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Toxic Mechanism The toxicity of acetaminophen is related to its metabolism in the liver, and the metabolic pathways are shown Figure 54.2

R., Zhao, Z., Mudd, P

Manufacture and normal function of blood cells It rapidly divides all cells from epithelial cells to bone marrow cells Energy production through the Krebs Cycle Metabolism of fats, carbohydrates and proteins Nerve cell conduction Neurotransmitters Endocrine systems Immune systems Conversion of homocysteine to methionine, then to SAMe (mood enhancing) and amino acids, with effects on many metabolic processes Correct synthesis and transcription of DNA Removal of toxins Where is the B12 sourced

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Because B12 is a water-soluble vitamin, your body is smart about using what it needs and simply flushing out any excess