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If very large volumes were mistakenly injected, theoretical effects could include CNS depression, low blood pressure or breathing changes, but such overdoses are not reported at normal doses

In more severe cases, you might develop megaloblastic anemia, a condition where your red blood cells become abnormally large and can't carry oxygen effectively

People living with long-term mental health conditions or epileptic seizures will need uninterrupted access to their medication , and sudden discontinuation should be avoided

Fortified Vitamin B or thiamine subcutaneous injections are more commonly used, though thiamine is prescription only