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The incidence of renal dysfunction is related to the severity of the acetaminophen ingestion * : Patients with liver involvement but no hepatic failure: ~5% Patients with severe poisoning:10% Patients with acute hepatic failure: ~50% Pathogenesis * Direct toxicity by toxic metabolites of APAP, oxidized by CYP in the kidney

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These, overall, suggest that flavokavains A and B in some kava preparations deviate in abundance from the traditional kava preparations and may account for the purported hepatotoxicity risk associated with kava use

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