Water Can’t Hydrate You? (Medical Myth Busting)
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- čas přidán 9. 04. 2023
- Healthcare professionals sometimes post misleading content to further their brand or to make money. I'm trying to expose these misleading videos and bust some myths. Let me know if you have questions in the comments!
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I'm a dietitian and I'm hangng my head in shame at her video. Thanks for clarifying Doc. A few of my classes had lessons on spotting nutritional quackery and how to gently guide patients away from it while giving them science-based evidence. One hallmark of many quacks is that they are selling something. Hmmm, isn't having a financial interest in your advice unethical?? Oh yeah.
❤
This seemed insane from the outset. All you need is a High School biology lesson to explain that the beginning is BS.
@@melanieannette3781
Thank you.
Great you identified the source.
There is no high school science in the woke world!
I'm sorry but I totally agree with her
@@leedtrinlavery okay except people weren’t dropping dead from dehydration before the invention of Poweraid soooo how is it really even up for debate?
The little "oh" at the end is everything. Of COURSE there's a catch! 🤣
Exactly,
... and thus, another mlm is born ...
"Hey, why don't you get my free mineral guide ...? And if you like that, and want more information, you can join my webinars at the discounted cost of only $19.97/month, but hurry, as places are being rapidly filled ..." ...
But seriously, back when I did Applied Biology at degree level, I could understand ion transport channels, and osmotic pressure down a concentration gradient pretty well ...
... but the Kreb's Cycle, and how ADP turns into ATP, not to mention the glycolytic pathway, which broke my brain ... but just not to the same extent as Organic Chemistry on top of Clinical Biochemistry ...
Commenting to signal boost. Combat that misinformation, Dr. Schmidt!
Thank you!
@@Doc_Schmidtis drinking only distilled water a bad idea?
Not only that, her advice might actually be harmful to those with CHF/CKD/Liver disease/SIADH(?) or Conn/DI, those with two of the four symptoms she bundle-listed without context might think this actually applies to them
Exactly! The type of advice she’s giving can cause someone real harm when they need to go see a doctor and make sure that these symptoms are not an indication of something more serious.
Online generalized advice, reader beware! Recommendations and advice may not be applicable to your particular situation.
You're right.
😑 She said "if you're dehydrated, don't drink water". WTF are we supposed to drink then?
As someone with POTS, those electrolyte drinks actually have a surpisingly low sodium level. It's amazing just how different my salt needs are compared to non-POTS folks.
As a fellow POTSie here, I find a lot of those drinks are more full of sugar than anything else, so I always go for the sugar-free ones, which somehow seem to contain more electrolytes (not all of them, obviously; you have to look around).
@@tamarinmangold1414 I hate how a lot of the widely available electrolyte solutions have a ton of sugar.
They have sugar in them because the sugar helps facilitate electrolyte absorption.
Eating a teaspoon of salt from my hand and drinking a glass of water usually handles my lethargy. Thanks POTS /s
Pots here too.
Yeah if I drink too much water with out electrolytes I make myself so dizzy I can't stand up.
But I know this isn't the case for most.
This whole thing about the electrolytes reminded me the episode from the Idiocracy movie
😅
It's got what plants crave.
Brawndo! Had to Google that. Was driving me nuts
Keep up the good work, doc. Medical myth busting could easily be a full-time job. Dispel ignorance. Reach out to the desperate who are being defrauded by internet huxters.
Salt supplementation can improve people's ability to exercise on hot days. Salt is a mineral, under the name "halite." So a lot of people do sometimes need more minerals for optimal health.
Also tap water has a negligible amount of most of the minerals people would want. You'd have to drink 40 liters of tap water to reach your RDA of magnesium, and 30 liters to meet your calcium requirement.
Thanks for this video, there are a lot of "Doctors" on youtube who are repeating that we have to drink electrolytes to stay hydrated. To take potassium supplements, too. And because I don't have enough knowledge like you, I've bought a lot of this stuff. I feel stupid of course 😞
The obvious course of action would be to talk to YOUR doctor but if you are in the US that isn’t cheap and of course if you need a specialist or want the opinion of one that is even more expensive. And would you really be happy if they said drink more water? Of course not. That isn’t what you want to hear so we all look for someone who people trust who has millions of viewers.
