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Hydration testing

All hydration assessment techniques evaluate a complex fluid matrix and interconnected fluid compartments. Singular measurements are inadequate because fluid gain and loss alters TBW as a sinusoidal wave that oscillates around an average. The measurement resolution and accuracy of most hydration assessment techniques (Tables 1 and 4) is not supported by a large, consistent data base. Also, no previous publication provides incontrovertible evidence that measure- ments of concentration (including Posm) validly represent body water loss or gain in all situations. Therefore, dynamic human water turnover is inadequately represented by (a) a single measurement in time, especially when fluid balanc

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From heaven it comes to heaven it rises, and down to earth it must, eternally fluctuating. John Wolfgang von Goethe