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Using Salt to Optimize Mental & Physical Performance | Huberman Lab Essentials

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Using Salt to Optimize Mental & Physical Performance | Huberman Lab Essentials

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872 segments

0:00

Welcome to Huberman Lab Essentials,

0:02

where we revisit past episodes for the

0:04

most potent and actionable science-based

0:06

tools for mental health, physical

0:08

health, and performance.

0:11

I'm Andrew Huberman and I'm a professor

0:13

of neurobiology and opthalmology at

0:15

Stanford School of Medicine. Today we

0:17

are going to discuss salt, also referred

0:20

to as sodium. Salt has many, many

0:23

important functions in the brain and

0:24

body. For instance, it regulates fluid

0:26

balance, how much fluid you desire and

0:29

how much fluid you excrete. Salt also

0:32

regulates your appetite for other

0:34

nutrients, things like sugar, things

0:36

like carbohydrates. We all harbor small

0:39

sets of neurons. We call these sets of

0:41

neurons nuclei, meaning little clusters

0:44

of neurons that sense the levels of salt

0:47

in our brain and body. There are a

0:50

couple brain regions that do this. And

0:52

these brain regions are very very

0:54

special. Special because they lack

0:57

biological fences around them that other

0:59

brain areas have. And the those fences

1:01

or I should say that fence goes by a

1:04

particular name. And that name is the

1:05

blood brain barrier or BBB.

1:08

Most substances that are circulating

1:10

around in your body do not have access

1:12

to the brain. In particular, large

1:14

molecules can't just pass into the

1:16

brain. The brain is a privileged organ

1:19

in this sense. However, there are a

1:21

couple of regions in the brain that have

1:25

a fence around them, but that fence is

1:27

weaker. And it turns out that the areas

1:29

of the brain that monitor salt balance

1:32

and other features of what's happening

1:34

in the body at the level of what we call

1:36

osmalerity

1:38

at the concentration of salt

1:41

reside in these little sets of neurons

1:45

that sit just on the other side of these

1:46

weak fences. And the most important and

1:49

famous of these for the sake of today's

1:51

conversation is one called OVLT. OVLT

1:55

stands for the organome vasculosum of

1:57

the lateral terminalis. the neurons in

1:59

that region are able to pay attention to

2:02

what's passing through in the

2:04

bloodstream and can detect for instance

2:06

if the levels of sodium in the

2:08

bloodstream are too low if the level of

2:10

blood pressure in the body is too low or

2:12

too high and then the OVLT can send

2:15

signals to other brain areas and then

2:17

those other brain areas can do things

2:19

like release hormones that can go and

2:21

act on tissues in what we call the

2:24

periphery in the body for instance have

2:27

the kidneys secrete eat more urine to

2:30

get rid of salt that's excessive salt in

2:32

the body. So let's talk about the

2:34

function of the OVLT and flesh out some

2:36

of the other aspects of its circuitry of

2:38

its communication with other brain areas

2:40

and with the body in the context of

2:42

something that we are all familiar with

2:43

which is thirst. Have you ever wondered

2:46

just why you get thirsty? Well, it's

2:48

because neurons in your OVLT are

2:51

detecting changes in your bloodstream

2:53

which detect global changes within your

2:56

body. And in response to that, your OVLT

2:59

sets off certain events within your

3:02

brain and body that make you either want

3:04

to drink more fluid or to stop drinking

3:06

fluid.

3:08

There are two main kinds of thirst. The

3:10

first one is called osmotic thirst and

3:13

the second is called hypovalmic thirst.

3:17

Osmotic thirst has to do with the

3:18

concentration of salt in your

3:20

bloodstream. So let's say you ingest

3:22

something very very salty. Let's say you

3:24

ingest, you know, a big bag of I I

3:26

confess I don't eat these very often,

3:27

but I really like those kettle potato

3:29

chips. And I don't have too much shame

3:31

about that because I think I have a

3:33

pretty healthy relationship to food and

3:35

I enjoy them. And I understand that it

3:38

will drive salt levels up in my

3:40

bloodstream and that will cause me to be

3:43

thirsty. But why? Why? Because neurons

3:45

in the OVLT come in two main varieties.

3:49

One variety senses the osmalerity of the

3:52

blood. And when the osmalerity, meaning

3:55

the salt concentration in the blood is

3:56

high, it activates these specific

3:59

neurons in the OVLT. And by activates, I

4:01

mean it causes them to send electrical

4:03

potentials, literally send electrical

4:06

signals to other brain areas. And those

4:09

other brain areas inspire a number of

4:11

different downstream events. The

4:14

consequence of th that communication is

4:16

that a particular hormone is eventually

4:19

released from the posterior pituitary.

