Formulation

How your Level is built

LEVELEN is one electrolyte formula made at increasing sodium levels. A lab analysis of the sweat you lose in training decides which Level is yours. This page covers the science, the method and every ingredient, with sources.

Why one formula fails

Athletes do not sweat the same

A one-size-fits-all electrolyte drink assumes athletes lose roughly the same amount. The research behind LEVELEN shows how far apart they are, even with a similar diet, body type and size. [1]

100+fold
Range in sodium loss

Sodium lost per hour differed by more than 100-fold between athletes in LEVELEN's research with the Philadelphia Eagles and Philadelphia Flyers. [1]

37fold
Range in sweat rate

Sweat volume per hour differed by more than 37-fold from one athlete to another. [1]

0.18 to 6.70L/hr
Sweat rates measured

The lowest and highest sweat rates seen across thousands of athletes tested. The average was 1.68 liters per hour. [1]

15 to 99mmol/L
Sweat sodium in one NFL camp

The range of sweat sodium concentration across 44 professional football players in a single preseason. [3]

Size and sex explain only a little of the difference. Larger athletes tend to sweat more and men tend to sweat more than women, yet two athletes of similar size and sex can have very different sweat volumes. [1] In identical conditions, football players lost over 9 liters of sweat a day compared with about 3 liters for runners. [1]

Electrolyte loss varies even more than fluid loss. As electrolytes run low, performance can slip gradually and without warning, and when depletion becomes more extreme, muscle cramps can set in. The point where that happens is different for every athlete. [1]

Why blood tests miss it

Your blood looks normal

The body pulls blood sodium back to its normal range of 135 to 145 mmol/L, usually within about an hour, even after cramping. A blood test taken later will most likely read normal and cannot show what you lose while you train. [1]

Why guidelines miss it

Guidelines cannot see your sweat

General hydration guidelines cannot tell one athlete what they need, and no metric accurately predicts an athlete's hydration needs. That is why LEVELEN tests the sweat itself. [1]

What the extremes look like

30 grams in a day

During preseason two-a-days, average sodium loss in NFL linemen was 12.5 grams a day, and one player lost more than 30 grams in one day. Replacing 30 grams from a standard sports drink would take about 65 liters of it. [3]

The patented method

The Sweat Test, step by step

LEVELEN's method is covered by U.S. Patent 9,421,226 B2, granted in 2016 to Dr. Arthur Bartolozzi and Dr. Sandra Fowkes Godek. In plain terms, it measures how much an athlete sweats over time and how much sodium that sweat carries during hard exercise, assigns the athlete to a sodium group, and matches the drink to that group. [2] Here is how you collect your sample at home. [1]

  1. Plan a normal session

    Test during the activity, intensity and conditions you are training for, for example a hot-day run if you are training for a hot marathon. Aim for a continuous workout close to one hour.

  2. Clean and patch

    Clean the outside of your forearm below the elbow (the side facing up when your palm faces down) with the alcohol swab and let it dry. Apply the sweat patch just before you start.

  3. Weigh in

    Empty your bladder and weigh yourself with minimal or no clothing. Note the weight and, if you can, the temperature and humidity. From now until you weigh out, record every ounce or milliliter you drink.

  4. Train and collect

    Remove the patch when the gauze is fully saturated, usually 30 to 45 minutes in (wear it at least 30 minutes and up to an hour). Use the tweezers so you never touch the sample, place the gauze in the vial, snap the lid shut, seal the bag and keep training.

  5. Weigh out

    Wipe off your sweat and weigh yourself again with minimal or no clothing. Note your weight, the workout length and intensity, and the fluid you drank on the information card.

  6. Mail it to the lab

    Send the card and sample back in the return mailer, and photograph the tracking label in case the package is lost.

  7. Get your Sweat Profile

    The lab measures sodium, potassium and chloride in your sweat and calculates your sweat rate. Your Individual Sweat Profile and Dashboard are emailed to you, normally within 1 to 2 weeks after your sample arrives.

If you held or gained weight during the test, you drank too much and the test needs to be redone with less fluid. [1]

Why the method matters

Real sweat, measured directly

Collected during your own workout

Collected while you work

Stimulated sweat tests are medically approved for detecting cystic fibrosis. Sweat produced by a chemical stimulus differs from sweat produced by heat during exercise, and studies show the stimulated method gives higher electrolyte concentrations than true thermal sweating. LEVELEN collects eccrine sweat produced during your own workout. [1]

Each electrolyte measured

Nothing estimated

Many tests measure chloride and estimate sodium from it. LEVELEN analyzes each electrolyte independently. Sodium and chloride usually track together, but the lab has seen many cases where they differ widely, which would make an estimate wrong. [1]

