[adamomada]

Ok that’s interesting. But at the same time her body is getting rid of 10 mL of alc an hour or so too? She’d have to get past the first ~10g of carbs, every hour? 240g base carb plus another 200g at one point to hit the mark?

Edit: 20g of carbs converted to alcohol would be removed every hour? My quick math sucks

[willy_k]

> “Genetic predisposition for inactive aldehyde dehydrogenase enzyme and subsequent inefficient alcohol metabolism, may also play a role. In our patient, we suspect her recurrent antibiotics for UTI and dexlansoprazole use led to gut dysbiosis with potential contribution of genetics, resulting in auto-brewery syndrome.”

If the patient was genetically predisposed to have inactive ALDH, that would explain how they could reach such a high BAC without excess carbohydrate or exogenous alcohol consumption.