Supplement × Supplement·a caution·Emerging evidence

EGCG (Epigallocatechin Gallate) + NAC

Caution Emerging evidence

High-dose EGCG can be hepatotoxic in susceptible individuals. NAC is hepatoprotective (a glutathione precursor and the antidote for acetaminophen toxicity), so co-use is not harmful, but stacking multiple high-dose polyphenols and supplements complicates monitoring of liver-related effects.

From the database

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Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Supplement
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. High-dose EGCG can be hepatotoxic in susceptible individuals. NAC is hepatoprotective (a glutathione precursor and the antidote for acetaminophen toxicity), so co-use is not harmful, but stacking multiple high-dose polyphenols and supplements complicates monitoring of liver-related effects.

Mechanism. EGCG-associated idiosyncratic hepatotoxicity versus NAC-mediated glutathione replenishment and antioxidant defense; opposing rather than additive hepatic effects.

Recommendation. Use sensible EGCG doses with food. NAC is not contraindicated and may even be protective; watch for signs of liver stress (nausea, dark urine, jaundice) and check liver enzymes if using high-dose EGCG long term.

Stack Score

How it moves the number.

Effect on the composite score

If both EGCG (Epigallocatechin Gallate) and NAC are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Mazzanti G, et al. Hepatotoxicity from green tea: a review of the literature and two unpublished cases. European Journal of Clinical Pharmacology. 2009.Needs sourceNo link

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