Potassium Chloride Salt Substitute Side Effects
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- Опубликовано: 12 сен 2024
- The side effects of potassium chloride. Healthy kidneys are required for potassium excretion. If you aren’t sure if you’re at risk, ask your doctor about getting your kidney function tested.
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This is the final video in a three-part series. If you missed the first two, check out Fewer Than 1 in 5,000 Meet Sodium and Potassium Recommended Intakes (nutritionfacts...) and Are Potassium Chloride Salt Substitutes Effective? (nutritionfacts...)
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-Michael Greger, MD FACLM
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If you missed the first two, check out Fewer Than 1 in 5,000 Meet Sodium and Potassium Recommended Intakes (nutritionfacts.org/video/fewer-than-1-in-5000-meet-sodium-and-potassium-recommended-intakes) and Are Potassium Chloride Salt Substitutes Effective? (nutritionfacts.org/video/are-potassium-chloride-salt-substitutes-effective/). Turn on notifications to make sure you never miss a new video!
I was diagnosed with chronic kidney disease 2 years ago. My eGFR ranged from 48-52. I was told by my doctor that it would progress over time, but this progression could be slowed by medication which would be prescribed when my eGFR reached 40. I read about plant based diets and decided to give it a try. 6 weeks after eating mainly brown rice and vegetables my eGFR went up to 65. Now, 18 months after a whole food plant based diet my eGFR is 94. Incidentally I had pre-diabetes, high blood pressure, high cholesterol, asthma, and was on 8 prescription medications. I was 60 pounds overweight. I am in my late 60's. I take no prescriptions now. I lost the 60 pounds, my cholesterol is 117, my asthma is gone, my A1c is 5.4, and my blood pressure averages 108/62. I have seasonal allergies, and sadly they did not go away ( I had hoped). By the way, I also eat 5 bananas a day. None of the doctors I have ever seen suggested a whole food plant based diet. I credit Drs. Greger, Barnard, and McDougall as having saved my life.
that is quite an astounding record! Congratulations :-)
It's a year later now, and I'm wondering what your weight and your other numbers are. Have you noticed any other changes…mood, energy, etc.?
I hope you're doing well.
Did your A1c remain low on plant based diet? Do you take dairy products. Pl reply.
Watch the oxalates.
beginning of the video: "where's the catch?".
half of the video: still no bad news. anxiety.
end of the video: can't believe there were no significant bad news.
Many people in the US have undetected kidney disease. There are 5 stages and usually no symptoms until Stage 4… the stage just before dialysis or transplant. That’s why potassium chloride should only be used with a doctors permission.
only for people with both kidney problems and hyperkalemia(too much blood potassium).
Sounds too good to be true, I wonder why we don't hear more about it even from plant based doctors.
Sounds much tastier than no salt and healthier than low salt
I was waiting for this video like a kid waits for Christmas and it's finally here!!😀
Me too🤣😂
A few years ago I was diagnosed with lupus, RA, APS and then just last year they suspected I have pulmonary hypertension because of an enlargement of one of the Chambers in my heart and presence of ventricular tachycardia during a 14 day monitor. Unfortunately I was not medicated for it but it was something that there were going to monitor over the next year and a half for progression. I say unfortunately because I had a heart attack about 2 weeks ago due to the VT and a sudden high blood pressure spike. The major thing that saved me was the blood thinners I was already on so thankfully there was no damage to my heart and I was placed on beta blockers and put on a very low sodium diet. I just started using potassium chloride but before this, I've never heard of it in my entire life. It actually taste great and you don't have to use a ton to get the salt taste. A little goes a long way and after a full week or so eating food with zero or the exact same flavor, and don't get me wrong Mrs Dash makes a few awesome salt free seasoning mixed, eating food with a mouth full of salty goodness and knowing it's actually good for me, is Heaven sent. Well, actually Earth sent since it's gonna keep me here on the Earth for a little while longer at least.
I've always loved the salty flavour, so potassium salt has probably been a life saver, for me.
