Dr. Berg’s Healthy Keto and Intermittent Fasting Podcast

If You're Waking Up to Pee, It's Not Your Bladder

5 snips
Jan 16, 2026
Waking up to urinate at night can severely disrupt your sleep and lead to various health issues. The culprit is often not your bladder, but an imbalance in hormones and nutrients. Antidiuretic hormone (ADH) plays a crucial role in controlling urine production. High salt intake and low potassium can contribute to this problem. Additionally, blood sugar levels and certain habits like consuming alcohol can worsen nighttime urination. Practical tips on fluid timing and specific supplements can help you sleep better and regain control over your health.
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INSIGHT

Nighttime Pee Harms More Than Sleep

  • Waking once to urinate destroys sleep and triggers wide metabolic and cognitive harms.
  • Poor sleep raises cortisol, insulin resistance, blood pressure, and lowers testosterone.
INSIGHT

Not Aging — It's ADH Dysfunction

  • Aging is not the main cause of nocturia for most people.
  • Anti-diuretic hormone (ADH) controls nighttime urine production and can be disrupted by other factors.
INSIGHT

Salt, Potassium And Overnight Fluid Shift

  • Too much sodium and low potassium disrupt ADH and provoke kidneys to eliminate excess salt as urine.
  • Fluid retained in legs shifts into blood when lying down and is then excreted at night.
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