How to increase salt intake diet if you suffer with POTS

If you have POTS (Postural Orthostatic Tachycardia Syndrome), your doctor might recommend increasing your salt intake to help manage symptoms like dizziness, fainting, and fatigue.

If you have POTS (Postural Orthostatic Tachycardia Syndrome), your doctor might recommend increasing your salt intake to help manage symptoms like dizziness, fainting, and fatigue. Salt helps your body hold onto fluids, which increases blood volume and supports blood pressure.

 

Why Salt Helps

People with POTS often have low blood volume, which makes it hard for blood to circulate properly, especially when standing. Extra salt helps your body retain water, which increases blood volume and can reduce POTS symptoms.

 

How Much Salt is Recommended?

  • 3 to 10 grams of sodium per day (that’s around 7.5 to 25 grams of table salt).
  • This is much higher than what’s recommended for the general population.
  • Always check with your doctor before making big changes.

 

Quick Salt Conversion:

Table SaltSodium
7.5g3g
10g4g
20g8g
25g10g

(Table salt is about 40% sodium)

 

Ways to Add More Salt

You can increase your salt through food, supplements, or drinks. Some options include:

  • Salty foods – pickles, olives, salted nuts, broths
  • Natural salts – Celtic sea salt or Himalayan salt
  • Salt tablets (e.g. Slow Sodium – prescription only)
  • Electrolyte supplements (powders or tablets)
  • Salt sticks or capsules
  • Homemade electrolyte drinks (recipe below)

 

Don’t Forget Fluids!

Salt needs water to work properly. Make sure to drink 2–3 litres of fluids daily (unless your doctor tells you otherwise). Coconut water, broths, and electrolyte drinks all count!

 

Important Reminders

  • Increase salt slowly to avoid side effects like bloating or high blood pressure.
  • If you have kidney issues, high blood pressure, or heart conditions, always check with your doctor first.
  • Some people with mast cell issues may react better to natural rather than synthetic products. Always check allergy information.
  • Look out for sugar, sweeteners, or additives in electrolyte drinks if you’re sensitive to them.

 

Suggested Electrolyte Products

(Note: These are patient and clinician suggestions – no paid endorsements)

ProductSodium ContentNotes
Applied Nutrition Endurance Hydration Tablets~0.27g /servingSugar-free, contains artificial sweeteners
Active Root Electrolyte Tablets0.32g / sachetContains natural sea salt / sweeteners
SIS Go Hydro Tablets~0.4g /tablet

Sugar-free, contains artificial sweeteners

 

STYRKR SLT07 Tablets0.5g  / tabletContains sugar
REPOWR Electrolytes1g / sachetNo sugar or artificial sweeteners
Hunter & Gather Restore Sachets0.75g /sachetNo citric acid or artificial sweeteners
STANDFAST drink7g/scoop

For POTS & athletes; contains creatine, sucrose and sodium bicarbonate

 

 

Homemade Electrolyte Drink Recipe

Make your own drink with basic ingredients:

Ingredients:

  • ½ tsp salt (about 2.3g salt / 1.15g sodium)
  • ½ tsp baking soda
  • 1 litre water or coconut water
  • Optional: honey, lemon, lime, or a sweetener you tolerate

Tip: Store it in the fridge and sip throughout the day.

 

Other Options

  • Effervescent Paracetamol: Contains over 1g of salt/tablet – but check with your doctor first due to the paracetamol content.

 

Talk to Your Healthcare Provider

Before starting a high-salt diet or trying supplements, speak to a doctor—especially if you have other health conditions. Everyone’s needs are different, and your provider can help you find what works best for you.

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