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Indeed, glutamine-derived R-2-HG accumulates and prevents the differentiation of myeloblasts, resulting in uncontrolled growth of blood cells 122

What matters is the resulting concentration: extremely dilute solutions (under ~0.5 mg/mL) require larger injection volumes per dose, which becomes uncomfortable and can shift absorption kinetics

PubMed PMID 40131143, 2025

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You might not get as impaired because your system is slowly filtering out the alcohol as it is absorbed, but you may be impaired over a longer timeline due to your body continuing to absorb alcohol long after you consumed it