Ingredients · N-Acetyl Cysteine · Research
Clinical research

What does the research say about N-Acetyl Cysteine?

strong evidence

N-acetyl cysteine (NAC) is the rate-limiting precursor to glutathione, the body's master antioxidant. Well-evidenced for respiratory mucus, OCD/trichotillomania, and acetaminophen toxicity (clinical IV use).

Best-evidenced use cases
  • Productive cough / mucus thinning
  • Trichotillomania, skin-picking, OCD-spectrum disorders
  • Liver support / acetaminophen recovery
  • PCOS adjunct
  • Fertility (male sperm quality)

3 key studies

Search PubMed for more
  • 01Meta-analysis2000European Respiratory Journal

    NAC for chronic bronchitis

    Stey et al.
    Sample
    11 RCTs · 2,011 patients
    Dose
    400-600 mg/day
    Duration
    ≥3 months
    Key finding

    NAC significantly reduced acute exacerbations of chronic bronchitis (relative risk reduction 23%) and improved symptoms.

    Read on PubMed
  • 02RCT2009Archives of General Psychiatry

    NAC in obsessive-compulsive and related disorders

    Grant et al.
    Sample
    50 trichotillomania patients
    Dose
    1,200-2,400 mg/day
    Duration
    12 weeks
    Key finding

    NAC produced significant reductions in hair-pulling symptoms vs placebo, with 56% of NAC patients showing 'much improved' status.

    Read on PubMed
  • 03Meta-analysis2019Reproductive Biology and Endocrinology

    NAC and male fertility: meta-analysis

    Jannatifar et al.
    Sample
    9 RCTs
    Dose
    600 mg/day
    Duration
    ≥3 months
    Key finding

    NAC supplementation significantly improved sperm count, motility, and morphology in infertile men with oxidative stress markers.

    Read on PubMed
How we read the research

We prioritize randomised controlled trials and meta-analyses over single observational studies. Animal and in-vitro data are listed as "mechanistic", they suggest direction, not human effect size.

What we don't do

We don't cherry-pick favourable studies, omit conflicting evidence, or cite industry-funded trials without flagging the conflict of interest where known.

Make it actionable

See N-Acetyl Cysteine in a personalised stack

The research is one thing, what to take, at what dose, paired with what, is another. We compose stacks that turn the evidence into a daily routine.

Take the quiz →Back to N-Acetyl Cysteine

Studies referenced are real published research. Summaries are paraphrased for accessibility, for exact methods and full text, click through to PubMed. Educational use only, not medical advice. Consult a qualified clinician before starting any new supplement.