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Hydrate or Die... or

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14 April 2005
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  1. Here's a perspective that took a while to surface:

    http://www.nytimes.com/2005/04/14/opinion/14thu2.html?

    [email hidden]

  2. Quoted message said:

    Here's a perspective that took a while to surface:

    http://www.nytimes.com/2005/04/14/opinion/14thu2.html?

    I recall one long, hot, humid ride when I was religiously drinking
    water, but feeling absolutely terrible. My stomach felt full and
    sloshy, but I still felt thirsty; and yet water tasted terrible.

    I stopped at a fast food joint and got some salt packets. It was
    somehow what I needed. After that experience, I began carrying some of
    those packets in my bike bag, and adding one or two to a water bottle.

    Later, someone told me that salt substitute is a better choice, because
    it contains a better balance of sodium and potassium. You can get it
    at any pharmacy. That's my fix for long hot rides these days.

    That and V-8 Juice.

    - Frank Krygowski

  3. Quoted message said:

    Later, someone told me that salt substitute is a better choice, because
    it contains a better balance of sodium and potassium. You can get it
    at any pharmacy. That's my fix for long hot rides these days.

    The answer to low sodium is to replace the sodium. At least some of
    the salt replacements, such as NoSalt and NuSalt, contain no sodium.
    All of them contain mostly potasium salts. Potasium loss during
    exercise has never been shown to be a problem. Although unlikely, it
    is possible to kill yourself by taking too much oral potasium. For a
    humorous yet factual take on the last point see:

    http://www.macrobiotic.org/SaltSubDanger.htm

  4. Jim Smith said:

    The answer to low sodium is to replace the sodium. At least some of
    the salt replacements, such as NoSalt and NuSalt, contain no sodium.
    All of them contain mostly potasium salts. Potasium loss during
    exercise has never been shown to be a problem.

    Well, potassium loss can contribute to muscle cramps:
    http://www.ext.colostate.edu/pubs/foodnut/09355.html

    Although unlikely, it

    Quoted message said:

    is possible to kill yourself by taking too much oral potasium. For a
    humorous yet factual take on the last point see:

    http://www.macrobiotic.org/SaltSubDanger.htm

    Yup- and that's why potassium-containing IV's in hospitals are supposed
    to be marked in a distinctive fashion, and full-strength IV potassium
    chloride is kept away from the ER. Otherwise, bad stuff happens:
    http://www.iatrogenic.org/fatalerr.html

    Jeff

  5. Quoted message said:

    [email hidden] wrote:

    Quoted message said:
    Quoted message said:

    Here's a perspective that took a while to surface:

    http://www.nytimes.com/2005/04/14/opinion/14thu2.html?

    I recall one long, hot, humid ride when I was religiously drinking
    water, but feeling absolutely terrible. My stomach felt full and
    sloshy, but I still felt thirsty; and yet water tasted terrible.

    I stopped at a fast food joint and got some salt packets. It was
    somehow what I needed. After that experience, I began carrying some
    of those packets in my bike bag, and adding one or two to a water
    bottle.

    Later, someone told me that salt substitute is a better choice,
    because it contains a better balance of sodium and potassium. You
    can get it at any pharmacy. That's my fix for long hot rides these
    days.

    That and V-8 Juice.

    I'm a V-8 drinker too. Call me un-American, but I hate soft drinks, and most
    "juice" drinks aren't much better. V-8 is the only thing I'll drink that's
    available in most convenience stores. It seems to do the trick with salt
    depletion too.

    Last year we had Hammergel as a sponsor for our big club ride. We got free
    samples of their electrolyte capsules. As a believer in real food vs.
    artificial yuppie power food, I had never tried such a thing. It sat around for
    months, but I tried it one day when I was feeling really bad. Well, the stuff
    is like magic. I felt much better, instantly. So I bought some more. I use it
    occasionally when I feel sick or overtired. It's great stuff. I recommend it.

    Matt O.

  6. JeffWills said:

    Well, potassium loss can contribute to muscle cramps:
    http://www.ext.colostate.edu/pubs/foodnut/09355.html

    For sure low potassium can cause all sorts of problems, ranging from
    weakness and cramps all the way to heart problems, death, and attempts
    to overrule the separation of the legeslative and judicial branches.
    What is not clear is wheather or not it has anything to do with
    cramping during exercise, and if it does, whether or not
    suplementation during exercise will help or not.

