The relationship between NAC and weight loss is relatively new and ever-evolving. A lot more research is needed to draw definitive conclusions, but here’s what we know so far.
Fat cell senescence (the aging of fat cells), inflammation, and insulin resistance are some of the most important mechanisms for the body’s resistance to weight loss in obese people.
A 2023 study followed 40 obese adults who were randomly assigned to receive 600 mg of NAC or a placebo of starch powder for four weeks. The results demonstrated NAC significantly reduced signs of aging in fat cells and lowered inflammation in fat tissue compared to those in the placebo group. The NAC group also had decreased inflammation levels, blood sugar levels, insulin, and insulin resistance compared to placebo (6).
NAC’s Role in Metabolizing Insulin
Let’s break this down a little further…
Insulin is one of about 50 hormones circulating in the body. It plays a crucial role in regulating blood sugar levels, fat storage, and the breakdown of fats and protein (7).
When insulin is metabolized correctly, the body can use fat for energy. Basically, when sugar goes into the blood, insulin jumps in to balance sugar levels. But if insulin isn't used right, it stays in your bloodstream. Too much insulin can sabotage weight-loss goals by signaling the body to store fat (8).
The theory is that NAC interferes with insulin's reaction with fat cells. This could help prevent your body from holding onto fat and instead release it faster from storage to burn for energy.
NAC also works against harmful molecules in the body by reacting quickly with them and restoring our good friend glutathione. As we stated earlier, glutathione has been shown to help reduce inflammation and cell death, which could be helpful in conditions like insulin resistance (9).
An older study from 2016 specifically compared the effects of NAC and metformin in women with polycystic ovarian syndrome (PCOS). The trial followed 94 women with PCOS for 24 weeks. The women were split into two groups, one taking NAC 600mg three times a day and the other taking 500mg oral metformin three times a day for 24 weeks (10).
The results showed that NAC could enhance lipid profile (the levels of different fats in your blood), fasting blood sugar, and fasting blood insulin more effectively than metformin.
However more research is needed to know how exactly NAC can help improve how the body responds to insulin.