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How (Not) to Increase Your Potassium Intake

Most of us aren't getting enough potassium. But it is also possible to get too much. Find out the risks of potassium supplements and salt substitutes

By
Monica Reinagel, MS, LD/N, CNS,
June 10, 2014
Episode #287

Page 2 of 2

Reason #1. Pills don't equal foods. Fresh whole foods contain a wide range of nutrients that work together to promote health. When we take individual nutrients out of foods and put them in pills, we don't always get the same benefits as we do from eating those foods. 

Reason #2: Supplements don't impact diet choices. Some of the benefit of eating more broccoli comes from the vitamins in broccoli. The other benefit of eating more broccoli comes from the fact that we end up eating fewer French fries! When we get our nutrients from whole foods rather than supplements, there isn't as much room on the plate for highly processed, nutrient-poor foods.  

Reason #3. It's too easy to overdo it with supplements. Although it would be pretty difficult to get too much potassium from whole foods, it's a lot easier to get into trouble with supplements - especially if you have reduced kidney function or are taking certain medications that impair your ability to clear potassium from your blood. If your blood potassium levels get too high, it can cause weakness, arrhythmias, or even cardiac arrest.

Unless your doctor has prescribed potassium supplements to correct a deficiency, I would not recommend taking a potassium supplement, beyond the amount that might be found in a regular multi-vitamin. 

What About Potassium-Based Salt-Substitutes?

Nutrition DIva listener Alice wondered whether using a potassium chloride salt substitute would be a good way to increase your potassium intake and cut down on sodium at the same time. 

A packet of salt substitute contains about 500 mg of potassium. Ten packets, or about 1 1/2 teaspoons a day - which is a lot - would supply your daily requirement. But, just like with supplements, you wouldn't be getting any of the other nutrients and benefits that you would get from foods that are high in potassium. 

There's another more serious risk as well. People with high blood pressure often use potassium chloride in order to cut down on their sodium intake.  But certain high blood pressure medications (specifically, the potassium-sparing diurectics) are among those that can lower your potassium tolerance.  If you are on any medication, check with your doctor to be sure that it's safe for you to use a potassium-based salt substitute - and how much it is safe for you to use. 

For everyone else, a potassium-chloride salt substitute (in reasonable amounts) is an OK way to increase your potassium - as long as you promise to sprinkle it on your vegetables

References

Hoy MK, Goldman JD. Potassium Intake of the U.S. Population: What We Eat In America, NHANES 2009-2010. Food Surveys Research Group Dietary Data Brief No. 10. September 2012. Available at: http://ars.usda.gov/Services/docs.htm?docid=19476

Doorenbos CJ, Vermeij CG. Danger of salt substitutes that contain potassium in patients with renal failure. BMJ. 2003 Jan 4;326(7379):35-6. Link to article.

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