Electrolytes 101: What Do Electrolytes Do?

When I say “electrolytes,” what do you think of? Maybe rowdy professional athletes dumping a cooler of some neon-colored sports drink over their coach’s head after winning the championship. Electrolytes have a much bigger role in winning than just soaking the coach. What do electrolytes do?

If you’re an endurance athlete or a keto dieter, you might already supplement electrolytes as part of your daily routine. But do you know why? What are electrolytes anyway, and why do you need them? Does everyone need electrolytes, and are you missing out if you aren’t taking electrolyte pills?

In fact, electrolytes are unsung heroes that allow your body to run smoothly. Too much or too little, and your health is seriously impacted. Thankfully, the body’s delicate system of checks and balances usually keeps everything operating as it should. Still, you need to be mindful of your electrolyte intake if you want to maintain optimal health. (And isn’t that what we all want?)

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What Are Electrolytes?

Electrolytes are minerals (and some proteins) that carry an electrical charge when dissolved in water. These positively or negatively charged ions play an essential role in a wide variety of metabolic processes. Electrolytes allow nerves to fire and muscles, including the heart, to contract; regulate acid-base balance; support hormone and tissue production; and maintain proper fluid balance within cells, interstitial fluid, and blood plasma.

There are many electrolytes in the human body, but the most important are:

• Sodium
• Potassium
• Chloride
• Bicarbonate
• Calcium
• Phosphate
• Magnesium

Sodium, chloride, and bicarbonate are highly concentrated in blood plasma and interstitial fluid outside the cells. Potassium, phosphate, magnesium, and, to a smaller degree, calcium are concentrated within cells. The body regulates hydration status and acid-base balance by maintaining the right gradient, or concentration, of electrolytes in different fluid compartments. Water and electrolytes are constantly diffusing through membranes to preserve the delicate balances.

Cells also use active transport to “pump” electrolytes across membranes using ion channels. You may remember learning about the sodium-potassium pump in high school biology class. Active transport of these electrolytes across the cell membrane is how nerve, muscle, and endocrine cells generate impulses and fire.

Most people get all the electrolytes they need through a healthy diet. Some folks—notably those following a ketogenic diet and endurance athletes—may need additional supplementation.

Electrolyte Balance and Imbalance

For the body to function properly, it needs the right amount of each electrolyte, and it needs them in the proper ratios.

In healthy individuals, electrolyte balance is tightly regulated by hormones, especially parathyroid and antidiuretic hormones and aldosterone. The kidneys filter water and electrolytes in the bloodstream, returning what the body needs to circulation, and excreting the rest. To a lesser extent, electrolytes are also excreted in stool, sweat, and respiration.

Electrolyte imbalances can occur with:

• Poor diet
• Improper hydration (too much or too little water)
• Vomiting or diarrhea
• Excessive sweating
• Diabetes
• Gastrointestinal disorders that interfere with absorption
• Kidney disease
• Some cancers
• Respiratory diseases like COPD
• Certain medications like diuretics, beta-blockers, and corticosteroids
• Trauma, burns, surgery
• Old age

You might not notice any symptoms if you have a mild imbalance. Following a short illness, for example, if you return to eating your typical Primal diet and drinking a reasonable amount of water, your body will likely regulate itself without any major issues.

Signs that you might have a more serious imbalance include:

• Headache
• Fatigue
• Irregular heartbeat
• Muscle weakness
• Muscle cramping
• Loss of coordination
• Nausea and vomiting
• Diarrhea
• Constipation
• Irritability
• Confusion
• Edema

Specific symptoms depend on which electrolyte(s) are out of balance, and whether you have too little or too much. Very severe imbalances can even lead to seizures, coma, or death. Your doctor can test electrolyte levels with a simple blood test.

What Do Electrolytes Do, How Much Do You Need, and Where Do You Find Them?

Sodium

Main functions in the body: Along with potassium, regulates the fluid volume in cells, interstitial fluid, and blood plasma. Needed for muscle contraction and generating nerve impulses.

Dietary sources: Most sodium in our diet comes from the salt we add to food. Much smaller amounts naturally occur in foods like beets, carrots, celery, and dairy products, and in drinking water. Someone eating a typical modern diet gets the bulk of their sodium from processed, packaged foods.

Recommended intake: In recent decades, doctors and the folks behind our governmental dietary standards have told us to limit sodium intake, mostly in the name of heart health. However, experts are increasingly challenging that advice. Multiple studies point to a greater risk of negative health outcomes with too little sodiumhttps://pubmed.ncbi.nlm.nih.gov/25119607/‘>² https://pubmed.ncbi.nlm.nih.gov/23558164/‘>⁴ and lower all-cause mortality.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537815/’>⁶ https://pubmed.ncbi.nlm.nih.gov/26039623/‘>⁸

RELATED POST: A Primal Guide to Blood Pressure

Chloride

Main functions in the body: Maintaining fluid balance, which is vital for regulating blood pressure and pH of body fluids. Also a primary component of gastric juice in the form of hydrochloric acid.

