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Thus it is not surprising that compounds that increase the activity of the P450 enzymes, such as caffeine[40, 41] and anticonvulsant drugs[42] also make APAP more hepatotoxic

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Known sensitivity to any component , including cobalt/B12 hypersensitivity

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To counteract ROS, the body relies on enzymatic antioxidants such as superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx) and glutathione reductase (GR), alongside nonenzymatic antioxidants such as vitamins C and E and reduced glutathione (GSH) [25]

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It highlighted gaps in long-term data beyond 612 months and heterogeneity in dosing protocols [5][26]

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