Pretty sad a KZfaq Dr is more helpful then my own local Dr's.

I suspect that your patients are completely educated and at ease. Your ability to put things in layman's terms is impressive. You clearly care about helping people. Thank you for the video :)

I have had this I was 8 years old and I am now 42. I had numerous episodes as a kid and then all episodes went away for about 15 years. I joined the Air Force and was able to stay in for ten years. I had my first episode as an adult while deployed to Afghanistan while onboard a military aircraft. It was dark, hot and crowded. I now have a pacemaker and still have episodes but no full fainting. I wouldn’t wish this on anyone 😔

Thank you very much! My episodes seem to be related to both digestion, dehydration, and too much sugar. It’s such an awful feeling, and at my age, it frightens my children so much. They say, “Mom, no more episodes please.”😌🙏🏼

Great heavens Doctor, you are just a born, born teacher!! I just hope you are a lecturer in medicine to students of the subject... they will pass their exams thanks to you. Huge clarity of mind, and expressed so brilliantly. Bravo

There is a terrible amount of stigma surrounding mental illness and vasovagal syndrome usually leads to anxiety, depression, panic disorder, and agoraphobia. So on top the stigma surrounding mental illness there is also stigma surrounding people who faint, often being perceived as cowardly and weak. My existence is a humbling one...

TIP for people giving blood !!! Tell the nurse that you have to lay down and ask for a ice pack for your chest and or for the back of your neck. Best advice I got, and it's helped me beautifully .

I just had a vasovagal reaction today after getting blood drawn. I fainted on the floor and hurt myself pretty bad. 9 stiches on my eye and a concussion. Thank you so much for this video! I will definitely be taking your advice to avoid this in the future! A great and well spoken video that was very understandable.

Thank you for this! I have suffered from passing out frequently my entire 32years of life! I’ve hated it and never understood it. I know all my symptoms and warning signs- they come on strong and severe but I’m used to them now so I have a little time to act before dropping but it’s such an inconvenience especially when it starts happening on my commute standing on a packed subway. No doctor I ever saw explained this to me and this is exactly what I suffer from! So thank you!....word of advice to anyone struggling with this, keep a tiny bottle of water, hard candies like lifesavers -no pun intended 🤣 and little packets of salty nuts on you at all times, if you start feeling like it’s coming on these help you recover super quick it won’t stop episodes but get over them faster and not be so obvious that you have a pass out problem like me😂 I call it my fainting kit 👍🏻

Emotional Vasovagal Syncope is like a fast train that can’t be stopped and it comes crashing down on you where you become faint and unconscious, into a complete brain shutdown. But also, an almost immediate, fast recovery from these seizure attacks as if the brain has reset itself. Low blood sugars definitely contribute to these attacks taking place.

Thank you SO much for posting this. My daughter's heart stopped twice. When she was 5 and received her MMR and Varicella combination vaccination, she went blue and slumped down. Medics rushed in and said her heart stopped but then restarted. Later in the ICU when they could find nothing wrong with her, she was told she could go home. While dressing, she went out again, and we were told her heart stopped for a minute and a half. They used a holter? chest/vest monitor. Still could not find anything wrong, but they implanted a pacemaker, as they said her heart rate was dropping down very low at night. Pacemaker only went off a few times, in the middle of the night. Later it malfunctioned and they turned it off. She was told she'd outgrow the problem as she put weight on and grew in size. My father, a radiologist, said, upon viewing my ultrasound while I was pregnant with her, that she had a small white calcification on her heart. He'd never seen one before and didn't know what caused it. She was examined thoroughly, upon birth; no heart problems found. Now she is 19. She will feel cold, and hear sounds and then faint. I will show her your video. It will be very comforting to her, I'm sure. You gave very good advice and I do so appreciate your time and expertise.

The scariest part is waking back up and not having the faintest clue where I am or what just happened. Fortunately, most of my vasovagal attacks do not progress to complete loss of consciousness.

Anyone else had this enough that they're feeling light headed just listening to him describe it?

