, F

As you continue to put in more and more blood, you eventually reach the point beyond which you cannot expand any further
