Hi, I’m Dr. Jennifer Gaudiani. Today we’re going to talk about a topic really important to patients who purge and that is: Why do you get so much edema or fluid retention when you stop or decrease purging? Here’s how it works: when your body is chronically dehydrated, your brain thinks, “I have to upregulate any hormone I can to make sure that I hold on to water in salt if I should come across an oasis in this desert” — that’s what it does. Your adrenal glands overproduce aldosterone causing a secondary hyperaldosteronism called Pseudo-Bartter’s syndrome and that makes you retain tons of fluid when you stop purging. It also makes you dump potassium in your urine. There is a way to treat this properly. For more go to www.gaudianiclinic.com.