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In paracetamol overdose, a greater proportion of the dose is shunted to the oxidative pathway which results in greater NAPQI formation [13]
While true toxicity is rare, these doses can skew critical lab results, such as thyroid function and cardiac troponin tests, leading to misdiagnosis
These include anorectic effects driven by previously discussed central modulation of satiety and reward pathways and peripheral activation of vagal afferents, delayed gastric emptying, anti-inflammatory properties, potential impact on energy expenditure and the ability to reduce ghrelin levels, which are inherently elevated in PWS (30)
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