Most people DO NOT hydrate properly during #Ramadan 🌙

End up drinking a ton of water at suhoor, then urinating like a horse for the next few hours 🐎

End up thirsty and lightheaded

We aren’t camels, we are humans 🐫⏩️ 👤

Here’s the Ultimate Ramadan Hydration Guide 👇
In order to improve hydration, we want to increase the amount of water we absorb into our blood and cells

If you just drink 4 cups of water alone, very little of that is going to get absorbed

But there are some tricks we can leverage 👇
Introducing Sodium-Glucose transporter

We have a special transporter in our gut that absorbs sodium and glucose together

As these are absorbed, water follows
This is the basis of Oral Rehydration Therapy, arguably the most life saving medical intervention of the last century

Diarrhea takes countless lives. Hydration stops this

This is a common formula for sick patients
Hydration is a sodium game. This is why we give IV fluids with sodium/solute in the hospital

If you don’t eat food with sodium and glucose in it, you will end up not absorbing as much water
This image is IMPORTANT

When they over-hydrate people with just water, only 5% gets absorbed (first on the left)

Add in sodium? Up to 60% of water retained. (Third from left)

Now we’re talking!
You SHOULD drink to quench your thirst

Thirst is generally accurate for hydration

But over drinking pure water is not helpful and may even be counterproductive

Instead use these tricks to increase total water absorbed
Certain brands like @liquidiv (no brand affiliation) take advantage of this with what they call CTT

Cellular transport technology

They are smartly taking oral rehydration therapy and packaging it for the masses

More solute = more water absorbed
There are number of these electrolyte packets on the market now

I’ve tested out liquid IV, Nuun, and LMNT. All work good

LMNT is low in sugar for those who are worried about sugar
These have been GAME CHANGING

Not lightheaded 🤕

Able to workout WHILE fasting 🏋🏻‍♀️

High energy levels 💥
You can also just make this at home on your own

- 1/4-1/2 teaspoon of salt (around 500-1000mg sodium)
- 8-16oz of water
- squeeze of lemon
- eat dates or fruit for sugar

But watch out on salt if you have high blood pressure or heart disease
What drinks hydrate the most? The drinks that have solute in them

- hydration drinks #1 of course
- milk (lactose, sodium, potassium)
DISCLAIMER

If you

- have high blood pressure
- heart disease
- on diuretic medication

DO NOT ADD MORE SODIUM without talking to your doctor

These patients are usually restricted to 2000mg sodium daily
If you are eating salty food at suhoor, you won’t need to do this

In fact if you eat too much salt, you’ll need MORE water otherwise you’ll be thirsty

I aim for a balance of 1000mg sodium to 1L of water or so
What about Gatorade and other -ade drinks?

Not the ideal ratio

Coconut water? High in potassium, but not in sodium. Good option for those worried about sodium but for someone who gets lightheaded or hypotensive, sodium is key 🔑
Now back to this image

Notice the second from the left? This is glycerol induced hyper-hydration

Glycerol can add up to 1L of water on to your body and decrease urination

Together with sodium (4th tube), you get 77% of water absorbed

WOW
For most, sodium is sufficient. ~60% absorbed

However for an athlete or someone who has a strenuous job with a lot of sweat production, glycerol is an option

I am testing glycerol this Ramadan and will keep you posted, iA
These are the guidelines I follow for hydration:
I myself have been doing this for a few years now

Family/friends who try it have told me it has completely changed their Ramadan experience
Of course talk to your doctor first and this is NOT MEDICAL ADVICE.

This is just for informational purposes

For people who have low on blood pressure, doctors often prescribe sodium tablets.
Tips on hydration and more are all discussed in my Ramadan ebook.

Available for $0+ below. Want this to be available to all Muslims in Ramadan, even those who cannot afford its #muslimtwitter

abudbakri.gumroad.com/l/ultimaterama…
If you found this helpful, please retweet the first tweet and save someone from hydration mistakes👇

And follow along for more Ramadan tips!!
And now I programmed an AI to make a video of me explaining this thread

It even nailed my stutters, ums and speech cadence

Crazy!
And if you’re hydrating well but still having a headache 🤕, check out this thread 👇
And here’s my entire thread of threads for Ramadan. All the tips will be linked here 👇

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More from @AbudBakri

Mar 11
One of the SCAMs of modern medicine is that we tell patients generics are just as good

That might have been true before

It clearly is not now

I have experienced this myself with certain medications

yahoo.com/news/people-ad…
There have been scandals of certain generic drug manufacturers overseas gaming the system and producing empty drugs at best, or drugs with several impurities at worst

The brand name meds are going to work better… but sometimes those are prohibitively expensive
@PeterAttiaMD dove deep into this here with @KatherineEban

Read 5 tweets
Mar 6
Is it ethical to prescribe a patient a placebo 💊 pill, knowing they will likely improve on their own?
Even if patients KNOW it’s a placebo, sometimes the empty pill still works

ncbi.nlm.nih.gov/pmc/articles/P…
Read 6 tweets
Mar 3
Damn just heard that one of the guys at our BJJ gym and 4 friends OD’d on fentanyl after doing lines of cocaine 😢 . 4 deaths….

1. Stay away from recreation drugs, if not for the harms of cocaine itself, but for for the fentanyl adulteration

2. WHY IS FENTANYL IN COCAINE? Who… twitter.com/i/web/status/1…
Opioid epidemic is costing so many lives…

The history of such an epidemic has blood hands from both the medical establishment, government policy and drug cartels. It’s a perfect storm
“Recreational drugs aren’t inherently bad” 🤡
Read 4 tweets
Mar 2
We need to aggressively treat and eliminate MOSH 🫃

Male obesity-related secondary hypogonadism

This is one of the biggest drivers of the Low T epidemic

Forget the “testosterone supplements” 💊
So many avenues for obesity to destroys testosterone, including

- HPG suppression through aromatization
- HPG suppression through adipocytokines
- OSA
- leptin resistance
- insulin resistance/SHBG decrease
Possible treatment options will vary case by case

1. Lifestyle modification to treat/prevent metabolic syndrome
2. Weight loss therapies such as semaglutide with lifestyle or even bariatric surgery 🔪 in some
3. TRT?
4. SERMs such as clomid/Enclomiphene

Will depend on patient
Read 4 tweets
Feb 13
Worried about endocrine disrupting chemicals (EDC)?

Many of these are lipophilic

This means they are stored in the adipose (fat) tissue

Another reason to keep body fat% ⬇️⬇️⬇️

⬆️ body fat = ⬆️ ability to accumulate these chemicals and have them slowly leak into your 🩸
For men, extra adipose tissue is a DISASTER

- lowers HPG production = less testosterone
- secrete adipocytokines = more inflammation
- store EDCs

Extra adipose tissue is EVIL
Too little can also cause problems though. Balance is key. Goldilocks effect
Read 4 tweets
Jan 18
New SLEEP APNEA treatment 😴

No Bane 😷 needed

Electronic stimulator inserted surgically 🔪 to move your tongue based on breathing pattern👅

Keeps airway 🫁 open

Connects to hypoglossal nerve in 🧠 stem

For people BMI <32

Called INSPIRE (excellent branding)
Taking advantage of the fact no one wants to wear a mask
Seems people like it…. But I’m always hesitant to introduce hardware into the body..
Read 5 tweets

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