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(A) Some symptoms normally associated with alcohol consumption may resemble symptoms caused by prescription drugs or even drowsiness.
This explains why someone might show symptoms without alcohol, but it doesn't challenge whether alcohol could still be the cause after 10 hours.
(B) Increases in BAC are based on the amount of alcohol consumed rather than the number of drinks.
This talks about how a person gets to a 0.15 BAC. The argument already starts at a fixed 0.15 BAC, so how they got there is irrelevant to how fast it leaves their system.
(C) Heavy alcohol consumption has numerous long term effects such as cirrhosis of the liver...
The passage is strictly concerned with short-term, immediate intoxication symptoms. Long-term health consequences are outside the scope of this argument.
(D) The metabolic rate of alcohol varies according to a person’s health, weight, diet, and genetic predispositions.
This is the correct answer. If the metabolic rate varies from person to person, then a person with a slower metabolism will still have a significant amount of alcohol in their bloodstream after 10 hours. Therefore, their lingering symptoms can still be caused by alcohol, directly destroying the author's absolute conclusion.
(E) Some people, due to an acute sensitivity to alcohol, cannot even reach a BAC of 0.15 before becoming violently ill.
The argument focuses specifically on an individual who has already reached a 0.15 BAC. What happens to people who can't reach it doesn't affect this scenario.

FINAL ANSWER- D
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