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While various risk factors for enhanced APAP toxicity have emerged in the numerous experimental models of steatosis, including induction of Cyp2E1, reduced phase II metabolism, mitochondrial dysfunction, etc., opposite effects have also been described, suggesting that steatosis may not affect toxicity [180]

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Levocarnitine is essential for mitochondrial fatty acid transport

L-carnitine

Additional Considerations Gastrointestinal Intolerance: Side effects like nausea and vomiting may lead to discontinuation if not managed with dose titration or supportive care

This section eliminates that confusion entirely