Don't feel bad, you've just fallen prey to people who get paid a lot of money to do so; unfortunately, a lot of them are very good at their jobs. Just take it on board for the next time someone promises you "secret" knowledge or a "cure-all".
@@Woodshadow I'm french. My doctor don't even care when I am seriously sick. Taking electrolytes is not very common here in France. People think I'm nuts. Thank you for your advices 🙂
@@ebellyfish4256 Yes it is true you are so right! Thank you 😏
It’s the people who are spreading misinformation while presenting themselves as doctors and as people who know better that are at fault not you, we would all trust “experts” because they’re the one’s who know more than we do, I’m sorry this happened to you
Great video for combating misinformation geared at taking your money!
As a doctor, I know you don't do much with the financial side of practice, but do you know, if I've had a hemi-colectomy, do I get a discount on my colonoscopy? I mean, it's gonna take you less time, so...😜
Use discount code DOCSCHMIDT50 for 50% off 😋
@@Doc_Schmidt 😄
@@Doc_Schmidt I don't know how but this somehow worked on my car insurance bill and it fixed my failing marriage and repaired my family! It also cured my hair loss!
@@shadowsoulless6227 Also I can play the piano now, even though I couldn't before! Dr. Zaius! I mean, Schmidt!
I noticed once on a hot summer day a craving for something salty. This is when I knew I was missing those minerals. Ate some salty salami and was fine.
Can't we just go back to learning how to read our bodies to know how much water (and food) we need? I find it sad that in our society we lost this connection for the large part.
I mean... if I always "listened to my body", I'd have a diet entirely of cheese and cheesy crackers 😂
@@sheenajae For me it would be cheese and *chocolate.* *_Lots_* of chocolate. 😁
Yeah, 9/10 times water is fine and you'll get all the minerals you need from food.
There ARE situations where you really do need some extra salts in your water, usually when excercising a ton or you're outright sick such as diarrhea, and adding a bit of extra salt to your water can make it less unpleasant to drink during a sore throat because it SLOWS water being absorbed by your throat cells a tiny bit(less osmotic pressure applied to already tender cells).
...Which is the exact opposite of the quack ladys explanation for how this works.
Its videos like this that gets my elderly parents and relatives being scammed into things that are not water for the benefits that water can give 😭😭
It's all about the $$$$$.
My favorite is that quack who said everybody was getting magnetized during Covid. 😂
🤣🤣🤣
"Doctor" Tenpenny? Yeah, she never fails to disappoint with entertainment value. LOL
Wondered if she was trying to sell minerals-- turned out to be a mineral guide!
Thank you for the debunking stuff like this!
I have postural orthostatic tachycardia syndrome (POTS) and part of the management of it is increasing fluid and salt intake since most people with POTA are slightly hypovolaemic. Even those of us who are not hypovolemic, need to increase our blood volume as much as possible. It drives me nuts when I read in patient groups about some miracle mineral blah blah blah that will cure us or other misinformation about dehydration. It’s pretty simple, a balance of sufficient water, and sufficient salt in our entire diet. Our G.I. track and kidneys take care of the rest.
I have pots and it’s the opposite for me. I have the hyperadrenergic kind so I already have hypertension. I watch my salt intake because of this. I do drink a lot of water every day, though.
@@TheRealityfades I understand this. I have primarily hypovolemic pots but also deal with hyperadrenergic pots and my treatment changes based on which one is flaring off that day.
@@TheRealityfades I also have hyperadenergic and I’m not hypovolaemic so I was really surprised that my autonomic specialist wanted me on a high salt and high fluid diet. We have done a few 24 hour urine tests to make sure that I’m in the right window and not having too much salt… for a brief period I was as my doctor said “an overachiever” sooooo I had to cut back slightly. My blood pressure goes up when I’m upright and standing still, and I admit that my symptoms are not as severe with the increased fluids and salt. POTS is such a strange condition and there’s so much more that is not understood about it.
If it walks like a dick and talks like a duck - it’s a quack!
Thanks Doc for keeping us informed properly!
Umm, I think you meant to write duck twice....
@@erinnorwood6124 no no, they knew what they were doing.... first time I'm seeing this iteration but I like it!
Making my day 😂🎉
Thank you! I’ve never seen the original video, but I’ve gotten this advice before from other people, and it never squared with even my high-school-level understanding of biology. Relieved to know I was on to something. Outside of people with a financial interest in misleading others, I think a lot of people hear the “drinking electrolytes before intense physical activity is important” and over-generalize.
