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No appetite, liver trouble, aching joints: Was acetaminophen to blame?

By David Wahlberg

 

While lugging a mattress up the stairs, Matt Smith lost his grip, fell on a post and broke two ribs. The pain afterward was so intense that when he got in or out of the car, he bit down on wooden sticks. Extra-strength acetaminophen, also known as Tylenol, helped. But a few weeks later, the organic farmer from Wisconsin uncharacteristically lost his appetite. At a local clinic, a doctor ordered blood tests.
Later that day, as Smith was delivering spinach to a market, the doctor called. Smith’s liver function levels were dangerously high, the doctor said, and he needed to go straight to the emergency room.
A liver biopsy suggested a drug-induced injury, and too much acetaminophen can damage the liver. Doctors treated Smith for acetaminophen toxicity, even though he took no more than four 500-mg pills a day, which is considered safe…

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