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A Cochrane systematic review of NAC for COPD exacerbations (39 RCTs, n=7,436) found that NAC and other mucolytics significantly reduced the frequency of acute exacerbations (OR 0.75, 95% CI 0.62-0.92) (Poole et al., Cochrane Database Syst Rev, 2019) [43]

Unfortunately, the parameters of plant-based diets restrict individuals from the very foods where B12 is naturally occurring mainly, fish, poultry, meat, eggs, and dairy products

Arch Intern Med 159:26472658 Holt LE Jr, Albanese AA (1944) Observations on amino acid deficiencies in man

So this Royale haul seems to be a great fit

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