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Persistent flushing, flushing accompanied by other symptoms, or a reaction that becomes more intense should be discussed with the prescribing provider

These enzymes work together to support liver cell defense mechanisms under oxidative stress (Wang et al., 2025

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Strengths The strengths of this study include its focus on addressing oxidative stress in viperid envenomation by exploring NAC as an adjunct to antivenom, an approach that has been evaluated almost exclusively in preclinical models and for which this pilot represents an early proof-of-concept clinical assessment