  7. Jim Smith said:
    Quoted message said:

    Later, someone told me that salt substitute is a better choice,


    because

    Quoted message said:
    Quoted message said:

    it contains a better balance of sodium and potassium. You can get


    it

    Quoted message said:
    Quoted message said:

    at any pharmacy. That's my fix for long hot rides these days.

    The answer to low sodium is to replace the sodium. At least some of
    the salt replacements, such as NoSalt and NuSalt, contain no sodium.
    All of them contain mostly potasium salts.

    Hmm. Well, the one I've been using is "Cardia Salt" and it's
    ingredients as listed are "Salt, Potassium chloride, Magnesium Sulfate,
    L-Lysine Hydrochloride, Silicon Dioxide" - which would be listed in
    order of decreasing content.

    Potasium loss during

    Quoted message said:

    exercise has never been shown to be a problem. Although unlikely, it
    is possible to kill yourself by taking too much oral potasium.

    Well, that hasn't happened to me yet! ;-) But I'm not taking in much
    of this at all. A few shakes into a large water bottle, and that only
    on long hot rides.

    Again, I tried this (as opposed to plain salt) based on what I heard
    from a friend - and he certainly could be wrong. OTOH, it seems to me
    that I've read that dropping potassium levels can be a problem under
    those conditions. I know that on long hot rides, I develop a craving
    for orange juice, and I was told that's possibly related to potassium
    loss.

    I'd be curious what others know about this.

    - Frank Krygowski

  8. Lat tmonth, when I went to buy some Potassium tablets (use them
    occasionally on loooong rides for cramps and 'salt' replacement) - the
    consulting naturopath (who happened to be at the pharmacy at the time),
    asked me what they were for.

    When I told her, she told me to buy magnesium tablets instead. She said
    that all the research was showing that potassium had litle/no effect on
    cramps, and that magnesium was proving to be the main culprit.

    Took her advice and gave it a go. And am having much greater results!!
    I suspect that this type of thing is very individual, but reckon that
    its worth a shot for those not getting good results from there
    potassium tablets (or whatever you're using)

    Cheers,
    Absent Husband

  9. Quoted message said:
    Jim Smith said:
    Quoted message said:

    Later, someone told me that salt substitute is a better choice,


    because

    Quoted message said:
    Quoted message said:

    it contains a better balance of sodium and potassium. You can get


    it

    Quoted message said:
    Quoted message said:

    at any pharmacy. That's my fix for long hot rides these days.

    The answer to low sodium is to replace the sodium. At least some of
    the salt replacements, such as NoSalt and NuSalt, contain no sodium.
    All of them contain mostly potasium salts.

    Hmm. Well, the one I've been using is "Cardia Salt" and it's
    ingredients as listed are "Salt, Potassium chloride, Magnesium Sulfate,
    L-Lysine Hydrochloride, Silicon Dioxide" - which would be listed in
    order of decreasing content.

    Hmm, looks like that one has about 2.5 times as much sodium as
    potasium (47 vs 18 meq per teaspoon), so I was wrong about all of them
    being mostly potassium. With that touch of magnesium too, it looks
    like a reasonable substance to use if one was interested in
    experimenting with replacing electrolytes. Important to read those
    labels.

  10. Absent Husband wrote:
    :: Lat tmonth, when I went to buy some Potassium tablets (use them
    :: occasionally on loooong rides for cramps and 'salt' replacement) -
    :: the consulting naturopath (who happened to be at the pharmacy at the
    :: time), asked me what they were for.
    ::
    :: When I told her, she told me to buy magnesium tablets instead. She
    :: said that all the research was showing that potassium had litle/no
    :: effect on cramps, and that magnesium was proving to be the main
    :: culprit.
    ::
    :: Took her advice and gave it a go. And am having much greater
    :: results!! I suspect that this type of thing is very individual, but
    :: reckon that its worth a shot for those not getting good results from
    :: there potassium tablets (or whatever you're using)

    Thanks for the info....I had big problems with cramps on two rides last year
    and ended up in the sag wagon. So, I'm going to try the magnesium this
    time.

  11. Matt O'Toole said:

    I'm a V-8 drinker too. Call me un-American, but I hate soft drinks,


    and most

    Quoted message said:

    "juice" drinks aren't much better. V-8 is the only thing I'll drink


    that's

    Quoted message said:

    available in most convenience stores. It seems to do the trick with


    salt

    Quoted message said:

    depletion too.