4:22

So from the pituitary there's a hormonal

4:25

signal that's released called vasop

4:26

prein. Vasop prein also goes by the name

4:30

antidiuretic hormone.

4:32

And

4:34

antidiuretic hormone has the capacity to

4:37

either restrict the amount of urine that

4:39

we secrete or when that system is turned

4:42

off to increase the amount of urine that

4:45

we secrete. So there's a complicated set

4:49

of cascades that's evoked by having high

4:51

salt concentration in the blood. There's

4:53

also a complicated set of cascades that

4:55

are evoked by having low concentrations

4:57

of sodium in the blood. But the pathway

5:00

is nonetheless the same. It's OVLT is

5:03

detecting those osmalerity changes,

5:05

communicating to the superoptic nucleus.

5:06

superoptic nucleus is either causing the

5:10

release of or is releasing vasopressin

5:13

antidiuretic hormone or that system is

5:16

shut off so that the antidiuretic

5:19

hormone is not secreted which would

5:21

allow urine to flow more freely. Right?

5:23

Antidiuretic means anti- release of

5:26

urine and by shutting that off you are

5:30

going to cause the release of urine.

5:32

You're sort of allowing a system to flow

5:34

so to speak. The second category of

5:36

thirst is hypoalmic thirst. Hypoalmic

5:40

thirst occurs when there's a drop in

5:43

blood pressure. Okay. So the OVLT as I

5:46

mentioned before can sense osmalerity

5:48

based on the fact that it has these

5:49

neurons that can detect how much salt is

5:51

in the bloodstream. But the OVLT also

5:55

harbors neurons that are of the

5:57

barrowceptor mechano receptor category.

6:01

Now more on barero receptors and mechano

6:04

receptors later but barerrow receptors

6:07

are essentially a receptor a meaning a

6:11

protein that's in a cell that responds

6:14

to changes in blood pressure. So there

6:17

are a number of things that can cause

6:18

decreases in blood pressure. Some of

6:20

those include for instance if you lose a

6:22

lot of blood right if you're bleeding

6:23

quite a lot or in some cases if you

6:27

vomit quite a lot or if you have

6:28

extensive diarrhea or any combination of

6:31

those. Both types of thirst os osmotic

6:34

thirst and hypoalmic thirst are not just

6:36

about seeking water but they also are

6:39

about seeking salt. In very general

6:41

terms, salt, aka sodium

6:45

can help retain water, but sodium and

6:48

water work together in order to generate

6:51

what we call thirst. Sodium water work

6:53

together in order to either retain water

6:56

or inspire us to let go of water to

6:59

urinate. So before we can dive into the

7:01

specifics around salt and how to use

7:03

salt for performance and various

7:06

recommendations and things to avoid, we

7:08

need to drill a little bit deeper into

7:10

this fluid balance mechanism in the

7:12

body. And for that reason, we have to

7:14

pay at least a little bit of attention

7:15

to the kidney. The kidney is an

7:17

incredible organ. And one of the reasons

7:19

the kidney is so amazing is that it's

7:22

responsible for both retaining, holding

7:24

on to or allowing the release of various

7:28

substances from the body. Basically,

7:30

blood enters the kidney and it goes

7:34

through a series of tubes which are

7:35

arranged into loops. If you want to look

7:38

more into this, there's the the

7:39

beautiful loop of Henley and other

7:41

aspects of the kidney design that allow

7:45

certain

7:47

substances to be retained and other

7:48

substances to be released depending on

7:50

how concentrated those substances are in

7:52

the blood.

7:55

The kidney responds to a number of

7:56

hormonal signals including vasopressin

7:59

in order to for instance antidiuretic

8:02

hormone in order to hold on to more

8:03

fluid if that's what your brain and body

8:06

need and it responds to other hormonal

8:08

signals as well. So it's a pretty

8:10

complex organ. So the way the kidney is

8:14

designed is that about 90% of the stuff

8:17

that's absorbed from the blood is going

8:19

to be absorbed early in this series of

8:21

tubes. So just to give a really simple

8:23

example, let's say that you are very low

8:26

on fluid. You haven't had much to drink

8:28

in a while. Maybe you're walking around

8:30

on a hot day. Chances are that the

8:33

neurons in your OVLT

8:36

will sense the increase in osmarity,

8:38

right? The concentration of salt is

8:41

going to be increased relative to the

8:43

fluid volume that's circulating. This of

8:46

course assumes that you haven't excreted

8:48

a lot of sodium for one reason or

8:49

another. But that increase in osmalerity

8:52

is detected by the OVLT. The OVLT is

8:54

going to signal a bunch of different

8:56

cascades through the superoptic nucleus

8:58

etc. And then vasop prein is going to be

9:01

released into the bloodstream. And vasop

9:03

prein again also called antidiuretic

9:05

hormone is going to act on the kidney

9:08

and change the kidney's function in a

9:11

couple of different ways. Some

9:13

mechanical, some chemical, okay? in

9:16

order to make sure that your kidney does

9:18

not release much water, doesn't make you

9:22

want to urinate and in fact even if you

9:24

would try to urinate your body's going

9:25

to tend to hold on to its fluid stores.

