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Hydrate or Die... or

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14 April 2005
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  1. Roger Zoul said:

    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.

    Try Tums/Rolaids/whatever. You can get them in almost any convenience store,
    even in the middle of nowhere.

    Matt O.

  2. Peter Cole said:
    Matt O'Toole said:

    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.

    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.

    Well, V8, pretzels, and turkey sandwiches are definately some of my staples.

    Quoted message said:
    Quoted message said:

    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.

    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.

    It looks like you can get all that in Tums or whatever. Someone told me the
    B-vitamins in Hammergel are what makes the difference.

    Matt O.

  3. Matt O'Toole said:
    Peter Cole said:


    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.

    It looks like you can get all that in Tums or whatever. Someone told


    me the

    Quoted message said:

    B-vitamins in Hammergel are what makes the difference.

    Well, it's about 5x the RDA for B-6. I don't know what the science is
    supposed to be, people have been hustling B-vitamins for decades as a
    cure-all for fatigue. I think it's BS. You do need the salt if you
    sweat enough to blow through your 8 gr nominal (sodium) reserve. My
    home-made capsules are about 1 g of salt (400 mg sodium), and I take
    one every couple of hours after I get to the point where I start to
    lose my thirst (8-10 hr, typically of hot, hard riding). Those
    Hammergel caps, like Gatorade, just wouldn't do much for me. Heck, 12
    fl oz of V-8 is 1 g of sodium (2.5 g salt).

  4. Jim Smith said:
    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.


    I only put that in there as a maybe, since some people must be
    exercising to lose both weight and high blood pressure. I am borderline
    myself at 130/90 so I only sometimes take Atenolol/Tenormin which lowers
    BP by about 10 points but also put my pulse down that much, a side
    effect I don't mind while relaxing.
    Caution with all meds, vitamins, and foods.
    Bill Baka

  5. Wasatch5k said:
    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.


    This does hold up to scrutiny but Potassium
    Chloride is sold over the counter, so to speak as a salt substitute for
    those with high blood pressure. I think there is also one that is a mix
    of 50% each KCl and NaCl.
    Bill Baka

  6. Matt O'Toole said:
    Roger Zoul said:

    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.

    Try Tums/Rolaids/whatever. You can get them in almost any convenience store,
    even in the middle of nowhere.

    Matt O.


    Tums are just Calcium carbonate so you will have strong bones at least.
    A friend of mine eats about 30 a day, like candy and has never broken a
    bone. Figure that one out.
    Bill Baka

  7. Matt O'Toole said:
    Roger Zoul said:

    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.

    Try Tums/Rolaids/whatever. You can get them in almost any convenience
    store,
    even in the middle of nowhere.

    But read the label. Tums are just calcium. Rolaids are a mix of calcium
    and magnesium.

    Austin
    --
    I'm pedaling as fast as I durn well please!
    There are no X characters in my address

  8. bbaka said:

    Sodium is also needed, although not in the huge quantities that the
    average American takes in.

    Not necessarily true. Largest study ever done (about 4 years ago) on sodium
    vs. lifespan found that (almost) across the board, people consuming more
    sodium lived longer. That was still true when they isolated persons who had
    conditions that traditionally indicated low sodium diets. Apparently,
    sodium intake reduction (in most circumstances) only treats symptoms and not
    the underlying problem.

    Austin
    --
    I'm pedaling as fast as I durn well please!
    There are no X characters in my address

  9. bbaka said:

    Beer and Pizza not counting since I ride where there are no stores,
    anything I can find growing wild is tasty and I have been known to stop
    for a good half hour to pick a blackberry bush clean. I raided an orchard
    one time thinking I was eating small plums and they turned out to be
    prunes. BIG surprise down the road.
    When you are riding hard, hot and fast, almost anything looks like a well
    prepared steak.

    Sounds like bonking (carb-starved) description I once heard. "You know
    you've bonked when you start watching the ground looking for something to
    can eat."

    Austin
    --
    I'm pedaling as fast as I durn well please!
    There are no X characters in my address

  10. "bbaka" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Tums are just Calcium carbonate so you will have strong bones at least.
    A friend of mine eats about 30 a day, like candy and has never broken a
    bone. Figure that one out.
    Bill Baka


    I've never eaten a Tums in my life or ever broken a bone. Not much figuring
    needed when you've already swallowed the snake oil salesman's pitch.