It's impossible to make good sourdough bread without salt! But, I did successively cut the salt with a 1/3 potassium chloride. It taste great too!
How many batches until you figured it out? Not being sarcastic or funny, genuinely curious. A pet peeve of mine is ruining food until I perfect a recipe. I admire people who keep trying until they get it right!
I still don't understand why potassium chloride isn't used in processed foods.
Because it’s healthier. Can’t have that.
Possibly cost. I’ve been using potassium chloride for a while and it’s a lot more expensive than salt. But I think what Dr. Greger mentioned about flavor is probably more of a stumbling block. Not only the type of food, but also the quantity of potassium chloride can be severely detrimental to flavor. I use the stuff very sparingly and taste test to make sure it’s not too much. It definitely tastes different than sodium and once you cross the line, it’s really revolting 🤮
It doesn't taste the same
Many people in the US have kidney disease and don’t know it because there are no symptoms until it reaches Stage 4. Potassium chloride used freely in processed food would be poison to us.
@@SecretShiva It's not expensive, they dump literal tonnnes and tonnes of potassium on farms everyday as fertilizer. Current cost is $218/metric ton today. Which is $0.000218 per 1000mg in other words .0218 CENTS per 1000mg. Foods marketed as "healthy" just cost a lot more on the consumer level.
So could I buy a potassium salt substitute, split it 50/50 with regular salt and use it like that?
Why not?
Moving towards a 100% version myself.
potassium chloride tastes way better put is much stronger so using too much can easily override the taste of the food completely
Do you have any comments on the potassium-40 radionuclide contained in this salt? I poured a small pile onto a plate and measured 6x the background levels coming from the salt. It was a dose of almost 1 uSeivert per hour.
Potassium-40 naturally occurs as a small fraction of nearly all potassium, and potassium is important for life. It has a biological half life of 30 days and it is a beta and gamma emitter. The lack of alpha makes it much safer for ingestion relative to other radioactive materials.
But what are the consequences of significantly increasing the dose by replacing regular salt? This seems to go much beyond the otherwise natural level of consumption due to it being in foods like bananas and spinach.
You mentioned Lithium Chloride in passing, but what about Ammonium Chloride? It's a traditional candy flavouring here in Finland. It tastes very different from Sodium Chloride but once you get used to the taste it's really nice.
it's salmiak O_O it tastes strongly like licorice because a significant amount of Ammonia gas beeing produced when in contact with water.
@@FaridMC Indeed it is salmiak. I've tasted it pure in chemistry class in primary school just like everyone else but I can't remember it having a licorice-like taste though, I just know it's typically combined with licorice in sweets.
Great to know, especially for my mom. As for me, I usually add a sprinkle of low sodium potassium chloride with a little Himalayan pink salt. Is something wrong with Himalayan salt?? I don't eat any high sodium foods almost ever, so without adding salt, my blood pressure is too low.
Himalayan salt is salt, so it should be approached as such.
Per WebMD, "some samples of Himalayan pink salt have been found to contain potentially toxic elements like arsenic, mercury, and lead."
Himalayan pink salt comes from Pakistan, not actually from the Himalayan range. The trace minerals in it are of such small amounts that you'd have to consume a toxic amount of salt to get any benefit. Also, like the others said, there are possible toxic substances in it as well. Mostly, you're just paying for expensive salt.
@@xiamengbaby Yeah, Redmond pink salt (from Utah, IIRC) is much more secure.
A lot of high potassium plant foods are high in oxalate, spinach, nuts, potatoes, chocolate, etc.
I have long wondered about this, so thank you.
Very good information 👍
I agree with the pesto thing. I'm fine with no salt on almost everything, even potatoes
But😮
20 bananas a day is only about 10g of potassium, in about 2500kcal. I could eat 4kg of Kale in a day, get almost 15g of potassium, but less than 2000kcal. These prehistoric estimates of potassium intake are very challenging for modern humans. I'm happy with the daily dozen so far, I'll have to track my potassium intake when following the checklist, but I'd be surprised if it's much higher than the recommended intake.
