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If NAC is taking the slot in your routine that should be held by a better-evidenced intervention a 40:1 myo-inositol to D-chiro-inositol supplement, for example, which has multiple PCOS-specific RCTs behind it you are paying an opportunity cost that the marketing did not warn you about

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Hormonal imbalances and adrenal, cortisol, or blood sugar problems, can all cause an imbalanced immune system and affect the thyroid gland