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Water Retention- What Makes you Puffy and How to Fix It - Thomas DeLauer



Stress & Water Retention

Long-term stress can increase the hormone cortisol, which directly influences fluid retention and water weight

This may occur because stress stimulates cortisol, which, in turn, can cause the release of aldosterone - not only that, but it can also increase ADH

A review published in Neuroscience and Biobehavioral Reviews that looked at the relationship between aldosterone and stress concluded that stress does activate the rennin–angiotensin–aldosterone system

Not only that, but stress reduction studies have resulted in decreases in aldosterone

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Additionally, a study published in the British Journal of Plastic Surgery looked at, among other things, the relationship between cortisol and AVP (ADH) in burn patients

Obviously, burn patients had increased levels of cortisol, and researchers found this to be positively correlated with increased levels of ADH

**The exact pathway of how ADH is released is not currently known, but it’s believed that stressful stimuli activate AVP release via parvocellular neurons (part of the hypothalamus) in the paraventricular nucleus, and osmolar stimuli through magnocellular neurons in the supraoptic nucleus** -- these areas are part of the hypothalamus

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Hibiscus/Roselle Tea


Roselle tea is an age-old natural remedy for hypertension or high blood pressure. This species of hibiscus contains polyphenols that act as blood pressure-lowering drugs, ACE inhibitors

Roselle also contains quercetin, a flavonoid that contributes to vascular relaxation. It also increased urine production by 48% in a study done on kidney tissue
delphinidin-3-O-sambubioside, 11.5 mg/g cyanidin-3-O-sambubioside, 11.5 mg/g quercetin which have been found to actually control aldosterone activity

A study from the Journal of Ethnopharmacology found that hibiscus tea increased urine production by 48% in a study done on kidney tissue

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Coffee/Tea

Technically speaking, caffeine in coffee is a natural diuretic that binds to adenosine receptors - this effect prevents the kidneys from taking up sodium and enhances water and sodium elimination

Renal renal reabsorption requires functional adenosine A1 receptors, which caffeine locks onto - via this effect, caffeine can decrease salt and water reabsorption in distal nephron segments, thereby altering ADH secretion

*Adenosine receptors are expressed along the entire nephron*

Additional Resources

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