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Remarkably, NAC has significantly higher anti-inflammatory efficacy than Aspirin and Minocycline, easily passes bloodbrain barrier (BBB), and inhibits TNF, IL-1, and IL-6 [130]

Its principal function is G-actin sequestration binding monomeric actin to regulate the actin cytoskeleton and cell motility

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Comp Biochem Physiol C Toxicol Pharmacol (2006) 142:2319

The short answer is that vinegar may provide minimal temporary relief for some people but does not treat poison ivy, cannot remove urushiol once it has penetrated skin, and carries real risks when applied incorrectly to broken or inflamed skin