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[DOI] [PubMed] [Google Scholar] 97.Bartnik P., Kacperczyk-Bartnik J., Goawski K., Sierdziski J., Maka G., Kiecka M., Lipa M., Warzecha D., Spaczyski R., Piekarski P., et al

The efficacy of acetylcysteine decreases after the first 8 hours following an acute paracetamol overdose, with a corresponding stepwise increase in hepatotoxicity with increasing treatment delays between 8 and 16 hours

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So best bet would be to continue with that while also looking for another cause

Immune and Inflammatory Reactions to Peptides Although many peptides are designed to support immune function, adverse immune responses can occur