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Newborns (especially preterm) lack the ability to metabolize benzyl alcohol, leading to metabolic acidosis, respiratory distress, hypotension and (in reported cases) the often-fatal gasping syndrome. For this reason, only preservative-free sterile water (no benzyl alcohol) is used in pediatric or neonatal care

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Fatigue and Headaches : A few individuals report feeling tired or experiencing headaches after receiving the injections, although these symptoms are typically transient

These conditions cause variable dysfunction in blood pressure regulation, heart rate control, and other autonomic processes