Doc! you need to stop these people from selling snake oil! thank you for all the education.
Nutrition is so personal. Ive seen a lot of individuals benefit from electrolytes in my clinical experience (dietitian), but there are indicators beyond feeling thirsty of course. And as another commenter mentioned, electrolytes could be harmful/cause complications in some individuals which is why it’s best to get personalized advice from someone qualified to help you manage your condition.
Well, if you need to know something about minerals, ask Hank Schrader. Expert in that field.
Marie!
There aren't anywhere near enough "minerals" (I assume we're talking about sodium and chloride here, these being the most osmotically active minerals) in drinking water to provide the electrolytes required for rehydration. Fortunately, most people already take *too much* of this in their diet so it's still not required to actively seek more in most cases, although there are *edge* cases where you might.
Thing is though, in these edge cases water is still probably going to help, and you're going to be losing the excess water you can't retain by peeing it out to maintain your salt/water balance, you're not going to get "puffy". This actually sounds like really dangerous advice because the only time I can think of where you'd feel "puffy" or swollen and also dehydrated is pathological water retention like in heart failure, and taking a load of salt will make that *way* worse.
Thank you for this Doc Schmidt! All the scams and false info out there is so frustrating! We need all the doctors busting this bad info!
I didn't see a declaration of conflicts of interest at the start of the her video... for shame.
It sucks because no matter the industry (science, business, politics), there are people who use knowledge to better society at the expense of their own well being, and then there are people who use knowledge to pad their wallet at the expense of society. And the former gets screwed over because it's so hard to punish the latter, and it's so much easier to look out for #1 than to build something greater than yourself.
And some minerals like lithium reeeeeeaaaallllyy mess with things 😅. Good old Na replacer…
👏👏👏👏 Good for you, Doc! The ‘Oh …!’ at the end was perfect!
Thank you for combating misinformation!
I appreciate your effort to educate us.
Thanks for the video. It was a bit of a refresher of high school biology.
Thank you Doc. Good stuff. Much appreciated.
the "oh" at the end says it all.
There are times I will tell patients that if they don't like the taste of water it doesn't have to be water all the time, but fluids in general. Of course I've also gotten reprimanded recommending fluids without knowing all of a patient's history as well...
Correct information with appropriate context!
This is what the internet was intended to be!
Thank you for sharing the truth with so much misinformation out there
BRAWNDO! The thirst mutilator! It’s got electrolytes!
Way to go Doc Schmidt!!
I love it sooo much that you break those things down so we can understand. Thank you so much for making the videos. I have enjoyed them very much. My husband is a health care worker and he loved some of your vidoes I shared with him. 😎
Great info, thanks!
Thank Dr. S!
Thank you! Thank you! Thank you! I wish I could give out this video as patient information.
I think any video talking about unquenchable thirst really needs to cover the possibility of undiagnosed Type 1 Diabetes. The symptoms can often be missed, delaying treatment and can lead to life threatening emergency situations.
Living in Florida without AC, I can drink a crazy amount of fluids with very little of it making it to my bladder if it isn't winter. Water may provide hydration, but if more water is leaving through sweat than through my bladder, electrolytes are probably important, and sports drinks taste better than water.
You can save your money and instead of buying electrolyte drinks add a pinch of salt and lemon juice to any beverage to increase electrolytes. I don’t recommend doing it to a dairy based beverage. 😉
@@carlyar5281 Sports drinks are more enjoyable than salty water.
@@Primalxbeast the lemon juice counters the salt taste and adds potassium which balances the sodium from the salt. You won’t taste a pinch of salt, but you will taste the lemon juice. Bitter tastes (like tea) and sour tastes counter salt taste and vice versa, so you can add a pinch of salt two to your coffee and won’t taste the salt at all. This is part of the reason why people add salt to food.
I am on a high fluids and high salt diet (under the supervision of a specialist) so make my own electrolytes drink everyday using table salt, lemon juice, and juice crystals in water. It’s way cheaper and taste better than sports drinks and is significantly less sugar.
I like to add a pinch of mixed potassium sodium salt to my water and a pinch or two of sugar or orange tang when i get that sort of feeling.
