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The current recommended therapeutic approach 3,4,6,7,9 for managing severe symptomatic chronic hyponatremia emphasizes timely intervention with intravenous hypertonic saline to achieve a targeted rise in serum sodium levels, aiming for an increment of 46 mmol/L within the first 24 h

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Vitamin B12 levels can rise temporarily after supplements or injections

Individuals receiving therapeutic B12 injections constitute the primary at-risk group