Salt Hack Proven To Reduce Stroke
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- Опубліковано 19 чер 2024
- Article: www.nejm.org/doi/full/10.1056...
In this episode of Talking with Docs, we delve into the often underestimated impact of salt on our health, particularly its connection to stroke risk. We unravel the complexities surrounding sodium consumption and its implications for cardiovascular well-being.
We start by dissecting the science behind salt, shedding light on its role in elevating blood pressure and compromising vascular health. Through relatable examples and accessible language, we uncover how excessive salt intake can silently heighten the risk of stroke, a revelation that may surprise many.
As the conversation progresses, we offer practical tips for reducing salt intake without sacrificing taste. We explore a palette of delicious alternatives, from vibrant herbs and spices to tangy citrus infusions, that promise to tantalize taste buds while promoting heart health.
Furthermore, we address the societal and cultural influences that shape our salt consumption habits. We recognize the challenge of breaking entrenched culinary traditions while advocating for a shift towards mindful eating practices that prioritize wellness.
By the episode's conclusion, viewers emerge equipped with a deeper understanding of the salt-stroke nexus and armed with actionable strategies for making healthier choices in their daily lives. Tune in to Talking with Docs for an enlightening discussion that could reshape your approach to salt and cardiovascular health.
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#salt #food #pepper #saltlife #love #saltbae #vape #foodporn #sea #foodie #garlic #k #himalayansalt #water #nature #pod #homemade #healthy #pinksalt #yummy #steak #instagood #delicious #travel #beach #onion #instafood #cooking #photography #oliveoil
The one thing you two fab doctors have not change is your great sense of humour. Always great to watch your videos. Many thanks
Four and a half minutes of Abbot and Costello to get to the meat of a very serious issue.
YES PLEASE! I'd love a video revealing all the changes you two have made since starting your channel. ASAP !!! Meanwhile, thank-you so much for all the pleasure you have already given.
You can easily search, I still do. When I joined they had 22k members, now it’s 667k!
We will! And you're welcome to
I have salt in my diet, but I do not eat processed foods, which are known to contain a lot of sodium. I usually salt and pepper my vegetables. Otherwise, I don't salt most things I eat. I used to have low blood pressure, but now it seems to be normal when I have my yearly wellness visit. I am 81 years old, and one thing I've noticed is, my temperature is usually not the 98,6 but falls in the 96 or 97 range.
That's interesting that you're a bit cooler than most. 😀
My normal temperature is 96.5. Its crazy
My normal temperature is 97.7
Thanks for presenting the data, it's fairly concerning. I'll now reduce the amount of salt I put on the rim of my margarita.
Worth a shot. 🤣
I tried reducing salt, drinking lots of water. I exercise daily, ended up having severe cramping in my legs. I will take my chances with Salt.
Interesting
I've also had a problem with leg cramps, ever since I eliminated all processed food from my diet.
Me too. Leg cramps at night are frequent, painful, and very frustrating as it wakes me up. Spouse experiences the same. We don’t even have a salt and pepper shaker. We have never added salt at the table. We cook with salt, however.
⅛ tsp iodized salt in a cup of warm water will eliminate leg cramps, especially night cramps. I learned this from my brother, a military vet.
After a ride now I drink a litre of Gatorade powder, does the trick. Never thought about drinking salt water, have to give it a try.@@jacquelinechandler6141
I am a salt monster but better than when i was younger. Definitely need to get better- we have high BP and the related health issues in the family. Thanks for the video reminder!
You are welcome. Reduce that salt!
74 yr old male, normal weight, (almost) lifetime vegetarian, now vegan. Systolics were high. After about 8 weeks of really being careful about salt and processed food, it's in an acceptable range now and I won't need medication to control it. So--it worked for me. Don't add salt, read the nutrition labels on things you buy, and aim for less than 1500 mg per day. Really, it works. (I use lots of pepper...)
Careful with that. Black Pepper is highly inflammatory. Try garlic, herbs, olive oil.
@@patrickjatwood4855Nonsense. The active compound piperine in black pepper has anti-inflammatory properties.
congrats.
@@patrickjatwood4855wrong. Black pepper is an anti inflammatory. In fact when folks use turmeric as an anti inflammation they add black pepper to increase the bio availability as well. I don't his often, you probably just eat pills
Rethink everything you just said and don't trust these very unhealthy people.