When you made this video, I had never heard of vasovagal syncope. I was a happy human, enjoying walks and long hikes for three or four days (with camping gear on my back). In 2020, I clearly remember the time and the day (August 21) I felt a bit off, to be honest I had not felt good for a few days but had no COVID symptoms and my tests were negative. I remember that they were putting in new driveways in our condos and that it was a beautiful summer day. I came home and my daughter, she is a nurse, bless her heart, she sees me and asks me if I am okay. I said no, I am not feeling the greatest. I ended up in the ER and was bored to tears as the pandemic was in full swing here in Canada, and we were not allowed visitors. In the evening a doctor came by, finally I thought, I am going home. Turns out, he is a friend of mine. I am like, Jamie, don't you know who I am? He looks at the record, which has my full Dutch name on it, and is confused, how did I know his name? I pulled my mask down a little, and he goes like: Al??? Oh, my word! You never want a doctor to say those words.... uncontrolled aneurysm. Okay... so what medication do I take, and when can my wife come pick me up? I was hungry, had been in the hospital since 11:30 AM, and now it was 6:30 PM, no water, no food, I was not allowed to walk around either. Uh, no, you are staying with us for a while. What seemed to be tests going on forever, I ended up in a nice private room - courtesy of Jamie. I had quad by pass and after coming home, feeling a new human, well... okay slowly does it.... I remember the day, December 29, I was working from home, felt tired, so tired, yawning, my wife was saying that I yawned so much. I felt clammy, not well, but I thought: Let me go lay down in bed. I never made it to the bed, that was the first time in my life I fainted. I think I was out for maybe 5 seconds or shorter, and stood up to go lay in bed. BP was so low it was not even funny. I felt terrible. Of course, we thought it was the old ticker, but not this time. All blood work came back without issues. This was the first time I heard the term vasovagal syncope. Everyone just behaved like nothing happened. I had sustained some damage during surgery, the doctor mentioned. I learned about my triggers, I educated myself about the vagus nerve and nerve X and the interactions between signals from the brain to the heart and so on. Today I learned to live with it, I am back on walks, but not so brisk and not so far. I have turned older, I feel exhausted most of my days. I have had many heart scans and research and tubes and sensors in me, I think they know me better from the inside than I know myself from the outside. I do have a strong opinion that VVS is not just the cardiovascular system, research from many universities, but the study at the University of Alberta, here in Canada, actually wrote about the possibility of nerve and cardiovascular systems not working well together. It was an eye-opener, and I contacted the researchers. We are now almost 2.5 years after my first incident, and I have had at least 5 where I passed out. I lay down in the grass beside the trail and people run up to me. Please let me lay down for a few moments, I am alright. Fetch me my water bottle, please. At work, my co-workers know what (not) to do. Just let him sit or lay down. And they are very understanding and accommodating. Yes, it is perfectly fine to live with VVS, don't paint a target on your back, is what my grandpa always said. And he survived WWII

you explained this really well !!! My hubby has this, and he passes out when he has blood taken , it even happens when he hears people talking about anything medical , it can be scary !!!

Very interesting. You have taught me so much, that my cardiologist never told me about. Bless you Sir.

Thank you so much for your explanation on vadovagal. I had a tilt table test years ago after years of symptoms and was told I had this. No real explanation was.given. I've been scared for years. So thanks for doing what you do. You're a Godsend. Knowledge is power and takes away my stress over it💗

Thank you for this clear explanation of my vasovagal attacks...I'm 88 and now know I need more water, and salt in my diet to avoid such frequent episodes.

I have been recently diagnosed and I genuinely appreciate this video DR we need more doctors like you!

Thanks, I thought I was dying lol. Absolutely hands down the worse feeling I've ever felt physically and mentally at once. Good to know more about the collapse episodes, and what to even call them!

Very informative... I had vasovagal this morning the doctor diagnosed me with it and said I should watch this video so can make me understand it even better

THANK YOU ! The best explanation yet ! I went to the doctor and for tests too, no luck. Been dealing with this for over 2 years.

We are so grateful to you Dr. Gupta. You are one of the very best and a true hero to us all. Love and peace to everyone.

I am a cardiac patient and this doctor is fantastic at explaining the various heart disorders. He's becoming my guru. 🙂❤

Thank you Dr.Gupta for this explanation. Now I understand why and how to deal with this. I wished that my doctor would told me what you just said in this video. Thanks a lot.

