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“The court heard that Amy was battling hard to conquer her problems with alcohol and it is a source of great pain to us that she could not win in time,” he said.

Doctors say acute alcohol poisoning is usually the result of binge drinking _ the human body can only process about one unit of alcohol, or about half a glass of wine, an hour. Having too much alcohol in the body can cause severe dehydration, hypothermia, seizures, breathing problems and a heart attack, among other difficulties.

There is no minimum dose for acute alcohol poisoning and the condition varies depending on a person’s age, sex, weight, how fast the alcohol is drunk and other factors such as drug use.

In recent years, the 5-foot-3-inch Winehouse had appeared extremely thin and fragile.

Dr. Joseph Feldman, chief of emergency services at Hackensack University Medical Center in New Jersey said Winehouse likely developed a tolerance for large quantities of alcohol after drinking heavily for years. He also said the sedative Winehouse was on, Librium, wouldn’t have stopped someone from having seizures if they were in alcohol withdrawal.

“It’s easier to withdraw from heroin than it is from alcohol … Withdrawal (from alcohol) can cause anxiety, tremors, hallucinations, the sensation of things crawling all over you,” he said.

He said those symptoms sometimes push people back to alcohol.

“It’s possible she could have been saved if she had been found (or treated) earlier,” he said. “A lot of treatment is supportive care, like IV fluids and making sure they don’t inhale their own vomit.”

Winehouse’s breakthrough “Back to Black” album, released in 2006, was recently certified as the best-selling disc in Britain so far during the 21st century. The updated take on old-time soul also earned five Grammy Awards.

Although the singer was adored by fans worldwide for her unique voice and style, praise for her singing was often eclipsed by lurid headlines about her destructive relationships and erratic behavior. Winehouse herself turned to her tumultuous life and personal demons for music material, resulting in such songs as “Rehab.”

In June, Winehouse abruptly canceled her European comeback tour after she swayed and slurred her way through barely recognizable songs in her first show in the Serbian capital, Belgrade. She was booed and jeered off stage and had to return to Britain to recover.

Her last public appearance came three days before her death, when she briefly joined her goddaughter, singer Dionne Bromfield, on stage at The Roundhouse in Camden, near her home.

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Associated Press Medical Writer Maria Cheng contributed to this report.