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Potassium Supplementation
By David Tolson

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Potassium Gluconate 250 Tablets/99 mg $4.99
Magnesium & Potassium Aspartate with Taurine 120 Capsules $7.99
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Introduction

Potassium is a mineral that plays numerous important functions in the body. It is present in high amounts in most fruits, and also found in vegetables, legumes, and dairy products. While humans evolved on a diet very high in potassium and low in sodium, the modern diet is high and sodium and low in potassium. Thus, the human body effectively retains sodium and readily excretes potassium, and the combination of this with the modern diet can result in sodium overload and potassium depletion [1]. In turn, this may be an important contributor to the high incidence of high blood pressure and cardiovascular disease in modern times.

Blood pressure


A large amount of research has been done on the relationship between potassium intake and blood pressure. Research on this relationship has been difficult for numerous reasons, including interindividual variation, difficulty in measuring electrolyte intake, the fact that sodium and potassium intake tend to change simultaneously, and the fact that self-report data is often biased. However, there is now considerable evidence that both increasing potassium and decreasing sodium intake is beneficial [2].

Potassium facilitates sodium excretion. Potassium may also directly cause vasodilation. Potassium also reduces cardiac sensitivity to catecholamins and angiotensin II and suppresses sodium-induced increases in catecholamines [1, 6]. Increasing potassium intake, even in the presence of high sodium intake, has an effect similar to that of reducing sodium intake [3]. The benefits of reducing dietary sodium and increasing potassium may be additive, as the dietary ratio seems to be more important than the total dietary content of either [1].

The response to potassium supplementation varies from individual to individual.Factors that play a role in individual variation include genetics, gender, body size, and age [2].

Recommendations & precautions


The best way to increase potassium intake is to consume foods that are high in potassium. A low dose potassium supplement (100-500 mg) is also not a bad idea, although high amounts of potassium supplements should not be taken without medical supervision. Blood levels of potassium are tightly regulated, and highly bioavailable potassium supplements may increase blood levels significantly, leading to the possibility of acute toxicity. Using a protein powder or MRP with high potassium content is an easy way to increase the amount of potassium in the diet. Following are some of the products highest in potassium:

Protein powders/low carb:
MRPs:
Weight gainers:
If you have any questions or comments regarding this article, please email dvdtlsn@bulknutrition.com.


No part of this article may be reproduced in any form without the permission of David Tolson or Mike McCandless.


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References
1. J Am Coll Cardiol. 2004 Jan 21;43(2):155-61. What is the optimal serum potassium level in cardiovascular patients? Macdonald JE, Struthers AD.

2. Ann Epidemiol. 2002 Nov;12(8):587-95. Electrolyte intake and nonpharmacologic blood pressure control. Espeland MA, Kumanyika S, Yunis C, Zheng B, Brown WM, Jackson S, Wilson AC, Bahnson J.

3. Health Psychol. 1999 May;18(3):229-40. Potassium supplementation induces beneficial cardiovascular changes during rest and stress in salt sensitive individuals. West SG, Light KC, Hinderliter AL, Stanwyck CL, Bragdon EE, Brownley KA.

4. J Hypertens. 2001 Jul;19(7):1325-31. Effect of potassium supplementation on blood pressure in Chinese: a randomized, placebo-controlled trial. Gu D, He J, Wu X, Duan X, Whelton PK.

5. Am J Hypertens. 2002 Feb;15(2 Pt 1):130-6. Serum potassium is not associated with blood pressure tracking in the Framingham Heart Study. Walsh CR, Larson MG, Vasan RS, Levy D.

6. Hypertension. 1999 Aug;34(2):181-6. Effects of potassium on blood pressure in salt-sensitive and salt-resistant black adolescents. Wilson DK, Sica DA, Miller SB.

7. Clin Exp Hypertens. 1999 Oct;21(7):1189-202. Daily response of blood pressure to day-to-day variation of urinary sodium to potassium ratio. Yoshida M, Koyama H, Moji K, Aoyagi K, Takemoto T, Suzuki S, Satoh H.

8. Neurology. 2002 Aug 13;59(3):314-20. Serum potassium level and dietary potassium intake as risk factors for stroke. Green DM, Ropper AH, Kronmal RA, Psaty BM, Burke GL; Cardiovascular Health Study.

9. Am J Hypertens. 2003 Oct;16(10):806-13. Serum potassium and stroke risk among treated hypertensive adults. Smith NL, Lemaitre RN, Heckbert SR, Kaplan RC, Tirschwell DL, Longstreth WT, Psaty BM.






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