9:27

Okay, so very simple straightforward

9:29

example. We can also give the other

9:31

example whereby if you're ingesting a

9:33

lot a lot a lot of water and it's not a

9:36

particularly hot day and you're not

9:37

sweating very much. Let's assume your

9:39

salt intake is constant or or is low for

9:42

whatever reason. Well then the

9:44

osmalerity the salt concentration in

9:46

your blood is going to be lower. Your

9:47

OVLT will detect that because of these

9:51

osmo sensing neurons in your OVLT. Your

9:55

OVLT will fail to signal to the

9:58

superoptic nucleus and there will not be

10:01

the release of vasopressin antidiuretic

10:03

hormone and you can excrete uh all the

10:06

water that uh your body wants to

10:08

excrete. Meaning you'll be able to

10:10

urinate. there's no holding on to water

10:12

at the level of the kidney. Okay. So,

10:13

how much salt do we need and what can we

10:16

trust in terms of trying to guide our

10:19

ingestion of salt? First of all, I want

10:21

to be very very clear that there are a

10:23

number of people out there that have

10:25

prehypertension or hypertension. You

10:27

need to know if you have prehypertension

10:29

or hypertension. You need to know if you

10:31

have normal tension, meaning normal

10:34

blood pressure. Everyone should know

10:36

their blood pressure is an absolutely

10:38

crucial measurement that has a lot of

10:41

impact on your immediate and long-term

10:43

health outcomes. It informs a lot about

10:45

what you should do. Should you be doing

10:47

more cardiovascular exercise? Should you

10:48

be ingesting more or less salt? And

10:51

without knowing what your blood pressure

10:52

is, I can't give a one-sizefits-all

10:55

recommendation. And indeed, I'm not

10:57

going to give medical recommendations.

10:58

I'm simply going to spell out what I

11:00

know about the research which hopefully

11:02

will point you in the direction of

11:03

figuring out what's right for you in

11:05

terms of salt and indeed fluid intake.

11:07

There is a school of thought that

11:09

everybody is consuming too much salt.

11:12

And I do want to highlight the fact that

11:15

there are dozens if not hundreds of

11:17

quality papers that point to the fact

11:20

that a quote unquote high salt diet can

11:24

be bad for various organs and tissues in

11:27

the body, including the brain.

11:30

It just so happens that because fluid

11:32

balance both inside and outside of cells

11:35

is crucial not just for your heart and

11:38

for your lungs and for your liver and

11:40

for all the organs of your body but also

11:42

for your brain that if the salt

11:44

concentration inside of cells in your

11:47

brain go becomes too high, neurons

11:50

suffer, right? they will draw fluid into

11:53

those cells because water tends to

11:55

follow salt as I mentioned before and

11:59

those cells can swell. You can literally

12:01

get swelling of brain tissue.

12:03

Conversely, if salt levels are too low

12:06

inside of cells in any tissue of the

12:08

body, but in the brain included, then

12:13

the cells of the body and brain can

12:15

shrink because water is pulled into the

12:19

extracellular space away from cells. And

12:23

indeed, under those conditions, brain

12:25

function can suffer and indeed the

12:27

overall health of the brain can suffer.

