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Another case of an apparently allergic reaction was reported

Effects of N-acetyl-cysteine supplementation on sperm quality, chromatin integrity and level of oxidative stress in infertile men

[PUBMED Abstract] McMeniman EK, Duffy DL, Jagirdar K, et al.: The interplay of sun damage and genetic risk in Australian multiple and single primary melanoma cases and controls

But "improvement" in this context means TSH levels changed, and that can go in either direction depending on your current dose