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Common causes for elevated chloride levels in water supplies include: Snowmelt and rainfall washing road salts into local water supplies Seawater entering your local water supply Agricultural waste or runoff entering the water supply While chloride ions are the most likely culprit if your water tastes salty, sulfates may also be to blame
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Patients should be referred urgently if they have neurological symptoms, if the diagnosis is unclear, or if there is inadequate clinical response to treatment
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