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Mixing xanax and booze is the sort of thing that can cause you to fall asleep and stop breathing... that had drama and autism because people from...

At the level Ralph drinks that understanding could easily get him DED dead.

It all depends on the dosage. When you black out and forget how many you've taken, and decide to take more? Dead. Happens way too fucking often...

"Dumb shit" includes inhaling your own vomit, multiple organ failure, or just CNS depression to the point you stop breathing. Those can happen...