But yea, you don't need anything fancy 9/10 times.
Wait, you live in Florida with no A/C at all?
Thank you so much for the info
I really appreciate that you take your time and tell us the truth!!!
I just hate so much these people that say anything to gain more money... And they are all over the place... It makes me sick...
The one exception being like, POTS because sometimes I feel really sick after drinking water (even well water) unless it has salt in it.
Thanks Doc 🙂
There is a brand hydrationiv which basically has salt mixed in with dextrose. Their claim is that their patented formula does help with interstitial transport of water molecule through the cellular membrane. Its expensive so I generally drink it on days when I have workout. It also tastes great.
Thank you for reminding me of my physiology lessons 🙏
I love these videos that beak down misleading TikTok’s with facts. Keep ‘em coming. Also that ending! 🤣
Also is “dietician” not a protected term in the US? Here dieticians are doctors and highly trained.
Hey Mark! I'm a dietitian in the US. Registered Dietitian or Registered Dietitian Nutritionist are definitely legally protected terms here and the process of obtaining the credential is rigorous (which makes people like her confusing LOL). Additionally, all US states except California and Virginia require RDs to be licensed with their state's board of licensure and regulation. Many RDs here have advanced degrees and certifications, particularly if they work in academic medical facilities, specialized areas of practice (e.g. oncology, pediatrics, etc.), or, of course, research. It's almost more uncommon for us NOT to have these things than to have them. Unfortunately, a doctoral degree (as it sounds like is required where you live) doesn't guarantee integrity, nor does the inevitable presence of quacks and snake oil peddlers within a field indicate that its members at large aren't highly trained. That being said, I find myself increasingly frustrated with the number of RDs I have recently seen spreading misleading information like this, and my colleagues and I have talked about the fact that the organizations governing our field need to take action to prevent it, reassess/strengthen particular standards, etc. It's beyond baffling to me that she went through the same classes as me yet believes in this nonsensical marketing ploy she's putting out to others.
Man I love this. This kind of stuff is gross coming from a dietitian.
I’m sure she knows a “healing crystals” lady.
Ur last line cracked me up. Ohhhh
One thing I can say, since we've moved to the Highveld, with its bone dry, dehydrating winters with not a drop of rain for up to 6 months, along with industrial pollution and smoke from many scrub fires (very little wind in winter, so every second asshole who tosses out their butts into the dry vegetation causes fires which no one attends to or worries about as they generally don't turn into wildfires), I have found water not to be hydrating any more! Neither bottled nor tap, unless it has at least lemon juice in it. My tongue actually sticks to the roof of my mouth, I can't talk without chewing gum, and I find something like cucumber, melon or apples are the only hydrating things. Perhaps it's the quality of the water - we used to live on a farm with only filtered rainwater in a non polluted area?
I had heard a long time ago that drinking steam-distilled pure water was bad for you because it would pull the salts and minerals out of you as you processes it. Leaving you in worse shape than before when you were just thirsty. If that is all you had access to for a long period of time....
I can see how that that could be true.... but is it?
I wouldn't want to drink ultra pure water often, regardless of whether its dangerous for your body as a whole. You can probably get what you need from your food anyways, most of the time
But...it might be reallly hard on your throat and tongue. The osmotic pressure being so strong might be pretty hard on the cells-certainly i notice the difference between tap water and tap water plus salt when i have a sore throat! The latter is often gentler on my throat.
No, your body (normally) holds on to the amount of electrolytes it needs. Doesn't matter if you add or subtract the very miniscule amounts of electrolytes in unfiltered tap water. At least if you're also eating food, at all.
If you were in a situation where you couldn't eat for days and had to choose between drinking tap water and ultrapurified water, I suppose the former might be slightly safer?
Also what fractal gem wrote makes sense (even if I have no idea how scientifically valid it is).
Ultra purified water (not regular steam distilled, but think reverse osmosis purified) isn't going to be electrolyte free by the time it hits your blood stream, or stomach even, but yes when it first hits your mouth it'll be pulling some minerals from the saliva & tissues. So maybe it can irritate your mouth & throat a bit.
@@Suzanne4415 I think its also good to consider that, at least in the US, daily salt intake is pretty high. Unless there are strange nutrient and vitamin deficiencies, seems like simple electrolytes should be fine?
