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Should you eat more salt or less?

What the experts say

Ken D. BerryMD · family physician, Tennessee

More. Most people eating a low-carbohydrate diet need more salt, not less.

What it rests onHis eighth core principle, stated flatly with no mechanism attached: 'Salt is not the enemy. Most people on PHD need more, not less.' He gives no physiological argument for it anywhere on his own site, and no amount either. He also holds affiliate relationships with three salt or electrolyte vendors and sells a mineral product, so the advice and the commerce point the same way, which is worth knowing as you weigh it.

Source: drberry.com ↗
Michael GregerMD · founder, NutritionFacts.org

Less. Cutting about half a teaspoon a day would prevent a meaningful share of strokes and fatal heart attacks.

What it rests onHis words: 'If we could cut our salt intake by a half teaspoon a day, which is achievable by avoiding salty foods, and not adding salt to our food, we might prevent 22% of stroke deaths, and 16% of fatal heart attacks.' In the same video his practical instruction is to look at processed food and injected chicken rather than the shaker: he puts roughly three quarters of dietary salt in processed food and calls the individual approach impractical on its own. He names no exception for low-carbohydrate eaters or for people with high sodium losses.

Source: nutritionfacts.org ↗

Overview

Berry's claim is scoped to people already eating low-carbohydrate, who have by that point removed most of the processed food that carries dietary sodium. Greger's is scoped to the general adult population eating an ordinary diet, most of whose sodium arrives inside processed food and injected poultry, both of which Berry's diet has already removed.

The person genuinely caught between them is someone eating low-carbohydrate who also has hypertension or takes an antihypertensive, and that person should start from Berry's own disclaimer, not from either position here.

Where they agree

More than it looks. Both hold that the salt shaker is not where the action is, and both would remove the processed foods that carry most dietary sodium. Neither is arguing about table salt on a home-cooked meal.

What would settle it

Trial data on sodium intake in people eating low-carbohydrate specifically, with blood pressure and cardiovascular endpoints, which would tell you whether Berry's population is a real exception to a population-level recommendation or a rationalisation of one.

Practice does not pick a winner here

You do, and your call is dated, kept, and yours to change. Follow the people you already trust and what they publish turns into a short daily practice.

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