GET https://rct.dev.bbntimes.com/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms

Response
200 OK
IP
18.116.165.143
Profiled on
Token
c58953

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
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"App\Controller\ArticleController::show"
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    3713 => Symfony\Component\WebLink\Link {#3713
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"article_show"
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_security_firewall_run 
"_security_main"
_stopwatch_token 
"7977bf"
category 
"science"
slug 
"syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=rfihmr0avd38j6hmbel4lgdu0b"
host 
"rct.dev.bbntimes.com"
user-agent 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level 
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control 
"no-cache, private"
content-type 
"text/html; charset=UTF-8"
date 
"Sat, 26 Apr 2025 16:17:15 GMT"
link 
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token 
"c58953"

Cookies

Request Cookies

Key Value
PHPSESSID 
"rfihmr0avd38j6hmbel4lgdu0b"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Sat, 26 Apr 25 16:17:11 +0000"
Last used 
"Sat, 26 Apr 25 16:17:11 +0000"
Lifetime 
0

Session Attributes

Attribute Value
_csrf/https-comment 
"syGWcCRb7umT5DySAHnmNVCIfh1JHW8qbw1Pf4yBbco"
_csrf/https-cookie_accept 
"rBORnMObOyYsZtF1i1tKjMMkaDuSDvlunfn_gq0SaJ4"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
[
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
[
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    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
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    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
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    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
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    "function" => "handle"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
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    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/AppVariable.php"
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    "function" => "getToken"
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    "function" => "twig_get_attribute"
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    "function" => "handle"
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  [
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    "function" => "show"
    "class" => "App\Controller\ArticleController"
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    "function" => "handleRaw"
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    "type" => "->"
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    "function" => "handle"
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    "function" => "run"
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    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-http/Firewall/ContextListener.php"
    "line" => 171
    "function" => "remove"
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  [
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    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
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    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
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    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
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    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
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    "function" => "filterResponse"
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Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV 
"dev"
APP_SECRET 
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN 
"*"
DATABASE_URL 
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY 
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY 
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN 
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD 
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG 
"1"
BASE 
"/public"
CONTEXT_DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX 
""
DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE 
"RESPONDER"
GATEWAY_INTERFACE 
"CGI/1.1"
HTTPS 
"on"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=rfihmr0avd38j6hmbel4lgdu0b"
HTTP_HOST 
"rct.dev.bbntimes.com"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
PATH 
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF 
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX 
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI 
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING 
""
REDIRECT_BASE 
"/public"
REDIRECT_HTTPS 
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"aA0HCrXnIMqhQ2JDkO7nTwAAAEg"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
REDIRECT_SCRIPT_URL 
"/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"aA0HCrXnIMqhQ2JDkO7nTwAAAEg"
REDIRECT_URL 
"/public/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
REMOTE_ADDR 
"18.116.165.143"
REMOTE_PORT 
"31533"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1745684234
REQUEST_TIME_FLOAT 
1745684234.3327
REQUEST_URI 
"/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
SCRIPT_FILENAME 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME 
"/public/index.php"
SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
SCRIPT_URL 
"/science/syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
SERVER_ADDR 
"5.196.1.209"
SERVER_ADMIN 
"[no address given]"
SERVER_NAME 
"rct.dev.bbntimes.com"
SERVER_PORT 
"443"
SERVER_PROTOCOL 
"HTTP/1.1"
SERVER_SIGNATURE 
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE 
"Apache"
SSL_TLS_SNI 
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS 
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID 
"aA0HCrXnIMqhQ2JDkO7nTwAAAEg"

Sub Requests 6

CookieController :: renderAnalysis (token = 574992)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"e52a8f"

AppController :: renderHeader (token = 2d7578)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"72066b"
slug 
"home"

ArticleController :: trendingArticle (token = 66269c)

Key Value
_controller 
"App\Controller\ArticleController::trendingArticle"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"41855d"
category 
"Science"

ArticleController :: relatedArticles (token = 0933c5)