The ending is Hilarious 😂
my question would be, what is the specific cellular mechanism by which hydration becomes more difficult when electrolytes are depleted (like you said during intense exercise)? does it have something to do with osmotic pressure or concentration gradients?
Exactly, osmotic pressure is redistributing water out of the intravascular compartment.
There isn't a cellular mechanism per se, cells that are configured to do so will happily operate at whatever concentration of electrolytes you can imagine (that's physically possible). Sea creatures for instance have 4 times as much salt in their cells as freshwater and land critters do. The mechanism is that humans, and most land creatures, are configured to run with a specific concentration of salts in most of our bodily fluids (inside the cells and the fluid around them, these fluids aren't the same but they have relatively similar osmotic properties overall) so rapid changes in those levels can cause cells to stretch and rupture or shrink/shrivel up and fail to function properly.
To avoid this your kidneys have a complex arrangement of proteins to balance your fluid and electrolyte levels, and these mechanisms generally take priority over total fluid levels because having functional cells with a bit less total volume of fluid around them is safer than having ruptured or completely dysfunctional cells. What that means is if you're really dehydrated and you drink a ton of tap water without anything else it will dilute those electrolytes and your kidneys will be forced to flush a decent percentage of that water out as urine.
This only really becomes a problem in cases where either your fluid losses are exaggerated (excessive sweating from heat stress/intense exercise) or in cases where your food intake is really low (eg gastro where you're vomiting if you try and eat but can still drink water). But even then you won't feel puffy or swollen - that generally only happens when you've got *too much* fluid in your system, and if you still feel thirsty that's sometimes an indicator of a disease that causes excessive fluid retention like heart failure (note this is different to bloating).
As a general rule, for most healthy people your body is pretty good at self regulation including creating thirst when you need water and hunger when you need to eat. Definitely seek out direct medical advice if you feel unwell rather than relying on incomplete advice on the internet that makes a ton of assumptions about the viewer and is in some cases just outright wrong though, as there are conditions where this doesn't apply (including mild temporary ones such as going for way too long without addressing thirst).
When he was talking about exercise, he wasn't saying that hydration becomes more difficult. It does not. He said that your requirement for electrolytes increases. You can lose electrolytes through your sweat which is why you might need to consume more to replace them However, this will not make hydration more difficult. Your body will always be able to absorb water regardless of electrolytes.
We do need minerals to urinate water, though! Learned that one from severe overhydration videos from ChubbyEmu
I recall when I was regularly walking about 45 minutes from the metro to my house after work. I would get home and predictably be very thirsty. I did discover that water alone helped *some* but I could be downing liters of water and still feel thirsty; having some sports drink along with the water - about a liter of each over the course of two hours - did the trick. As you say, this is obviously because I was sweating and losing electrolytes. What I do note is, our body basically says "thirsty" whether you're actually dehydrated or just need some salts and sugars, so that can be a little tricky.
There's also, I'm told, a limit to how much water you can absorb through oral intake in a given period of time - I seem to recall it's about half a liter per hour? I know past a certain point I'm just urinating an awful lot.
do more videos like this please!
I've sometimes had lots of water to drink and I'm still thirsty so at that point I switch to watered down juice, fruit tea or milk. It helps.
thank you omg so much of our mainstream health info is sooo profit driven
Oh wow.
Saying straight up don't drink water if you are dehydrated. That is bold. How can anyone believe that.
Good lord, yea ill listen to the doctor lol
I like the last ..Oh..... ;D
Huh, who would have guessed that the best way to deal with thirst is to drink water?
great video!
There are so many misleading advertisements on the internet. A lot focus on gut health too which must be challenging for physicians who treat the folks who believe the misconceptions asserted.
I remember sum older folks in the farm used to say dehydration was only due to lack of salt. Yeah, I went to the hospital for dehydration and found out that was wrong lol
Call em out Doc!!!
I struggle with drinking water because i don't like it. However, i will have to find a way to like because i was recently diagnosed with stage 3a chronic kidney disease.
my rule of thumb for when someone says some absurd shit like that is to always assume that someone is gaining something from that, being money clout or just straight up political power, i say someone because it's not always the person saying the thing that benefits from said belief sometimes it's company in the background
Fair to say someone like me who has had a lot of UC inflammation doesn't absorb as much water because of the damage to the colon?