Your Level

How a Level is assigned

Sodium is the electrolyte you lose fastest, so it is the main one the lab assesses. Chloride is lost at a highly predictable rate relative to sodium. [1] Your Level is set by the electrolyte concentrations in your sweat, and it is spelled out in your Individual Sweat Profile. [7] Under the patented method, each athlete is assigned to the sodium level they most closely match. [2]

The LEVELEN scale runs from Level 1 to Level 5. Levels 1 and 2 describe lighter salt losses that a standard sports drink already covers, so LEVELEN makes its mix only in Levels 3, 4 and 5, where a generic drink falls short. Nutrition and ingredients are identical at every Level; only the electrolyte content changes. [7]

Your Sweat Profile includes: sweat rate, sodium concentration and sodium loss per hour, potassium concentration, chloride concentration and chloride loss per hour.

Your Dashboard includes: sweat rate, recommended fluid intake, your rate of fluid and electrolyte loss, your recommended LEVELEN Level, and a hydration and electrolyte plan built from your results.

Levels 1 and 2

Lighter salt losses. A standard sports drink covers you, so LEVELEN does not make a mix at these Levels.
Sports drink

Level 3

370 mg of sodium per 14 oz serving on the Neutral label.
900mg/L

Level 4

Same formula, more sodium than Level 3.
1,200mg/L

Level 5

620 mg of sodium per 14 oz serving on the Strawberry-Citrus label.
1,500mg/L

Sodium per liter for Levels 3 to 5 comes from LEVELEN's published nutrition information [7] and matches the current labels [8]. LEVELEN makes the mix in Levels 3, 4 and 5 only. Questions about your plan: support@levelen.com.

Ingredients

What is in the mix, and why

From the current LEVELEN labels. [8] Mix one level scoop in every 14 oz of water: 56 g for the flavored mixes, 42 g for Neutral. The flavored versions add natural flavors, citric acid, green tea extract and fruit and vegetable juice powder for color; Neutral leaves them out. [8]

IngredientWhat it doesIn which mix
Sodium chlorideReplaces the sodium and chloride lost in sweat. Sodium is the most rapidly depleted electrolyte; the amount is what changes from Level to Level.All
Dextrose (glucose)Used instead of sucrose, fructose or high fructose corn syrup to help absorb and retain electrolytes and to limit the stomach upset linked to digesting complex sugars.All
MaltodextrinA second carbohydrate, listed with dextrose on the label.All
Magnesium (magnesium dihydrate lactate)Supports cell membrane transfer so the body retains electrolytes and fluid. 32 mg per serving.All
Vitamin and mineral blendCalcium lactate gluconate, vitamin C (ascorbic acid), vitamin E, biotin, niacinamide, pantothenic acid, vitamin B12, vitamin B6 (pyridoxine) and sodium selenite.All
Malic acid, apple cider vinegar powder, tricalcium phosphateListed on the label as part of the base formula.All
Natural flavors, citric acid, green tea extract, fruit and vegetable juice powderFlavor and color for the flavored mixes.Flavored only
Potassium0 mg per serving. Left out deliberately; see below.None

Ingredient roles come from LEVELEN's published formulation notes. [1] [7] All ingredients are suitable for tested athletes: none appear on anti-doping lists. Gluten-free and vegan-friendly. Precaution: people with hypertension or renal disease, or who take diuretics, should consult a physician before using LEVELEN. [8]

The potassium question

Why LEVELEN has no potassium

Many sports drinks add potassium. LEVELEN leaves it out on purpose. When you train, your muscle fibers break down and release potassium, and the body regulates potassium efficiently even at modest activity levels, so it does not need replacing during exercise. [1]

Contrary to popular belief, potassium deficiency does not cause muscle cramping. Abnormally high blood potassium (hyperkalemia) is dangerous and can be fatal, so LEVELEN avoids potassium supplementation. Leaving it out does not reduce the mix's ability to address cramping. [1]

Abstract

Sodium chloride, no potassium

Ten NFL players received about 4,500 mg of sodium and 6,926 mg of chloride a day above their normal diet, in drinks with added sodium chloride and no potassium, over the first 11 days of preseason. They kept normal pre-practice body mass, with no hyperkalemia or hyperchloremia. The authors concluded that sodium supplementation without added potassium helped the players maintain fluid and electrolyte balance. [4]

Read the abstract (PDF)

Peer-reviewed paper, 2009

Potassium rose without supplements

In a separate NFL training camp study, players' resting blood potassium rose by days 5 and 9 of two-a-days with no potassium added beyond their normal diet and the team's sports drinks, which the authors attributed to muscle breakdown from heavy training in the heat. [3]

Read the paper (PDF)

Sodium chloride and the research

The studies behind the formula

Dr. Fowkes Godek's research library on the LEVELEN site holds roughly 30 abstracts, 9 publications and several presentations, grouped under electrolyte management, muscle cramping, sweat rates and thermoregulation. [1] These are the studies LEVELEN has published in full or as abstracts.