10 grams is still a lot more than the RDI
You could eat 4kg of kale in one day????? No you couldn't. Probably not even 500 grams. That's absurd.
@@fidelkva4810 I can eat 20 grams in one day from potatoes and I have no problems
@@dj-fe4ck You'd have to eat like 4000 calories of potatoes for 20g of potassium...as for 4kg kale, that was a hypothetical to show how difficult it is to get 15g of potassium.
@@pdblouin 3500 calories of potatoes is about 25 grams of potassium in one day. I've done that before without any problems
I was waiting for this video.
Same lol
Seems the best we can do for overall health is to eat a whole food, plant based diet. Thanks.
@@smallfootprint2961 no doubt.
Thanks again for the great info.
Just curious what this means for people who are still on blood pressure meds since they haven’t been on a plant-based diet long enough yet. These medications warn you not to take the salt substitutes. So what does that mean for someone like that?
Yes good question!
Ironically, the ACE inhibiter class of BP medications can cause a build up of potassium so that should be taken into consideration.
One clear thing to do is use carefully and have your K (potassium) level check to rule out any rare but potential risk. There’s benefit / risk to almost everything. Here the benefit outweighs the risk with what should be modest use (ie idea isn’t to switch from proverbial tons of sodium salt to tons of potassium salt). But to mitigate risk, simply nudge into potassium salt and have doc check potassium blood levels. Note, my preferred product is Morton Lite (50/50) salt. Lo Salt is 70/30 (K/Na) but harder to find here in Detroit.
Try salt substitutes that don't contain potassium chloride, such as Benson's Table Tasty or the Stardust salt substitute from Well Your World. You might even try ground sumac for some foods, which would lend a tangy flavor.
Seems wise just to not eat processed food & only use the minimum amount of salt. Track your sodium in all condiments/cans as well
What about radioactivity of potassium? Can it trigger cancer cells growth, especially in people in remission after a cancer treatment?
I think that salt and potassium are both needed for overall health. Mainly eliminating salt, as this video seems to suggest, and replacing it with potassium chloride fails to allow for the benefits of salt, as it is an essential mineral for overall health. I spent more than a year studying the optimum salt and potassium intakes and found that the general information given to us by government and medical professionals is misguided and outdated. Other online resources have shown that a sodium intake of between 4-6 grams per day is linked to the lowest all-cause mortality numbers worldwide, so the current "guidelines" of less than 2g sodium a day are actually not achievable and are unhealthy. As for the potassium intake, at 4.7 G recommendation, it is rarely achieved by most of the population, and I think that getting 7-8 g per day of potassium is closer to the ideal amount. The only way to do this is with a potassium powder, like potassium citrate and mix it with some juice and water each day. As this video clearly shows, higher potassium intake is linked to a much lower rate or all-cause mortality. It is a shame that the general medical establishment doesn't seem to understand these seemingly simple things that could dramatically improve overall health in the population.
Have you ever tried Green Salt? It is dehydrated, powdered Salicornia (sea asparagus) that has an umami, salty flavor with only half the sodium.
Interesting
Yes. Lots of sodium though....
So no potassium salt on watermelon. Got it. Looking forward to getting some potassium based salt now.
Gonna bump it down to 74 carrots thanks doc
What's up, Doc?
I started taking a 50-50 salt/potassium chloride mix bought at a regular grocery story. My blood potassium level didn't change (still between 4 and 4.2) but my BP, which can vary is usually 115/75, went down to 110/69 - a best ever result. And I hardly notice a taste difference. My kids do, so I keep giving them regular (Redmond) salt.
I stopped because I thought I saw something bad about potassium chloride, but after doing a bit more research, I'll start using it again.
hey, I'm just doing salt research for the first time, and have watched this series of videos, etc.
I'm wondering if you've learned anything more in the past eight months since you made your comment. I'm tempted to do maybe a 60/40 mix of sodium chloride to potassium.
Have you experimented further with the ratios for yourself and your taste buds?
