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Mike,
I am not aware of this theory - which does not, in the least, mean that it does not exist - especially now that I am no longer current in Medicine. However, sodium is, predominantly, an extracellular ion (potassium is predominantly intracellular) - which makes it relatively easy to lower its plasma concentration by dilution - rather than depletion. This occurs frequently in a number of clinical scenarios - with or without drug interreactions - and, certainly, miners were notorious for developing cramps in the hot, underground, conditions in which they worked. Most UK miners I know (I used to work with them, both clinically and bureaucratically before I retired) consume enormous amounts of salt daily - although I do not know of any sodium (or, indeed, potassium) balance studies on this group of workers. Hypoxaemia is not to be ignored - even at relatively low altitudes - and combined with dehydration is cumulative in its effects. However - I had better stop - otherwise I will be accused of starting up an esoteric and completely irrelevant thread. Perhaps some more enlightened practitioner (and there are bound to be significant numbers of them in gliding !) - preferably with research experience in this field, will enlighten us all. It would be interesting - and important. Cheers, Stan. UK. |
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