Pass the salt shaker 

 July 9, 2023

By  Jolinda Rockett

Last Updated: April 26, 2024

Does anyone share my irritation that so many restaurants have removed the salt shakers from tables? Is someone secretly monitoring my micronutrients? 

Honestly. I want to know.

Not being in the food service industry, I am out of that loop, but it seems they have decided to take control as if to say, “Watch that lady. Don’t give her any more salt than we have determined is necessary.”

I’ve even asked some of my dining partners if they find it as irritating as I do. Some say no. But when I ask the waitstaff for a salt shaker and it eventually appears on the table, nearly everyone sitting with me reaches for it.

I even had a patron sitting at another table ask me if they could borrow our salt shaker. How ridiculous is that? Clearly, some people need more salt than the restaurant culture thinks we should. Are we being “salt-shamed”?

OK, enough ranting.

See Dr. Cate Shanahan's post about salt.

Salt as therapy

Let me explain how salt supports our health. It is used to correct damage from toxins, serves to balance fluids, and improves all our systems, such as wound healing. This post is about salt from a therapeutic viewpoint.

Simply not enough

The symptoms I list here may result from a number of intricate causes, but few people realize that any of these could be caused by a simple deficiency of salt/sodium in the diet.

-Muscle Cramps




-Difficulty Concentrating

The use of water pills and chemotherapy routines are two examples of conditions where a patient can suffer from a sodium/salt deficiency. But anyone can experience the destabilizing symptoms of ‘not enough salt’.

Sodium is necessary for heart muscles to keep pumping.

Sodium is necessary for heart muscles to keep pumping.

Sodium regulates calcium distribution.

Sodium is necessary to produce voltage for the intracellular pump that regulates the processes that allow the mitochondria to produce energy.

Sodium is necessary for fluid movement among cells and the spaces between cells.

Digestive problems

If you experience uncomfortable sensations in your stomach or reflux when you eat, you may not be producing enough gastric acid to prepare your food for the next stages of digestion. How does that work, exactly?

The lower gate at the bottom of the stomach will not allow food to drain into the rest of the digestive track if the acid is too low so the food sits in the stomach and it will begin to cause acid reflux that we feel and taste. Salt is required for the production of stomach acid. The amount of salt needed to produce enough acid is a minimal, about 1-teaspoon a day. If this does not correct the problem, you may also need to add betaine HCl as a supplement. Ask your holistic practitioner for some ideas.

Fluids and sodium balance

Some of the most common causes of an imbalance of fluid/salt imbalance may be…

  • Excessive perspiration (causing both a loss of fluid and salt).
  • Routinely drinking an excess of water, diluting salt concentration.
  • Medications (water pills) which remove excess stagnant fluids in the tissues but flushes out sodium, too.
  • A diet which allows the release of excess fluid by reducing inflammation, often seen when beginning a Paleo or ketogenic (Keto) diet.


Let’s look at bromine. Like iodine, bromine is a basic element found in a class of elements called halides. Bromide is the name of bromine when it is found in a chemical compound. Since iodine and bromine are in the same chemical class, they compete for the same sites in our glands. But iodine is a necessary element in our thyroid and glandular systems. So just remember:

Iodine Good!

The bully on the block is bromine. Once it attaches itself to the tissues, iodine has no place to park. No one recognizes bromine as being good so you can remember this one:

Bromine Bad!

Bromine elbows iodine out of its important position in our glands, displacing a necessary element with a disruptive one. As more designer chemicals flood our modern life, bromine exposure has become all too common. We even have bromide added to flour. It is in all the weed control chemicals applied to our vast agricultural fields. It even shows up in flame retardant treatment of children’s clothing and toys. As a result, our thyroid functions have become less… well… less functional.   

