what is the best method to flush the etg metabolite

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Posted on Tue, 31 Jul 2018 in Drug Abuse
Question: what is the best method to flush the etg metabolite from you system for a urine drug test?
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Follow up: Dr. Matt Wachsman 13 minutes later
length of time to flush out 3 pints vodka to pass an etg urine screen?
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Answered by Dr. Matt Wachsman 31 minutes later
Brief Answer:
It isn't easy;

Detailed Answer:
"EtG and EtS are also excreted in urine not long (<60 minutes) after alcohol consumption. EtG can be detected in urine for up to about 24 hours even after consumption of small quantities; after excessive consumption, the window of detection is up to 130 hours"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
3 pints is a lot so PESSIMISTIC view is 130 hrs or about 5 days AT THE WORST.

"Since the levels in urine are dependent on diuresis, the intake of larger volume of water results in a steep decrease in EtG and EtS urine levels. This may lead to false-negative test results (e6). Therefore, it is important to interpret EtS and EtG levels based on the urine creatinine levels or to state at least a minimum requirement—usually >20 mg/dL"

This is from the same article and only slightly WRONG. ETG is a side effect of liver metabolism of alcohol. Only a little of this is made and most alcohol is burnt as energy to carbon dioxide OR stored as fat OR breathed out or passed in the urine. This hasn't been studied BUT if you dont' have a liver, you make less of it, so with a LOT of alcohol drinking to the point of dying from alcoholic cirrhosis, you make less of the ETG and it is harder to detect. Cannot say in your particular case, but if you are still smart enough to ask the question, you probably are not that far gone. The dilution of ETG in the urine is ONLY PROPORTIONAL to dilution. If you dilute the urine by drinking water by half, the ETG level is half BUT the markers of how concentrated the urine is, are diluted just the same and this can always be detected and countered. If the urine is too dilute, then you fail the test.
I doubt there is another way to clear the urine. There are ways to mess up the test but these would be detectable and would definitely produce a failed test result.
Certainly don't make the alcohol easier to detect by not drinking any water. And a gallon of water a day is a normal amount to drink in the heat and will clear ETG a bit faster.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Matt Wachsman 3 hours later
so if my urine is dilute from large amts of water, the creatinine level is a marker to say you results are positive for etg?
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Answered by Dr. Matt Wachsman 54 minutes later
Brief Answer:
no, a marker to say the urine was inaccurate.

Detailed Answer:
If you just poured in tap water into the urine, the ETG in it would be diluted out. BUT so would everything else in the urine including creatinine. The low creatinine would be flagged as an indicator that the urine was diluted either by adding water or drinking it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 3661 Questions

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