From what I gathered, and I may be completely wrong and probably am.. I think all of the people that have taken the substance immediately create another person. I'm gonna keep mentioning Elizabeth / Sue names here so as not to confuse the two.
When Elizabeth brought Sue into existence using the substance.. Sue was another being, with her own mind, body, and soul. A completely different human with her own consciousness and thoughts. But Elizabeth was "in" there. Elizabeth was seeing/hearing/remembering everything Sue was doing, and although Elizabeth had no control over what Sue was doing, Elizabeth was still enjoying living vicariously through Sue, as a sort of "#2" / "tag-along". Eventually Elizabeth started to hate/resent Sue, but was still loving tagging along.
When Elizabeth was in control.. I don't think Sue was able to "see" or "tag along" with any of that life. After all, Sue was the "other self" (That's what it said on the food bag, remember - Food for your "other self" and food for the "matrix" - Matrix being Elizabeth). Sue was just asleep/in stasis when Elizabeth was in the matrix - ie running the show. Sue didn't give flying rat's ass about Elizabeth. Sue kept on sucking out Elizabeth's "life juice" without a care in the world. Elizabeth kind of hated Sue... but at the same time... was enjoying being "in" / "there" when Sue was living the life Elizabeth wanted, which created this huge internal battle within Elizabeth. Elizabeth knew Sue was destroying Elizabeth's body, and that bothered Elizabeth a LOT, but at the same time, Elizabeth loved seeing Sue's life and felt like Elizabeth was a part of it, enjoying being young and pretty and the star of the show and really looking forward to that whole New Year's event. Elizabeth had this gigantic internal battle with herself the whole time. That's why Elizabeth couldn't decide on whether or not to terminate Sue the very last second.
One of the main things that made me think Sue was her own consciousness from the start - Remember the old man in the restaurant - the one that first told Elizabeth about the substance. He was also referring to Sue as "she" which means that's the way all of the other selves are from the substance. They are different beings. The only one that kept saying "you are one in the same" was the guy on the phone in charge of the substance. The guy on the phone was wrong!
Or, maybe I'm wrong.
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