Great explanation, thank you. I relate to everything you said. When we were at the vet to have pins removed from our dog's leg, we were in there with the vet. He started cutting off the cast and I could feel the symptoms come. Tunnel vision, vision started to go black around the edges, whooshing in my ears, felt weak and a little sick. So I went out and sat in the reception. I wanted to lie down, but was too embarrassed. The symptoms passed after a while though. As you said, the initial symptoms are a warning and gives you time to do something about it.

This has been the most accurate and informative video that I have ever heard about vasovagal. My experience with Vasovagal goes back about three years. The first experience was due to me taking physillium husk which it’s intended purpose is to push out bile from the colon. Not understanding how to take this detox husk, I failed to drink plenty of water before during and after and experience my first exposed which was not properly diagnosed by the doctor! I was diagnosed with syncope. The second experience came from me having the sensation of trying to use the restroom and straining. Which I knew better not too, but i did, and I started feeling the palpitations and all of the warning signs etc. well last night, I almost experience the full effect of vasovagal, however, I took the advance warning signs and started to lay down with my feet up, I started to drink water, event water with cayenne pepper to stimulate the blood flow, and I then got some rest. Today I am better and I am so happy that I was able to beat it this time before it beat me!!

Hi, I've been searching through google and youtube, so far this is the best video I've found for my situation. I noticed this symptom happening to me 3 times in my life. 1) Had a car accident, a lot of blood was coming out from my cut lips 2) during an acupuncture where I only tested a single needle on my arm whilst sitting down. 3) when my son was almost done with his circumcision. The last part did feel embarrassing and useless because at that moment my mind was all about wanting to be the best dad that stands by his son going through pain. I didn't faint but I could feel my whole upper body slowly losing blood pressure. This is the video that my me subscribe. And Finally I get some proper tips on treating/avoiding this symptom. Other sources only tell me to completely avoid the situation by being somewhere else. NOT helpful at all.

Thank you Dr. Sanjay Gupta. Your Patients are Blessed.

Thank you, Dr. Gupta. I used to faint in church as I had to be fasting for communion. I stopped going to church , The Lord has provided, with positive results. No more vasovego.

Started watching your vids because of my PVCs, and now I'm passing out from this. Been to the ER 3 times and every time I asked what I can do if it happens again. They gave me no advice! So thank you so much for this! Always an informational life saver!!

Thank you Dr Gupta I’ve suffered with this for a while. I recognize when it’s happening and try to lie down. Thanks for the great info!

Hi, I nearly had an episode yesterday whilst having my hair cut. I found this video very informative and helpful. Thank you

That was so informative.I came out of hospital yesterday after an over night stay due to aVasovagal episode.You have put me at ease and now due to your explanation I know how to avoid it happening again.Thank you so much.

Thank you so much for the video. I just turned 50 and finally have an answer. I used to faint as a child when it was hot but has returned in full force about five years ago. Comes on suddenly and typically in the morning. Thank you!

Long story short, it took about 4 years to figure this out. The good thing is, I know it’s not Cardiac related. I’ve had an eco, heart catheter, ct with contrast and I’m sure something else. I just have to learn how to deal with this. Thanks for listening

It's very common and hereditary, yet there is no cure and it's potenitally debilitating to quality of life. I have it and I wish for a cure.

Finally a good video on the subject. Thank you!

Thank you for your video, Dr. Gupta. It was very informative and easy to understand! I've been diagnosed with Vasovagal Syndrome a few years ago, after a tilt test, and just yesterday I fainted while visiting my uncle, who is in a cardiac UCI. It was embarrassing, but I was immediately assisted by the cardiologist and the nurses there and everything was ok. The doctor suggested I'd do a few more exams to make sure I don't have heart arritmia or something more serious. It was the second time I fainted in a month and it hadn't happened for a while.

I love how he explains things so simply so you understand. And his examples are amazing.. I’m on a monitor now for 2 weeks. And I have waited 7 month from my hospital discharge to get this done. I finally see the doctor in August. When I was discharged from the hospital last November I was told I might need a pacemaker. Then I had a colonoscopy in May and was told I was in a Bundle branch block. I called and reported to my primary care doctor and he said he was not worried about a BBB. Then I ended up in the hospital again. Then I was told I had a slow rate and a ventricular tachycardia. I was shocked .

Dr. Gupta, thank you for this very informative video. I have had vasovagal syncope for quite a few years. I've learned to manage it, and do stay hydrated, and listen to my body. Your tips on how to avoid it will help people with this issue. Thanks again !