  11. Austin MN said:
    bbaka said:

    Sodium is also needed, although not in the huge quantities that the
    average American takes in.

    Not necessarily true. Largest study ever done (about 4 years ago) on
    sodium vs. lifespan found that (almost) across the board, people
    consuming more sodium lived longer. That was still true when they
    isolated persons who had conditions that traditionally indicated low
    sodium diets. Apparently, sodium intake reduction (in most
    circumstances) only treats symptoms and not the underlying problem.

    Austin

    I was referring to the fairly large amount of people with High Blood
    Pressure who never get it checked and never know they have it until it
    is too late. The average young American (under 30-35) may not know or
    care, as I didn't either, with the typical attitude of being
    indestructible. Life taught me a few lessons along the way. Everything I
    have ever read says that a 10 point drop in blood pressure should equal
    out to about that many more years of life. Apparently it puts less long
    term stress on the heart, kidneys, and certain other vital organs.
    Sodium itself was not the only link, but also stress and other factors.
    I do know that when riding you had better pay attention, as in Lance
    Armstrong's case in last years TdF where he lost about 5 pounds from
    dehydration and had to be supplemented with an IV that night. I heard
    that you can only survive (not function) after losing about 10% of you
    body weight in water.
    And no I can' post references but they are out there. Dial up makes even
    a Google and some sites loading very painful.
    Bill (Still at 46.2k) Baka

  12. Austin MN said:
    bbaka said:

    Beer and Pizza not counting since I ride where there are no stores,
    anything I can find growing wild is tasty and I have been known to
    stop for a good half hour to pick a blackberry bush clean. I raided an
    orchard one time thinking I was eating small plums and they turned out
    to be prunes. BIG surprise down the road.
    When you are riding hard, hot and fast, almost anything looks like a
    well prepared steak.

    Sounds like bonking (carb-starved) description I once heard. "You know
    you've bonked when you start watching the ground looking for something
    to can eat."

    Austin

    It is more of a bonking prevention thing. And since I am only out for
    the mere reason of being out and not inside a building, why not? I get
    different fruits and things that are accessible during different parts
    of the Spring and Summer. Remember, I am not riding at full speed, about
    18 MPH for me, but for distance and to soak up all knowledge of my
    chosen road. I do get the bonk after about 70 miles in the mountains and
    after having eaten or drank everything I brought with me. When I start
    out I am like a self contained grocery mart but after 70 miles the
    shelves are empty and so am I. Come summer I will probably have 6 water
    bottles on my bike filled with Orange juice and V-8 (I hate Gatorade).
    The roadside fruit is just an excuse to stretch my legs and get
    circulation in the sit bones again.
    Bill (tourist) Baka

  13. matabala said:

    "bbaka" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Tums are just Calcium carbonate so you will have strong bones at least.
    A friend of mine eats about 30 a day, like candy and has never broken a
    bone. Figure that one out.
    Bill Baka

    I've never eaten a Tums in my life or ever broken a bone. Not much figuring
    needed when you've already swallowed the snake oil salesman's pitch.


    They would probably serve a better service for women but they are like
    candy if you chew on them and I don't see any harm in giving your body
    plenty of calcium for later years in life. I think that at 75 or so your
    doctor would be amazed at the bone mass as opposed to people who never
    do anything right to help their own long term health. The other fringe
    benefit is that it makes sleep better (some obscure memory in there),
    but I can't post a link.
    Bill Baka

  14. Peter Cole said:

    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.

    I've found the same thing - when I'm really hot and thirsty a beer is
    the last thing I want to drink. Nothing is better than a huge glass
    of nice cold (not TOO cold...) water.

    Mark "glug, glug, glug" Hickey
    Habanero Cycles
    http://www.habcycles.com
    Home of the $695 ti frame

  15. Werehatrack said:

    I believe there is an old saying, "Moderation in all things, and all
    things in moderation."

    Including moderation.

  16. Wasatch5k <[email hidden]> wrote in
    news:[email hidden]:

    Quoted message said:
    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.

    Increasing the potassium concentration in extracellular body fluids
    depolarizes the electrical potential across the membranes of nerve
    cells and muscle cells. Sustained depolarization of the heart muscle
    cells kills you by stopping the heart. I believe that anesthetic and
    paralytic agents are infused before the potassium chloride to prevent
    the *massive* seizure that would otherwise result.

