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It is a complicated process that depends on energy (Elmore 2007)

For high-performing individuals looking to fine-tune their health, this means better blood sugar control, more stable energy, and a reduced risk of developing metabolic issues down the line

R.IoriR.et al (2018)

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High levels of acetaldehyde can cause amnesia, which is why someone can wake up the day after a night of heavy drinking and wonder, "What happened last night." When ethanol intake is high, alcohol dehydrogenase activity is insufficient to process the amount of acetaldehyde that accumulates, which can lead to acetaldehyde buildup in the liver