Why "Drink to Thirst" Fails at Altitude — and the Specific Contexts Where You Need More Water Than General Guidance Suggests
Altitude dehydration is real because respiratory rate increases and inspired air is drier — but thirst doesn't compensate fully, making trekkers a specific population where "drink to thirst" systematically underestimates needs. Here's the quantified altitude respiratory water loss (up to 1,200 mL/day at high altitude), the fever rule of thumb (each 1°C above normal adds ~20-25% water loss), why coffee's diuretic effect is smaller than its fluid content, and the specific kidney stone prevention fluid target (2.5 litres urine output daily).