N-acetylcysteine (NAC) NAC is known as the supplement form of a hospital antidote: doctors give it intravenously to save the liver from an acetaminophen (Tylenol) overdose.58 It works by restoring glutathione, one of the bodys most important antioxidants.59 Clinical trials have also shown NAC can improve survival in some patients with other types of acute liver failure when given early.60 As a supplement, NAC doesnt affect bile flow the way TUDCA does
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A direct head-to-head trial (NCT06662383, 800 patients) is underway with results in December 2026