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Dr. Cameron
Dr. Cameron, Board Certified Physician
Category: Drug Testing
Satisfied Customers: 12910
Experience:  Medical Review Officer
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Ingested liquid vitamins that had ethanol as ingredient-

Customer Question

ingested liquid vitamins that had ethanol as ingredient- took for a week in my smoothies - was also having severe "gallbladder attack " and could only keep down these smoothies. ( RUQ pain, N/V, etc. ) Tested positive on UA - then 3 weeks later had positive PEth of 27ng- now facing inpatient hospitalization !!! I did not drink any alcohol- and submitted label from bottle to monitoring program. Told to check my self into rehab now or get second opinion for "serious disease". Addictionologist states I had to have ingested COPIUOUS amounts of alcohol to have a positive PEth, for weeks. I have 15 negative urine tests,before and after! My question is: could it be possible to have a low level PEth if a) I did ingest ethanol from the vitamin supplement I took for a week B) while I was having a biliary issue/attack, c) and was so sick I only had smoothies?
Submitted: 2 years ago.
Category: Drug Testing
Expert:  Dr. Cameron replied 2 years ago.
Will get back to you tonight. Driving
Expert:  Dr. Cameron replied 2 years ago.
Sorry about the delay for some reason I couldn't log onto this question last night
Anyway, there is a very rare syndrome called auto-brewery syndrome.
Effectively there is a genetic abnormality which affects the way carbohydrate rich foods are processed and so the body produces endogenous alcohol.
It is conceivable that you have this
That being said, they could test other liver enzymes to see if you actually had any liver damage- this may be able to distinguish between auto-brewery and normal drinking.
The tests to be done would be GGT and AST
But no, your vitamins and smoothies would not cause this.
I hope that this helped
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