Distilled water, while free of minerals, is not sterile and contains no preservative for multi-dose use
The manufacturer voluntarily discontinued the commercial product in 2008 for business reasons, not due to any safety concern
In fact just over purchased from Germany and got given my annual prescription from my GP
A 2022 systematic review examining antioxidant interventions for liver disease concluded that NAC showed "moderate to strong evidence" for improving liver function markers, while oral glutathione (non-liposomal forms) had "limited evidence" of clinical efficacy
The transcription factor Nrf2 is a potent transcriptional activator that plays a central role in the inducible expression of many cytoprotective genes in response to oxidative and electrophilic stresses (Itoh et al., 1997
What it does instead is help address oxidative stress, inflammation, and metabolic strain , which are commonly elevated in PCOS and hormonal imbalance