    --
    Mike Nitabach

  17. Werehatrack said:

    On Thu, 14 Apr 2005 23:50:47 GMT, [email hidden]

    Quoted message said:

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

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

    I believe there is an old saying, "Moderation in all things, and all
    things in moderation."

    Ultra-cycling is not moderate. Moderation is boring, anyway.

  18. Peter Cole said:
    Roger Zoul said:

    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

    Quoted message said:

    :: 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

    Quoted message said:

    :: reckon that its worth a shot for those not getting good results

    from

    Quoted message said:

    :: there potassium tablets (or whatever you're using)

    Thanks for the info....I had big problems with cramps on two rides

    last year

    Quoted message said:

    and ended up in the sag wagon. So, I'm going to try the magnesium

    this

    Quoted message said:

    time.

    Some people say potassium, some say calcium, now it's magnesium. You
    have to diferentiate between "medical" cramps (which may be an ion
    imbalance) and "exercise induced cramps". EIC is purely the result of
    fatigue. There's no magic pill or food. You can only train for
    endurance. The harder you push muscles, the faster you accumulate
    fatigue. You can get the most out of your current level of fitness by
    keeping your muscular level of effort very uniform. For most people
    that means not getting carried away and going out too fast and backing
    off to a comfortable pace during climbs. A HRM can be useful to keep an
    eye on your average effort level and help to pace yourself.

    Good info, as usual, Peter. I remember talking here about my muscle
    cramps last year when they occur. Everyone told me to drink more water
    or more gatoraid. No one mentioned any possiblity of EIC. I'm sure my
    problem was EIC, as it only occured in my quads as a result of climbing
    hills. I'm a big fella (225 lbs) so even though I have strong legs it's
    hard to train them for hills unless I'm climbing them every day, which I
    can't do. The first time I sagged out due to quad cramps was the result
    of trying to race someone up a hill. I had no idea that the cramps would
    happen later on in that ride. The second time it happened, I wasn't so
    foolish, but I basically overreached in my climbing.

    I'll probably still try the mag just in case though. While I feel EIC is
    the problem, it's really hard to say for sure.

  19. Peter Cole said:
    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?

    Quoted message said:
    Quoted message said:

    I believe there is an old saying, "Moderation in all things, and
    all things in moderation."

    Quoted message said:

    Ultra-cycling is not moderate. Moderation is boring, anyway.

    Yes, and we are all ultra cyclists and emulate Lance Armstrong when
    riding. This recurring thread permeates these discussions that are
    full of posturing that no one can prove or disprove other than by its
    syndrome, especially by a raft of overweight riders.

    Now don't all rise your hands at once! I'm not asking for volunteers.

    [email hidden]

  20. Quoted message said:

    Peter Cole writes:


    (actually just the last sentence, the first was Jobst, the second
    Werehatrack)

    Quoted message said:


    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?

    Quoted message said:
    Quoted message said:

    I believe there is an old saying, "Moderation in all things, and
    all things in moderation."

    Quoted message said:

    Ultra-cycling is not moderate. Moderation is boring, anyway.

    Yes, and we are all ultra cyclists and emulate Lance Armstrong when
    riding. This recurring thread permeates these discussions that are
    full of posturing that no one can prove or disprove other than by its
    syndrome, especially by a raft of overweight riders.

    Now don't all rise your hands at once! I'm not asking for


    volunteers.

    Who are these "overweight riders", anyway? And what does that have to
    do with under/over hydration?

    The context of the article, which you should know, since you initiated
    the thread, described a problem that surfaced in marathon runners. The
    obvious question was whether it was a risk for cyclists. Or did you
    have some other reason for posting it? You're not shedding much light
    with these cryptic remarks.

    Moderate drinking is fine when the activity is moderate, immoderate
    activity (which I happen to enjoy from time to time) has other
    requirements. The trick is knowing the difference.

    Regulating sodium can be difficult under stressful conditions. It can
    be hard to recognize the various combinations of too much/too little,
    fluid/sodium.
    <http://www.ultracycling.com/nutrition/hyponatremia2.html>

    You needn't mock an activity you don't participate in, it's unseemly.

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