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This creates a double-whammy: increased atherosclerotic plaque formation and elevated blood clot risk.[ref][ref] Prothrombotic effect: In addition to increasing atherosclerosis, higher Lp(a) levels also have a prothrombotic clot-forming effect during inflammation

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Other subjective measures such as pain, fatigue, anxiety, depression, and overall physical function showed improvement in the NAC group but were not significantly altered in the NAC or control groups and therefore are not included in the results table