Dear Doctor, I am in my 40s. I am into regular exercise, eat healthy. But whenever I do diet control, which is completely for health reason, I encounter similar issues that you describe in this video. Thank you for this wonderful video 🙏

Finding this super helpful. Was just recently hospitalized for passing out at work twice (sitting upright. All of the things you are saying make a lot of sense for me. Thank you for this video!!

First of all thanks for sharing your knowledge.. never heard such an good explanation including every points. 👏👏👏 I always had this problem in my entire life of 3O years. Was so embarrassing.. as myself a doctor. Sometimes even mentally attached. My trigger factors are pain, watching medical procedures like surgery, sight of blood, crowd, heat, loud noise, wearing very tight cloths , emotional stress, trying to stop the natural urges and of course sitting or standing for a long time. Tips helping me : having salty nuts and chocolate handy, breathing exercises, avoid triggering factors

Thank you for this video. I have been diagnosed with this and find you more informed/helpful than the Dr.’s I have encountered…it’s scary to faint.. I have had many episodes, especially the time I overdosed on alcohol, took a bath then fainted (heat + booze don’t mix…). Some stuff was said that I knew, but was provided (more) helpful advice. Though you said it is NOT life threatening…my heart did stop for 30 seconds after I got out of the bath and into my room where the ambulance was: I was shocked back to life. Thankfully I have quit alcohol (I’m an alcoholic and getting help to stay sober). Also, not enough rest has caused symptoms as well so I have taken action to make sure I get enough rest (in college I didn’t get enough sleep so I got symptoms and laid my head down then laid on my bed…this happened during class).Anyway, Great video, I think, and, again, thank you.

Medstudent... Actually just had to study this for sem exams...And now I've self diagnosed! Glad my almost fainting episodes are nothing to worry about. Thanks a bunch!

Your videos are always very informative and helpful!

Thank you for explaining this annoying condition in a way that, even I ,can understand it. It was too cute when your pooch started barking in the background. I felt like your pooch was listening to your presentation and was reminding you not to forget to say certain things. Thanks Doc!🤗

Most of my life I've fainted when having blood drawn or injections. I've always had very low blood pressure so I thought it was connected but never confirmed. Then I experienced my heart stopping twice during two separate procedures involving my uterus! (During hysterectomy surgery and years earlier during removal of an IUD birth control device.) I followed up with a top cardiologist after the surgical episode who did a lot of testing and told me that I could virtually be 'scared to death' and some day I would need a pacemaker because my condition (sometimes racing erratic heartbeat, sometimes too slow heartbeat) could not be control with a drug. Twenty six years later I did have the pacemaker implant because with aging the paroxysmal Afib was becoming more frequent. During all of those times spent with specialists, no one has ever told me of the many Afib triggers to avoid and outlined the whole physiology like Dr. Gupta. Bless you, bless you.

Today I had a patient with this episode. Thank you for explaining this so well!

I just fell in love. This is been happening to me for years and years. I have fallen so many times. I have so many scars on my face, eyes, body. I have been hospitalized numerous times and the doctors tell me nothing. I learned more in 15 minutes from this video than I ever learned from any of my doctors. The only problem I have is when I get the signs I get so confused I can't get to my bed or floor. My family always says well just go lay down but I can't get there so I end up falling. I thought it had to do with my sleep. doctors said possibly medication they've changed my medication still doesn't help. Thank you Doctor Gupta. You are amazing. I have liked and subscribed to your channel. You're just what I needed.

Wow now I understand, You are an amazing Cardiologist.

Thanks doc , I’m 32 yr old, i have exp this 5-6 times, finally i consulted cardio and was diagnosed with vasovagal syncope, you video excellent..

This consultant knows exactly what he's talking about and has some real passion for what he's talking about too. He isn't shy of mentioning staying away from conventional treatments where necessary as there are natural alternatives sometimes.

Thank you alot doctor and GOD bless you .

Hi Dr. Thanks for educating... Had a similar episode today... My doctor even here at a India's premier educational institute (IITk) did not educate me enough, and just told me take rest... Thanks a ton 😇

sir, I am a medical student and I have experienced 8-10 episodes of vasovagal attack in OT, emergency ward, morgue. I will definitely try the remedies told by you. Thanks a lot. This video was really informative.

