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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)

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If a person has both low b12 and low iron then their red blood cells may appear to be normal sized with normal range MCV and MCH due to the effects of the iron deficiency masking the effects of the B12 deficiency