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The Peter Attia Drive

#200 - AMA #33: Hydration—electrolytes, supplements, sports drinks, performance effects, and more

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 21 March 2022

⏱️ 19 minutes

🧾️ Download transcript

Summary

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Episode Description:

In this “Ask Me Anything” (AMA) episode, Peter discusses all things related to hydration, starting with how water is distributed in the body and the important concept of tonicity. He explains the difference between dehydration and volume depletion and their respective health consequences and implications. He describes the different conditions which affect our daily water needs, as well as the signs of dehydration and how it can affect performance. Next, he discusses all the ways in which we can rehydrate and when it makes sense to add electrolytes, glucose—or a combination of both—to rehydration fluids. Additionally, Peter gives his take on the plethora of sports drinks on the market and which ones stand out from the rest. Finally, he concludes with some key takeaways related to hydration.

If you’re not a subscriber and listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #33 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Peter’s incident leading to a renewed interest in hydration [3:15];
  • Water in the human body: percentage, location, and implications [6:00];
  • Defining tonicity—isotonic, hypotonic, and hypertonic [11:45];
  • Defining dehydration and volume depletion [19:00];
  • The health consequences of dehydration and volume depletion [21:45];
  • How do we actually lose water? [25:30];
  • How much water do we need every day? [28:00];
  • Signs of dehydration during exercise and how it can affect performance [32:45];
  • Is it possible to be overhydrated? [43:15];
  • Electrolytes: benefits and when to include them in rehydration fluids [47:00];
  • Glucose: benefits and when to include it in rehydration fluids 51:15];
  • The ability of glucose to improve absorption of sodium [58:45];
  • The type of carbohydrates in drinks than actually impact performance [1:02:00];
  • Sodium during workouts: is there an optimal ratio of carbohydrate to sodium? [1:05:00];
  • Pros and cons of sports drinks and which ones stand out [1:09:15];
  • How much hydration comes from the food we eat? [1:14:30];
  • Is there a downside to drinking electrolytes throughout the day even without exercise? [1:15:15];
  • Key takeaways related to hydration [1:18:15]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to a sneak peek, ask me anything, or AMA episode of the Drive Podcast.

0:16.5

I'm your host, Peter Atia.

0:18.3

At the end of this short episode, I'll explain how you can access the AMA episodes in full,

0:22.9

along with a ton of other membership benefits we've created.

0:25.9

Before you can learn more now by going to peteratia-md.com forward slash subscribe.

0:31.5

So without further delay, here's today's sneak peek of the Ask Me Anything episode.

0:36.6

Welcome to Ask Me Anything, episode 33.

0:42.7

I'm joined once again by Nick Stenson.

0:45.1

In today's episode, we talk about all things related to hydration.

0:49.9

So I've got a lot of questions about hydration, and personally, this has become something that's

0:55.1

a lot more interesting to me in the past couple of months than it had been previously for

0:58.4

reasons I'll explain in the podcast.

1:00.5

So we kind of do, I think, a tour to force on this here.

1:03.9

We had actually intended to talk about a few other unrelated topics, but we went so long

1:07.4

on hydration that we just decided to make this a dedicated episode to that.

1:11.0

So we kind of get into where does water live in our body?

1:13.3

You got to start from the standpoint of understanding where are the water compartments of our body,

1:17.0

and then you have to get into this idea of tonnicity.

1:19.4

So gets a little sciencey up there, but then once you understand that, and I think

1:23.2

it's pretty straightforward to understand, everything that we start to talk about makes

1:26.2

sense there after.

1:27.2

So we get into kind of the difference between dehydration and volume depletion, what the

...

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