A few possible symptoms of bromine toxicity:






Impaired memory

Poor concentration 

Acne on face and hands 

Disturbance of color perception 


Abnormal pigmentation 

Slurred speech

Emotional instability 

Hair loss 

Vision changes 


Runny nose 

Reflex changes 

Schizophrenic-like actions 

Metallic taste 

Sensitivity to light 




Eyelid twitching 

Dream changes 

Increased salivation 


Kidney pain 

Dry mouth 

Body odor


Add salt with supplements

Adding iodine supplements is important but it has been the extensive experience of physicians like Dr. David Brownstein that supplementation alone is not enough to restore thyroid function. He writes:

The reason we are seeing such a high prevalence of iodine deficiency and thyroid disorders is due, in large part, to the excess exposure of bromine from our modern conveniences.
Over the years, I have checked hundreds of patients for their bromine levels, and I have found elevated bromine levels in 100% of patients. with most patients having very high levels.

What does bromine do in the body? Bromine competitively inhibits iodine in the body. What this means is that bromine exposure will cause the body to excrete iodine and lead to iodine deficiency. If we don't supplement with extra iodine, bromine will continually replace iodine all over our bodies. Even in the thyroid gland, bromine can replace iodine.

What are the potential consequences of this? The consequences of this include increased rates of cancer of the breast, thyroid, ovary, uterus and prostate. Other consequences of increased bromine exposure include autoimmune illnesses such as autoimmune thyroid disorders. My experience has clearly shown, compared to those patients who do not have a serious medical illness, those with health issues have much higher bromine levels.
I have found the combination of unrefined salt and iodine invaluable in helping my patients detoxify from bromine. You should take one-half to one teaspoon of unrefined salt each day. Iodine supplementation of 12 to 50 mg per day is adequate for most patients.

And another expert, Dr. Jeffry Dach, echoes Dr. Brownstein’s suggestion when he writes:

[It] is important to avoid the annoying symptoms of Bromine excretion called “Bromism” which may be severe enough to cause the patient to stop taking Iodoral [supplemental iodine].

Here is a typical protocol:

Unrefined Sea Salt (Celtic) – 1/2 tsp. in water twice a day 

Selenium – 200 – 400 mcg per day 

Magnesium – 400 – 1200 mg per day 

Vitamin C – 3,000 – 10,000 mg per day 

Vitamins B2/B3 (ATP CoFactors) – 100 mg riboflavin and 500 mg no flush niacin, inositol hexanicotinate form, 1-2x per day.

Jeffry Dach, MD

Constipation treatment

Many people use a salt treatment called the salt water flush for temporary constipation or just to occasionally clean out the gut. See this explained by Dr. Josh Axe.

Improve your immune system

The amount of salt required for strong immunity (macrophages) is about 1 teaspoon a day.

Unrecognized body signals

If you are not adding enough salt to your diet or if you have lost excess fluids which also depletes sodium, your brain may not tell you exactly what you need to do. It can misinterpret the need for salt as a need for sweets or carbs.

If you notice a sudden craving for sweets or carbohydrates, you should try adding salt to your food. Or, as Dr. Annette Bosworth recommends, put some crystals of salt in your mouth and let them slowly melt. Years ago, when I was transitioning to a keto diet, I used this suggestion. It really worked to halt cravings because I needed the salt, not the sweet!

Cautions for folks over 65

In elderly patients, multiple factors are usually implicated in the development of salt deficiency. The most common causes are:

1) impaired water-excretory capacity

2) medications

3) age-related reduction in the percentage of total body water content, leading to greater fluctuations in salt concentration

These conditions require an attentive physician to closely monitor these potentially volatile conditions. Please seek assistance from your prescribing professional.

And what about chloride?

Salt contains both sodium and chloride. Is chloride important?

You bet! Chloride is essential for cellular function.[1]

Fortunately, it comes attached to the sodium in the same salt shaker, so unless you are deficient in salt you should be OK.

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We are strongest and healthiest when we can freely express our heartfelt nature. For over 40 years I have focused on health, first as a nurse, then acupuncturist, and now, through coaching, I help folks find their best health. Join me as we uncover how you can be truly glorious!

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