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Sensations may include floating, stimulation and visual effects. Larger doses may result in the “k-hole”, where users are near full sedation and are said to mimic an “out-of-body” or “near-death” experience. High doses may dangerously reduce breathing, lead to muscles spasms or weakness, dizziness, balance difficulty, impaired vision, slurred speech, nausea and vomiting, and severe confusion.