    V-8 is the distance rider's resuscitation drink. It's probably the
    highest saline solution that's drinkable (subjective). A salt-rich meal
    might be: V-8, doritos and a turkey sandwich (turkey is also loaded
    with potassium, although potassium depletion isn't an issue). Fast food
    french fries are also a great source of salt (& potassium) but most
    can't tolerate the grease when riding hard.

    Quoted message said:

    Last year we had Hammergel as a sponsor for our big club ride. We


    got free

    Quoted message said:

    samples of their electrolyte capsules. As a believer in real food


    vs.

    Quoted message said:

    artificial yuppie power food, I had never tried such a thing. It sat


    around for

    Quoted message said:

    months, but I tried it one day when I was feeling really bad. Well,


    the stuff

    Quoted message said:

    is like magic. I felt much better, instantly. So I bought some


    more. I use it

    Quoted message said:

    occasionally when I feel sick or overtired. It's great stuff. I


    recommend it.

    Their listed ingredients don't sound too magical. I just make up my own
    capsules 2/3 table salt, 1/3 bicarb. I've found that salt depletion
    isn't a problem until after 8-10 hr or so of hot, hard riding, an
    observation that squares with the theory given the amount of sodium
    reserves and sweat loss rate. The ingredients for Hammergel
    Electrolytes:

    Sodium Chloride 100 mg.
    Calcium (Chelate) 50 mg.
    Magnesium (Chelate) 25 mg.
    Potassium (Chelate) 25 mg.
    Vitamin B-6 (Pyrodoxine HCL) 6.6 mg.
    Manganese (Chelate) 1.6 mg.
    L-Tyrosine 50 mg.

  12. Has anyone tried the Gu/20 Sports mixes for hydration?
    http://www.gusports.com/html/gu2o.htm
    -tom

  13. Peter Cole said:

    V-8 is the distance rider's resuscitation drink. It's probably the
    highest saline solution that's drinkable (subjective). A salt-rich


    meal

    Quoted message said:

    might be: V-8, doritos and a turkey sandwich (turkey is also loaded
    with potassium, although potassium depletion isn't an issue). Fast


    food

    Quoted message said:

    french fries are also a great source of salt (& potassium) but most
    can't tolerate the grease when riding hard.

    What's interesting to me is that my cravings during hot, humid, hard
    rides seem to be sodium and potassium foods. I didn't know french
    fries had any potassium, but I know they taste wonderful to me in those
    conditions.

    How about Pringles potato chips? That's something else that I seem to
    crave. And beer, of course. And, as mentioned, orange juice with salt
    mixed into it.

    While we're at it, I wonder what foods are rich in magnesium. I'd be
    interested to know if I crave those.

    Yeah, I could go googling, but I'm hoping others have the knowledge at
    hand.

    - Frank Krygowski

  14. Jim Smith said:
    Quoted message said:

    Later, someone told me that salt substitute is a better choice, because
    it contains a better balance of sodium and potassium. You can get it
    at any pharmacy. That's my fix for long hot rides these days.

    The answer to low sodium is to replace the sodium. At least some of
    the salt replacements, such as NoSalt and NuSalt, contain no sodium.
    All of them contain mostly potasium salts. Potasium loss during
    exercise has never been shown to be a problem. Although unlikely, it
    is possible to kill yourself by taking too much oral potasium. For a
    humorous yet factual take on the last point see:

    http://www.macrobiotic.org/SaltSubDanger.htm

    Fact: Potassium loss can kill you, since it plays a part in regulating
    the heartbeat. Sodium is also needed, although not in the huge
    quantities that the average American takes in. One Chinese take out
    (MSG) or McBurger Fries with salt will top the daily requirement. Almost
    any canned food (Campbells' soup comes to mind) will top you daily
    allotment of sodium. I avoid Sodium, even on long sweaty rides, drinking
    Orange Juice instead and the only thing I have ever noticed after a day
    of climbing in 100F heat was low blood pressure (80/50), normal for a
    child but not for an adult. After just chilling in the A/C indoors it
    went back to about 110/70. The only noticeable side effect was right
    after riding I could not sit down and then jump up again without nearly
    fainting.
    Side note: A woman killed her baby a few years back with the best of
    intentions at heart by feeding the infant a low to no sodium diet and
    substituting potassium instead. The electrolyte imbalance killed the kid.
    Bill Baka

  15. Matt O'Toole said:
    Quoted message said:

    [email hidden] wrote:

    Quoted message said:
    Quoted message said:

    Here's a perspective that took a while to surface:

    http://www.nytimes.com/2005/04/14/opinion/14thu2.html?

