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In 2005, 523 patients were enrolled and followed for 3 years in the Bronchitis Randomized on NAC Cost-Utility Study (BRONCUS) study

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skin feels softer Oily/Acne-Prone: calmer skin with slight smoothing of surface texture Normal/Combination: subtle glow and balanced texture Weeks 34: Cellular Turnover All skin types: increased cellular turnover, leading to firmer texture Dry/Sensitive: stronger skin barrier, improved moisture retention, gentle plumping Oily/Acne-Prone: faster healing of minor breakouts, smoother appearance Normal/Combination: noticeable elasticity and recovery from minor stressors Weeks 68+: Structural Improvements All skin types: firmer, more resilient skin