12:29

At fairly low levels of sodium, meaning

12:32

at about two grams per day, you run

12:36

fewer health risks, but the number of

12:38

risks continues to decline as you move

12:39

towards four and five grams per day. And

12:42

then as you increase your salt intake

12:44

further, then the risk dramatically

12:47

increases. Most people are probably

12:49

consuming more than that because of the

12:52

fact that they are ingesting processed

12:55

foods and processed foods tend to have

12:57

more salt in them than non-processed

12:59

foods. But if we are to take this number

13:02

of 2.3 grams, that's the recommended

13:06

cutoff for ingestion of sodium that

13:09

indeed is associated with low incidence

13:11

of hazardous outcomes, cardiovascular

13:13

events, stroke, etc. So again, I want to

13:15

be very very clear that you need to know

13:17

your blood pressure. If you have high

13:18

blood pressure or you're

13:19

prehypertensive, you should be

13:21

especially cautious about doing anything

13:23

that increases your blood pressure. And

13:24

as always, you want to of course talk to

13:26

your doctor about doing anything that

13:27

could adjust your health in any

13:29

direction. But there are a number of

13:31

people out there that have low blood

13:33

pressure, right? People that get dizzy

13:35

when they stand up, people that are

13:37

feeling chronically fatigued. And in

13:39

some cases, not all, those groups can

13:42

actually benefit from increasing their

13:43

sodium intake. Why? Well, because of the

13:46

osmalerity of blood that we talked about

13:48

before, where

13:50

if you have a certain concentration of

13:53

sodium, meaning sufficient sodium in

13:55

your bloodstream, that will tend to draw

13:57

water into the bloodstream and

13:58

essentially the pipes that are your

13:59

capillaries, arteries, and and veins

14:01

will be full. The blood pressure will

14:03

get up to your head. Whereas some people

14:05

their blood pressure is low because the

14:07

osmalerity of their blood is low and

14:10

that can have a number of downstream

14:12

consequences. I should also mention it

14:13

can be the consequence itself of

14:18

challenges or or even deficits in kidney

14:20

function. But all of these organs are

14:22

working together. So the encouragement

14:24

here is not necessarily to ingest more

14:26

sodium. It's to know your blood pressure

14:28

and to address whether or not an

14:30

increase in sodium intake would actually

14:31

benefit your blood pressure in a way

14:33

that could relieve some of the dizziness

14:35

and other symptoms of things like

14:38

orthostatic disorders. Let's look at

14:40

what the current recommendations are for

14:43

people that suffer from orthostatic

14:45

disorders like orthostatic hypo meaning

14:47

too low tension orthostatic hypotension

14:50

postural tacicardia syndrome sometimes

14:52

referred to as POTS Ps or idiopathic

14:56

orthostatic tacicardia and syncope those

14:59

groups are often told to increase their

15:01

salt intake in order to combat their

15:03

symptoms. The American Society of

15:04

Hypertension recommends anywhere from

15:07

6,000 to 10,000. These are very high

15:10

levels. So, this is 6 g to 10 gram of

15:13

salt per day. Keeping in mind again that

15:16

salt is not the same as sodium. So, that

15:19

equates to about 2400 to 4,000

15:22

milligrams of sodium per day. I point

15:25

out this paper and I point out these

15:26

higher salt recommendations to emphasize

15:29

again that context is vital, right? that

15:32

people with high blood pressure are

15:34

going to need certain amounts of salt

15:36

intake. People with lower blood pressure

15:39

are going to need higher amounts of

15:41

salt. And for most people out there,

15:44

you're going to need to evaluate how

15:45

much salt intake is going to allow your

15:47

brain and body to function optimally. So

15:50

if you're exercising a lot, if you're

15:51

particular cold, dry environment or a

15:53

particular hot environment, you ought to

15:55

be ingesting sufficient amounts of salt

15:58

and fluid. A rule of thumb for

16:00

exercise-based replenishment of fluid uh

16:03

comes from what I uh some episodes back

16:06

referred to as the Galpin equation. Uh

16:09

the Galpin equation uh I named it

16:11

although after Andy Galpin and I think

16:13

uh that is the appropriate attribution

16:15

there. Andy Galpin is an exercise

16:17

physiologist. So the galpin equation is

16:19

based on the fact that we lose about 1

16:21

to five pounds of water per hour which

16:25

can definitely impact our mental

16:27

capacity and our physical performance.

