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GLUCURONIDATION SAFE PATHWAY (UGT1A6 enzyme) 50-60% of acetaminophen in healthy non-pregnant adults Attaches glucuronic acid to make it water-soluble for urinary excretion Safe, non-toxic pathway INCREASES during pregnancy: 6% in first trimester, rising to 19% by third trimester[] Severely underdeveloped in fetuses/newborns 2