when you have enough alcohol in your blood to cause a hangover, your body has to put in some extra work to return the affected organ systems to basal function. for instance, excess alcohol leads to dehydration and results in increased production of antidiuretic hormone (so you don’t piss out as much water). another prominent effect of alcohol involves disrupted cytokine pathways (which play a key role in the immune system). there are obviously many other things that occur, these are just examples
in short, you feel like death bc of the alcohol itself and you feel more like death bc of your body’s effort to make you feel less like death
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