16:29

And the reason that loss of water from

16:33

our system impacts mental capacity and

16:34

physical performance has a lot to do

16:36

with literally the changes in the volume

16:39

of those cells, the size of those cells

16:41

based on how much sodium is contained in

16:42

or outside those cells. And the formula

16:45

for hydration, the so-called galpin

16:47

equation is your body weight in pounds

16:51

divided by 30 equals the ounces of fluid

16:54

you should drink every 15 minutes. Now

16:57

the Galpin equation is mainly designed

17:01

for exercise, but I think is actually a

17:03

very good rule of thumb for anytime that

17:06

you need to engage mental capacity, not

17:09

just physical performance. The idea is

17:11

to make sure that you're entering the

17:13

activity, cognitive or or physical,

17:16

sufficiently hydrated, and that

17:18

throughout that activity, you're

17:19

hydrating regularly. And it points to

17:21

the fact that most people are probably

17:23

underhydrating, but not just

17:25

underhydrating from the perspective of

17:28

not ingesting enough water that they're

17:30

probably not getting enough electrolytes

17:32

as well, sodium, potassium, and

17:33

magnesium. So, we've all heard about how

17:36

excess salt it's bad for blood pressure,

17:38

damage the heart, the brain, etc. I do

17:41

want to give some voice to situations

17:43

where too little salt can actually cause

17:46

problems. And this has everything to do

17:48

with the nervous system. So, without

17:50

getting into excessive amounts of

17:51

detail, the kidneys, as we talked about

17:55

before, are going to regulate salt and

17:57

fluid balance. The adrenal glands which

18:01

ride at top the kidneys are going to

18:03

make gluccocorticoids like eldoststerone

18:05

and those are going to directly impact

18:07

things like fluid balance and in part

18:11

they do that by regulating how much

18:13

craving for and tolerance of salty

18:16

solutions uh we have the whole basis for

18:20

a relationship between the adrenal

18:22

system these gluccocorticoids things

18:24

like eldoststerone and the craving for

18:26

sodium is that

18:28

the stress system is a generic system

18:31

designed to deal with various challenges

18:33

to the organism to you or to me or to an

18:36

animal. And those challenges can arrive

18:39

in many different forms.

18:42

They can be an infection, it can be

18:43

famine, it can be lack of water and so

18:46

on. But in general, the stress response

18:49

is one of elevated heart rate, elevated

18:51

blood pressure, and an ability to

18:53

maintain movement and resistance to that

18:56

challenge. Okay, it's clear from a

18:58

number of studies that if sodium levels

19:00

are too low that our ability to meet

19:03

stress challenges is impaired. There are

19:06

conditions such as when we are under

19:08

stress challenge when there is a natural

19:10

craving for more sodium and that natural

19:13

craving for more sodium is hardwired

19:15

into us as a way to meet that challenge.

19:18

Now we can't have a discussion about

19:19

sodium without having a discussion about

19:21

the other electrolytes magnesium and

19:23

potassium. I want to emphasize that many

19:26

people are probably getting enough

19:27

magnesium in their diet that they don't

19:30

need to supplement magnesium. Some

19:32

people however opt to supplement

19:34

magnesium in ways that can support them.

19:36

And there are many different forms of

19:38

magnesium. And just in very brief

19:41

passing, I'll just say that there is

19:44

some evidence that you can reduce muscle

19:47

soreness from exercise by ingestion of

19:50

magnesium malate. M a l a t. I've talked

19:54

before about magnesium thrienate. T h r

19:59

e n o a t. magnesium thrienate for sake

20:03

of promoting the transition into sleep

20:05

and for depth of sleep. And then there

20:06

are other forms of magnesium, magnesium

20:08

bislycinate which is seems at least on

20:10

par with magnesium 3 and8 in terms of

20:13

promoting transition into and depth of

20:15

sleep and so on. There are other forms

20:17

of magnesium magnesium citrate which um

20:20

has other functions. Actually magnesium

20:22

citrate is a is a fairly effective uh

20:25

laxative um not known to promote sleep

20:29

and things of that sort. So, a lot of

20:30

different forms of magnesium and there's

20:32

still other forms out there. Many people

20:34

are not getting enough magnesium. Many

20:36

people are. Okay. So, that's magnesium.

20:39

Anytime we're talking about sodium

20:41

balance, we have to take into

20:42

consideration potassium because the way

20:44

that the kidney works and the way that

20:46

sodium balance is regulated both in the

20:48

body and the brain is that sodium and

20:50

potassium are working in close concert

20:52

with one another. There are a lot of

20:54

different recommendations about ratios

20:56

out there and they range widely from 2:1

21:00

ratio of potassium to sodium. Uh I've

21:03

heard it in the other direction too.

21:05

I've heard a 2:1 sodium to potassium. Um

21:08

the recommendations vary. Now for people

21:10

that are following low carbohydrate

21:12

diets, one of the most immediate effects

21:15

of a low carbohydrate diet is that

21:16

you're going to excrete more water. And

21:18

so under those conditions, you're also

21:20

going to lose not just water, but you'll

21:22

probably also lose sodium and potassium.

21:24

And so some people, many people in fact,

21:27

find that when they are on a lower or

21:29

low carbohydrate diet, then they need to

21:31

make sure that they're getting enough

21:33

sodium and enough potassium. And of

21:35

course, some people who are on low

21:36

carbohydrate diets do ingest vegetables,

21:40

you know, or other forms of of food that

21:42

that carry along with them potassium. So

21:44

it's quite variable from person to

21:48

person. I mean you can imagine if

21:50

carbohydrate holds water, water and salt

21:52

balance and potassium go hand in hand in

21:55

hand. That if you're on a low

21:57

carbohydrate diet that you might need to

21:58

adjust your salt intake and potassium

22:00

and conversely that if you're on a

22:02

carbohydrate- richch diet or a moderate

22:04

carbohydrate diet, then you may need to

22:05

ingest less sodium and less potassium.

