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And even when systemic estrogen isnt appropriate, there are still effective ways to support cardiovascular health. Without estrogens steadying influence, changes in fat distribution, blood sugar regulation, and inflammation may become more pronounced

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In a clinical trial where people with CF were given N-acetylcysteine for 24 weeks and followed for lung function and pulmonary exacerbations, N-acetylcysteine maintained baseline lung function longer than the placebo group but failed to show a significant improvement in exacerbations (Conrad et al., 2015)

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