Skip to content

What happens when you lower sodium?

4 min read

Over 70% of the sodium consumed by most people comes from processed, packaged, and restaurant foods. When you reduce your sodium intake, a series of important physiological changes begin to occur in your body, impacting everything from your blood pressure to your brain function.

Quick Summary

Lowering sodium intake can improve cardiovascular health and reduce fluid retention. However, dropping levels too severely can lead to dangerous electrolyte imbalances like hyponatremia. The key is moderate reduction rather than extreme restriction.

Key Points

  • Blood Pressure Reduction: Lowering sodium can significantly reduce blood pressure, a major risk factor for heart disease and stroke.

  • Hyponatremia Risk: Severely restricting sodium can lead to hyponatremia (abnormally low blood sodium), causing symptoms like confusion, fatigue, and headaches.

  • Kidney Health Support: Reducing salt intake lessens the workload on your kidneys, promoting better function over time.

  • Hidden Sodium: A large portion of daily sodium intake comes from processed and packaged foods, not just the salt shaker.

  • Balanced Approach: The goal for most people should be moderate sodium reduction, not total elimination, to maintain proper bodily functions.

  • Neurological Impact: In severe cases, hyponatremia can cause brain swelling, seizures, and other serious neurological complications.

In This Article

Understanding Sodium's Role in the Body

Sodium is an essential mineral that plays a critical role in fluid balance, nerve impulses, and muscle function. The kidneys are responsible for tightly regulating the body's sodium levels. When you consume excessive amounts of sodium, your kidneys may struggle to keep up, leading to various health issues over time. Conversely, a significant drop in sodium intake can also disrupt this delicate balance.

The Health Benefits of Moderately Lowering Sodium

For most people who consume high levels of salt, a moderate reduction can lead to significant health improvements. The effects of consuming less sodium can start to be seen relatively quickly.

Cardiovascular and Renal Benefits

  • Lowered Blood Pressure: One of the most well-documented effects of lowering sodium is its ability to reduce blood pressure, particularly in individuals with hypertension. Excess sodium causes the body to retain water, increasing the volume of blood and putting extra pressure on blood vessel walls. Reducing sodium helps reverse this process.
  • Reduced Risk of Heart Disease and Stroke: Because of its impact on blood pressure, lowering sodium intake is a key strategy for preventing major cardiovascular events. Long-term studies have shown that even a modest reduction can decrease the risk of death from cardiovascular disease.
  • Improved Kidney Function: High sodium intake places a heavy burden on the kidneys. A lower sodium diet can alleviate this strain, which is especially important for those with chronic kidney disease.
  • Decreased Fluid Retention: Less sodium in the diet helps the body shed excess fluid, which can reduce bloating and swelling, especially in the ankles and legs.

The Risks and Dangers of Lowering Sodium Too Much

While reducing sodium is beneficial for most, overly severe restriction can be dangerous and lead to a condition called hyponatremia, where blood sodium levels fall too low. This is not typically an issue for healthy individuals on a standard diet but is a risk for those with certain medical conditions, athletes, or those on restrictive diets.

Signs and Symptoms of Hyponatremia

  • Nausea and Vomiting: One of the early signs that sodium levels may be too low.
  • Headache: As excess water moves into the brain cells, swelling can cause headaches.
  • Fatigue and Lethargy: Low energy levels and feeling extremely tired are common symptoms.
  • Muscle Cramps and Weakness: Sodium is crucial for proper muscle function, so its deficiency can lead to spasms and weakness.
  • Confusion and Irritability: In more severe cases, changes in mental status can occur due to brain swelling.
  • Seizures and Coma: Extremely low sodium levels can cause severe neurological complications, potentially leading to a coma or even death if untreated.

Comparison of High vs. Healthy Sodium Intake

Feature High Sodium Intake (typically >3,400mg) Healthy Sodium Intake (1,500-2,300mg)
Effect on Blood Pressure Increases pressure due to water retention. Helps maintain healthy blood pressure levels.
Cardiovascular Risk Significantly increases risk of heart attack and stroke. Reduces strain on the heart and lowers disease risk.
Kidney Burden Overburdens the kidneys, potentially leading to damage. Promotes healthy kidney function by reducing workload.
Fluid Balance Can cause fluid retention, bloating, and swelling. Improves fluid balance and prevents excess retention.
Dietary Sources Primarily from processed, packaged, and fast foods. From whole foods, fresh ingredients, and home-cooked meals.
Long-Term Health Linked to chronic diseases like hypertension and kidney issues. Associated with lower risk of chronic diseases and better well-being.

How to Manage Your Sodium Intake Safely

For most people looking to improve their health, the goal is not to eliminate sodium entirely but to reduce excess intake. A balanced approach focuses on whole foods and mindful consumption.

Practical Strategies for Reduction

  • Cook at Home More Often: Preparing your own meals allows you to control the exact amount of sodium added.
  • Read Food Labels: Become familiar with the Nutrition Facts label and choose products marked “low sodium,” “reduced sodium,” or “no-salt-added”.
  • Use Herbs and Spices: Enhance flavor with salt-free seasonings, herbs, spices, lemon juice, or vinegar instead of reaching for the salt shaker.
  • Rinse Canned Foods: For canned beans or vegetables, rinsing them before use can remove some of the excess sodium.
  • Limit Processed Foods: Reduce consumption of high-sodium culprits like deli meats, canned soups, frozen dinners, and savory snacks.
  • Be Mindful at Restaurants: Ask for sauces and dressings on the side and request that your meal be prepared with less salt.

Conclusion

Making a conscious effort to moderate your sodium intake can have profound, positive effects on your health, most notably by lowering blood pressure and reducing cardiovascular risks. The average person consumes far more than the recommended daily amount, so cutting back is a safe and healthy goal. However, it is important to remember that severe and unsupervised sodium restriction can be dangerous, potentially leading to hyponatremia. The key is to find a healthy balance by reducing excess sodium, primarily from processed foods, while ensuring you still consume a safe and adequate amount for your body’s vital functions. For personalized advice, it's always best to consult a healthcare provider or a registered dietitian. For more information on heart-healthy eating, visit the American Heart Association.

Frequently Asked Questions

The first signs of low blood sodium (hyponatremia) can be subtle and include nausea, headache, fatigue, drowsiness, and muscle cramps or weakness.

Yes, if sodium levels drop too low, it can lead to symptoms of hyponatremia, which often include a loss of energy, drowsiness, and fatigue.

Your body can begin to adjust to lower sodium intake relatively quickly. Some studies show measurable blood pressure reduction within a week, but taste buds and other systems may take a few weeks to fully adapt.

Both are effective strategies for managing blood pressure. A diet rich in potassium, found in fruits and vegetables, can help balance sodium levels, making a combined approach very beneficial for heart health.

Health organizations like the American Heart Association recommend consuming less than 2,300 milligrams of sodium per day, with an ideal limit closer to 1,500 milligrams for most adults.

The risks of too little sodium include worsening insulin resistance, increasing complications for people with heart failure, and causing dangerous electrolyte imbalances (hyponatremia).

Causes can include drinking too much water without replacing electrolytes, certain medications (like diuretics), chronic conditions like heart or kidney failure, and severe or prolonged vomiting or diarrhea.

References

  1. 1
  2. 2
  3. 3
  4. 4

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.