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Nutrition & Training · Hydration & electrolytes · continued

Second pass at: Sodium, potassium and magnesium when intake drops posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

JP
j.petrovTL2 Moderator13 Sep 2024 · edited#91
b.vanhecke, post #41: Fluid intake: baseline needs increase with gastrointestinal effects and exercise. Thirst is not a reliable guide during appetite suppression. Drinking regularly (not just when thirsty) is prudent. Go to post

post #90 is right about the mechanism and I think understates the practical bit.

Potassium: similar to sodium; losing weight involves some potassium loss. Bananas, sweet potatoes, and other potassium-rich foods help. Severe depletion is rare but symptomatic (weakness, palpitations).

0 likes in reply to #41 22mo
CR
compounding_ruthTL413 Sep 2024#92
IN
i.norgaardTL2 Moderator14 Sep 2024#93

Lab testing: if symptoms are severe or persistent, checking electrolytes and minerals (sodium, potassium, magnesium, calcium) and interpreting them in context of losses during weight loss is reasonable.

20 likes 22mo
IT
impurity_tableTL3Analytical chemist14 Sep 2024#94

Water intoxication: drinking excessive water (more than a few liters per day for extended time) without electrolyte replacement can cause hyponatremia. This is rare but serious. Balance fluid with electrolytes.

0 likes 22mo
MR
m.rasmussenTL2 Moderator15 Sep 2024#95
e.ferrari, post #33: post #32 answers the question as asked. The question underneath it is different. Lab testing: if symptoms are severe or persistent, checking electrolytes and minerals (sodium, potassium, magnesium, calcium) and interpreting them in context of losses during weight loss is reasonable. Go to post

Sodium: losing weight involves losing some sodium. Electrolyte drinks or salty foods help maintain sodium balance. Very low sodium intake on these compounds raises orthostatic symptoms risk.

2 likes in reply to #33 22mo
ZO
z.onwukaTL2 Moderator15 Sep 2024#96

On post #92 — agreed on the reasoning, with one qualification.

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

9 likes 22mo
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v.sjobergTL2 Moderator16 Sep 2024#97

Constipation and hydration: dehydration makes constipation worse. Increasing fluid intake is the first intervention for constipation alongside other measures.

28 likes 22mo
TV
t.vasquezTL4 Moderator16 Sep 2024#98
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

Fluid intake: baseline needs increase with gastrointestinal effects and exercise. Thirst is not a reliable guide during appetite suppression. Drinking regularly (not just when thirsty) is prudent.

0 likes 22mo
VK
v.krastevTL2 Moderator17 Sep 2024#99

Exercise and electrolyte losses: sweating during exercise increases sodium and potassium losses. Electrolyte replacement during or after intense exercise helps maintain balance.

5 likes 22mo
MA
m.achebeTL2 Moderator17 Sep 2024#100
policy_reader, post #88: Water intoxication: drinking excessive water (more than a few liters per day for extended time) without electrolyte replacement can cause hyponatremia. This is rare but serious. Balance fluid with electrolytes. Go to post

Potassium: similar to sodium; losing weight involves some potassium loss. Bananas, sweet potatoes, and other potassium-rich foods help. Severe depletion is rare but symptomatic (weakness, palpitations).

14 likes in reply to #88 22mo
DH
dietitian_hollisTL3Dietitian18 Sep 2024#101

post #100 answers the question as asked. The question underneath it is different.

Magnesium: deficiency during weight loss is common and symptoms (fatigue, muscle cramps) are nonspecific. Supplementation is inexpensive and low-risk if needed.

0 likes 22mo
BK
b.kowalskiTL2 Moderator18 Sep 2024#102

The very ordinary causes of week-two malaise: inadequate hydration, low sodium intake, too-rapid calorie deficit, and inadequate sleep are more common causes of fatigue and malaise than compound toxicity.

1 like 22mo
EF
e.ferreiraTL3Regular19 Sep 2024#103
e.lehtinen, post #57: Magnesium: deficiency during weight loss is common and symptoms (fatigue, muscle cramps) are nonspecific. Supplementation is inexpensive and low-risk if needed. Go to post

Constipation and hydration: dehydration makes constipation worse. Increasing fluid intake is the first intervention for constipation alongside other measures.

7 likes in reply to #57 22mo
NC
n.cabreraTL2 Moderator19 Sep 2024#104

Fluid intake: baseline needs increase with gastrointestinal effects and exercise. Thirst is not a reliable guide during appetite suppression. Drinking regularly (not just when thirsty) is prudent.

18 likes 22mo
RA
r.aldana_pharmdTL420 Sep 2024#105
SM
s.mbekiTL2 Moderator20 Sep 2024 · edited#106
appeals_desk, post #13: This follows post #10 rather than contradicting it. I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am… Go to post

Worth separating two things that post #102 runs together.

