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Hydration, Fuelling & Heat for Women

Sims' hydration-physiology playbook for endurance and heat: get sodium and fuel right around training so you actually perform, instead of sipping plain water and bonking.

💧
Author, ROAR & Next Level
Not endorsed · Based on the published work of Stacy Sims
Daily time
Per session
Steps
7
Difficulty
Intermediate
Sources
3
View the steps →
What it is

This is Sims' core expertise as an environmental exercise physiologist. The practical message from ROAR: a normal sports drink does not carry enough sodium to matter, so for longer or hot sessions she favours a higher-sodium pre-load to hold plasma volume, real food or functional carbohydrate during, and prompt refuelling after. Hydration needs also shift across the cycle and into menopause as plasma volume and heat regulation change. Heat and cold acclimation are trainable, and the gut can be trained to tolerate fuel. None of this requires plain water-chugging, which can backfire.

Why it works
Plasma volume, sweat sodium and core-temperature control differ in women and shift with hormones, so generic male-derived hydration advice underperforms. Adequate sodium pulls fluid into the bloodstream and protects blood volume and thermoregulation; carbohydrate timed to the session protects intensity. Note that some of Sims' female-specific hydration claims are debated in the literature, so treat the numbers as a tested starting point, not gospel.
The evidence
Sources
Published work by Stacy Sims, cited straight to the source: long-form episodes, clips, peer-reviewed papers and their own writing. Select any to view it here.
1
ROAR, Revised Edition: hydration, fuelling, and heat/cold acclimation (Dr. Stacy Sims)
Article
2
Hydration Tips for Active Women Training in the Heat (Dr. Stacy Sims newsletter)
Article
3
Dr. Stacy Sims: Female-Specific Exercise & Nutrition (Huberman Lab)
Article
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The protocol
Clinical strong human trials Mixed some or emerging evidence Commercial weak or unproven, sold widely Equipment / Test not an evidence claim How we grade →
Before

Pre-load with a higher-sodium drink for long or hot sessions

A sodium-forward hydration mix before training; Sims notes a standard sports drink is too low in sodium to help

Sodium pulls fluid into the bloodstream and supports plasma volume and heat tolerance.

ROAR / Sims
For this stepMixed
High-sodium hydration mix
Sodium-forward, for long or hot sessions
During (short)

For sessions under an hour, water is usually enough

Plain water for easy or short work; no need to over-fuel

Fuelling needs scale with duration and intensity; short sessions do not need carbohydrate drinks.

ROAR / Sims
For this step
No product needed
During (long/heat)

Take in fluid and carbohydrate on longer efforts

In heat, aim around 10 ml fluid per kg body weight per hour (~0.16 oz per lb); add functional carbohydrate or real food

Replaces sweat losses and sustains intensity; the right amount depends on heat and sweat rate.

Sims hydration newsletter
For this step
No product needed
After

Rehydrate and refuel promptly

Fluid with sodium plus protein and carbohydrate within 30 to 45 min

Restores plasma volume and starts recovery; women are especially sensitive to delayed refuelling.

ROAR / Sims
For this stepMixed
Electrolyte mix
Sodium-forward electrolytes for recovery
Train the gut

Practise race fuelling in training

Rehearse your during-session fluids and carbs in training, never debut them on race day

The gut adapts to tolerate fuel; surprising it on race day causes GI distress.

ROAR / Sims
For this step
No product needed
Acclimate to heat

Build heat tolerance gradually

Progressive exposure to training in the heat (and sauna can help) over one to two weeks

Heat acclimation expands plasma volume and improves cooling, a real and trainable adaptation.

ROAR / Sims
For this stepEquipment
Sauna / sauna blanket
Optional heat-acclimation and recovery tool
Adjust by life stage

Account for the cycle and menopause

Expect higher core temperature and changed fluid needs in the luteal phase and after menopause; add sodium and cooling strategies

Plasma volume and thermoregulation shift with hormones, so fixed numbers will not fit every week or every age.

ROAR / Sims
For this step
No product needed
Is this for you?
Good fit if
  • Endurance athletes and long-session trainers
  • Anyone training in heat
  • Women who bonk or cramp on plain water
  • People prepping for a race or event
Cautions
  • Some of Sims' female-specific hydration claims are debated in the research; treat the sodium and fluid numbers as a tested starting point to personalise
  • Very high sodium intake is not for everyone: blood-pressure, kidney or heart conditions should clear it with a doctor
  • Over-drinking plain water during long events can cause hyponatraemia (low blood sodium), which is dangerous; sodium matters
  • Sims sells no hydration line; the items here are generic categories, confirm any specific product yourself
  • Educational only, not medical advice
Related protocols
Update history
  • July 3, 2026 Protocol published.
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Not medical advice. This page is for education only and is not a substitute for professional medical care. Consult a qualified clinician before changing your health routine.
Independent curation. YourProtocol.ai is an independent platform. This protocol is based on the publicly available work of Stacy Sims and is not created, reviewed, endorsed by, or affiliated with Stacy Sims or Author, ROAR & Next Level.

Hydration, Fuelling & Heat for Women
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