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Dube, P

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Some people experience breathlessness, dizziness, or heart palpitations due to reduced red blood cell production

Most were skin-related symptoms, but anaphylaxis is possible with IV NAC.[ref] Some people also report gastrointestinal side effects with NAC

Meanwhile, MAPK/ERK signaling facilitates endothelial cell proliferation by phosphorylating downstream effectors such as c-Fos and Elk-1, which regulate the expression of pro-proliferative genes

Coskun T, Urva S, Roell WC, et al