How Much Salt Should We Consume?
When it comes to the question of consumption, we have two sides of a pretty big argument:
- That it’s dangerous to get too much salt
- That it’s dangerous to get too little salt
The latter is quite popular in the world of natural medicine. I want to start by representing some of the better versions of that argument for getting higher and higher amounts of salt in your diet.
One argument is that, if there are some compromises to your adrenal health, this can cause excessive sodium loss to where salt can be a benefit. This is especially true in the case of something like Addison’s disease.
There are also medical conditions in which the blood pressure is not super well regulated. This is true in postural orthostatic tachycardia syndrome (POTS), where the blood pressure is too low, especially with respect to postural changes.
Given that we know there is a connection between sodium intake and blood pressure, salt could play a role here in helping with that. But in both cases, are either of these true?
Salt & Adrenal Insufficiency
There is an important distinction that we need to make here between adrenal insufficiency and adrenal stress. To be frank, insufficiency is pretty rare, where the adrenals are unable to make what the body wants them to make.
Adrenal stress, or adrenal fatigue, is not rare and a real thing. But, it is not that the adrenals cannot make what the body wants them to make. It’s that the body doesn’t want them to make as much. This is a huge distinction that we need to make.
That’s because you could have two individuals with low cortisol levels. If one of them is suffering from adrenal insufficiency, the body is dysregulated. If one has adrenal stress, the body is in its best state of balance, meaning that the low amounts are deliberate and not due to inability.
Any good doctor can differentiate between those cases by simply testing the feedback between the brain and the adrenals. In almost all cases, though, adrenal stress is far more common than insufficiency. This means that extra salt is likely not a benefit here.
Salt & POTS
The best way to go about this is to be as pragmatic as possible. By the model of how we think this disease works, you could expect that extra salt might work. But when individuals are tested on this premise, it doesn’t seem to really do much.
It turns out that baseline exercise offers way more benefits than added salt. This takes us from the theoretical to the practical, meaning that we could theorize that salt would help due to the blood pressure and sodium relationship, but in practice, it doesn’t offer enough benefit.
Salt & General Health
You could pull up a few studies and find that people with a lower salt intake often have poor health outcomes. Or that folks on extreme versions of popular diets, like ketogenic or paleo, experience enough electrolyte loss that they need more salt in their system.
First, these studies are outliers. Second, research like this would benefit from a bit more nuance. The issue may come down to how these things are tracked — and, more specifically, the issue with relying on urinary excretion of sodium analysis.