nac produces glutathione The mechanism of action of N-acetylcysteine (NAC): The emerging role of H2S and sulfane sulfur species NAC vs Glutathione: Differences &
Description
While ROS are natural byproducts of cellular metabolism, they increase significantly under chronic hyperglycemia, exacerbating oxidative stress [2]

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The high blood supply to the liver, 20% arterial blood directly from the heart and 80% venous blood from the gastro-intestinal tract through the hepatic-portal vein (first-pass effect), and the liver microsomal enzymes make the liver the main site for drug metabolism
and S.F

"Urinary ortho-tyrosine excretion in diabetes mellitus and renal failure: evidence for hydroxyl radical production"

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