Amino Acid
N-Acetyl L-Cysteine (NAC)
Also known as: NAC, N-acetylcysteine, acetylcysteine, vegan NAC
NAC is a stabilized form of the amino acid L-cysteine that serves as a precursor to glutathione, a major intracellular antioxidant. It has strong evidence for respiratory health and moderate evidence for immune and detoxification support.
Primary uses
- Antioxidant support via glutathione synthesis
- Respiratory health and mucolytic action
- Immune function support
- Liver detoxification
- Acetaminophen toxicity management (clinical use)
How it works
- Replenishes glutathione stores via cysteine donation
- Directly scavenges reactive oxygen species
- Breaks down mucus protein bonds (mucolytic effect)
- Supports phase II liver detoxification enzymes
Dosage
- Typical range
- 600-1200 mg daily (divided into 2-3 doses)
- Timing
- Can be taken any time of day; consistency matters more than timing
- With food
- May be taken with or without food; taking with food may reduce stomach upset
- Duration
- Generally safe for long-term use; clinical protocols often use 600-1800 mg daily
- Special populations
- Doses up to 1500 mg daily have been used in respiratory studies; those with cystinuria should avoid supplementation
Forms
- capsule· 70/100
- powder· 70/100
- tablet· 70/100
Safety
Common side effects
- Nausea or upset stomach (mild)
- Diarrhea
- Constipation
- Headache (rare)
- Rash (rare)
Contraindications
- Cystinuria (genetic condition affecting cysteine handling)
- Caution in those prone to kidney stones
- Warrants medical consultation if pregnant or nursing
Evidence notes
Strong clinical evidence for acute respiratory conditions and acetaminophen overdose; moderate evidence for chronic respiratory support and general antioxidant benefits; good safety profile with extensive research history.
Grade B: Some human trials support key claims; further confirmation needed.
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