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Chunk #13 — Introduction — Endogenous alcohol: Auto-brewery syndrome

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Recent advances in alcohol metabolism: from the gut to the brain.
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Nevertheless, rare cases of ABS with medicolegal consequences have been documented. For example, one patient was acquitted of traffic-related legal charges after clinical and forensic evidence confirmed his ABS; he had BAC readings of 1.6 g/L upon admission to a highly controlled inpatient unit, and during the next 20 hours, his BAC readings remained high and even increased in the absence of exogenous alcohol consumption (57).