Glutathione and NAC
The reason to implement supplementation with NAC (N-acetyl cysteine) would be to increase glutathione levels. As many of you know, glutathione is a powerful ‘master’ antioxidant in every cell of our body and actually helps to potentiate other antioxidants (e.g., vitamins C and E). Glutathione is a tri-peptide (3 amino acids) produced by your body. The three building blocks are the amino acids cysteine, glycine, and glutamic acid (or L-glutamate, not the same thing as glutamine).
Getting glutathione directly from oral supplementation into your blood is problematic at best since you end up digesting it. Most oral glutathione supplements are poorly absorbed and a waste of money. The best way to boost your glutathione is to provide your body with what it needs to construct this valuable antioxidant. Since cysteine is widely considered to be the most difficult component to get (cooking destroys much of it in our diets), the focus of this post will be on cysteine augmentation with a focus on NAC.
Cysteine Supplements to Boost Glutathione Levels
*L-cysteine: old school direct supplementation of cysteine but has negligible impact on raising glutathione levels.
*SAMe (s-adenosylmethionine): The amino acid methionine is converted to cysteine in your body. A form of methionine, SAMe has been shown to increase glutathione levels.
*NAC (n-acetyl cysteine): This is a modified form of cysteine available both as a drug and as a supplement, and is known to have positive effects on glutathione production. In fact, a prescription form of this is used for acetaminophen poisoning in hospitals.
*RiboCeine (D-ribose-L-cysteine): This is a newer cysteine amalgamation that combines the glutathione precursor cysteine with the monosaccharide ribose to yield D-ribose-L-cysteine. This is able to pass through the digestion intact to create a boost in systemic glutathione production according to limited data.
NAC (N-Acetyl-Cysteine) Supplementation
At present, NAC is probably the most popular supplement for boosting glutathione via cysteine augmentation and has been proven to work. This is used by doctors to treat liver toxification, angina, ALS, and Alzheimer’s. So this would make it a safe bet for everyone, right? Not so fast, there is no such thing as a perfect supplement or drug, and this is no exception.
While there is no doubt that NAC supplements are moderately effective, there can be toxic side effects such as headaches, dizziness, blurred vision, and nausea. Also, NAC decreases Zinc, so supplementing with additional zinc and copper is recommended along with Vitamin C to help prevent the cysteine from converting to Cystine, which can form kidney and bladder stones.
According to recent research at The University of Virginia, N-Acetyl-Cysteine forms a red blood cell derived molecule that makes blood vessels think they are not getting enough oxygen. This can lead to pulmonary arterial hypertension (PAH), a serious condition characterized by high blood pressure in the arteries that carry blood to the lungs. The results appeared in the September 2009 issue of the Journal of Clinical Investigation.
Warnings and Contraindications:
--High doses (7+ grams) of cysteine can be toxic to human cells and may even lead to death.
--NAC may raise levels of homocysteine, an amino acid marker for heart disease. If you are over 30, and have a history of heart disease in your family, you should have blood work and talk to your doctor before/during NAC supplementation.
--Taking NAC by mouth may cause nausea, vomiting, and diarrhea.
--People with cystinuria, a kidney condition in which too much cysteine is lost in the urine, should not take cysteine supplements.
--Treatment with NAC may strengthen the effects of some medications that suppress the immune system, such as azathioprine (Imuran), cyclophosphamide (Cytoxan), or prednisone (Deltasone). Do not take NAC with these medications without talking to your doctor first.
--NAC may strengthen the effect of nitroglycerin and isosorbide (Isordil), two medications commonly used to treat chest pain, and this combination may also raise the risk of side effects, such as severe headaches, and abnormally low blood pressure.
--NAC strengthens the effect of oxiconazole (Oxistat), an antifungal medication.
CONCLUSIONS
NAC can be very helpful in boosting glutathione levels in your body but there is a dark side to this supplement so weigh the risks, talk to your doctor, and make your own informed decision.
ADDENDUM: Whey as a glutathione booster
Whey is a more natural way of boosting your glutathione levels and since many of us here routinely use whey protein, other supplementation of cysteine may not really be needed (keep in mind that many of the studies on glutathione are on compromised patients with active disease processes). Un-denatured bio active whey (e.g., cold processed) should provide support for systemic glutathione production.