A B S T R A C T It has been postulated that alterations in the intravascular distribution of blood affect antidiuretic hormone (ADH) secretion in man. The studies reported here were designed to alter blood distribution by thermal and by positional change to test this thesis.Human blood ADH levels have been shown to vary -with position: a mean value of 0.4 ±0.6 (SD) uU/ml was obtained while the subject was supine, a value of 1.4 + 0.7 buU/ml while sitting, and 3.1 ± 1.5 uU/ml while standing. In 79 control subjects, sitting comfortably for 30 min in a normal environment, a blood ADH level of 1.65 ± 0.63 pU/ml was found. It is suggested that subjects assume this position during experiments in which blood is drawn for measurement of ADH levels. In eight seated subjects the ADH level rose from 1.6 ± 0.4 to 5.2 ± 0.8 AU/ml after a 2 hr exposure at 50'C and fell to 1.0 ± 0.26 uU/ml within 15 min at 260C.Six subjects with a mean ADH level of 2.2 ± 0.58 MAU/ml sat quietly in the cold (13'C) for 1 hr, and the ADH level fell to 1.2 + 0.36 MU/ml. After 15 min at 260C, the level rose to 3