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Direct alcohol biomarkers are created when ethanol is metabolised or reacts with substances in the body.

[#andresen-streichert2018alcoholbiomarkers]: Alexander Glahn Gisela Skopp Hilke Andresen-Streichert, Alexander Müller and Martina Sterneck (2018): Alcohol Biomarkers in Clinical and Forensic Contexts, Deutsches Arzteblatt International 18, 2018, Vol. 115, S. 309-315.