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doi: 10.1002/jps.2600521211, 36

Step 1: Get a baseline

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It enhanced mitochondrial biogenesis by increasing ATP synthesis and promoting the activity of mitochondrial electron transport chain

The study reported lower risks for several cancers, including hepatocellular, colorectal, breast, and prostate cancers, though it did not find a significant reduction in lung cancer risk.25 So the honest answer is this: current human evidence does not show that NAC causes cancer, but animal and mechanistic research suggests NAC could behave differently depending on cancer type, disease stage, dose, and treatment context