This is crazy. I was just reading the same research article when I was researching potassium alternatives to salt. I’ve been trying to lower my blood pressure for a year now. So far it’s coming down from a high normal. I’ve been exercising too. A few life style tweaks that I hope to keep my BP down. Thanks docs!
Welcome!
I've had to make a drastic reduction in my salt intake due to a new diagnosis of hypertension, I considered the LoSalt option but my family doctor advised that it would be better if I didn't use it because of the Potassium. I now use black pepper, garlic and ground chilli flakes to add extra flavour.
I have to do this because of my kidneys, so I use a lot of Mrs. Dash seasonings that has no salt in it and it taste wonderful in food.
Read the book called Salt your way to health, there's 2 kinds of salt not just 1
A healthy adult should aim to consume 3,500-4,700 mg daily from foods. To increase your intake, incorporate a few potassium-rich foods into your diet such as spinach, yams, avocados, bananas, and fish, such as salmon.
Hey Docs, are you watching the UA-cam ads that are played before your excellent videos? These ads sometimes promote quack medical treatments and I imagine you would not be too happy about that.
We don't get to pick them UA-cam does. We will try and watch and see if there is any way to eliminate the quacks. Thanks for the heads up
Dr. Guenter being one, he's everywhere and there is no way one Dr could be an expert in so many diseases and know life changing cures. A money greed quack
Many people do not salt their food at the table; however, it is used in cooking. This video makes me think that I will reduce it even when preparing food. Many thanks~
The majority of salt is in the processed foods.
@@sherryrectenwald6791 Yes, indeed! There are all kinds of terrible things in the fake foods with the bar codes. Only whole, real food for me.
Hi Docs, once again, thank you for your time and vids and information sharing. Karl
A friend suggested to me to only use pepper. Avoid the salt shaker all together. I tried it, and you know what? It worked. I'm salt-free, to the extent that I no longer add any salt whatsoever to meals.
It really only takes a week or two to get used to it. Then what was "normal" before tastes way too salty. Glad you were able to stick with it and it's working for you!
That would be awsome to hear about your lifestyle changes. I am a salt addict. It is bad. I forever try to cut back. It is hard for me. Thank you for your advice!
Switch to Redmond Real Salt or Celtic salt. Both are completely different from table salt which has only sodium, chloride and added aluminum. Quality salt is necessary for many bodily functions. The right salt will have 60+ nutrients.
I use Redmond
@nailahroberts
The less salt you use, the more sensistive you get to salt, the less salt you use.
But it took me about 3 weeks, during which you have to prepare all of your own food.
Bonus: Fast food starts to taste too salty, making it less appealing.
Give it a try and good luck.
You are so right
So glad I found your channel. I found you as I’m learning about hip replacement as I am helping a friend when she returns home. Staying for all the wonderful knowledge… of, and the good hearted banter. 😎
If you have high blood pressure, chances are you might be thinking about lowering your salt intake. But new research is pointing a finger at sugar as the culprit for causing a number of health conditions including high blood pressure, and increasing the risk for cardiovascular disease.
I am a saltaholic. Above average BP. Have KD, nephrologist said no salt substitute, due to potassium chloride content. Suggests reduce sodium intake. By the way, salt substitutes with potassium chloride have a sour taste to them. Wouldn't have used them anyway. Still use salt. Have tried salt free seasoning, nothing replaces salt. Salt is not a flavor but an enhancer. A few things I cannot eat without using salt are eggs, potatoes, corn and popcorn .🤷♂️
Thanks for sharing. Yes kidney disease patients have to be more careful
Hi Docs. I’m not a salter.. I’m an avid reader of labels and I’ve noticed food companies are using potassium chloride more and more. 667K! 👏
That can be problematic, too much leads to itchy skin!
I use Mrs. Dash
You guys are like an old married couple...but great!
We will take that as a compliment!
Thank you very much for your valuable information ♥👍👍
You are most welcome
Can’t wait to hear about your own personal changes. That will be a great episode.
Thanks William
Nice scrubs😊and thanks. I’ll try.
Thanks and welcome!
Looks like new scrubs for you guys! Nice. I love salt, and my sodium level is always low...
