paracetamol glutathione acetaminophen hepatic Full article: (acetaminophen) overdose and hepatotoxicity: mechanism, treatment, prevention measures, and estimates of burden of disease Acetaminophen Toxicity: How Genetic Susceptibility – PharmGKB summary: Pathways of acetaminophen

Used when: Oral intake is inadequate The gut is functional ASPEN Golden Rule: If the gut works, use it or loose it . Core Components of EN Formulas All EN formulas contain: Protein (intact, peptides, or amino acids) Carbohydrates Fat Water Electrolytes Vitamins & Trace Elements What really differentiates formulas: Protein form Fat composition Osmolality Fiber content Disease-specific modifications Classification of EN Formulas (ASPEN-Based) Intact protein Require normal digestion & absorption Used in: Normal GI function Most hospitalized patients Examples: Ensure | Jevity | Osmolite - (-) Protein as peptides Often enriched with MCTs Easier absorption Used in: Mildmoderate malabsorption Pancreatitis Partial short bowel syndrome Feeding intolerance Examples: Peptamen | Vital | Monogen Free amino acids Minimal fat High osmolality Used in: Severe malabsorption Severe short bowel syndrome Refractory intolerance Example: Vivonex To view or add a comment, sign in One major nutraceutical trend: Targeted nutrition

Xie B, Lin J, Chen X, Zhou X, Zhang Y, Fan M, et al

If your protocol requires a higher dose, consider splitting it into two smaller injections at different sites to minimize discomfort

Most glutathione supplements are simply broken down in the stomach, and only a fraction of the supplement makes it into the bloodstream