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Just one detail to add to the list of ancient texts indicating suicide as an option for Epicureans under extreme circumstances: On his last day, Epicurus drank undiluted wine. With the dysentery he was in, this might have been suicide at least in the sense of accelerating the upcoming death. There was a presentation with more details on this speculation that Epicurus himself might have committed suicide at one of the Epicurean symposia in Greece a few years ago, but I could not find it in my col…
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The alcohol would worsen the dehydration and may have multiple other effects under that condition.
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If the body does no more release water by urine, about the only other way to get rid of significant amounts of water is to stop dehydrating the content of the large intestine. Therefore, dysentery makes sense as a consequential symptom. That method does not have the fine regulation of the kidneys and likely leads to dehydration. Dehydration can easily be fatal. Alcohol is likely to accelerate death then. The evidence with respect to Epicurus committing suicide may not be conclusive enough but it…