@@Yowzoe No, I've just gone back to using the 50-50 stuff I buy in the supermarket. No health issues, and it tastes fine to me. I haven't checked my BP lately (because it's always been good), but if there's a problem I'll let you know.
Silly question: Your potassium level--do you get a blood test specifically for that? Thanks.
@@mikefixacNo, it's in the standard panel my GP orders for me.
If I were to switch to 100% potassium chloride, how would I get iodine in my diet? I haven't seen any brands with iodized versions.
I do have with brand nezo
NOW brand has one with both
*Dulse* granules as a salt sub works well on many foods…my container says 284 µg per teaspoon (that's 189% of the daily value).
Why is potassium against the law to sell over two percent in pill form ?
I bought some yesterday. Alone it tastes really bad but added in a recipe it was ok.
"Alone it tastes really bad", talking about SALT...
@@zilaz i think it would also apply to any food that doesn't blend the salt inside. Like adding salt to popcorn. It would taste really bad. I love food like bretzels that has salt directly on it.
@@Dindonmasker fairs, didn't consider that
"bought"
how about potassium citrate?
Curious about that too
Ya , I herd from somebody that its healthier cuz its more natural , but I don't know .
I wonder if potassium chloride could make a good lacto fermented sauerkraut?
Cabbage is cheap! Try it and let us know. Given Dr. Greger's experience with watermelon...I don't have high hopes. You may need high-fat foods (e.g. Pesto) to mask/carry the flavor of KCl.
I wondered that, too! I expect problems.
please report back!
Pls do it, it could work!
Why are potassium supplements limited to two percent of RDV? Annoying and expensive option. Last visit to the grocery store, I had to hunt for Morton’s potassium chloride salt substitute. They were stuck on the bottom row next to an entire line of “natural” sea and pink salt, none of which include iodine. Actually, do any potassium chloride salt makers add iodine?…which many people are deficient in.
The brand Windsor has a iodized potassium chloride salt that I use specifically for this reason
@@RyanThomasWoods I'm hoping it's not full of sugar too - thx for that name drop tho, I'll check it out
I've wondered that too, but I've ordered pure potassium powder in bulk online from Amazon really easily. My Dr just said if you're taking a lot in a drink just sip it slowly over time so not too much at once, but is fine, been doing it awhile by adding to my daily protein shakes.
How do you prevent stomach ulcers from potassium chloride ingestion?
Is this a real thing? Have you encountered this?
لماذا لم تترجم فيديوات الدكتور الى العربيه
4:50
yea i somehow didnt know how dangerous salt was
like 4 years ago i did like salt water flushes once every 5 months or so (experimenting etc) and later figured out that the doses of salt that i was doing (1-2 heaping tablespoons) were allegedly deadly 🤨 somehow luckily nothing bad happened 😅
It's fine.
Y qué tal si en lugar de NaCl uso MgCl2? / What about MgCl2 instead?
Interesting, but... I need sodium to limit my muscle cramps !!! Do you think that potassium would work as well !? I'm already getting the required potassium quota, and more (bananas, greens, ...).
yes high dose potassium i no longer require salt
@@backwardthoughts1022 I tried potassium bicarbonate : yuk, disgusting !
Да, хлорид калия в супе отлично заменил соль. Если посыпать сухую пищу, то крупинки портят вкус, может разводить водой..
What if I had cream of tartar to vegetable juice or smoothy. Is it to much potassium?
What are your thoughts on sumac?
If one's standard medical lab test for serum potassium level is within the "normal" range, can one's daily potassium intake is at lease close to recommended (about 4.5 grams)?
That's wild about the 15 grams a day of potassium srudies, I was doing 9-iah grams a day at one point of potassium citrate coupled with a good diet. I felt absolutely great, though the taste was so horrific I just couldn't continue using it after about half a year. I want to try one of these salt substitutes but don't know which brand and want to avoid heavy metals. Any suggestions? I don't mind taste as nothing can be worse than potassium citrate I could imagine.
