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Study limitations Oral NAC is associated with gastrointestinal discomfort, nausea, and diarrhea, but these symptoms are generally mild and occur at similar rates in placebo groups, indicating that NAC is well-tolerated and safe for chronic use [108]

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This doesn't mean inject directly into the tendon or joint

However, the high recurrence rate after discontinuation suggests that simply suppressing systemic hormone levels may be insufficient to dismantle the established self-sustaining pathological network within the local microenvironment of the fibroids