Water can be considered a nutrient that most people are lacking. You may know that your body is about 60% water, so that fact alone makes it important. You also hopefully know to drink at least 8 glasses of water a day. That's equal to 64 ounces a day, or half a gallon. And we're talking water here - not soda, coffee, tea, or juice. But, if you're exercising and out and about in the hot summer sun, you'll need to drink even more. The rule to follow is to drink until your urine is clear and colorless. So if you're drinking the "recommended" 8 glasses a day and you're urinating dark yellow 2-3 times a day, you need to drink more.

Many people are dehydrated. This can obviously be because they don't drink enough water, but it can also be because they lose more than what they normally should. If adrenal function is low, then usually the hormone aldosterone is low too. This hormone helps you hang onto sodium, which in turn helps you retain water. So, low adrenals = low aldosterone = low sodium = dehydration. Answer: focus on treating the adrenals. This is especially true if you're always running to the bathroom and the liquid seems to go right through you unabsorbed.

Additionally, low sodium diets can actually make you less hydrated and therefore are a reason why some people are dehydrated. This is actually pretty common. The RDA for sodium is 2 grams a day, which is equal to 1 teaspoon. This is actually a lot of sodium (salt), and hard for many to achieve if they're not eating fast food, processed food, or canned food. These are, of course, all things you should not be eating (though canned food is okay in moderation), so using [sea] salt throughout the day is a very good idea - not just because it is an essential trace mineral, but it will help keep you from becoming dehydrated.

Water quality is most important. Don't drink your city water. My old elementary school just found out after many years that they have high levels of lead in their water. For high levels to suddenly show up, you can assume that there were "safe levels of lead" before that. Now that's an oxymoron. You've got to protect yourself. Chlorinated and fluoridated water is just plain unhealthy. Most know the dangers of chlorine - primarily affecting the thyroid and the immune system. Fluoride is no longer considered an essential nutrient no matter what some dentists want you to think. Most people get the natural fluoride they need for cavity protection every day in foods such as seafood, chicken, tea, and most [natural] drinking water. Fluoride has been shown to increase bone loss, impair thyroid function, and alter pancreatic/digestive enzymes.

Use either a bottled water company that you know is pure, or if you are looking for something more convenient and economic, use a reverse osmosis system. A RO system will clean up your city water and make it more pure than most bottled water. A typical RO system today goes for $200-$300. The carbon filters that you put over your faucet or fill and put in your refrigerator are the bare bones minimum. Yes, they're better than nothing, but not by much. Houses with acidic water and copper piping will pull that copper into the water. Consuming this mineral over time can cause health problems. A RO system will get take care of this for you, and most everything else except for radon.

If you're on a well, have the water analyzed. You may actually be lucky enough to not need anything except for a sediment filter. Buy the correct filters or filtration systems based off what is in your water, not what your neighbor has. Most wells need a softener due to hard water and iron & manganese content. If your softener uses a lot of salt, it is a good idea to have your drinking water run through a RO system to get the high sodium level (as well as other compounds) out before you drink it...it is a bit much.

~ Dr. Gangemi (updated June 2009)