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This usually leads to a lot of false positives

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Intravenous acetylcysteine has the advantage of shortening hospital stay, increasing both doctor and patient convenience, and it allows administration of activated carbon to reduce absorption of both the paracetamol and any co-ingested drugs without concerns about interference with oral acetylcysteine.[49] Baseline laboratory studies include bilirubin, AST, ALT, and prothrombin time (with INR)