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If time of overdose is unknown: Start NAC(N-acetylcysteine) Determine serum acetaminophen levels Determine INR(International Normalized Ratio) levels and LFT Continue treatment with N-acetylcysteine if serum acetaminophen levels detected or transaminases are detected

Abbreviations ER endoplasmic reticulum PDH pyruvate dehydrogenase TCA tricarboxylic acid CPT1 carnitine palmitoyltransferase 1 TMAO trimethylamine N-oxide OCTN2 organic cation transporter novel 2 BBB blood-brain barrier PCD primary carnitine deficiency FAO fatty acid oxidation CPT2 carnitine palmitoyltransferase 2 CAT carnitine acetyltransferase INF- interferon TNF- tumor necrosis factor- IDH1 isocitrate dehydrogenase 1 ROS reactive oxygen species PPAR peroxisome proliferator-activated receptor PPAR peroxisome proliferator-activated receptor GBM glioblastoma ER+ estrogen receptor positive CRC colorectal cancer OCT organic cation transporter IngMeb ingenol mebutate

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