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The trial included 60 adult participants (mean age approximately 49) who had clinical follow-up with labs every 2 months for up to 2 years, with some withdrawing early due to spontaneous remission, indication for definitive therapy (e.g., thyroidectomy or radioiodine), or an intolerance to the treatment

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Additionally, NAC also helps regulate glutamate homeostasis, reduce cytokines (such as IL-6, IL-1, and TNF-), and enhance mitochondrial function [110, 111]