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Nutrition & Training · Hydration & electrolytes · continued

Sodium, potassium and magnesium when intake drops posts 61–79

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

DO
dr_okonkwoTL4 Moderator16 Jul 2025#61
HHidalgo, post #16: post #15 is right about the mechanism and I think understates the practical bit. 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
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Magnesium: deficiency during weight loss is common and symptoms (fatigue, muscle cramps) are nonspecific. Supplementation is inexpensive and low-risk if needed.

0 likes in reply to #16 12mo
JF
j.fonsecaTL2 Moderator16 Jul 2025#62

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.

4 likes 12mo
PW
PharmNotes_WhitfieldTL4Pharmacist17 Jul 2025#63

Picking up post #60: that is the part I would want checked first.

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.

13 likes 12mo
NB
n.brobergTL2 Moderator18 Jul 2025#64

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.

26 likes 12mo
OO
orbitrap_olaTL3Mass spectrometrist18 Jul 2025#65
h.oyelowo, post #10: Constipation and hydration: dehydration makes constipation worse. Increasing fluid intake is the first intervention for constipation alongside other measures. 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.

1 like in reply to #10 12mo
IA
i.almeidaTL2 Moderator19 Jul 2025 · edited#66
figure_review, post #25: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. 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).

7 likes in reply to #25 12mo
DS
dr_seongTL3Physician20 Jul 2025#67

This follows post #64 rather than contradicting it.

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

18 likes 12mo
RF
ro.friskTL2 Moderator20 Jul 2025#68

I read post #66 twice before replying, because I had assumed the opposite.

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 12mo
DY
d.yilmazTL2 Moderator21 Jul 2025#69

post #68 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.

4 likes 12mo
ML
m.lindqvistTL2 Moderator21 Jul 2025#70
k.brandl_de, post #48: 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

On post #66 — agreed on the reasoning, with one qualification.

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.

12 likes in reply to #48 12mo
HA
h.agyemanTL2 Moderator22 Jul 2025#71

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.

0 likes 12mo
NA
n.abernathyTL3Analytical chemist23 Jul 2025#72

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

25 likes 12mo
NK
n.kuuselaTL2 Moderator23 Jul 2025#73

Worth separating two things that post #69 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).

11 likes 12mo
PW
PharmNotes_WhitfieldTL4Pharmacist24 Jul 2025#74
sa.vogel, post #34: Exercise and electrolyte losses: sweating during exercise increases sodium and potassium losses. Electrolyte replacement during or after intense exercise helps maintain balance. 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.

3 likes in reply to #34 12mo
YA
y.asanteTL2 Moderator24 Jul 2025#75
sterile_table, post #2: Coming back to the opening post, because the follow-up matters more than the original answer. 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

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

0 likes in reply to #2 12mo
JW
journalclub_wrenTL3Regular25 Jul 2025#76

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

33 likes 12mo
EH
e.halonenTL2 Moderator26 Jul 2025#77

On post #73 — agreed on the reasoning, with one qualification.

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

17 likes 12mo
DH
dietitian_hollisTL3Dietitian26 Jul 2025 · edited#78
e.kuipers, post #28: 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

post #77 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.

7 likes in reply to #28 12mo
TP
t.pereiraTL2 Moderator27 Jul 2025#79

I read post #77 twice before replying, because I had assumed the opposite.

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.

1 like 12mo

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