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During the holiday season, we see inadvertent acetaminophen toxicity. Acetaminophen, also known as Tylenol, is generally a safe analgesic medicine to take. The toxicity of acetaminophen is increased significantly when it is consumed with alcohol, or more than the recommended 3,000 mg/day of Tylenol is taken. During the holiday season, with the increase in parties and celebrations, many will pre medicate themselves with Tylenol before, during, and after a party to combat a hangover.


Unfortunately, the mixing of alcohol plus acetaminophen increases the risk of liver toxicity. The other problem this time of the year, more in relation to the flu season, is that there will be self-medication with over-the-counter cough, cold, flu, runny nose preparations that we're all familiar with. Many of these contain acetaminophen as a pain reliever but they're not necessarily advertised as such. And so, while you're taking your runny nose medicine, which incidentally also has acetaminophen, you're taking a separate dose of acetaminophen to combat achiness and a low grade fever. Hence, you're getting more acetaminophen than you anticipated.


This video that we produced outlines all of this in detail. We recommend that you share it with your family members, children, coworkers, and neighbors. It's a message everyone needs to be aware of.

Obesity and Fatty Liver Disease

Obesity, and all of its related complications, is more serious than most adults in America believe. More than one-third (34.9% or 78.6 million) of U.S. adults are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes, fatty liver disease, and certain types of cancer, are some of the leading causes of preventable death. We are seeing an increase in the number of young children and adolescents developing obesity, and all of the related complications.

The cost of obesity is staggering, with annual medical cost of obesity exceeding $147 billion in 2008 U.S. dollars. The medical costs for people who are obese were $1,429 higher than those of normal weight.

Dr. Galati and the Liver Specialists of Texas team are dedicated to evaluate, treat, and manage all aspects of obesity and non-alcoholic fatty liver disease (NAFLD and NASH), including the complication of cirrhosis and liver failure. Developing a customized plan of care for each patient they see is their objective.

Liver Transplant Resources

Dr. Galati has been involved in Liver Transplantation since 1989. As Medical Director for the Center for Liver Disease and Transplantation at Houston Methodist Hospital, Dr. Galati has cared for thousands of patients with advanced liver disease. In those with the most severe form of advanced liver disease and cirrhosis, liver transplantation is a life-saving surgery. For more information on liver transplantation, click here.

Indications for liver transplant include:

Online LIVER Second Opinion

  • 1

    From the comfort of your home, without the need to spend additional money on travel, lodging, and food, receive and expert second opinion from the expert physicians at Liver Specialists of Texas

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    There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete.

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    Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process. The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

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    To start the process of an Online Liver Second Opinion, please fill out the initial contact form and fax back to our office. A representative from our office will call you for additional details.