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On physical exam, there were multiple brownish pink papules coalescing into plaques with thin scale and lichenification present on the bilateral flanks extending to the back and mid-abdomen

Taking NAC is an "indirect" approachyou are providing the "fuel" for your bodys own antioxidant factory

As I run through what could be the anomaly behind this sudden luck, one addition stands out: My recent adoption of Cymbiotika supplements

However, a consultation is recommended to assess progress and set realistic expectations

NAD vs NMN: NMN is closer but still less direct