I was recently diagnosed with this, but given little information or advice. This video has been very helpful, thank you!

This has happened to me every so often through out my life, even as a child. I have learned to lie down with my feet up as soon as I feel it happening and it is prevented.

Nice one :) I (Thankfully) had one episode of VVS back in 2010 where I took the most average of showers (around uni exam time mind) just after I had woke up where I felt distinctly hungry, and as I was about to get out of the shower patting my face with a towel - I went blind as fast as a lightswitch. I was blind for a total of around 5 minutes, first blinking hard etc to try figure out what was going on, then opening the bathroom door to let air in, before finally deciding to feel my way to my bedroom and lay down. At which point my vision slowly crackled back. I had no sensation of vertigo, sickness, disorientation or dizzyness, only a horrible feeling or fear of impending/encroaching death - and sadly I had noone around me at the time to confide in so I spent the day afraid it would happen again. These days I am simply careful especially pre-showers in terms of food, and mindful of what my body is saying :)

Very helpful video. Thank you Dr.

thank you for addressing this!

Very clear and informative. Thank you.

THANK YOU for this video!!! I’ve been suffering from this for years without exactly knowing what it was. Although, I did recently learn about vasovagul syncope when searching out my symptoms. I’m scheduled for a tilt table test next week, which I had never heard of. This search led me to you and your video. Again, thank you for explaining this condition in depth. -Kristy

Thank you so much for taking time out of your busy schedule and make such videos. I being a viewer only can say that it is more than charity work done by you.God bless you.

Excellent video. Very informative easy to understand. Perfect! Thank you Dr. Gupta

can relate to this.. very precisely...trying out the salt water, sugar.. will come back and tell. You have our highest respect for your effective, natural and honest work. Sir!🌱🧚

The first time this happened to me, I was at the top of the stairs and woke up at the bottom....put a hole in the wall with my head. So that was fun. Fortunately I know now what it feels like when it's about to happen.

Thank God that the privately educated sometimes go into medicine and not just useless work like politics.

I was diagnosed with this. I can feel it coming on... and it is almost always if I am going to vomit. I have learned not to do it over the toilet!

I’ve had these since 18 yrs old and I’m 60 now ...last month I broke 5 ribs and had partial lung collapse ...as you get older it’s much more serious ie bones start breaking

A great explanation, became a fan. I would just like to add another bit that is - Vagal in veso-vegal, is the vegas nerve, which is mostly associated with our Gastrointestinal system, sometimes Flatulence and other factors influencing the Gastro-vagal complex could also result in syncope. And if you think the what about the blood seeing fainting , that is stress related and from visual stimulus.

My experience with vasovagal syncope started when I was 16. It has happened numerous times theought thr years, often resulting in a faint, but I have since learned to lay on the cool bathroom floor until I feel more stable. But, my trigger seems to be limited to gastrointestinal problems. Not exactly sure what does it, but I get wicked pain in stomach, feel super hot, get crazy sweaty, my ears are ringing super loud, vision fades out and everything becomes shadowy and then I pass out. It's probably irritable bowel or something, but its always been centered around going to the bathroom in my case. It's horrible. The last time it happened I had fallen off the toilet, smashed my tricep on the garbage can and the can got pushed into the drywall. I was ok, but I had a HUGE, NASTY bruise for a good month!

I got diagnosed with this a few years back. My episodes sometimes result in a panic attack. Also, pre-episode, I yawn a lot and my eyelids get really droopy. I have never passed out. These episodes occur daily for me and the worse ones occur around once a week. Around once every 6 months, I get a bad one that result in a panic attack. Once a year it ends up as a seizure. Luckily, I am 13 now and I can manage them better. Hope this helps someone!

Well explained Dr...I had one yesterday and blacked out for 3-4 seconds. I have anxiety issues. I was told that is the cause.

You are a godsend for me i have been prone to fainting and blackouts for many years and still is at 82 but mine is related to heart problems thank you for all your videos

Heads up! Dog attack at 6:49! Haha, scared the crap out of me!

Thank you Dr. Gupta. My friend enjoyed your informative video very much. He says it confirms what the Lord told him. Many thanks and every blessing.

Interesting video! One episode happened when I got out of bed to go to the toilet got back in to bed, passed out and hit my head on bedside table. I think stress usually is a cause but always use to happen on my period - fell backwards and banged my head. Had all bloods and tests done were normal.