Sometimes I get headaches from too little salt. But I haven’t added salt to much in decades.
Yes this can happen
really interesting study! so many people for quite a while
Yes we agree
The colors colors area amazing on you both, my favorite doctors ❤️
Wow, thank you!
I have CKD stage 3 so I am now using less sodium, less potassium, less phosphates, less protein, etc., etc., etc. I initially missed the salt but not anymore. I can actually taste the foods now and I can also taste the salt in foods. Good grief all foods on the grocery shelves has Way too much salt in it. The same with sugar and so many foods have added phosphates. I’m going way back to the 50’s when they made their own foods. This is actually great. I have taken out all my mom’s old cookbooks. 😅
If i have any pre prepared food that is high in sodium my blood pressure goes through the roof.I do no longer eat frozen dishes from your local store eg.Cottage pie etc.I now take a 40gm BP tab and a 5mg beta blocker every night.Thanks.(JHB-SA)
Great advice
Thanks again guys, your videos are great advice and I am sure are helping people. Where do I get the heat gear you guys have?
You are so welcome. We are trying to figure out a way to get our surgical caps available to purchase in a merch store.
Thanks. Also I like the new navy scrubs
I am not a fan of salt. My blood pressure is borderline normal. My doctor said to watch my salt intake. He did a blood test, and my blood sodium was 7.0, whereas 9.0 is normal, So he said I guess we don't have to worry about your salt intake. We repeated the test again later, and it is still at 7.0.
Lucky you!😊
Thanks!
Reducing salt is important, but for most people, the largest source of salt is from process food
Yes and restaurant food
I do love you guys!!! Thank you.
Thanks!
I was told by my cardiologist that I need to be adding salt to my diet due to issues with frequent vasovagal episodes.
I don't mind adding salt while my food is cooking.
But I don't like adding salt on top of my food once it is done cooking
As far as drink, I mainly just stick to water.
And on days where I either will be working a double shift, or will be out and about a lot (like kayaking, birding, photography, etc...) then I drink a red Powerade, which my doc also agrees with me drinking that then.
Said it was good for the electrolytes.
Very nice. Thanks for sharing
Im 40 with high blood pressure, i stopped adding salt
Could the outcome potentially be a result of increasing Potassium and not necessarily reducing Sodium?
I’ve survived a stroke. You don’t want to have one. Salt is dangerous and you have to monitor how much of it you eat. And since I eat so little of it, I’ve grown all the more sensitive to it.
Thanks for this video!
me too, stroke ten years ago
Sugar, oil, animal products and processed foods contribute to coronary artery disease too not just salt. Go Whole Foods plant based no salt, no sugar, no oil added to anything. Sorry, you all had a stroke. I hope it was caught in time. Dr. Esselstyn had a prevent and reverse heart disease diet that works for stroke too.
Many years ago I tested (several times) for Stage 3 Kidney disease. In my case, it turned out my NSAID was the culprit. Went cold turkey on the Rx (for migraine) and returned to normal. Now I, too, do not add salt to food but I am aware that it is often in food that I eat. I use Mrs. Dash, as well as other spices. I learned to enjoy food without salt as the alternative was less than appealing. (NSAIDs are now listed as an allergy on my medical chart.)
Yes NSAIDs are not without risk for sure. Glad you are ok
I used to not be a salt person, but i love it now.
Always fun to watch your videos. I have been using potassium salt substitute for 15 years (at the dinner table) & survived it. Looking forward to your changes video...
Awesome
Nutrition Made Simple just did a short video on this topic which made me consider using a salt substitute. It's good to see that you called out that there are some risks. I decided to pick up some Nu-Salt which is 100% potassium chloride and I've been trying using it in cooking. I've been cooking every day which I think probably reduces my salt intake more than anything, but now I season things with the potassium chloride (but still use sodium chloride where I can't control it or it makes more sense) and I taste no difference. If you actually taste it directly from the shaker, it definitely burns a bit.
Thanks for sharing
lemon juice, vinegars, pepper sauce (homemade) all are good choices to give you a "salt" like taste instead of using salt.
Thanks for the tips!
MSG is a great flavor enchacer with less salt.
Thanks for sharing
I am a Saltaholic. Its a horrible addiction. It started as a teen in track. They used salt tablets in the 80s. Still haven't kicked the habit but i use sea salt 😔
No time like the present ...
