Book Review: The Salt Fix

August 6th, 2018

Salt Fix book review health

By Joseph Temple

Have you ever been at the dinner table and wanted to reach for the salt shaker? You know all those tiny white crystals will greatly enhance the flavor of the food you’re about to eat—but then all of a sudden, you hesitate. You hesitate because for years, society has told you that too much salt consumption will lead to high blood pressure, chronic diseases and a possible stroke. Knowing all this, you decide to continue eating your food salt-less.

Sound familiar?

But according to a recent book by Dr. James DiNicolantonio, a cardiovascular research scientist and a doctor of pharmacy, all that we were taught about salt from the medical community and official government dietary guidelines were misleading at best.  Published in 2017, The Salt Fix dispels all the conventional wisdom we had about this mineral, arguing that if anything, we should be consuming more of it.

“We cry salt, we sweat salt, and the cells in our bodies are bathed in salty fluids,” writes DiNicolantonio. “Without salt we would not be able to live.” Using examples from history dating back millions of years ago, he presents a convincing case that human beings did not evolve as a species on a low-salt diet. Interestingly, by the eighteenth century, Europeans were consuming an estimated 70 grams per day: nearly seven times the amount that is consumed today by the average American. And although no records about hypertension existed during that period, the book begins to reveal some fascinating data once it begins looking at the twentieth century.

While today one in three American adults suffers from hypertension, for the first half of the 1900s, that number was only around 10 percent.  As DiNicolantio argues, how can high blood pressure be three times as high “despite salt intake remaining remarkably stable over the last fifty years”?  All signs point to another white crystal known as sugar, which saw a spike in consumption beginning in the late 1980s to 120 pounds a year per person or 150 grams a day. So why did salt get such a bad reputation while sugar escaped such scathing criticism until very recently?

Going back to the first “salt is bad” report in 1904 by two French scientists, the author dismantles the most prominent studies used by the medical community, showing that they were either based on inappropriate study designs, research misinterpretation or a lack of evidence to support their conclusions. Yet despite these flaws, numerous magazine articles and television news reports continue to remind us that salt consumption leads to high blood pressure.

One strength you’ll find in The Salt Fix is the section dealing with official government dietary guidelines and how they can easily be manipulated by lobbyists. For example, while salt was being raked over the coals, the 1985 Dietary Guidelines for Americans stated: “contrary to widespread belief, too much sugar in your diet does not cause diabetes.” In fact, it wasn’t until the year 2000 that those guidelines linked sugar consumption to heart disease and diabetes—a product of intense lobbying by the sugar industry despite a plethora of medical evidence to the contrary.

So does a low salt diet really reduce the risk of developing any of these diseases? A resounding no according to the author who points to South Korea where the average person eats over 4,000 milligrams of sodium daily. “They [Koreans] feast on … grilled meat marinated in a sea of sodium-packed soy sauce … Yet Koreans manage to somehow have one of the world’s lowest rates of hypertension, coronary heart disease, and death due to cardiovascular disease.” Nor is this an anomaly as DiNicolantonio shows that a diverse set of other nations from Japan to Canada and Australia all consume high-sodium diets and yet they all have a lower rate of death due to heart disease than the United States.

With a well-researched debunking of the whole “salt is bad” argument, the author then moves on to show that increased salt consumption has a number of health benefits.  These include helping to manage shock, kidney problems and inflammatory bowel disease. Interestingly, those who exercise regularly are probably the one’s who need the most salt since a person can excrete nearly 3000 milligrams of sodium while working out in a warm climate. By increasing your salt consumption, according to the author, you’ll retain more water and thus, reduce both fatigue and muscle cramping.

Challenging the conventional wisdom most of us had about this mineral, The Salt Fix offers readers a thorough critique of the low-salt diet by uncovering the many flaws of over a hundred years of research into this subject. And by showing us the many positives that salt can offer us, you may never have to think twice before reaching for that shaker.


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August 6th, 2018

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