Efectos secundarios del sustituto de sal de cloruro de potasio
The FDA says potassium chloride is ( Generally ) considered safe? I would take what the FDA says with a grain of salt.
What's wrong with the FDA?
Woosh. I liked the joke.
It's safe I'm taking since years because noticed it gets rid of a bloated face.
Blood pressure dropped because of the increase in potassium not the decrease in sodium. The sodium and blood pressure correlation is bunk.
Would Dr. Greger consider himself the 1 in 6000 that meets the minimum requirement for K ratio?
And the stocks of potassium chloride have just increased 100% and the shelves in our health food stores are being cleared as we watch - get in there, Dr Greger!
I put this stuff in my water
If I give up idodised salt I'll have to get my iodine from kelp I guess. I understand kelp has enormous amounts of iodine and you have to be careful to avoid overdosig.
I'm confused about the suicide thing. So you have to take a tablespoon of potassium chloride all at once for it to be deadly? Or is that like a daily limit? Seems dangerous still :(
The point was that it may be dangerous, but if you have NaCl in your pantry, it's the same level of risk for KCl. We don't have an epidemic of NaCl overdoses so I don't see KCl as an issue.
it is more dangerous with sodium.
Potassium chloride is probably safe a high doses because your body will never absorb it. I'm taking "medical grade" potassium chloride for a deficiency in form of three times a day two 600mg pills. The package says absorption of two pills is already weaker than one and more pills than three at a time is pointless.
I think I will stick to whole food plant based diet, with a small amount of added regular salt.
Wait what, why not switch?
@@koshgam Just too iffy. Could be bad for the kidneys; how do I know if my kidneys are strong and healthy enough to take it?
How natural is Potassium Chloride? Salt has been around forever. So we know all the downsides, and can keep consumption low. Potassium Chloride is the new kid on the block. We may not yet know all its downsides.
@@pmw3839 Potassium chloride is in many plant foods. You are already eating lots of it.
@@carl13579 But not isolated in that form.
.
I was amazed what I found when I started tracking sodium intake. While eating no processed meats, salty snacks or added table salt, I still found I was pushing the 1500 mg / day recommended limit. I was eating two slices of multi-grain bread on a sandwich for lunch, each of which I discovered contained 250 mg of sodium. Just one slice of plant based cheese added another 250. If I added 4 strips of tempeh bacon, that would add another 640, or 1,390 mg of sodium just at lunch. Eat plant based, as the doctor advises, but be cautious of the sodium even in otherwise healthy plant based foods. Since watching this video series, I switched to a lower sodium whole wheat bread and substituted fresh vegetables with some NuSalt and hummus for the tempeh and cheese. Still a delicious lunch, but with much lower sodium and higher potassium.
The issue is that those plant based foods are still processed. You gotta eat fruits, veggies, fresh beans, lentils, rice, etc. They wont have an salt.
The 1500mg per day recommendation is actually ridiculously low.
It's kind of funny that If you look at your High blood pressure medication, it s mainly Potassium at some point and a dietetic to flush salt!! I got off my BP meds (through diet too) and I added more potassium (about 5k mg a day) one teaspoon of Nu salt or No salt diluted with water (about 1 cup) twice a day. FDA suggests 4700 mg a day. So you know we should probably have 6 k, lol.
I rationalize my table salt as a source of iodine.
Salt is not a good source of iodine because it evaporates from it. Sea vegetables or Lugol's!
Who need to put salt or sugar on ripe fruits, they are delicious on their own for a frugivore anatomy like us or maybe if they are not ripe or low quality i guess...
We are grainivores and tubervores
@@samnotsung Why then bonobos and chimps who have a frugivore anatomy and eat a frugivore diet (fruit based diet) dont have cavities problems and have all their tooth? because they dont eat dried fruit and others sticky carbs foods in the past like bread and similar.
You have earned yourself a pardon.
So, the conclusion is for healthy people to swap out regular salt with potassium chloride? But it sounds like one has to do a lot of checking with the doctor before one dares to take it. As one might have some hidden diseases that one doesn’t know of…
If your kidneys are so compromised that you need to avoid potassium, you will probably know about it!! A healthy person does not need to consult their doctor, I don't know where you got that.
