Interaction databaseSupplement × SupplementReviewed May 2026

Inositol and NAC, a synergy.

In polycystic ovary syndrome, myo-inositol and N-acetylcysteine target complementary problems: inositol supports insulin signaling while NAC provides antioxidant support and can improve ovulatory response.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Inositol and NAC
Pair type
Synergy
Evidence (highest tier)
Moderate
Source citations
2 sources
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Synergy · Moderate evidence

Synergy

What is happening. In polycystic ovary syndrome, myo-inositol and N-acetylcysteine target complementary problems: inositol supports insulin signaling while NAC provides antioxidant support and can improve ovulatory response.

Mechanism. Myo-inositol acts as a second messenger that improves insulin sensitivity and supports FSH signaling, while NAC replenishes glutathione and reduces ovarian oxidative stress, giving additive effects on ovulation and metabolic markers.

Recommendation. Reasonable to combine in a PCOS or insulin-resistance context. Typical research dosing is myo-inositol around 2g to 4g daily with NAC 600mg to 1800mg daily, ideally guided by a clinician.

Sources (2)
  1. Thakker D et al. N-acetylcysteine for polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled clinical trials. Obstetrics and Gynecology International. 2015
  2. Unfer V et al. Effects of myo-inositol in women with PCOS: a systematic review of randomized controlled trials. Gynecological Endocrinology. 2012

Stack Score

How this pair moves the number.

Effect on the composite score

If both Inositol and NAC are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

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

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