When people exercise a lot, they can get low sodium because they drink too much water, not because they aren’t taking in or losing too much salt.
Evidence from Studies
Supporting (3)
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Fluid and Electrolyte Balance During Two Different Preseason Training Sessions in Elite Rugby Union Players
The study found athletes drank way more than they sweated, especially during strength training, but still didn’t get low in blood sodium, supporting the idea that low sodium isn’t from not eating enough salt, but from drinking too much water.
Hyponatremia in distance runners: fluid and sodium balance during exercise.
The study shows that runners get low sodium levels because they drink too much water, not because they lose too much salt. This supports the idea that drinking too much is the main problem.
Physiopathological, Epidemiological, Clinical and Therapeutic Aspects of Exercise-Associated Hyponatremia
The study says that low sodium during long exercise is mostly because people drink too much water, not because they aren’t taking in enough salt. This matches the claim.
Contradicting (0)
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Gold Standard Evidence Needed
According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.