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NAFLD now affects roughly 25% of US adults per NIH NIDDK data, making it a frequent silent contributor to abnormal CBC findings

Once opened (punctured with a needle), refrigerate at 28C and use within 28 days the benzyl alcohol preservative prevents bacterial growth for 28 days after puncture, but efficacy declines after that

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doi: 10.3389/fphar.2025.1657829 Received 01 July 2025 Accepted 30 July 2025 Published 11 August 2025 Volume 16 - 2025 Edited by Wei Peng, Chengdu University of Traditional Chinese Medicine, China Reviewed by Yacong He, Chengdu University of Traditional Chinese Medicine, China Shan Cao, Tianjin University of Traditional Chinese Medicine, China Updates Copyright 2025 Tie, Liu, Zhang, Meng and Liang

The water-drinker likely avoids the small additional concentration effect from dehydration described earlier but both peoples livers are still processing alcohol at the same fixed rate, and neither persons BAC drops faster because of the water itself