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Various factors are involved in the fluctuations and stabilities in bacterial levels, such as nutrient availability, temperature, osmolality, pH, and bacteriophages, which are viruses that infect bacteria 20,21,22,23
A 2021 meta-analysis examining multiple trials found that NAC supplementation (typically 600-1,800 mg daily) produced statistically significant improvements in liver enzyme levels, including ALT (alanine aminotransferase) and AST (aspartate aminotransferase)
doi: 10.1089/ars.2011.4198