Key Value
_controller 
"App\Controller\ArticleController::relatedArticles"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"2c4dd9"
current_article 
App\Entity\Article {#1094
  -id: 4764
  -title: "Syndrome of Inappropriate Antidiuretic Hormone Secretion Hyponatremia & Symptoms "
  -slug: "syndrome-of-inappropriate-antidiuretic-hormone-secretion-hyponatremia-symptoms"
  -introtext: "<p><span style="color: #000000;">Hyponatremia means a low amount of sodium in the blood. This may sound like a good thing since doctors are frequently telling people to limit salt intake, but in this case, the low sodium isn’t healthy and in fact, can be extremely dangerous.&nbsp;<b>Syndrome of inappropriate antidiuretic hormone secretion</b>&nbsp;(<b>SIADH</b>) is one of the conditions that leads to hyponatremia. SIADH symptoms can be induced by many different medications prescribed for psychiatric conditions, including antidepressants and mood-stabilizers.&nbsp;What is SIADH hyponatremia? Let’s review what it means, the&nbsp;<strong>causes</strong>&nbsp;of SIADH, and the details of the&nbsp;<strong>symptoms</strong>&nbsp;SIADH causes so you know what to watch for.</span></p>\r\n"
  -content: """
    \r\n
    <p>&nbsp;</p>\r\n
    <h2><span style="color: #10228b;">What is SIADH?</span></h2>\r\n
    <p><span style="color: #000000;">In a general way… here are the specifics: Our&nbsp;<strong>kidneys</strong>&nbsp;play an important role in managing the fluids in our body. The amount of fluid we have affects the levels of our electrolytes. SIADH is a condition that causes a particular hormone (called antidiuretic hormone or ADH) to be increased. This hormone helps the kidneys control the amount of water your body loses in the urine.</span></p>\r\n
    <p><span style="color: #000000;">When there is too much ADH, like what happens with SIADH, hyponatremia results from the inability of the kidney to excrete a sufficient amount of fluid. If we don’t get rid of enough fluid it stays in our blood and the sodium we have is diluted. (For comparison sake, the opposite effect on sodium happens with dehydration: we don’t have enough fluids in our body and blood sodium becomes elevated)</span></p>\r\n
    <h2><span style="color: #10228b;">Causes of SIADH hyponatremia?</span></h2>\r\n
    <p><span style="color: #000000;">Psychiatric medications can be a cause of SIADH hyponatremia but there are also other causes of low blood sodium. Sodium can be lowered by many different conditions like:</span></p>\r\n
    <ul>\r\n
    <li><span style="color: #000000;">Diarrhea,</span></li>\r\n
    <li><span style="color: #000000;">Hypothyroidism (low functioning thyroid),</span></li>\r\n
    <li><span style="color: #000000;">Kidney failure,</span></li>\r\n
    <li><span style="color: #000000;">Drinking too much water,</span></li>\r\n
    <li><span style="color: #000000;">Medications.</span></li>\r\n
    </ul>\r\n
    <p><span style="color: #000000;">Older adults (over age 65) seem to be at highest risk for developing hyponatremia.</span></p>\r\n
    <h2><span style="color: #10228b;">SIADH Causes Hyponatremia. How Often does this Happen?</span></h2>\r\n
    <p><span style="color: #000000;">It is hard to state a set number for how often SIADH happens because there&nbsp;is a discrepancy between studies as to who is considered as having “low sodium”. A sodium cutoff&nbsp;level of 130 vs 135 makes a big difference in the reported incidence.</span></p>\r\n
    <p>&nbsp;</p>\r\n
    <p><span style="color: #000000;">For example, the incidence of hyponatremia caused by&nbsp;<strong>antidepressants</strong>&nbsp;varies greatly among studies. Due to the differences in the sodium cut-off point, the estimated range is from&nbsp;<a style="color: #000000;" href="https://www.ncbi.nlm.nih.gov/pubmed/25262043" target="_blank" rel="noopener">.06-40%</a>&nbsp;. Not a very useful statistic with this type of discrepancy!</span></p>\r\n
    <h2><span style="color: #10228b;">Why is this Important? SIADH Symptoms</span></h2>\r\n
    <p><span style="color: #000000;">Hyponatremia&nbsp;<strong>can be life-threatening</strong>&nbsp;and someone with this can present with:</span></p>\r\n
    <ul>\r\n
    <li><span style="color: #000000;">Weakness,</span></li>\r\n
    <li><span style="color: #000000;">Nausea,</span></li>\r\n
