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56 However, if the patient continues to present evidence of liver dysfunction beyond persistent ALT elevation (satisfying KCH criteria of acidosis, elevated creatinine, hyperbilirubiniemia, coagulopathy and encephalopathy), then NAC therapy should be continued as these indicators portend a poor prognosis regardless of transaminase levels

This step is crucial, especially for those with underlying health conditions or those taking medications

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Rarely, mild nausea (more commonly discussed when administered on an empty stomach in some protocols)

Intravenous Glutathione: Intravenous administration allows for higher absorption rates