Dinner With the Nanny Police

New York City has lost its mind.

Or at least, its health officials have.

Starting on December 1, all restaurants with 15 or more locations must include a salt shaker icon on their menus. The icon will denote any items containing more than 2,300 mg of sodium.

The head of the New York State Restaurant Association says it’s yet another “superfluous hoop [they have to] jump through” – far nicer wording than we would have used.

Most Americans consume about 3,400 mg of sodium per day, or about 1.5 teaspoons. But the current government-recommended range is 1,500 mg to 2,300 mg per day. That’s less than one teaspoon of table salt per day, max. Worse yet, people 65 and older are advised to cut their salt even lower.

I’m sick of this mindless mantra of “the less salt, the better.”

Don’t believe it. Not enough salt is just as dangerous as too much.

New York’s ridiculous new law is just the latest show of an overreaching Nanny State.

Here at Retirement Millionaire Daily, we don’t want big government telling us what we should or shouldn’t eat. We want the facts and the ability to decide for ourselves. So let’s get into the nitty-gritty truth about salt…

Why do we need salt?

Salt contains sodium, an important element that creates a balance in the blood and fluids of our bodies. When we take in other nutrients, sodium helps transport them into our cells. Plus, sodium is critical in nerve signaling.

How do our bodies regulate salt?

The balance between water and sodium is vital to keep your body functioning. Your kidneys do most of the work with a sort of master “on/off” switch.

If you have too much salt and not enough water, your body starts pulling water out of every part of your body. This puts pressure on your kidneys and strains your blood vessels.

If you don’t have enough salt, your kidneys produce an enzyme called renin. Renin tells your body to get into sodium-conservation mode. One of the things that means is your blood vessels constrict, raising blood pressure.

Wait, so not enough salt raises my blood pressure?

Yup… in the short term. But chronic high blood pressure takes a long time to develop. And it depends on more than just salt intake. A 2013 study out of the University of Virginia found that 15% of people who followed low-salt diets actually had seen their blood pressure increase within seven days, rather than decrease.

Even the study used by the American Heart Association to back the recommendation for cutting salt showed how little it works. For people with high blood pressure (140/90 or higher), their readings only dropped three to five points, to about 135/87. For people in the group with normal blood pressure (lower than 120/80), cutting salt only lowered their pressure one to two points, or to just 118/79. Essentially meaningless.

So can I eat all the salt I want?

Salt and its harmful effects show up statistically on what is called a U-shaped curve, also called the “Goldilocks” curve. In other words, too much is bad and too little is bad.

You want to hit the sweet spot. But the amount that’s “too much” isn’t as clear as the “experts” would have you believe.

For example, a study published this past January in the Journal of the American Medical Association: Internal Medicine found that modest amounts of salt in your diet aren’t harmful. Researchers found that, after a decade, participants who consumed the highest level of the “recommended” salt intake (2,300 mg of sodium) were no more likely to experience heart disease, stroke, heart attack, or heart failure than those who ate less salt.

The study found that death rates were lowest in people getting between 1,500 mg and 2,300 mg of salt per day, at 30.7%. The death rate was 33.8% in people consuming less than 1,500 mg and 35.2% in people consuming more than 2,300 mg.

082815 REM Death rates based on sodium consumption-01

But a 2014 study published in the New England Journal of Medicine found that people consuming less than 3,000 mg (30% higher than the “recommended” amount) of salt had a 27% increased risk of having a heart attack or stroke and dying from a cardiovascular event.

Why is not having enough salt dangerous?

Some people cut down way too much on their salt intake, which leads to even worse health problems, including hyponatremia.

Hyponatremia, which is a condition caused by abnormally-low levels of salt in the blood, causes everything from muscle cramps to confusion and nausea. It can affect the nerves and walking. And it’s one of the leading causes for falls in the elderly.

If you take a diuretic, the most common first-line drug for lowering blood pressure, you could be at greater risk. These medications take salt out of your body and thus remove water along with the salt. Combining them with low-salt diets can reduce your salt level too much. If you’re on a low-salt diet already and add a diuretic, be sure to talk to your doctor about how to prevent hyponatremia. A simple blood test can help measure the level of salt in your system.

Is there anyone who should watch his or her salt intake?

Not everyone responds to salt the same way. Extra salt in moderation is fine for most people. But there are exceptions.

First, you should have healthy kidneys. If you have any kidney diseases or a common illness that affects your kidneys (such as diabetes), you should avoid going crazy on a salt binge.

Second, there’s a genetic factor that most of these government regulations fail to acknowledge. Some folks are genetically “salt-sensitive.” That means their genetic makeup makes them more likely to be affected by higher salt intake than others.

The study we mentioned above from the University of Virginia also reported that about 25% of Americans are salt-sensitive.

How do I know how much salt I’m eating?

Salt doesn’t just come from what you sprinkle onto food yourself. Many prepackaged foods contain salt. Just take a look…

Food Milligrams of Sodium
McDonald’s Big Mac 970 mg
Campbell’s chicken soup 940 mg
Burger King Whopper 910 mg
Lean Cuisine Alfredo Pasta With Chicken & Broccoli 600 mg
8 ounce can of tomato sauce 410 mg
1 slice of deli lunch meat ham 350 mg
Large McDonald’s French Fry 290 mg
2 tablespoons ranch dressing 260 mg
1 slice whole wheat bread 112 mg

Make sure to get your other “salts” too – magnesium and potassium. These nutrients are critical to helping your body maintain that sodium-water balance we mentioned earlier. In fact, low magnesium and potassium levels in Americans’ diets are probably a major component of high-blood-pressure problems.

Here at Retirement Millionaire Daily, we want to empower you to make informed decisions about your health care. Don’t shy away from salt – just make sure you drink plenty of water to keep your fluid-to-salt ratio balanced. Also be sure to get enough potassium and magnesium by eating plenty of fruits, vegetables, nuts, and beans. Three foods that pack in potassium and magnesium all at once are fish, avocados, and bananas.

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