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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

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Delayed gastric emptying leaves food and liquid in the stomach longer, increasing stretch and chemical stimulus to visceral afferents that communicate with the brainstem nausea centers

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Persistent nausea and vomiting that disrupts your daily life