22:07

So, up until now, we've been talking

22:09

about salt as a substance and a way to

22:11

regulate fluid balance and blood volume

22:14

and so on. We haven't talked a lot about

22:16

salt as a taste or the taste of things

22:18

that are salty. And yet, we know that we

22:21

have salt receptors, meaning neurons

22:24

that fire action potentials when salty

22:28

substances are detected. Much in the

22:30

same way that we have sweet detectors

22:31

and bitter detectors and we have

22:34

detectors of umami, the savory flavor on

22:37

our tongue. Well, we also have salt

22:39

sensors at various locations throughout

22:41

our digestive tract. Although that the

22:44

sensation and the taste of salt actually

22:46

ex exerts a very robust effect on

22:49

certain areas of the brain that can

22:52

either make us crave more or sate,

22:55

meaning fulfill our desire for salt. And

22:58

you can imagine why this would be

22:59

important. Your brain actually has to

23:01

register whether or not you're bringing

23:02

in salt in order to know whether or not

23:05

you are going to crave salt more or not.

23:08

And beautiful work that's been done by

23:10

the Zuker lab, Zuker, Zuker lab at

23:13

Columbia University, as well as many

23:15

other labs have used imaging techniques

23:17

and other techniques such as molecular

23:19

biology to define these so-called

23:20

parallel pathways. Parallel meaning

23:22

pathways that represent sweet or the

23:25

presence of sweet tastes in the mouth

23:26

and gut. Parallel pathways meaning

23:29

neural circuits that represent the

23:30

presence of salty tastes in the mouth

23:32

and gut and so on. And that those go

23:35

into the brain move up through brain

23:38

stem centers and up to the neoortex

23:40

indeed where our seat of our conscious

23:42

perception is to give us a sense and a

23:44

perception of the components of the

23:48

foods that we happen to be ingesting.

23:50

the pathways, the parallel pathways for

23:53

salty and the parallel pathways for

23:55

sweet and bitter and so on can actually

23:57

interact. And this has important

23:59

relevance in the context of food choices

24:01

and sugar craving. One of the things

24:04

that's common place nowadays is in many

24:07

processed foods there is a business

24:09

literally a business of putting

24:11

so-called hidden sugars. And these

24:13

hidden sugars are not always in the form

24:15

of caloric sugars. They're sometimes in

24:16

the form of artificial sweeteners into

24:19

various foods. And you might say, well,

24:21

why would they put more sugar into a

24:23

food and then disguise the sugary taste

24:26

given that sweet tastes often compel

24:28

people to eat more of these things?

24:30

Well, it's a way actually of bypassing

24:32

some of the homeostatic mechanisms for

24:34

sweet. You know, even though we might

24:36

think that the more sweet stuff we eat,

24:38

the more sweet stuff we crave, in

24:40

general, people have a threshold whereby

24:42

they say, "Okay, I've had enough uh

24:43

sugary stuff." So these sensory systems

24:46

interact in this way

24:49

by putting sugars into foods and hiding

24:52

the sugary taste of those foods. Those

24:55

foods, even if they contain artificial

24:57

sweeteners, that will then signal to the

24:58

brain to release more dopamine and make

25:00

you crave more of that food. Whereas had

25:02

you been able to perceive the true

25:05

sweetness of that food, you might have

25:07

consumed less. And indeed, that's what

25:09

happens. So these hidden sugars are kind

25:10

of diabolical.

25:12

Why am I talking about all of this in

25:14

the context of an episode on salt? Well,

25:18

as many of you have probably noticed, a

25:19

lot of foods out there contain a salty

25:23

sweet combination. And it it's that

25:25

combination of salty and sweet, which

25:27

can actually lead you to consume more of

25:29

the salty sweet food than you would have

25:33

it if it had just been sweet or it had

25:36

just been salty. And that's because both

25:39

sweet taste and salty taste have a

25:42

homeostatic balance. So if you ingest

25:44

something that's very very salty, pretty

25:45

soon your appetite for salty foods will

25:47

be reduced. But if you mask some of that

25:49

with sweet, well, because of the uh

25:52

interactions of these parallel pathways,

25:55

you somewhat shut down your perception

25:57

of how much salt you're ingesting. Or

26:00

conversely, by ingesting some salt with

26:02

sweet foods, you mask some of the

26:04

sweetness of the sweet foods that you're

26:05

tasting and you will continue to indulge

26:07

in those foods. So salty sweet

26:09

interactions uh can be very diabolical.

