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Popescu M, Bratu A, Agapie M, Borjog T, Jafal M, Sima RM, Orban C (2024) The use and potential benefits of N -acetylcysteine in non-acetaminophen acute liver failure: an etiology-based review

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The answer comes down to what "sterile" and "0.9%" actually require at a pharmaceutical level and why falling short of either standard creates contamination risk that is invisible until something goes wrong