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Meta-analytic data indicate that tinnitus patients with normal hearing thresholds often exhibit significantly reduced ABR wave-I amplitudes, consistent with synaptic loss, and an increased wave-V/I ratio, suggesting central gain enhancement, although changes in wave-V amplitude are inconsistent across studies 43,63

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Patients should seek immediate medical attention for these symptoms, as both hypokalemia and hyperkalemia can precipitate ventricular arrhythmias