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Vitamin C can be taken with PharmaNAC to maximise effectiveness and prevent the possibility of oxidised cysteine forming kidney stones with long term use

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While generally safe in trials, potential less common side effects include increased heart rate, skin sensitivity and tingling, and rarely pancreatitis or gallbladder issues

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Dose increases during this window can temporarily reset the fatigue cycle, which is why gradual titration matters so much

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Qaseem A, Humphrey LL, Sweet DE, Starkey M, Shekelle P

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