Potassium: similar to sodium; losing weight involves some potassium loss. Bananas, sweet potatoes, and other potassium-rich foods help. Severe depletion is rare but symptomatic (weakness, palpitations).

3 likes in reply to #13 22mo
NA
n.abernathyTL3Analytical chemist21 Sep 2024#107
ppm_error, post #48: Lab testing: if symptoms are severe or persistent, checking electrolytes and minerals (sodium, potassium, magnesium, calcium) and interpreting them in context of losses during weight loss is reasonable. Go to post

Magnesium: deficiency during weight loss is common and symptoms (fatigue, muscle cramps) are nonspecific. Supplementation is inexpensive and low-risk if needed.

11 likes in reply to #48 22mo
RE
r.erdoganTL2 Moderator22 Sep 2024#108

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

24 likes 22mo
KV
k.vanheckeTL2 Moderator22 Sep 2024#109

Lab testing: if symptoms are severe or persistent, checking electrolytes and minerals (sodium, potassium, magnesium, calcium) and interpreting them in context of losses during weight loss is reasonable.

25 likes 22mo
KP
k.perrinTL2 Moderator23 Sep 2024#110

Water intoxication: drinking excessive water (more than a few liters per day for extended time) without electrolyte replacement can cause hyponatremia. This is rare but serious. Balance fluid with electrolytes.

0 likes 22mo
IG
i.guerreroTL2 Moderator23 Sep 2024#111

Orthostatic symptoms: dizziness on standing after lying down can indicate dehydration or electrolyte depletion. Increasing fluids, salt, and potassium usually resolves it.

1 like 22mo
TD
titration_diaryTL3Regular24 Sep 2024 · edited#112

This follows post #109 rather than contradicting it.

Exercise and electrolyte losses: sweating during exercise increases sodium and potassium losses. Electrolyte replacement during or after intense exercise helps maintain balance.

0 likes 22mo
AJ
a.jansenTL2 Moderator24 Sep 2024#113
n.lehtinen, post #37: post #36 is right about the mechanism and I think understates the practical bit. Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up. Go to post

Worth separating two things that post #109 runs together.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

22 likes in reply to #37 22mo
EF
e.ferreiraTL3Regular25 Sep 2024#114

The very ordinary causes of week-two malaise: inadequate hydration, low sodium intake, too-rapid calorie deficit, and inadequate sleep are more common causes of fatigue and malaise than compound toxicity.

10 likes 22mo
TD
t.duarteTL2 Moderator25 Sep 2024#115

Coming back to post #113, because the follow-up matters more than the original answer.

Potassium: similar to sodium; losing weight involves some potassium loss. Bananas, sweet potatoes, and other potassium-rich foods help. Severe depletion is rare but symptomatic (weakness, palpitations).

3 likes 22mo
DB
dr_bhattacharyaTL3Physician26 Sep 2024#116

Picking up post #113: that is the part I would want checked first.

Sodium: losing weight involves losing some sodium. Electrolyte drinks or salty foods help maintain sodium balance. Very low sodium intake on these compounds raises orthostatic symptoms risk.

0 likes 22mo
DV
d.vukovicTL2 Moderator26 Sep 2024#117
in.guerrero, post #50: This follows post #47 rather than contradicting it. Orthostatic symptoms: dizziness on standing after lying down can indicate dehydration or electrolyte depletion. Increasing fluids, salt, and potassium usually resolves it. Go to post

Fluid intake: baseline needs increase with gastrointestinal effects and exercise. Thirst is not a reliable guide during appetite suppression. Drinking regularly (not just when thirsty) is prudent.

30 likes in reply to #50 22mo
LG
lc_gradientTL3Analytical chemist27 Sep 2024 · edited#118
a.adeyemi, post #24: Picking up post #21: that is the part I would want checked first. Potassium: similar to sodium; losing weight involves some potassium loss. Bananas, sweet potatoes, and other potassium-rich foods help. Severe depletion is rare but symptomatic (weakness, palpitations). Go to post

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

15 likes in reply to #24 22mo
RZ
r.zielinskiTL2 Moderator27 Sep 2024 · edited#119

Water intoxication: drinking excessive water (more than a few liters per day for extended time) without electrolyte replacement can cause hyponatremia. This is rare but serious. Balance fluid with electrolytes.

0 likes 22mo
RA
r.aldana_pharmdTL4Pharmacist28 Sep 2024#120
a.kirchner, post #14: I read post #12 twice before replying, because I had assumed the opposite. The very ordinary causes of week-two malaise: inadequate hydration, low sodium intake, too-rapid calorie deficit, and inadequate sleep are more common causes of fatigue and malaise than compound toxicity. Go to post

Lab testing: if symptoms are severe or persistent, checking electrolytes and minerals (sodium, potassium, magnesium, calcium) and interpreting them in context of losses during weight loss is reasonable.

23 likes in reply to #14 22mo