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Nutrition & Training · Hydration & electrolytes

Dizziness on standing: the ordinary explanation first

NA
n.abernathyTL3Analytical chemist20 Apr 2025#1

Posting this under the heading it deserves: Dizziness on standing: the ordinary explanation first Everything below is what sits behind that.

A hydration and intake question, with the figures, since this one is unanswerable without them.

Fluid intake over a day, roughly, plus what I take with it and when. Intake is down substantially on where it was, which I gather is the ordinary consequence of eating much less rather than anything else.

What I would like to understand is which of the symptoms attributed to this are plausibly about fluid and salt, and which are being attributed there because it is the easy explanation.

15 likes 15mo
K
KTurkingtonTL3Regular21 Apr 2025#2

The opening post describes the usual case. This is about the unusual one.

Nobody has said the unglamorous part of dizziness on standing yet, so: most of the variation is explained by things that are boring to write about and easy to check.

19 likes 15mo
TD
t.demirTL221 Apr 2025#3

I would put moderate confidence on the mainstream reading of dizziness on standing and no more. That is not scepticism for its own sake; it is where the sourcing actually stops.

0 likes 15mo
TN
t.ndiayeTL222 Apr 2025#4
KTurkington, post #2: The opening post describes the usual case. This is about the unusual one. Nobody has said the unglamorous part of dizziness on standing yet, so: most of the variation is explained by things that are boring to write about and easy to check. Go to post

Orthostatic symptoms: dizziness on standing after lying down can indicate dehydration or electrolyte depletion. Increasing fluids, salt, and potassium usually resolves it.

Correct me on the arithmetic if it is wrong; I would rather know.

2 likes in reply to #2 15mo
NL
ne.laurentTL222 Apr 2025#5
t.demir, post #3: I would put moderate confidence on the mainstream reading of dizziness on standing and no more. That is not scepticism for its own sake; it is where the sourcing actually stops. Go to post

The arithmetic in post #4 is right; the assumption feeding it is the part to check.

The very ordinary causes of week-two malaise: inadequate hydration, low sodium intake, too-rapid calorie deficit, and inadequate sleep are more common causes of fatigue and malaise than compound toxicity.

Adding it in case it saves somebody the afternoon it cost me.

13 likes in reply to #3 15mo
BR
buffer_reviewTL3Regular22 Apr 2025#6

The question underneath dizziness on standing is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it.

Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help.

26 likes 15mo
AN
a.norgaardTL223 Apr 2025 · edited#7

Adding salt to food is the intervention most consistently reported as helping and is also the one least likely to cause harm.

Adding it because I spent an afternoon working it out and nobody should have to twice.

0 likes 15mo
TI
trough_indexTL3Regular23 Apr 2025#8
t.ndiaye, post #4: Orthostatic symptoms: dizziness on standing after lying down can indicate dehydration or electrolyte depletion. Increasing fluids, salt, and potassium usually resolves it. Correct me on the arithmetic if it is wrong; I would rather know. Go to post

Worth separating dizziness on standing as a question about the compound from dizziness on standing as a question about the documentation. They get answered by different people and only one of them is answerable here.

4 likes in reply to #4 15mo
CB
c.bakkerTL224 Apr 2025#9
a.norgaard, post #7: Adding salt to food is the intervention most consistently reported as helping and is also the one least likely to cause harm. Adding it because I spent an afternoon working it out and nobody should have to twice. Go to post

Commercial rehydration formulations are designed for a specific purpose and are not equivalent to a sports drink, whatever the marketing suggests.

Not a strong opinion, just a consistent one.

0 likes in reply to #7 15mo
MB
m.brobergTL224 Apr 2025 · edited#10

If someone has run dizziness on standing properly I would rather read that than my own reconstruction of it. Posting mine only because the thread has gone quiet.

0 likes 15mo
NS
ni.stanescuTL224 Apr 2025#11

I read post #9 twice before replying, because I had assumed the opposite.

Constipation and hydration: dehydration makes constipation worse. Increasing fluid intake is the first intervention for constipation alongside other measures.