Peer-reviewed paper, 2009

Blood electrolytes in NFL preseason

Six NFL players were tracked through preseason camp. Blood sodium fell from 140.4 mmol/L at baseline to 136.9 by day 3 and was held at low-normal levels at the cost of reduced plasma volume. The authors concluded that eating and drinking more sodium is important for professional football players to maintain plasma volume in the first week of preseason. [3]

Read the paper (PDF)

Abstract

Sodium chloride without potassium

Ten NFL players given about 4.5 g of sodium a day without added potassium maintained fluid and electrolyte balance through the first 11 days of preseason, without hyperkalemia or hyperchloremia. [4]

Read the abstract (PDF)

Abstract

Blood measures during cramping

Seven NFL players with exercise-associated muscle cramps were compared with seven matched players who did not cramp. Blood chloride was clinically low (under 100 mmol/L) in six of the seven during cramping and rose after IV treatment. The authors suggest low blood chloride may play a part in cramping; in this group, cramping was not linked to sweat sodium concentration or total sodium loss. [5]

Read the abstract (PDF)

Also from the same program: an abstract on ice slushie ingestion and core body temperature in football players before preseason practice ([6], PDF). Other abstracts are listed by title on the LEVELEN science page. [1]

How to use it

Turn your results into a plan

Your plan is built from three things: your Individual Sweat Profile, how long you train or compete, and your sport. [1] Here is the math the Dashboard uses.

  1. Know your sweat rate

    Sweat rate equals pre-weight minus post-weight plus fluid consumed, divided by workout time (kilograms, liters and hours). Example: (73 kg minus 72 kg plus 0.5 L) divided by 1 hour equals 1.5 liters per hour. [1]

  2. Set your fluid target

    Your Recommended Fluid Intake on the Dashboard is 60 to 70% of your sweat rate. Use that figure, not your sweat rate, for planning. [1]

  3. Find your total

    Multiply your recommended intake by the length of the session. Example: a 5-hour triathlon session at 1.2 L per hour is 6.0 L of LEVELEN at your Level. [1]

  4. Split it before, during and after

    Drink about 35 to 40% of the total in the 24 hours before, 35 to 40% during, and 20 to 30% after. In the example: 2 to 2.5 L before, 2 to 2.5 L during, and 1 to 2 L after. [1]

Mix one level scoop per 14 oz of water. LEVELEN is meant for immediately before, during and after training and competition; the rest of the time, keep your normal diet. [8] [1]

Sweat rate calculator

Estimate your sweat rate

The same formula LEVELEN's Fluid Loss Calculator uses. [9] Sweat rate changes with heat, intensity and clothing, so run it in conditions like your event.

kg
min
Estimated sweat rate
--L/hr
Fluid target (60 to 70%)
--L/hr

Enter all four values. Use kilograms or pounds for weight, and record everything you drank between weigh-ins.

Sodium per hour, by Level and fluid intake

Arithmetic from the published sodium per liter. Your Dashboard's recommended intake governs; this table only shows what each Level delivers at a given intake.

Fluid per hourLevel 3 (900 mg/L)Level 4 (1,200 mg/L)Level 5 (1,500 mg/L)
0.50 L450 mg600 mg750 mg
0.75 L675 mg900 mg1,125 mg
1.00 L900 mg1,200 mg1,500 mg
1.25 L1,125 mg1,500 mg1,875 mg
1.50 L1,350 mg1,800 mg2,250 mg

Timing by sport

From LEVELEN's sport guidance. Severity labels (Low/Mild, Moderate/Significant, Severe) come from the fluid loss result on your Sweat Profile. Starting more than 36 hours ahead adds no benefit. [1]

SportStart beforeDuringAfter
Football24 hours before a game or hard practice; 36 hours if fluid loss is SevereDrink available fluids at your recommended rate. In two-a-days, keep taking LEVELEN through the whole period.Keep rehydrating with available fluids at your recommended rate
Hockey, basketball, soccer, lacrosse24 hours; 36 hours if fluid loss is SevereLEVELEN on the bench if you can; otherwise available fluids at your rateContinue through tournaments and playoffs
Cycling24 hours; 36 hours if fluid loss is ExtremeCarry LEVELEN on the bike; pack single servings for long rides6 hours (Low/Mild), 12 (Moderate/Significant), 24 (Severe)
Distance runningUp to 36 hours for your longest events; 24 hours for shorter onesCourse water is often all there is, so the before and after matter most6, 12 or 24 hours by fluid loss result
TriathlonUp to 36 hours for long events; 24 hours for shorter onesStock LEVELEN in transition and on the bike6, 12 or 24 hours by fluid loss result
CrossFit and liftingUp to 24 hours beforeThrough the workoutAdd Neutral to your post-workout drink or protein shake