I add some salt when I'm preparing food but rarely add it at the table. Salt enhances the flavor of food but too much just makes it too salty and masks the flavor of the food.
Thanks for sharing this lengthy study!
You are welcome Vickie! Thanks for always watching
I’ve also heard that some blood pressure medications can cause a spike in potassium, and so all potassium related foods and salt substitutes should be avoided.
It is very individualized but yes some meds to lead to higher potassium levels
I Never add Salt to to anything, I even switch to unsalted Butter. I find that Herbs & Spices give you a Richer Flavor and is better for you.
You are correct! Congrats!
Good video, thx Docs. I eat alot of canned sardines and tuna, I'll be reducing that now due to the high sodium which I believe is similar to salt.
About 25 years ago I worked in Los Angeles with a large group of people, one of whom was a South American guy (early 30's). One particular SA country is BIG on meat eating - starts with a "B"! He ate with a salt shaker in one hand and one piece at a time, he put salt on every morsel of meat on his fork. I was stunned, I often wonder what happened to him.
Hi Docs, what are your thoughts on Celtic Salt?
Thank you.
I never add salt to anything. I add a lot of pepper though. My BP always hovers around 110/70. But I walk an hour a day. I’m 59 years old and my mom died from a stroke and my dad died from a heart attack at 58, so I need to be careful. My last blood test was 125 Total cholesterol, LDL 57, 55 triglycerides, A1C 5.6 (which I’m not happy with). I do take a statin 20 mg Crestor and 2500 mg of COQ10 a day and vegan Algae oil for omega 3’s. I also take Berberine, NMN, cinnamon, Curcumin, citrus bergamot, vitamin K2 (800 mcg a day- no D3 cuz D3 is a form of calcium and I don’t want my arteries caked with concrete), Tudca, Garlic, and few others. I feel great and my Doctor is happy with my numbers. He says if I keep it up, I’ll die from old age and it won’t be from a heart attack or stroke. Oh, BTW I eat a plant based diet, no animal products. I don’t need the added cholesterol.
It is classically thought that it is the amount of salt that is critical for driving _acute blood pressure responses._ However, recent studies suggest that blood pressure responses, at least acutely, may relate to changes in *serum osmolality.* Here, we test the hypothesis that acute blood pressure responses to salt can be altered by concomitant water loading.
It is the concentration of the solution.
No claims! 🤮 I'm wit you!
Thanks for the video. I didn't realize salt intake could affect the possibility of having a stroke. I dont add salt to my meals normally so for once I'm on the right side of things.
You sure are!
When you say "try to reduce salt", you first need to know how much salt a person is ingesting. Salt is necessary for life... I rarely eat commercially produced food so I use pink salt in my food. Know what your diet consists of.
Like you said Doctor...I've reduced my salt intake👍🏻
Keep it up
Can you get the same result just lowering actual salt intake by 25% and not mixing with potassium? Also how do we know the potassium didn’t have an effect of lowering stroke risk?
I thought I was OK with the salt I was using, less than when I was younger, I'm 75. But when I was hospitalized for water in lungs and around my heart and pericarditis probably from viral related bronchitis, I wasn't allowed any salt for 10 days, just an herbal blend. I didn't suffer nearly as much as I thought I would! Now at home I'm using a variety of herb and lemon based seasonings, cooking with very little salt and adding herb and spice mixes while cooking instead of salt in many cases. No salt at the table. The biggest problem is salt content in prepared foods. Canned soup: reduced sodium chicken noodle=1080 mg sodium in a bowlful. But "gourmet" low sodium soups with 350-600 mg. sodium are almost inedible. I even tried adding low sodium salsa! Horrid! I love soup, especially in winter, and I truly feel deprived. Suggestions?
It's tricky for sure. More spices are usually the answer. And yes processed foods and restaurant foods are the worst offenders
I switched to potassium chloride two years ago and try to buy low sodium soups and canned beans. The only time I eat sodium chloride is on long 3+ hour bike rides on 90+ degrees F days. You get used to it, sort of like getting used to nonfat dairy. In a few months when you eat french fries or something salty it tastes overwhelmingly salty. The only food that I can't eat now with no salt is popcorn. Unsalted popcorn is inedible.
