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Case proven: exercise associated hyponatraemia is due to overdrinking. So why did it take 20 years before the original evidence was accepted?
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  • Published on:
    Hyponatraemia and dehydration. Calming the controversy?

    Dear Editor

    The article by Noakes and Speedy [1] has provoked ferocious arguments [2-7]. It appears that, while the aetiology of hyponatraemia is clear, the main argument is over the ACSM guidelines, which tell athletes “to learn to drink fluids during exercise, in volumes that approximate sweat loss in an effort to prevent both extremes – dehydration and hyponatremia” [2]. There are several difficulties....

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    Conflict of Interest:
    None declared.
  • Published on:
    Fractured Fairy Tales: Hyponatremia and the ACSM Fluid Recommendations

    Dear Editor,

    Noakes and Speedy, in the article, “Case proven: exercise associated hyponatremia is due to overdrinking,” deliver a shot at the 1996 ACSM Exercise and Fluid Replacement Position Stand that is off the mark. Much as the popular 1960’s television cartoon series Rocky and Bullwinckle Show presented Aesop’s Fables in “Fractured Fairy Tales;” a key element of the story is missing.

    The ACSM po...

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    Conflict of Interest:
    None declared.