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How the Liver Handles Tylenol The liver metabolizes almost all of it (see diagram above): 90% : Processed safely through glucuronidation and sulfation 2%: Eliminated through the kidneys (urine) 510% : Processed by the enzyme CYP2E1 creates a toxic byproduct called NAPQI (N-acetyl-p-benzoquinone imine)
The overall picture is not flashy
Nature, 453(7193), 314321
Thats why theyre paired
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