Flavors

Three flavors, same science

Every flavor comes in Levels 3, 4 and 5, with the same sodium per liter at each Level. [7]

Crisp citrus

Lemon-Lime

Tastes like frozen lemonade with a touch of lime. It started as a custom request from one of LEVELEN's professional clients. 56 g scoop per 14 oz. [7] [8]

Shop Lemon-Lime

Light strawberry

Strawberry-Citrus

A lightly sweet strawberry with a mild hint of citrus, flavorful enough to enjoy and mild enough for the hottest days and hardest workouts. 56 g scoop per 14 oz. [7] [8]

Shop Strawberry-Citrus

Mild and clean

Neutral

Made at the request of endurance athletes. Mildly sweet in water, and it mixes into protein shakes or sports drinks without overpowering them. 42 g scoop per 14 oz. [7] [8]

Shop Neutral

FAQ

Formulation questions

Why is there no potassium?

Your body releases potassium as muscle fibers break down during exercise and keeps blood potassium balanced without supplements. Potassium deficiency does not cause cramping, and too much potassium (hyperkalemia) is dangerous. [1] More on potassium.

Should I worry about taking in too much salt?

Competitive athletes can lose large amounts of salt, but the amount is highly individual. The goal is to replace what you lose, not to add sodium you do not need, which is why your Level is based on your own Sweat Test. [1]

Can I still eat salty food?

In most cases, keep your normal diet. LEVELEN is for immediately before and during training and competition. A few athletes' results call for more electrolyte replacement, and for them LEVELEN recommends more salt in the diet alongside the mix. [1]

My blood test was normal. Why test my sweat?

The body restores blood sodium to its normal range, usually within an hour, even after cramping, so most athletes test normal whether or not they cramp. A blood test cannot show your real-time losses. [1]

Does my Level change?

Year to year, LEVELEN's studies show results stay the same unless your diet, weight, medications or activity change a lot, so retest once a year. Season to season, acclimation shifts your sweat: in cool weather you sweat less but at a higher concentration, and in warm weather you sweat more at a lower concentration. Multi-season and multi-sport athletes may want several tests a year. [1]

Is LEVELEN safe for tested athletes?

None of the ingredients appear on anti-doping lists. [8]

Who should check with a doctor first?

People with hypertension or renal disease, or who take diuretics, should consult a physician before using LEVELEN. [8]

What if my Sweat Profile shows Level 1 or 2?

Your salt losses are on the lighter end, and a standard sports drink covers them, which is why LEVELEN only makes Levels 3, 4 and 5. Your Dashboard still gives you a fluid plan based on your sweat rate. Questions: support@levelen.com.

How long do results take?

Results are emailed to you, normally within 1 to 2 weeks after your sample arrives. [1]

Sources

Citations

  1. LEVELEN. Hydration Sports Science: FAQs, sweat testing and research library. levelen.com. Archived copy.

  2. Bartolozzi AR, Fowkes Godek S; HEAT Sport Sciences, Inc. Exercise physiology electrolyte management. U.S. Patent 9,421,226 B2. Granted August 23, 2016. Google Patents.

  3. Fowkes Godek S, Bartolozzi AR. Changes in blood electrolytes and plasma volume in National Football League players during preseason training camp. Athletic Training & Sports Health Care. 2009;1(6):259-266. doi:10.3928/19425864-20091019-03. PDF.

  4. Abstract: Blood, urine and body mass measures of fluid and electrolyte balance in NFL players supplemented with sodium chloride but no potassium during pre-season. Undated abstract, Fowkes Godek research program, published on levelen.com. PDF.

  5. Abstract: A comparison of blood measures while NFL players are experiencing EAMC and after IV treatment when EAMC are alleviated. Undated abstract, Fowkes Godek research program, published on levelen.com. PDF.

  6. Abstract: Ice slushie ingestion decreases core body temperature in male football players prior to a standard pre-season practice. Undated abstract, Fowkes Godek research program, published on levelen.com. PDF.

  7. LEVELEN. LEVELEN Electrolyte Mix: formulation, flavors, ingredients and nutrition (Level 3, 900 mg; Level 4, 1,200 mg; Level 5, 1,500 mg sodium per liter). levelen.com product information page.

  8. LEVELEN product labels, current packaging: Neutral and flavored mixes, Levels 3 to 5 (ingredients, nutrition facts, mixing instructions, precautions). Shown on the product pages.

  9. LEVELEN. Fluid Loss Calculator and worksheet. levelen.com. Archived copy.

Know your Level

Find your Level with the Sweat Test

The Sweat Test gives you your sweat rate, your sodium loss and your Level, so you can fuel with the mix made for that Level.