N-acetyl-cysteine (NAC) has emerged as a promising supplement for supporting both optimal detoxification and hormone balance. The liver plays an important role in hormone function and metabolism through its support of detoxification and antioxidant systems. Even slight fluctuations in hormone levels can trigger a cascade of responses throughout the body, emphasizing the critical role of hormone balance in maintaining optimal health. LC/LAC and NAC showed a greater improvement in sperm motility and normal morphology. In addition, selection bias and subjective bias may affect the final results of this study. We need to acknowledge the limitations of this analysis. Briefly, sperm motility was assessed by the Computer Aided Sperm Analysis (CASA) system (LABOMED, SDC313B, Germany), which defined sperm as progressive, non-progressive and immotile. Semen parameters (volume, sperm count, progressive and non-progressive motility and normal morphology) were evaluated according to WHO guidelines (2010). Variables including seminal parameters, DNA fragmentation index, chromatin maturity, total antioxidant capacity, lipid peroxidation and hormonal parameters (LH, FSH, Testosterone and Prolactin) were measured before and after the intervention. Male age and duration of infertility were recorded at time of the study. All individuals gave informed consent prior to participation in the study. There are a few reports on the effects of dietary antioxidant supplementation on sperm DNA integrity. Significant reduction of serum LH, FSH and, significant increase of serum testosterone levels was observed after treatment with NAC compared to before treatment NAC oral supplementation may improve sperm parameters and oxidative/antioxidant status in infertile males. NAC is unlikely to significantly decrease testosterone levels and may even offer indirect support for hormonal balance through its antioxidant effects. Other studies haven’t found any significant changes in testosterone levels with NAC supplementation. Plasma was collected for biochemical analysis including plasma glucose, insulin, total cholesterol, HDL, triglyceride, and testosterone levels 28,29. These findings suggest that prebiotics, antioxidant and the combined prebiotics and antioxidant therapy could provide the beneficial effect on the brain similar to the use of testosterone replacement therapy in testosterone-deprived people. NAC, inulin, and the combined therapy reduced the mean fluorescence intensity of GFAP positive cells in ORX rats (Figure 4I). All treatments decreased cell size of GFAP positive cells in ORX rats (Figure 4G). An increase in cell volume of GFAP positive cells in ORX rats was observed in ORX rats, when compared with sham-operated rats. All treatments equally increased microglial ramifications (Figures 3K and L). All treatments equally decreased p-NFĸb/ total-NFĸB ratio in ORX rats (Figure 2E). These parameters were restored to within normal limits by testosterone replacement, NAC, inulin, and the combined therapy (Figure 2C and D). For all multiple comparisons, data were analyzed using a two-way ANOVA followed by post-hoc Tukey’s analysis. Data from each experiment were expressed as mean ± S.E.M. For acquisition tests, the significance was calculated using repeated Two-way ANOVA tests followed by post-hoc Tukey’s analysis. After 30 minutes of habituation, rats were randomly placed in the water at one out of four starting points with their head turned towards the border of the water pool. In this study the protocol of the MWM was modified from that described by Vorhees et al., 2006 . Three fields per brain slice, three brain slices per animal, and six animals per group were measured for the CA1 region of the hippocampus and cortex . The mean fluorescent intensity was also measured and the complexity of the glial cells were measured by Sholl analysis 11,27. Three microglial and astrocyte cells per brain slice from the CA1 region of the hippocampus, three brain slices per animal were measured from all six animals in the group. However, no significant effect was observed on the number of follicles, endometrial thickness, progesterone, serum luteinising hormone levels and sex hormone-binding globulin. Eighteen studies, including 2185 participants, were included in the present meta-analysis. Polycystic ovary syndrome (PCOS) is one of the most common endocrine diseases characterised by unusual levels of sex hormones and dysfunction of the ovaries. "NAC is a precursor to the amino acid L-cysteine, which helps the body synthesize glutathione, arguably the most important antioxidant and support for detoxification in the body," he explains. By raising glutathione, NAC strengthens your antioxidant defenses, reduces oxidative stress, and supports detox pathways. NAC (N-acetylcysteine), on the other hand, is an amino acid derivative that helps your body make glutathione—your strongest internal antioxidant and detoxifier. Regular physical activity contributes to the regulation of various hormones and can help to reduce inflammation and oxidative stress, promoting optimal endocrine function.