    I recall one long, hot, humid ride when I was religiously drinking
    water, but feeling absolutely terrible. My stomach felt full and
    sloshy, but I still felt thirsty; and yet water tasted terrible.

    I stopped at a fast food joint and got some salt packets. It was
    somehow what I needed. After that experience, I began carrying some
    of those packets in my bike bag, and adding one or two to a water
    bottle.

    Later, someone told me that salt substitute is a better choice,
    because it contains a better balance of sodium and potassium. You
    can get it at any pharmacy. That's my fix for long hot rides these
    days.

    That and V-8 Juice.

    I'm a V-8 drinker too. Call me un-American, but I hate soft drinks, and most
    "juice" drinks aren't much better. V-8 is the only thing I'll drink that's
    available in most convenience stores. It seems to do the trick with salt
    depletion too.

    Last year we had Hammergel as a sponsor for our big club ride. We got free
    samples of their electrolyte capsules. As a believer in real food vs.
    artificial yuppie power food, I had never tried such a thing. It sat around for
    months, but I tried it one day when I was feeling really bad. Well, the stuff
    is like magic. I felt much better, instantly. So I bought some more. I use it
    occasionally when I feel sick or overtired. It's great stuff. I recommend it.

    Matt O.


    My opinion is that V-8 beats the heck out of Gatorade for both nutrients
    and taste. Gatorade is just a way overhyped mix or Sodium and Potassium
    with some sugar thrown in for energy.
    Bill Baka

  16. Absent Husband said:

    Lat tmonth, when I went to buy some Potassium tablets (use them
    occasionally on loooong rides for cramps and 'salt' replacement) - the
    consulting naturopath (who happened to be at the pharmacy at the time),
    asked me what they were for.

    When I told her, she told me to buy magnesium tablets instead. She said
    that all the research was showing that potassium had litle/no effect on
    cramps, and that magnesium was proving to be the main culprit.

    Took her advice and gave it a go. And am having much greater results!!
    I suspect that this type of thing is very individual, but reckon that
    its worth a shot for those not getting good results from there
    potassium tablets (or whatever you're using)

    Cheers,
    Absent Husband


    What he didn't tell you is that you still need the Potassium for heart
    and muscle regulation. You can die from lack of Potassium, usually from
    a heart attack. I don't know if coroners look for this but it is a well
    known fact that doctor who prescribe diuretics for their patients with
    high blood pressure also tell them to take Potassium supplements.
    Bill Baka

  17. Absent Husband said:

    Lat tmonth, when I went to buy some Potassium tablets (use them
    occasionally on loooong rides for cramps and 'salt' replacement) - the
    consulting naturopath (who happened to be at the pharmacy at the time),
    asked me what they were for.

    When I told her, she told me to buy magnesium tablets instead. She said
    that all the research was showing that potassium had litle/no effect on
    cramps, and that magnesium was proving to be the main culprit.

    Took her advice and gave it a go. And am having much greater results!!
    I suspect that this type of thing is very individual, but reckon that
    its worth a shot for those not getting good results from there
    potassium tablets (or whatever you're using)

    A good idea is to bave a basic blood test done, have them check mineral
    levels, some people have lower levels of one or another. If one is low,
    or maybe a low normal, then you might want to suppliment that when
    riding, your doctor can tell you whether it's better to take a
    suppliment before, during or after a ride.

    If your *really* concerned about during rides, tell your doctor, maybe
    get a blood draw done, go ride a century, then stop back at the lab, for
    another blood draw, then run the mineral panel on both, you and your
    doctor can then look at both sets of values and determine what (if
    anything) you need, and how much.

    W

  18. bbaka said:
    Absent Husband said:

    Lat tmonth, when I went to buy some Potassium tablets (use them
    occasionally on loooong rides for cramps and 'salt' replacement) - the
    consulting naturopath (who happened to be at the pharmacy at the time),
    asked me what they were for.
    When I told her, she told me to buy magnesium tablets instead. She
    said
    that all the research was showing that potassium had litle/no effect on
    cramps, and that magnesium was proving to be the main culprit.
    Took her advice and gave it a go. And am having much greater
    results!!
    I suspect that this type of thing is very individual, but reckon that
    its worth a shot for those not getting good results from there
    potassium tablets (or whatever you're using)
    Cheers,
    Absent Husband


    What he didn't tell you is that you still need the Potassium for heart
    and muscle regulation. You can die from lack of Potassium, usually
    from a heart attack.

