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Vitamin C, selenium, and alpha-lipoic acid can also support glutathione recycling and enhance NAC's effectiveness

Despite the differences among theories, current research agrees that epigenetic alterations and hormonal dysregulation, leading to inflammation, are central features of endometriosis (12), with reactive oxygen species (ROS) serving a key role in this inflammatory response (4)

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H 2 O 2 , as a relatively stable ROS, can diffuse across cell membranes and cellular compartments, acting as an important second messenger molecule involved in regulating various physiological processes such as cell proliferation, differentiation, energy metabolism, and immune responses