You will get lots of hidden health issues with lack of potassium, even osteoporosis is caused by it and not because of lack of calcium!
ଆଗରୁ ଡକ୍ଟର sulpha ଔଷଧ ଦେଇ ରୋଗ ଭଲ କରୁଥିଲେ ଅନେକ ପରିମାଣ ରେ କିନ୍ତୁ ବର୍ତ୍ତମାନ km ଦେଇ ଭଲ କରିଚନ୍ତି।
This is an example of a "loaded" video.. And quite contradictory, at that.
I don't like the taste
When is lithium cloride💀
👍👍
I found this video while trying to find the side effects or risks of No Salt. "One guy died from taking a table spoon of it." - That is one side effect. This isn't a video about side effects. This is a video pushing a diet trend.
Im sticking to to good ol pink salt. Between ditching meat and alcohol, salt is the last thing on my worry list
Or maybe the next thing?
Ironic considering it's the world's number one killer
Sodium intake is more of a health concern for most people than animal protein intake.
Salt is the scapegoat for the SAD diet. If you took all the salt out of the SAD diet, it would be just as unhealthy. If you added 0.5-1.5 teaspoons of salt a day (1100-3300 mg of sodium in addition to the 50-500 mg you get naturally from fruits and vegetables) to a low fat wfpb diet, the diet would be no less healthy.
Please, Dr Geger, there’s no need to use Jesus’s name or highlight the health risks of “religion”. I much prefer your videos when they’re courteous and professional.
Potassium chloride is the main ingredient of lethal injection. I don't know how you have the gall to promote such stulidty, but salt phobia is in and logic is out
theres a difference between as part of your diet and sticking it in ur arm with a needle
Hello Mr Dr Greggor, please make a video on health benefits of heroin! And also differences between different types of administration! Thanks!!
Great video, but probably not necessary to take Jesus' name in vain. I don't want to judge too harshly, because I often do this myself, but not in published material.
I hate it when a person rambles off information sliding highlighted text one after the other at such speed that not even a speed reader can take it in. What is the use of showing the texts if you don't want anyone to really read it. Is it to prove that you are getting your ramblings from peer reviewed research?
Not impressed.
Don't use the name of the Lord Jesus as a curse word.
Actually, people should do it more often. It's fun
🙄
Jaysus, Dude -- don't force your strange, small-minded morality on the world, ffs 🤦♂️
you're full of crap, if you say you could remove salt from food and not even miss it then your taste buds are deficient, salt makes vegetables way more delicious
4:22 -- Oh my Jesus, he said a swear!!
Those salt substitutes are disgusting 🤢 ewww!
This is absolute nonsense
4:27 Sigh. "DYED by SUE E CIDE". Not "committed" sue e cide. Come on Dr. Greger you should know better.
@Chris Namaste It's insensitive. The phrase "committed suicide" suggests an almost criminal intent. Mental health advocates usually employ the term "died by suicide," as it removes culpability from the person who has lost their life and allows a discussion about the disease or disorder from which they were suffering.
@@wowandflutter Is is an accusation of a crime. In most jurisdictions it is not a crime and even if it is no criminal case would go forward because the case would be moot and would be dismissed. The term should be completely expunged from English and those who use the term should always be named and shamed.
I stopped listening after you made fun of carrot juice to cure cancer. Gerson therapy works. Simple.
Show me the clinical trials.
Oh no how could he, after reading this, no info from Dr. Greger can be legit! 🙄
How about a variety of plants, algae and funguses instead of just a very rich in antioxidants but sad vegetable? I mean, the carrot thing must work, you are bringing so much betacarotene and so little cancer promoting substances that the cancer will miserably starve to death. Anyways, beetroot, garlic, wakame, chlorella, button mushrooms, onion, soy, ect. they all destroy cancer, why eat such an excess of one root instead of them all?
It may have worked but it still poisoned the guy.