Dietary sources: Mostly from added salt—sodium chloride and, to a lesser extent, potassium chloride. Seaweed and many vegetables also contain some chloride. You can also get chloride through the skin if you use a magnesium spray, which is usually magnesium chloride.

Recommended intake: 2.3 grams per day for adults up to 50, 2.0 grams per day up to age 70, 1.8 grams per day thereafter.

Calcium

Main functions in the body: In addition to structural roles (bones and teeth), calcium helps muscles contract and nerves fire. Calcium also has a role in blood clotting.

Dietary sources: Leafy greens, broccoli, nuts and seeds, fish like sardines and anchovies where you eat the bones. Dairy products, if you consume them, are good sources as well despite any controversy about bioavailability.

Recommended intake: For adult females, 1,000 mg per day up to age 50, 1,200 mg per day thereafter. For males, 1,000 mg per day up to age 70, 1,200 mg per day thereafter.

RELATED POST: Dear Mark: Calcium for Women

Phosphate

Main functions in the body: Like calcium, most phosphate is stored in bones and teeth, acting as a mineral reserve. The rest is used by cells for energy production and in cell membranes and DNA.

Dietary sources: Derived from phosphorous, which is found most abundantly in animal products—meat, dairy, eggs.

Recommended intake: 700 mg per day for all adults

Bicarbonate

Main functions in the body: Crucial for maintaining extracellular acid-base balance. Moves carbon dioxide through the bloodstream.

Dietary sources: We get bicarbonate from baking soda (sodium bicarbonate), but the body also produces bicarbonate endogenously (on its own), so it’s not necessary to target it in the diet.

Recommended intake: Has not been established

RELATED POST: Dear Mark: Does Dietary Acid/Base Balance Matter?

Magnesium

Main functions in the body: Magnesium is involved in over 300 enzymatic reactions, including ones that allow nerves to fire and muscles to contract. Maintains regular heartbeat.

Dietary sources: Leafy greens, dark chocolate, nuts and seeds, fish, avocado

Recommended intake: For adult females, 310 mg per day up to age 30, then increases to 320 per day. For males, 400 mg per day up to age 30, increasing to 420 mg per day.

RELATED POST: The Complete Magnesium Manual

Natural Electrolyte Supplements

When people talk about supplementing electrolytes, they generally mean sodium, potassium, and magnesium. For the average healthy person, you can meet your electrolyte needs by eating a varied diet rich in different vegetables, perhaps some fruit, and animal products, especially fish.

However, you may need to supplement if you eat a restricted diet or have certain health conditions such as gastrointestinal issues that interfere with your ability to absorb nutrients, or kidney or liver disease. Because supplements can interact with medications, talk to your doctor before starting any kind of supplement regimen.

Obviously, if you get an electrolyte panel done by your doctor, and it shows a deficiency, that’s another good reason to supplement. Likewise, if you’ve had a bout of vomiting or diarrhea, or if you’re having issues such as brain fog or muscle cramping. Don’t go overboard; it is certainly possible to have too much of any electrolyte. Drinking some salty bone broth or trying a standard dose of a potassium or magnesium supplement should be safe.

I should note, though, that dietary deficiencies in potassium are uncommon. It’s never a bad idea to track your food for a few days using an app like Cronometer. See how much you’re getting from diet so you can tailor your supplementing appropriately. It’s probably much more likely that you’re getting less sodium than you need if you’re eating mostly close-to-nature foods, especially if you’re hewing to conventional wisdom about restricting salt.

What Are the Best Forms of Electrolytes?

For sodium, all you need is good old salt. Different forms of salt contain varying amounts of sodium, so look at the label.

For potassium, I like potassium citrate. You can also use LoSalt or Nu-Salt, which contain potassium chloride. They are found with the table salt at your local grocery store. Some folks make their own electrolyte blend with cream of tartar (yes, the same stuff you bake with), which is potassium bitartrate. Any of these will work, but I think potassium citrate is the superior option.

For magnesium, the most bioavailable are the chelated forms that end in -ate. Different forms of magnesium are thought to have specific benefits, but magnesium malate or glycinate (also called bis-glycinate) are good all-around options. Magnesium L-threonate is particularly touted for cognitive benefits because it crosses the blood-brain barrier.

Is Potassium Supplementation Safe?

Because potassium is closely linked to heart function, there is a concern that supplementing potassium could lead to arrhythmias or even heart attacks. However, a 2016 meta-analysis of randomized controlled trials found no risk associated with supplementing within normal guidelines in healthy individuals.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5334560/‘>¹⁰ I’m not a huge fan of most commercial electrolyte drinks due to their high sugar content, but it’s easy to make your own using one of the many online recipes. You can also use salt pills. It might take some tinkering to dial in the amount you need.

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