Thank you very much Dr. .. This happened to my husband today while we in the airplane .. He starts to tell that he doesn't feel well and he feels that he will vomited, after that he put his head back on the seat and his eyes were rolled then was pointing to one direction up . I didn't know what happened I was just screaming and crying 😔 Wt I saw that he is passing out in front of me and I can do NOTHING . It was the worst thing i ever had in my life .. Thanx God there were couple of doctors & nurses on the plane and they helped . Once he came back he was explaining to me wt happened and told me about the vaselvagal syndrome . He is a physician too . Once again Thank you very much for this easy brief explaining.

I've suffered from this at every shot. thank you so much for helping me understand!

Thank u doc. Ur explaination is fantastic. It happened with my mom today n docs here in India are scaring shit out of us.. thanks for the wonderful explaination. I owe u a party for that..

Your videos are brilliant, really informative and thorough, thank you very much.

My doctors are amazing, and this video is very helpful. I got this, thanks for sharing

THANK YOU SO MUCH FOR ALL THESE ARTICLES, THEY HAVE HELPED ME A LOT.

I m also suffering from VVS.it is very disturbing for me.I lost consciousness.start sweating.my face get pale.I lost appetite for a week and it effect on my health.thanks doctor for very good explanation and giving me confidence.God Bless you.

I find cold Gatorade helps from passing out if you can sip on it while getting the feeling of an onset

Thank you for such a clear explanation. Very helpful as I've experienced this and been puzzled. Though I also experienced nausea before fainting.

Very informative. Thank you doctor.

Excellent video Doctor. My daughter had been diagnosed recently with Vasovagal. You have helped me to understand it a bit more

Thank you for the informative video! I was diagnosed with vasovagal ugh the tilt test and later through sonar, found out I have MVP... so now on medication which keeps me going. And yes, LOTS of water helps!

Hi doctor Gupta thank you for this video Because my younger brother is a victim of vasovagal syncopeAnd he will try all the prevention process thank you so much

This is an extremely helpful video, thank you Dr. Gupta!

Another "provoking factor" can be excessive laughter, this is called "laughter-induced syncope".

Thank you Doctor. Have experienced thesw episodes while working out in the gym and while morning walks. Its quite relatable why it is happening, even standing near a gas while cooking for long time induces this..... But I am working on this with my fitness coach. Cheers

beautiful explanation sir thank you.. Keep doing such vedios sir

Thanks, Doctor Sanjay! I think I fainted yesterday from doing a specific throat singing technique which constricts muscles in the head area. Vasovagal syndrome sounds like it could be reason. Thanks for the great information!

My daughter was diagnosed when she was about 16 or 17, she's 20 now. Iv always passed out since I was as young as 10 yrs old and it usually always happens when going from a seated or laying down position to standing up. My 2 brothers have always done this too. I have 4 children and my 17 year old son has been getting faint when standing also for the last year. He has before but only a couple times but now it happens quite often. It's so weird that so many ppl in my family do this. Yes my daughter was sent to a specialist and he did that "table tilt" test where they try to induce a fainting spell. And wouldn't u know she started to go light headed after about 50 seconds or a minute of the table being put in the upright position. So crazy to me. Sorry I had to do that to you Sara lol momma loves you 😘😁. Dr said lots of salts are good for her. He said Gatorade was great so she has Gatorade in her fridge all the time. Also doc said it's not really an issue with her heart, it's her brain. This is a great video so thank you doctor Gupta for this information this is confusing to me and I'm trying to learn all about it so I can help my daughter and my son as much as I can.

Thanks for the video. Recently had a fainting episode while driving. It was so scary. Going to cardiologist and neurologist. So far cardiologist thinks it's Vasovagal syncope. That's what I think it is to. It happened after a 5 week trip from the Philippines on my first day back at work with no sleep the night before. I was thinking about my good friend that recently committed suicide and started thinking about my health and got dizzy and lightheaded. I should of pulled over right away. I tried fighting it and got in an accident. I also faint getting blood withdrawn and one time when I was 15 from a anxiety attack around some people I just met. I'm pretty sure it's Vasovagal. Thank you Sanjay for the video. It was very helpful!

Last question. Drinking more water as mentioned, wouldn't that lower your electrolytes including lower your bodies sodium?