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Beyond Autism: NAC in OCD and Schizophrenia Obsessive-Compulsive Disorder (OCD) Doses of 20003000 mg/day led to up to 35% improvement in obsessive thoughts and compulsive behaviors (measured by YBOCS)[1]

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10.1038/s41598-019-57252-7 65 MohanS.RP

This is a concern that applies to all significant weight loss interventions, not just tirzepatide, but it becomes more relevant as the magnitude of weight loss increases

These points come from official label language and vial-handling guidance, not from casual forum summaries