For more than 30 years, I've heard the same thing from the people I work with.
"Dr. Derek, I'm doing everything right. I walk. I lift. I eat well. I drink my water. So why do I wake up at 2 a.m. with my calf locked in a knot? Why do I get a dull headache every afternoon? Why do I lose words mid-sentence?"
These aren't careless people. They're executives, retired teachers, grandparents who still hike, couples who walk three miles every morning. Many take a blood pressure pill or a statin, manage a stiff knee, and still show up for life.
So they did. Eight glasses. Ten. A big bottle on the desk. They spent half the day running to the bathroom… and still felt dry, foggy and tight.
What I see almost every week
She's 58. Walks four mornings a week, does a strength class on Thursdays, and keeps a 32-ounce bottle on her desk that she refills twice a day. She takes a small blood pressure pill her doctor started last year.
Around 2 a.m., her right calf seizes. She stands on the cold floor until it lets go. By 3 p.m. there's a dull band of headache behind her eyes, and in meetings she reaches for a word that isn't there.
"I'm drinking more water than I ever have," she tells me. "And I feel worse."
She's not doing anything wrong. She's just pouring water into a body that's leaking the minerals it needs to use it.
A composite of what Dr. Derek hears from clients, not a single person's story.
After 45, the problem usually isn't how much water you drink. It's what your water is missing. I call it the Mineral Leak.