Auto-brewery Syndrome: The Condition That Causes Sober People to Get Drunk

New York Times
by Kate Morgan
April 3, 2026
3 min read

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The Bottom Line

Auto-brewery syndrome causes sober people to become legally drunk from gut fermentation.

How This Affects You

People with this rare medical condition may face DWI charges, relationship breakdown, and reputation damage despite not consuming alcohol voluntarily.

AI Summary

Auto-brewery syndrome is a rare medical condition in which the body produces alcohol internally, causing people to become intoxicated without consuming alcoholic beverages. Sufferers face serious legal and personal consequences, including DUI arrests, damaged relationships, and suspicions of secret drinking from family and colleagues who don't understand the condition. The syndrome occurs when carbohydrates are fermented by bacteria or yeast in the gut, generating ethanol that enters the bloodstream and impairs cognition and motor function. Because the condition is little-known, people diagnosed with it often struggle to convince law enforcement and loved ones of their innocence when they appear drunk. Medical documentation and treatment—typically involving dietary changes and antifungal medication—can help manage the syndrome and protect patients from legal jeopardy and social ostracism.

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