Dry Fasting Hormones: Aldosterone - Sodium and water balance in the body

Dry Fasting Hormones: Aldosterone - Sodium and water balance in the body

Health

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If you’re intrigued by the idea of dry fasting, you’ve likely come across mentions of “aldosterone” and wondered why it even comes up. Aldosterone might sound like some obscure hormone, but it’s actually a key player in how the body regulates fluids and salts—especially during times when you’re not drinking any water, like in a dry fast.

What is Aldosterone?

Let’s break down what aldosterone really is and why it’s so crucial when considering a dry fast. Essentially, aldosterone is a hormone created by your adrenal glands, those two small, triangular structures sitting on top of your kidneys (solar plexus/manipura chakra point, anyone?). It acts as a sort of gatekeeper, telling your kidneys when to hold onto sodium and when to let it go. Since sodium is a main driver of water retention in your body, aldosterone’s directions control the balance between how much water is held in your bloodstream versus released through urination.

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Aldosterone is the main mineralocorticoid steroid hormone produced by the zona glomerulosa of the adrenal cortex in the adrenal gland. It is essential for sodium conservation in the kidney, salivary glands, sweat glands, and colon.

When you dry fast, your body goes into a state of conserving resources, especially fluids and electrolytes. Here’s where aldosterone becomes important. Without water coming in, your body starts to pull out all the stops to prevent dehydration, which means keeping sodium and water tightly regulated to maintain as much as possible. Normally, you drink water, and the body adjusts fluid levels without too much stress. But with dry fasting, there’s no new water coming in, so it depends even more on mechanisms like aldosterone to keep your water levels steady.

Aldosterone and Sodium

The body releases aldosterone to ensure that sodium stays where it needs to be, often at a slightly higher level than usual to compensate for the lack of water. This causes your kidneys to hold onto sodium, which in turn keeps water within your system instead of allowing it to pass out. In some ways, this acts as a cushion against dehydration, allowing your body to operate “as usual” for longer than you might expect.

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The reason why my refeeds focus on potassium, and why it may be a bit of a dry fasting hack to incorporate potassium HCl as your salt for a week after the fast (preferable to potassium bicarbonate -> see my article about why I disagree with baking soda after a dry fast [Disagree with August Dunning])

Aldosterone and Potassium

However, the story of aldosterone isn’t as simple as “keep sodium, stay hydrated.” Aldosterone plays a role in balancing potassium levels, which also become crucial during fasting. As it tells your kidneys to retain sodium, it encourages potassium release. Potassium is essential for nerve function, muscle contraction, and many other daily processes, but when its levels start to dip, it can cause symptoms like muscle weakness or even cramps. During a fast, this potassium and sodium shift might feel like you’re going through an internal balancing act.

Aldosterone and Dry Fasting

Now, if you’re dry fasting, your body won’t just conserve sodium indefinitely—it actually goes through phases of adjustment. Studies on longer dry fasts, like those lasting five days, show that aldosterone levels do rise initially to help maintain hydration. This effect isn’t permanent, though. After a certain point, your body may lower aldosterone levels slightly, which appears to be a method of preventing any dangerous imbalance between sodium and potassium over time.

5 day dry fasting study

If you think about it, this process is rather fascinating. The body is in “survival mode” but adjusts in such a way that, even without new water intake, it finds ways to avoid dehydration. Aldosterone’s role in this can’t be overstated; it’s a critical component of the body’s ability to adapt to what would otherwise be a highly challenging situation. In a way, you could say it’s what keeps the show running during a dry fast, ensuring that electrolyte levels don’t swing wildly out of control and put your health at risk.

One of the interesting things about aldosterone during dry fasting is how it interacts with another hormone, vasopressin, or ADH (antidiuretic hormone). Vasopressin also helps the body conserve water but in a slightly different way—it acts on the kidneys to reduce water loss directly. Together with aldosterone, vasopressin creates a tag team effect that amplifies water retention. The combination of these two hormones allows your body to go without water for much longer than if either were acting alone.

