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doi:10.1007/s11011-013-9435-x, PMID: 24557875 Sadowska AM, Manuel-Y-Keenoy B, De Backer WA (2007) Antioxidant and anti-inflammatory efficacy of NAC in the treatment of COPD: discordant in vitro and in vivo dose-effects: a review

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Instead, it acts as a downstream element within this growth hormone-IGF-1 axis