    The thing is, you just don't lose that much potasium in your
    sweat. Sodium losses are about 20 times the potasium losses. Partly
    this is because 98% of your potasium is inside of cells. On the other
    hand, about 90% of your sodium is outside of the cells. This is true
    of all lifeforms on earth.

    One consequense of potasium being intracellular is that any time you
    eat food composed of cells you are getting potasium. This includes
    any fruits, vegetables, or muscles you eat. It is not hard at all to
    get plenty of potasium in your diet.

    People who get their potasium down low enough to have symptoms almost
    always have something else going on, such as diuretic use, prolonged
    diarrhea or vommiting, certain types of kidney disease, etc.

    The situation with sodium is different because the regulation of
    sodium and water are intimately connected. It is easy to affect
    sodium concentration by adjusting water intake.

    Quoted message said:

    I don't know if coroners look for this but it is
    a well known fact that doctor who prescribe diuretics for their
    patients with high blood pressure also tell them to take Potassium
    supplements.

    Pretty much if you come within ten feet of a hospital you are going to
    get your potassium checked. (It's cheap too.) Some characteristic
    stuff happens when potassium gets really low, a death would be hard to
    miss.

    You are correct, certain diuretics are the most common cause of low
    potassium, but that has nothing to do with a healthy person
    exercising.

  19. JeffWills said:

    Yup- and that's why potassium-containing IV's in hospitals are supposed
    to be marked in a distinctive fashion, and full-strength IV potassium
    chloride is kept away from the ER. Otherwise, bad stuff happens:
    http://www.iatrogenic.org/fatalerr.html

    Jeff

    It's a big deal at the hospital I work at. The Joint Commission that
    accredits hospitals nationwide (http://www.jcaho.org/) has very strict
    rules as to where concentrated potassium can be kept in the hospital.
    I've also been told concentrated potassium is used for lethal injection.

    From Joint Commission website:

    Medication Error Prevention -- Potassium Chloride

    In the two years since the Joint Commission enacted its Sentinel Event
    Policy, the Accreditation Committee of the Board of Commissioners has
    reviewed more than 200 sentinel events. The most common category of
    sentinel events was medication errors, and of those, the most frequently
    implicated drug was potassium chloride (KCl). The Joint Commission has
    reviewed 10 incidents of patient death resulting from misadministration
    of KCl, eight of which were the result of direct infusion of
    concentrated KCl. In all cases, a contributing factor identified was
    the availability of concentrated KCl on the nursing unit. In six of the
    eight cases, the KCl was mistaken for some other medication, primarily
    due to similarities in packaging and labeling. Most often, KCl was
    mistaken for sodium chloride, heparin or furosemide (Lasix).

    Issue For Consideration: In light of this experience, the Joint
    Commission suggests that health care organizations NOT make concentrated
    KCl available outside of the pharmacy unless appropriate specific
    safeguards are in place.

    --

    Let the bridges I burn light my way...

  20. Quoted message said:
    Peter Cole said:


    V-8 is the distance rider's resuscitation drink. It's probably the
    highest saline solution that's drinkable (subjective). A salt-rich


    meal

    Quoted message said:

    might be: V-8, doritos and a turkey sandwich (turkey is also loaded
    with potassium, although potassium depletion isn't an issue). Fast


    food

    Quoted message said:

    french fries are also a great source of salt (& potassium) but most
    can't tolerate the grease when riding hard.

    What's interesting to me is that my cravings during hot, humid, hard
    rides seem to be sodium and potassium foods. I didn't know french
    fries had any potassium, but I know they taste wonderful to me in


    those

    Quoted message said:

    conditions.

    How about Pringles potato chips? That's something else that I seem


    to

    Quoted message said:

    crave. And beer, of course. And, as mentioned, orange juice with


    salt

    Quoted message said:

    mixed into it.

    Quoted message said:

    From my table, it looks like 1 serving of Pringles has 100% RDA for


    Potassium, so does 32 fl oz of OJ, or a pound or so of bananas.

    Quoted message said:

    While we're at it, I wonder what foods are rich in magnesium. I'd be
    interested to know if I crave those.

    Watermelon, almonds, chocolate, sunflower seeds...

    Funny thing about beer. I was doing a 400K (250 mi) ride, and all I
    could think of for the last several hours was a cold beer. I called my
    wife and begged her to bring a cold one (or 2) to the finish. When I
    got there I couldn't wait for it, but it was the worst tasting beer I
    think I've ever had, couldn't finish a single bottle. Same beer tasted
    fine the next day.

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