Folate tolerance varies Folic acid, folinic acid and methylfolate may help selected patients but may worsen anxiety, agitation or sleep in susceptible undermethylators
When levels drop, due to age, stress, poor sleep, or environmental exposure people often notice symptoms like fatigue, dull skin, inflammation, brain fog, and frequent illness
Its important to disclose any health conditions during your consultation, especially if you have liver or kidney concerns
Notably, two such trials with low dose NAC, 600 mg/day over 3 years demonstrated some efficacy in inhaled corticosteroid (ICS)-nave patients only ( High-dose NAC (1,200 mg/day) showed superior outcomes, improving lung volumes [Forced Vital Capacity (FVC), Residual Volume/ Total Lung Capacity (RV/TLC), Inspiratory Capacity (IC)] and exercise tolerance( 2575% ), reactance at 6 Hz, and resonant frequency over 1 year, while these declined with placebo ( The PANTHEON trial, a large double-blind RCT in GOLD defined COPD patients with severe airflow obstruction and a history of 2 COPD exacerbations in the previous year, found that NAC 600 mg BID reduced exacerbation rates in NAC group (497 acute exacerbations in 482 patients, 1.16 AcEx/pt/yr) versus placebo (641 acute exacerbations in 482 patients, 1.49 AcEx/Pt/yr), p 1 log 10 ) compared to untreated controls ( in vitro study on blood cells of patients with Type 2 Diabetes Mellitus (DM) and healthy volunteers showed that NAC has anti-TB microbial properties on its own and significantly inhibited the growth of MTB as compared to sham treated media by about 50% at 8 days and 70% at 15 days, respectively