26:12

They can also be very tasty, but they

26:13

can be very diabolical in terms of

26:15

inspiring you to eat more of a

26:16

particular food than you would otherwise

26:19

if you were just following your

26:21

homeostatic salt or your homeostatic

26:23

sugar balance systems. So your brain has

26:26

a way of representing the pure form of

26:29

taste, salty, sweet, bitter, etc., and

26:31

has a way of representing their

26:32

combinations. And food manufacturers

26:35

have have exploited this um to a large

26:37

degree. I mention all of this because if

26:39

you're somebody who's looking to explore

26:42

either increasing or decreasing your

26:44

sodium intake for health benefits, for

26:47

performance benefits, in many ways it is

26:50

useful to do that in the context of a

26:52

fairly pure meaning unprocessed food

26:55

intake background. Whether or not that's

26:58

keto, carnivore, omnivore, uh

27:01

intermittent fasting, or what have you,

27:02

it doesn't really matter. But the closer

27:04

that foods are to their basic form and

27:07

taste, meaning not com large

27:10

combinations of large amounts of

27:11

ingredients, and certainly avoiding

27:13

highly processed foods, the more quickly

27:16

you're going to be able to hone in on

27:18

your specific salt appetite and salt

27:20

needs, which as I've pointed out

27:22

numerous times throughout this episode,

27:23

are going to vary from person to person

27:25

depending on nutrition, depending on

27:27

activity, depending on hormone status.

27:29

So, if you want to home in on the

27:31

appropriate amount of sodium for you,

27:33

yes, blood pressure is going to be an

27:35

important metric to pay attention to as

27:36

you go along. But in determining whether

27:38

or not increasing your salt intake might

27:41

be beneficial for uh for instance, for

27:44

reducing anxiety a bit or for increasing

27:46

blood pressure to offset some of these

27:48

postural syndromes where you get dizzy,

27:50

etc. for improving sports performance or

27:52

cognitive performance. And indeed many

27:54

people find and it's reviewed a bit and

27:56

some of the data are reviewed in the

27:58

book the salt fix that when people

28:01

increase their salt intake in a backdrop

28:04

of relatively unprocessed foods that

28:06

sugar cravings can indeed be vastly

28:08

reduced. And that makes sense given the

28:10

way that these neural pathways for salty

28:12

and sweet interact. Now, thus far, I've

28:14

already covered quite a lot of material,

28:17

but I would be completely remiss if I

28:20

didn't emphasize the crucial role that

28:23

sodium plays in the way that neurons

28:26

function. In fact, sodium is one of the

28:28

key elements that allows neurons to

28:30

function at all. And that's by way of

28:33

engaging what we call the action

28:34

potential. The action potential is the

28:37

fundamental way in which neurons

28:39

communicate with one another. The point

28:41

I'd like to make, at least as it relates

28:43

to this episode on salt, is that having

28:46

sufficient levels of salt in your system

28:48

allows your brain to function, allows

28:50

your nervous system to function at all.

28:52

Again, this is the most basic aspect of

28:54

nervous system function. And there are

28:57

cases where this whole system gets

29:00

disrupted. And that brings us to the

29:03

topic of sodium and water balance.

29:06

As many of you have probably heard, but

29:07

hopefully uh if you haven't, you'll take

29:10

this message seriously. If you drink too

29:13

much water, especially in a short amount

29:15

of time, you can actually kill yourself.

29:18

All right? And we certainly don't want

29:20

that to happen. If you ingest a lot of

29:24

water in a very short period of time,

29:26

something called hyperetriia,

29:28

you will excrete a lot of sodium very

29:30

quickly and your ability to regulate

29:32

kidney function will be disrupted. But

29:34

in addition to that, your brain can

29:36

actually stop functioning. And I've

29:38

talked about this a bit in the episode

29:40

on endurance, but there are instances in

29:42

which, you know, competitive athletes

29:44

have come into the stadium to finish a

29:46

final lap of a long endurance race and

29:48

are completely disoriented and actually

29:50

can't find their way to the finish line.

29:51

You know, it might sound like kind of a

29:53

silly kind of crazy example, but there

29:55

are examples of people having severe

29:58

mental issues and physical issues post

30:01

exercise when that exercise involved a

30:03

ton of sweating or hot environments or

30:05

insufficient ingestion of fluids and

30:07

electrolytes because included in that

30:09

electrolyte formula, of course, is

30:11

sodium. And as you just learned, sodium

30:13

is absolutely crucial for neurons to

30:15

function. So to briefly recap some of

30:18

what I've talked about today, we talked

30:20

about how the brain monitors the amount

30:22

of salt in your brain and body and how

30:24

that relates to thirst and the drive to

30:27

consume more fluid andor salty fluids.

