Utah loves electrolyte powders, but doctors say they don't work

Electrolyte supplements have become a shockingly big market in Salt Lake, even though they're supported by limited scientific evidence, Axios' Carly Mallenbaum reports.

Why it matters: Although influencers and marketers say electrolyte powders are hydration hacks, doctors say regularly drinking them instead of plain water is a waste of money.

By the numbers: Sales for electrolyte powders have leaped 86% in the past five years, according to consumer research company NIQ.

• Even if you've never bought products like LMNT, Liquid IV, Sqwincher or DripDrop, you've probably seen their products.
• Videos about "trace mineral drops" have more than 12 million views on TikTok.

What they're saying: "Eat a handful of berries or a handful of mixed nuts ... save your money," says Mark Loafman, chair of family medicine at Cook County Health in Illinois.

• "The truth of the matter is the Western diet has enough electrolytes in it [as is]," with an average of more than 3 grams of sodium daily, says Grant Lipman, emergency medicine physician at Washington Hospital Healthcare and founder of GOES Health.

Although some people claim that filtered water should be supplemented with minerals, Loafman says the municipal water supply is "generally very safe" on its own, and you can get all of the minerals, ions and electrolytes you need through food.

• "There's no evidence that a supplement gets the job done, and there's no testing on the stuff," Loafman tells Axios.

One reason electrolyte drinks may seem beneficial is the placebo effect.

• "We just feel better when we're doing things that [we feel are] healthy for us ... but I encourage people to feel good about drinking water," says Loafman.

Between the lines: When you exercise, you lose electrolytes — like sodium —and your body can help replace some of that, as long as you stay adequately hydrated.

• If you want a liquid with enough sodium to replace what you lose through a strenuous workout, "you'd have to take two or three chicken bouillon cubes, put [them] in a cup of water, and drink that," Lipman says.

Yes, but: There could be times when it makes sense to reach for an electrolyte drink.

• You might use a sports drink mix because it's easily available and tastes good.

And if you're hungover and ralphing, "there's a lot of anecdotal evidence" that sipping an electrolyte drink with a little sugar in it can help, according to Loafman.

Reality check: What you drink "isn't as important as how much you drink," Lipman says.

• Side effects of drinking too many electrolytes include nausea and diarrhea.
• Overhydrating can make athletes run slower and can be deadly.

There's a term for how to stay adequately hydrated: "drink to thirst."

• Lipman says when you get a little dehydrated, your body will tell you you're thirsty. That's when you drink.

Our thought bubble: Kool-Aid and vodka are good enough for me.