How Much Water Should We Drink in a Day?

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How Much Water Should We Drink in a Day?
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Nephrologist Dr F. Perry Wilson comments on the ubiquitous recommendation to “drink more water.”

Associate Professor, Department of Medicine and Public Health, Yale School of Medicine; Director, Clinical and Translational Research Accelerator, Yale School of Medicine, New Haven, Connecticut, your weekly dose of commentary on a new medical study. I’m Dr F. Perry Wilson from the Yale School of Medicine.I’m a nephrologist — a kidney doctor. I think about water all the time.

So, somewhere between zero and 20 liters of water is the amount you should be drinking in a day. That much I’m sure of. I’m not arguing that we shouldn’t drink water. Of course, water is important. I’m just wondering what data there are to really prove that drinkingFortunately, a team from UCSF has finally done the legwork for us. They break down the actual evidence in this

In any case, these 18 trials all looked at different outcomes of interest. Four studies looked at the impact of drinking more water on weight loss, two on fasting blood glucose, two on headache, two on urinary tract infection, two on, and six studies on various other outcomes. None of the studies looked at energy, skin tone, or overall wellness, though one did measure a quality-of-life score.One of four weight loss studies showed that increasing water intake had no effect on weight loss.

I can’t help but point out that our bodies are actually exquisitely tuned to manage how much water we carry. As we lose water throughout the day from sweat and exhalation, our blood becomes a tiny bit more concentrated — the sodium level goes up. Our brains detect that and create a sensation we call thirst. Thirst is one of the most powerful drives we have. Animals, including humans, when thirsty, will choose water over food, over drugs, and over sex.

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