Haha that ending 😂
There's so much misinformation out there 😞
Is drinking osmosis water for Stillwater or distilled water dangerous?
Runner here-if you’re running in the heat for long distances, make sure you’re getting adequate carbs. One reason sports drinks help isn’t just the electrolytes but the sugar. Yes, sometimes carbs are good!
Yeah, she's all over the place but t he people who drink purified or bottled water exclusively (which is quite a few) can have mineral deficiencies as that water has no minerals in it and can leech minerals out of you because of the concentration gradient
Even from a POTS perspective, she doesn’t make any sense.
I’d celebrate if my body could retain water properly. While electrolytes are important for POTS patients, so is water.
Hey, I have POTS, too!
Me three! 👋
So what is the answer to why some of us cannot get enough water with normal labs
We loose a lot of the minerials when drink filtered water. That is why it is best to drink gatorade if you have been sweating.
Only if you’re something like an Olympic athlete and are pushing your body to extremes. For everyone else, water is fine.
@@AsclepiasCorridor go ask your doctor, you might be surpised how many hospitals admit dehydrated patients.
@@AsclepiasCorridor there is a different between waters.
9/10 ish times tap/filtered water is PERFECLTY FINE. You'll get your minerals back from food unless you have some sort of condition or live in a really hot climate and its summer. Even then, Gatorade is...ok to alternate with tap water.
Unless its, like, reverse osmosis filtered or distilled water, its gonna have enough minerals to not be dangerous.
And gatorade is....meh. not horrible but seceral years ago they made the recipe much heavier on the sugar and lighter on some of the critical sweated out salts so its not great choice anymore
If she's subject to e licensing and/ registration body I hope they see that wee nugget and potentially dangerous misinformation and (seemingly) clash of interests as implied at the end.
Mineral water tastes absolutely amazing though!
I think a lot of people are confused that electrolytes are water soluble. Yes, that means they need water to break down, but that doesn't mean the opposite is true. Water moves freely through the body. Osmosis Jones, anybody?
I mean, you kinda do need electrolytes, because without them, you have a heart attack and then you die. How do I know? Because I have a friend who has this exact problem. If she doesn't keep her electrolytes properly balanced she will literally have a heart attack and die.
Diffuse that misinformation! Something something semi-permeable membrane, osmosis, something
Tik tokers with an ulterior motive😮😮 she should probably go back to high school biology and study the process of osmosis again!
I'd be happy to listen for a few extra seconds so Doc doesn't have to speak like an auctioneer with the Devil on his tail and gaining fast. This is great information!
How helpful of her to enlighten the rest of us dietitians with groundbreaking new strategies for managing volume overload. All this time our patients just needed more sodium and a copy of her mineral guide. What a mess. 😮💨
I'm not even a Dr.,but I knew she was so full of it her eyes were brown.
Commenting to signal boost. Combat that misinformation doc
Do. More. Of. This.
You can tell who are real doctors on this platform because of how fast they speak or how through they are because duh they have to work fast and they have heard all the dumb/arrogant/controversial questions and comments from so many people
*Tonicity:* _am I ajoke to you?_
Feels like a new Dr. Sebi type stuff that is very dangerous for unsuspecting/uninformed individuals.
So are things like the “Liquid IV” drinks which are supposed to have the minerals to maximize your body’s water absorption somewhat helpful for hydration or a complete scam?
They work for sure. But so does drinking water and having a normal diet.
I have not looked into that brand but typically these things don’t cause harm but may not be necessary. But if it encourages you to drink more water maybe it’s still worth it? Maybe I’ll do a video in the video going into more detail on that!
I assumed it was for when you had severe diarrhea, fluid loss, or intense exercise.
They're helpful for people with certain chronic illnesses, like postural orthostatic tachycardia syndrome (POTS), that require you to stay super-duper hydrated in order to keep your blood pressure stable. I have no experience with other uses of oral rehydration solutions, but I know I have fewer POTS-related dizzy spells when I drink them.
@@1901180108 I use them for POTS as well but Liquid IV's claims are similar to the ones in this video so it made me wonder.
Isotonisch / isotonic
Love it... call these fake people out 🤭👏👏😂
that OH... is OH
*SIGNAL BOOST!*
A prime example of why you do your research before giving advice.
Couldn’t find the original, otherwise I was going to tell the Academy (our dietitian mothership) on her.