Thanks for sharing. And we agree about the popcorn
You can do without adding salt. My dad developed kidney disease and overnight we as a family went salt-free. To begin with, it was hard. Yes, you miss it, especially on certain foods. For me, it was potatoes and mushrooms and yes I would sneak some. You find different ways to cook and serve food I do use a little salt with main meals like soup etc but mainly have stayed salt-free. It's like making conscious decisions on what when and how much you eat You buy into it. In my dad's case, we had him with us longer
Yes it is simply better for you
So is sodium chloride ok if you don't have high blood pressure?
Could you touch on the concern of lack of iodine if one does not eat salt or processed foods, please and thanks.
Yes that's on our list to talk about
Great podcast solid info thanks but, need to correct you on one item. New England chowder has cream in it, Rhode Island clam chowder uses clear broth, and Manhattan clam chowder is red. Leave it to New Yorkers to ketchup up in chowder. Keep up the good work.
The leaves of the culinary herb winter savory add the flavor of salt and pepper to food. Works great in soups or stews.
Last checkup had low sodium, took mr off bp meds, low but better. Use a little salt and mrs dash
Nice.
The sucky thing is when you have high blood pressure so you take ramipril so you can't use any salt substitutes that are high in potassium. What do you eat then? I guess you are doomed to eating bland tasting foods or spicy foods without salt.
Salt + lymphedema = not a desired outcome.
I’ve been a recipient for Meals on Wheels now for two years. Meals are definitely low salt, low sugar and low fat in comparison to my former SAD diet. A lot of changes, healthy changes, have taken place over the two years including NO flares of lymphedema in over a year AND a loss of 30+ pounds. I consume the meal as it comes, in total with nothing added, at whatever time it arrives. It’s my first meal of the day.
Interestingly enough, I “splurged” on two slices of pepperoni pizza, iced brownies and a bottle of Coke two days ago in the late afternoon--similar to a typical “reward” in my former way of life. ALL of it tasted horrible, I did not enjoy it in the least AND now two days later, I am aware of the salt/sugar load still in my body.
The two Meals on Wheels lunches since then ... I have thoroughly enjoyed.
Another great video, gentleman! Thank you. (Debbie)
You did not talk about why salt is bad. I'm not sure but I believe it is because the body has to increase the amount of water in the system in order to keep the salt at about 1% so with more water in the system the heart hast to work harder. Not sure if this is true. Your thoughts?
Orthostatic hypotension. (Low blood pressure)
I much appreciate your info re: sodium use leading to cardiac events. Have you also heard of a study re: the use of calcium supplements leading to increased arterial plaques, higher blood pressure etc? Especially if there is a blood imbalance of vitamins A, D, K? Please confirm this as I have low levels of these nutrients & have been taking calcium for decades.😳 Luv you guys.
I take a bit of Epson salt for Afib.
I checked Himalayan and Sea Salt are virtually the same as table salt, a few small traces of extra minerals, no health benefits from switching. Because they are coarser it is possible to have less sodium in a teaspoon of sea salt. Looking forward to your lifestyle changes video - making videos and humour is good for your health.
We agree! Sea salt and pink Himalayan are more marketing than anything else
What do you think about using Miso paste, see weeds, to salt some of your foods. Or, is the effect similar?
I low in salt 130 blood pressure high lately had a stroke
Are the studies accounting for the imbalances of electrolytes as a culprit? Perhaps those consuming increased levels of sodium + consuming high sodium foods, would also be deficient in Magnesium and Potassium. High sodium foods also typically = higher levels of saturated + trans fats, higher levels of sugar & simple carbohydrates
Well these are all patients who are high risk for stroke so there is no reason to think they would not be evenly distributed between the groups and with 21000 patients it does reduce the chance of error
You guys have convinced me. I use way too much salt. I put my salt away and I have salt substitute. I’m not sure what to put on popcorn besides my salt substitute. But I will try not to add even the substitute except for my popcorn.
About the only thing I salt anymore is eggs. I have had to cut back on sodium due to Meniere disease. Too much salt seems to causes problems with my balance. Most restaurant food has way too much salt for me.
How many elderly end up in the hospital with hyponatremia because of the drastic reduction in salt intake?
