Sodium and Potassium Ratio

The Sodium and Potassium Ratio: Vitally Important!

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The Sodium and Potassium Ratio: Vitally Important!

The Sodium and Potassium ratio (also known as the Na/K ratio) is the absolute most important ratio on the HTMA. The Na/K shows us our overall vitality, adrenal health, liver and kidney function, digestion, and how our body is reacting to stress.

This is one of the hardest ratios to fix because both sodium and potassium have to be in a specific balance. Finding that balance can be difficult because everyone has their own tolerance when it comes to certain nutrients.

For example, when sodium, potassium, and magnesium are all low it is VERY hard for someone to raise all 3 at once. They all have to be in balance because too much of one can bump another around. I try to tell people to take note of their symptoms: low sodium signs include dizziness, low blood pressure, muscle weakness or a very rapid heartbeat. Low potassium signs include a hard, thumping heartbeat; thirst; insomnia; or muscle cramps. Low magnesium signs include muscle pain/stiffness, headaches, and skipped heartbeats.


A high Na/k ratio shows a possibility of:

  • inflammation
  • adrenal imbalance (usually an acute stress situation, and the beginning stages of adrenal fatigue)
  • asthma
  • allergies
  • More common with fast oxidizers
  • kidney and liver stress
  • A high sodium/potassium ratio is considered preferable to a low sodium/potassium ratio.


A low Na/K ratio shows a possibility of:

  • kidney and liver dysfunction
  • allergies
  • arthritis
  • tissue breakdown
  • low immune system
  • adrenal exhaustion/burnout (usually because of chronic stress)
  • digestive problems (especially deficiency of hydrochloric acid)
  • Very low ratios can be a warning for heart attacks, diabetes, cancer
  • Very common in slow oxidizers
  • Low na/k ratios that are hard to budge can be due to a history of trauma. Child abuse victims tend to have very low na/k ratios


Fixing the Sodium and Potassium Ratio:

The approach will be different for those with a high Na/K vs a low Na/K. The basics include calming down the stress response and focusing on adrenal health, focusing on LOW levels of both sodium and potassium, healing from underlying trauma (easier said than done, I know! but it is important), and working on stress management.

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Welcome to Sassy Holistics! My name is Kristin, and I'm a Holistic Health Coach. I've been on the path to help people achieve better health using whole food nutrition, mineral balancing, and holistic healing principles for almost 7 years now.

The body is a whole and we must treat it as such! I have my Bachelor of Science in Natural Health Sciences, certificates in Herbal Studies from Herbal Academy, and I am constantly learning more about health to help my clients and followers.

My goal is to help you unleash your own inner healer! You already hold the power to heal inside you. My role is as a guide to help you realize this potential.

8 thoughts on “The Sodium and Potassium Ratio: Vitally Important!”

  1. How does the use of blood pressure meds and diuretics impact this ratio. Can high Na actually reflect a Na loss? Supplemental potassium is apparently contraindicated with anti hypertensives but the HCTZ clearly depletes K+ and K+ is low.. Na/K ratio is very high and Ca/Mg is high though calcium is not particularly high but Mg is low. So, how do you look at the Na/K ratio?
    1. A reflection of high stress/overactive adrenals with depletion of K and Mg?
    2. Na loss created by high blood pressure and diuretic medications?

  2. Unfortunately I can’t comment too much when it comes to medications. Most of the time, the imbalances that we see on HTMA are a good reflection of what the true imbalances are, regardless of the medications.

  3. That’s technically an ideal ratio. But I also recommend looking at the individual levels too- even if the ratio is good, the levels can be off.

  4. Mrs Louise Bowman

    aah ok thank you, its from an htma that I had done around 4 months ago sodium 190 pot 93, these are what I am trying to figures out. Do you work with people in the UK?

    Na/K 2.04 0.5- 10

  5. OK yes those levels are high then! That is why looking at the whole picture is so important. Yes, we do work with people in the UK too. If your test is only 4 months old, we can do a consult with that existing test, or you can choose to get an updated one- completely up to you. This page goes over our HTMA services, but please let me know if you have any other questions.

  6. I have a very low Na/k on htma test which is about 0.75 is this level low enough to be a warning of cancer, diabetes and heart attack? Have you seen this level before on a htma test? Thank you!

  7. They claim that’s an association with the low ratio, but personally I find that alarmist and not necessarily true. I do see low Na/K constantly, and people get out of it all of the time.

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