    <li><span style="color: #000000;">Confusion,</span></li>\r\n
    <li><span style="color: #000000;">Vomiting</span></li>\r\n
    <li><span style="color: #000000;">In extreme cases can be unresponsive&nbsp;or having a seizure.</span></li>\r\n
    </ul>\r\n
    <p><span style="color: #000000;">At the same time, SIADH can be discovered by surprise on routine labs. The person’s sodium level has likely been lowered so gradually over time that their body adjusted. They have no symptoms at the same low level of sodium that someone else may be quite ill if it happened quickly.</span></p>\r\n
    <h2><span style="color: #10228b;">Management of SIADH Symptoms</span></h2>\r\n
    <p><span style="color: #000000;">Management of SIADH depends on:</span></p>\r\n
    <ul>\r\n
    <li><span style="color: #000000;">Whether symptoms are present,</span></li>\r\n
    <li><span style="color: #000000;">The severity of the hyponatremia (ie how low is the level of sodium), and</span></li>\r\n
    <li><span style="color: #000000;">Duration of time this has been happening.</span></li>\r\n
    </ul>\r\n
    <p>&nbsp;</p>\r\n
    <p><span style="color: #000000;">As I said, some people have chronically low levels of blood sodium and their bodies are used to it as opposed to someone with a quick level change will be symptomatic.</span></p>\r\n
    <p><span style="color: #000000;">The chronic presentation of SIADH gets managed as an outpatient when we discover it on labs. Management generally consists of trying to identify the medication that could be causing it and lowering or switching that medication.</span></p>\r\n
    <p><span style="color: #000000;">It can be a challenge though because there are often multiple medications that could be responsible for the low sodium. It is hard to know which medication to lower first. Also, the person is taking these medications for a reason so we need to eliminate the side-effect but keep the person psychiatrically well during the process. This can be tricky!</span></p>\r\n
    <h2><span style="color: #10228b;">SIADH Hyponatremia</span></h2>\r\n
    <p><span style="color: #000000;">Now you can hopefully answer the question of “What is SIADH” and understand what it means if someone says you have hyponatremia. It is one of the side effects that can happen on psychiatric medications and is important to be aware of.</span></p>\r\n
    <p><span style="color: #000000;">There are other potential side effects to know about when you take psychiatric medications.</span></p>\r\n
    <p><span style="color: #000000;">A version of this article first appeared <a href="https://drmelissawelby.com/take-psychiatric-medications-be-aware-siadh-hyponatremia/" target="_blank" rel="noopener">here</a>.</span></p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1569328094 {#1145
    date: 2019-09-24 12:28:14.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1569328595 {#1150
    date: 2019-09-24 12:36:35.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 1857
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1569328092 {#1148
    date: 2019-09-24 12:28:12.0 UTC (+00:00)
  }
  -metakey: ""
  -metadesc: "Hyponatremia means a low amount of sodium in the blood. This may sound like a good thing since doctors are frequently telling people to limit salt intake, but in this case, the low sodium isn’t healthy and in fact, can be extremely dangerous.\u{A0}Syndrome of inappropriate antidiuretic hormone secretion\u{A0}(SIADH) is one of the conditions that leads to hyponatremia. SIADH symptoms can be induced by many different medications prescribed for psychiatric conditions, including antidepressants and mood-stabilizers.\u{A0}What is SIADH hyponatremia? Let’s review what it means, the\u{A0}causes\u{A0}of SIADH, and the details of the\u{A0}symptoms\u{A0}SIADH causes so you know what to watch for."
  -robots: null
  -publishedAt: DateTime @1569328092 {#1147
    date: 2019-09-24 12:28:12.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 84b0a3)

Key Value
_controller 
"App\Controller\AppController::renderFooter"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"9dc131"

CookieController :: renderCookie (token = b45820)

Key Value
_controller 
"App\Controller\CookieController::renderCookie"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"b79aeb"