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doi: 10.1152/ajpheart.00347.2005 37 Noyan-AshrafM

After excluding non-ocular studies and duplicates, 188 articles were included following a full-text review

It also shows that NAC has a favourable safety profile, without major differences between Chinese and Caucasians

Catheters, diaphragm, anticholinergic agents, inflammation and use of spermicides may also increase risk (spermicides alter the balance of microbes in the vagina because they kill friendly bacteria)