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Blood 128 , 31253136 (2016)

The oxidation of methanol by alcohol dehydrogenase (ADH) is a key stage leading to the formation of its toxic metabolites in the bodyhence, the first-line antidotes used in methanol poisoning are the competitive inhibitors of alcohol dehydrogenaseethanol and fomepizole, also known as 4-methylpyrazole, preventing methanol metabolism to its toxic metabolites (Noor et al

While shilajit itself may not be the cause, its energizing properties could potentially exacerbate an existing rhythm issue or interact with medications