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doi: 10.3349/ymj.2004.45.5.776

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[9,10,11] Acetaminophen-related liver toxicity is responsible for about half of all cases of acute liver failure in the United States.[12] Acetaminophen toxicity is the #1 reason for liver transplants in the USA, and the #2 reason for liver transplants worldwide.[13] This risk is especially high in people who drink alcohol: Check out my article & video on The Hangover Remedy That Can Kill You. In summary: Paracetamol is mean to the liver, and it doesnt take much more than the recommended dose to cause major harm