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The exception to that is found, however, in many disease states (including hyper- and hypo-thyroid states), as well as in conditions relating to specific types of diets (high-fat, high-protein, and low-carb)

Conversely, patients with diarrhoea should maintain hydration and may benefit from temporarily reducing fibre intake whilst symptoms persist

In practice, this means athletes may need to track intake, drink on a schedule and not relying purely on thirst as a guide

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