People go from extreme to extreme! Salt is definitely a killer for the people!! Older people, people with heart failure, kidney problems should consume about 2000 mg of sodium per day, so very moderately! They should also avoid foods with a lot of potassium...bananas, tomatoes, spinach, potatoes! Healthy food is chiken, veal, turkey (white meat) and of course fish! Strawberries, blackberries all berries.. egg white etc etc
Approaching zero unless they have other medical conditions or medications that lower their sodium
Are any of the salts healthier than others? Like Himilayan Sea Salt etc?
I got told not to use that because of my chronic kidney disease. And whatever I’m doing I’m doing something right I think it’s my pill I take for my diabetes. My percentage is going up it went from 37% to 41%.☺️ actually, me and my doctor said it’s all God work nobody else’s, and I believe that.
I am dictating this because I am totally blind, so if there’s any mistakes in here, I apologize. 😊
Thanks for another great video! A lot of salt is not good. Love the humor, still. 😊
Glad you enjoyed and we will keep doing our best to keep it light
I was recently diagnosed with Ménière’s disease and have had to reduce my salt intake to next to nothing and now can’t eat most foods I once loved
Sorry to hear that
I have found that straight granulated garlic helps me need less salt when preparing food.
Sodium sensitive.
Put no salt substitute on any food.
I use spices and pepper to add flavor.
It takes about 3 weeks to get used to a extremely low sodium intake.
Doesn’t help that they add a ton of it in the food just to keep it on the shelves in stores just to make a quick dollar.
Pink Himalayan salt is good for blood pressure, I use it when I cook and the food comes out delicious.
The pink Himalayan is still 90 percent sodium chloride
😂 WITH YOU.
Agreed. Cut down on salt, sugar and fat. Doesn't mean you can't have any. Just have less. Be kind to your body.
Personally, I haven't used salt on my food or in cooking for about 30 years. No, I do not miss it. I don't even use a salt substitute because I think it tastes very salty.
on a related topic, can you guys speak on why assisted living facilities have salty food of usually low quality and don't even have a low or not salt option!? This is widespread in US and a lot of elderly people have high blood pressure or history of strokes. What can be done?
It's so pervasive. Salt is everywhere. A true reduction would have to come from the powers that be
@@TalkingWithDocs Thanks for the reply. One of my elderly parents lives in an assisted living facility. He has heart and kidney issues and there is no option for a low salt diet in his facility. Also, the quality of the food is pretty low, like cafeteria style. Yes, it is so pervasive. Just crazy to me that in a place where most people are elderly and needing a low salt, high-quality diet, they don't give the option. Thx for letting me vent here. I wish there was something to be done about it. I feel bad for the people in assisted living who don't have a friend or family to bring them some nice, healthy home-cooked meals once in a while. I appreciate your videos and good work you do. 💗
If u sweat a lot u need more sodium especially if u live in hot weathers and especially for those that exercise a lot daily. Unless ur lazy and eat no veggies then this video applies to u.
So most people are not salt deficient
Morton lite salt tastes exactly the same as regular salt, with much less sodium. By far the easiest intervention I've tried to help manage my stage 1 hypertension. I wish there was a similar moderate sodium baking soda, since that can also add a lot of sodium to quickbreads. I make my own by mixing sodium bicarbonate and potassium bicarbonate, but it's a bit inconvenient.
This is interesting. I've always had a theory that the chloride gives the salt taste and sodium is what increases BP. I've been using potassium chloride for a while now. Listen I'm a chemist so naturally I'm going to learn into a chemistry explanation more than a biological one.
Is this table salt or sea salt or all salt or the chemicals that whitens the table salt
Are salt substitutes iodized? What would happen without getting iodine in our diet? Are we trading one problem for another?
This is a topic we are going to address in the future.
make sure you balance sodium with potassium intake
Huggs ❤❤
I never ever use salt but it is in every frozen meal, trying to not use any, not using any canned soup, looking at everything I buy
Eventually a set of hemorrhoids that won't quit
Low sodium in your blood can be bad, so how low of an intake is ok? The rda is 2,300mg of sodium a day.
So it can be much lower. Our bodies are very efficient at controlling salt balance so if your serum levels start to decrease our body simply retains more as blood is filtered through our kidneys and urine is produced