This orchestrated effort explains why, even after several days without water, participants in dry fasting studies often show minimal signs of dehydration. Their bodies manage to hold onto just enough water, thanks in large part to aldosterone’s influence. In research, it’s been noted that although there is an increase in blood osmolality (meaning blood concentration thickens slightly), participants continue to show normal blood pressure, heart rate, and kidney function. These findings reveal how effectively aldosterone and its partner hormones rise to the challenge.

Dangers of Aldosterone

That being said, it’s not all smooth sailing. If aldosterone levels remain elevated for too long, it could lead to an imbalance where the body holds onto too much sodium while losing potassium, as mentioned before. For this reason, dry fasting for an extended period requires a period of adaptation and recovery afterward, allowing your body to rehydrate and rebalance its electrolytes.

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Recovery after a dry fast depends on your experience, fasting length, and symptoms. It is always better to take extra time to refeed to be on the safer side. We know that aldosterone levels return to baseline 3 days after a 5 day dry fast in healthy individuals. Longer fasts may have longer recovery, and even multiple fasts in short succession may play a role at keeping aldosterone elevated for longer. In the Scorch Protocol (which focuses on 5 day dry fasts), Salt is only brought back in, in small quantities on day 3, using KCl as a salt substitute.

Beyond fasting, aldosterone also plays a broader role in your health. High levels of this hormone, even when you’re not fasting, can lead to what’s called “aldosterone excess,” which can cause high blood pressure and increase the risk of heart disease. In the short term, though, like during a controlled dry fast, the body’s natural regulatory systems usually prevent such issues. Instead, it’s a temporary increase to help the body adjust to the lack of water intake.

Can dry fasting cause primary aldosteronism?

It's a concern that some may have, but according to studies and personal experience, it doesn't seem to be the case. Within a few days after a longer dry fast, you can experience a form of primary aldosteronism as the body attempts to downregulate this. Complications some people who dry fast without any preparation for the refeed may get edema and bloating which may be difficult to remove.

What is Conn's Syndrome?

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Primary aldosteronism, also called Conn's syndrome, is a disorder in which your adrenal glands make too much of a hormone called aldosterone. Aldosterone helps regulate your blood pressure by balancing sodium and potassium levels in your body.

In essence, aldosterone’s role in dry fasting is as a sort of emergency mode that helps your body make it through days without hydration. It does this by tweaking sodium and potassium levels, creating a state where water is held onto for as long as possible without tipping the scales too far in either direction. This balance is why dry fasting, when done in a controlled, safe environment, can be tolerated by the body and even have benefits for some people. But without this finely tuned response from aldosterone and other hormones, the body would quickly face challenges beyond what it could manage without water.

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Also, keep in mind that I highly advocate against over-fasting -> something I've been guilty of myself and required over 6 months of rehabilitation. Just like too much OMAD, too much water fasting, and too much carnivore dieting (vegan dieting suffers from the opposite side of the spectrum). If you've been hurt by diets or fasting I highly recommend considering deep dive coaching with me, which can focus on things like working to prevent Aldosterone exhaustion and rehabilitation. At a minimum, I highly recommend keeping an eye out on the Scorch Blueprint (under the Miro Board link).

So next time you hear about the body’s impressive ability to survive a dry fast, remember that aldosterone is a big part of that equation. It’s not just about “staying hydrated” or “avoiding water loss” but involves a sophisticated interplay of electrolytes and hormones, all designed to help you go longer without fluids than you’d ever imagine possible. Whether you’re exploring dry fasting for health or just curious, understanding aldosterone’s part in the process adds a whole new level of appreciation for what the body can accomplish. Good luck on your dry fasting journey.


Yannick Wolfe

15 Years of Fasting Experience, Ex-ME/CFS, Ex-Long covid. Tech Consultant, Molecular biologist, Father, Researcher, Experimenter.

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