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While previous studies have demonstrated that DDAVP can mitigate the risk of overcorrection 21 , some instances have shown it leading to inadequate sodium level increases or even decreases 16,19,20 , especially with unrestricted fluid intake 11

Even the 12mg dose at 120 units is only slightly above a full syringe, manageable with either a 1.2mL syringe or a simple split into two injections

Adverse reactions reported following methylcobalamin administration include headache, infection, nausea/vomiting, paresthesias, and rhinitis