30:30

We also talked a little bit about the

30:32

hormones that come from the brain and

30:33

operate at the level of the kidney in

30:36

order to either retain or allow water to

30:40

leave your system. We talked a little

30:42

bit about the function of the kidney

30:43

itself, a beautiful organ. We talked

30:46

about the relationship between salt

30:49

intake and various health parameters and

30:52

how a particular range of salt intake

30:55

might be optimal depending on the

30:59

context in which that range is being

31:01

consumed. Meaning depending on whether

31:03

or not you're hypertensive,

31:04

pre-hypertensive or normal tension. We

31:07

talked about fluid intake and

31:08

electrolyte intake. So sodium, potassium

31:10

and magnesium in the context of athletic

31:13

or sports performance but also in terms

31:15

of maintaining cognitive function.

31:16

Talked about the galpin equation which

31:18

you could easily adapt to your body

31:20

weight into your circumstances. Of

31:23

course adjusting the amount of fluid and

31:26

electrolyte intake upwards if you're

31:29

exercising or working in very hot

31:31

environments downwards maybe if you're

31:33

in less hot environments where you're

31:35

sweating less and so on. We also talked

31:37

about the relationship between the

31:38

stress system and the salt craving

31:41

system and why those two systems

31:43

interact and why for some people who may

31:47

suffer a bit from anxiety or under

31:50

conditions of stress, increasing salt

31:52

intake, provided it's done through

31:53

healthy means, might actually be

31:55

beneficial. We also talked about

31:57

conditions in which increasing salt

31:59

intake might be beneficial for

32:01

offsetting low blood pressure and some

32:04

of these postural syndromes that can

32:05

lead people to dizziness and so forth.

32:07

These are things that have to be

32:09

explored on an individual basis and of

32:10

course have to be explored with the

32:13

support of your doctor. We also talked

32:15

about the perception of salt, meaning

32:17

the perception of salty tastes, and how

32:19

the perception of salty taste and the

32:20

perception of other tastes like sweet

32:22

can interact with one another to drive

32:25

things like increased sugar intake when

32:27

you're not even aware of it. And indeed,

32:30

how the combination of salty and sweet

32:32

tastes can bias you towards craving

32:34

more, for instance, processed foods and

32:36

why that might be a good thing to avoid.

32:38

And of course, we talked about salt and

32:41

its critical role in the action

32:42

potential, the fundamental way in which

32:44

the nervous system functions at all. So

32:46

my hope for you in listening to this

32:48

episode is that you consider a question

32:51

and that question is what salt intake is

32:54

best for you and that you place that

32:56

question in the context of your fluid

32:59

intake and crucially that you place that

33:02

in the context of the electrolytes more

33:04

generally meaning sodium, potassium and

33:07

magnesium. And I hope I've been able to

33:10

illuminate some of the beautiful ways in

33:11

which the brain and the bodily organs

33:13

interact in order to help us regulate

33:15

this thing that we call sodium balance.

33:17

And the fact that we have neurons in our

33:18

brain that are both tuned to the levels

33:21

of salt in our body and positioned in a

33:25

location in the brain that allows them

33:27

to detect the levels of salt in our body

33:29

and to drive the intake of more or less

33:31

salt and more or less fluid and other

33:34

electrolytes. really just points to the

33:36

beauty of the system that we've all

33:38

evolved that allows us to interact with

33:40

our environment and make adjustments

33:41

according to the context of our daily

33:43

and ongoing life. And last, but

33:45

certainly not least, thank you for your

33:48

interest in science.

Interactive Summary

This episode delves into the multifaceted role of salt (sodium) in the human body, focusing on its impact on fluid balance, appetite, and thirst. It explains how specific neurons in the brain, particularly in the OVLT region, monitor salt levels and blood pressure, triggering thirst responses. Two types of thirst are discussed: osmotic thirst, driven by salt concentration, and hypovolemic thirst, related to blood pressure drops. The episode also touches upon the kidney's role in regulating fluid and salt balance through hormones like vasopressin. Recommendations for salt intake are presented with a strong emphasis on individual context, particularly blood pressure, highlighting potential benefits for those with low blood pressure and risks for those with hypertension. The interaction between salt and other electrolytes like potassium and magnesium is also explored, especially in the context of low-carbohydrate diets and athletic performance. Furthermore, the episode discusses how the perception of salty tastes, influenced by food manufacturers, can drive cravings and lead to overconsumption, especially when combined with sweet tastes. Finally, it underscores the critical role of sodium in neuronal function, particularly in action potentials, and warns about the dangers of excessive water intake leading to hyponatremia.

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