The third International Exercise-Associated Hyponatremia (EAH) Consensus Development Conference convened in Carlsbad, California in February 2015 with a panel of 17 international experts. The delegates represented 4 countries and 9 medical and scientific sub-specialties pertaining to athletic training, exercise physiology, sports medicine, water/sodium metabolism, and body fluid homeostasis. The primary goal of the panel was to review the existing data on EAH and update the 2008 Consensus Statement. 1 This document serves to replace the second International EAH Consensus Development Conference Statement and launch an educational campaign designed to address the morbidity and mortality associated with a preventable and treatable fluid imbalance. The following statement is a summary of the data synthesized by the 2015 EAH Consensus Panel and represents an evolution of the most current knowledge on EAH. This document will summarize the most current information on the prevalence, etiology, diagnosis, treatment and prevention of EAH for medical personnel, athletes, athletic trainers, and the greater public. The EAH Consensus Panel strove to clearly articulate what we agreed upon, did not agree upon, and did not know, including minority viewpoints that were supported by clinical experience and experimental data. Further updates will be necessary to both: (1) remain current with our understanding and (2) critically assess the effectiveness of our present recommendations. Suggestions for future research and educational strategies to reduce the incidence and prevalence of EAH are provided at the end of the document as well as areas of controversy that remain in this topic.

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Athletes frequently use nutritional supplementation to improve physical performance. Herbal testosterone boosters claim to increase testosterone and maximize strength gains and lean body mass. PURPOSE: To investigate if testosterone, strength and lean body mass are increased in young trained males taking an herbal testosterone supplement compared to a placebo during a 6-week resistance training period. METHODS: Participants were randomly assigned to the placebo (pl) group (n = 6) or the experimental (exp) group (n = 5). Participants and researchers were blinded to group assignments. Blood and saliva samples were collected in the fasted state prior to the intervention (pre), 3 weeks (mid) and 6 weeks (post) to measure testosterone. 1RM squat and bench press and body composition were measured at all three time points. Participants supplemented with the herbal testosterone booster or 500mg of oregano in capsule form twice daily. RESULTS: No significant difference was detected between groups for % change in squat (p = 0.792) or bench press (p = 0.429). There was no significant difference between groups for unbound serum testosterone % change from pre to post (p = 1.000) as well as between groups for unbound serum testosterone concentrations (pre p = 0.429, 3w p = 0.622, post p = 0.537). No significant difference occurred between groups for total saliva testosterone % change from pre to post (exp = 16.69 ± 21.22%, pl = 40.48 ± 38.17%; p = 0.329). A significant difference was detected between groups post -test saliva testosterone concentration (exp 728.82 ± 199.37 ng·dl-1, pl 1153.54 ± 357.11 ng·dl-1; p = 0.030) as well as for % weight change (WT%) for the exp group compared to the pl group from pre to mid (p = 0.004, exp mean WT % change -1.44 ± 0.288%. pl mean WT % change 1.76 ± 1.39 %; p = 0.004). CONCLUSION: It appears that supplementation with a testosterone booster during a resistance training intervention does not increase testosterone, strength or lean body mass when compared to a placebo.