I am confident about the direction and much less about the magnitude.

0 likes 15mo
JH
j.habermannTL3Regular25 Apr 2025 · edited#12

The most useful posts here describe what was measured, what was changed, and what happened, in that order.

Caveat: everything above assumes the paperwork is what it says it is.

0 likes 15mo
KO
k.okaforTL225 Apr 2025#13

The practical version of dizziness on standing is three sentences long. The rigorous version is three pages and reaches the same conclusion with the conditions attached.

19 likes 15mo
B
BBramleyTL326 Apr 2025#14
GE
g.ekstromTL226 Apr 2025#15

Where there is a genuine question, a measurement answers it and a supplement does not. Blood tests for the common electrolytes are routine and cheap.

Flagging that the sources on this are thinner than the confidence in the thread suggests.

2 likes 15mo
L
LeitermanTL3Regular26 Apr 2025#16

What I want from this dizziness on standing thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.

0 likes 15mo
NS
n.serranoTL227 Apr 2025#17
buffer_review, post #6: The question underneath dizziness on standing is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it. Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help. Go to post

Worth separating two things that post #13 runs together.

Dizziness on standing: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

0 likes in reply to #6 15mo
RM
r.marsdenTL3Regular27 Apr 2025#18
t.demir, post #3: I would put moderate confidence on the mainstream reading of dizziness on standing and no more. That is not scepticism for its own sake; it is where the sourcing actually stops. Go to post

This follows post #17 rather than contradicting it.

Where a laboratory result exists, quoting it with the reference interval makes the discussion tractable. Without it the thread is guesswork.

If that is already documented somewhere, ignore me and link it.

0 likes in reply to #3 15mo
FF
f.fontaineTL227 Apr 2025 · edited#19
n.serrano, post #17: Worth separating two things that post #13 runs together. Dizziness on standing: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which. Go to post

An honest declaration on dizziness on standing: I have a prior here and it is strong enough that you should weight what I say downward. Stating it rather than hiding it.

0 likes in reply to #17 15mo
GV
g.valckenaereTL3Regular28 Apr 2025#20

Having read the whole dizziness on standing thread before replying: the question in the first post has not actually been answered yet, and three of us have answered a nearby one instead.

20 likes 15mo
SL
s.leclercTL4 Moderator28 Apr 2025#21

Post #18 is the version of this I will quote in future. One addition.

Rapid correction of a genuine abnormality can be more dangerous than the abnormality, which is another reason this belongs in clinical hands.

If anyone can point at the primary source I would be grateful.

4 likes 15mo
NS
n.silvaTL228 Apr 2025#22

Summarising the dizziness on standing thread so far, since it is long and the answer is buried: the first reply has the method, the fourth has the correction to it, and the rest is people agreeing at length.

13 likes 15mo
AR
a.reyesTL4 Admin28 Apr 2025#23

Cramping is the symptom most confidently attributed to electrolytes and has the weakest evidence linking it to them.

0 likes 15mo
LS
l.salinasTL229 Apr 2025#24
k.okafor, post #13: The practical version of dizziness on standing is three sentences long. The rigorous version is three pages and reaches the same conclusion with the conditions attached. Go to post

Since dizziness on standing keeps coming up, it should probably be a maintained page rather than a recurring thread. I am happy to draft it if someone with more direct experience will review it.

0 likes in reply to #13 15mo
DV
dr.villanuevaTL3Physician29 Apr 2025 · edited#25
n.silva, post #22: Summarising the dizziness on standing thread so far, since it is long and the answer is buried: the first reply has the method, the fourth has the correction to it, and the rest is people agreeing at length. Go to post

Thank you for taking the time. That was more work than a reply usually is.

8 likes in reply to #22 15mo
CC
ch.correiaTL229 Apr 2025#26

Adding salt to food is the intervention most consistently reported as helping and is also the one least likely to cause harm.

19 likes 15mo
MH
ms_hollowayTL430 Apr 2025#27

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