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How much water should you drink per day?

Jillian Foglesong Stabile, MD

Jillian Foglesong Stabile

MD, FAAFP, DABOM

Sipra Medical Reviewer

  • American Board of Family Medicine
  • American Board of Obesity Medicine
  • Wake Forest University School of Medicine
FAAFP, DABOM · Reviewed June 10, 2026 · Per-kilogram method

A worked example

A 170 lb adult, moderately active, in a temperate climate

Baseline (35 mL per kg)
2,699 mL
With activity, climate, and life stage
3,449 mL
Daily target
3,449 mL (117 oz)

Food carries roughly a fifth of daily fluid, and thirst plus urine color remain the better day-to-day guide.

Run your own numbers in the tool above.

Chapter 01 · The method

Why per-kilogram beats a fixed number

A 110-pound person and a 220-pound person do not need the same volume of fluid, yet the eight-glasses rule hands them an identical target. Scaling intake to body weight, at roughly 35 mL per kilogram, fits the estimate to your actual size. Activity and climate then push the number up: heavy exertion can add a liter, and hot or humid conditions another half-liter through sweat losses.2

*12 month plan, billed once for the term when a physician approves. Renews each term.

ScenarioAdded dailyWhat it reflects
Sedentary, temperatebaseline onlyPer-kilogram baseline
Light activity+500 mLLight exercise sweat loss
Moderate activity+750 mLMost-days training
Heavy or hot climate+1,000 to 1,500 mLIntense effort or heat

How modifiers stack on the per-kilogram baseline. Values are added daily.

Chapter 02 · On treatment

Hydration on a GLP-1 medication

GLP-1 medications slow gastric emptying and reduce thirst, so fluid intake often drops without you noticing. Dehydration then amplifies the common GI side effects, and constipation is a leading reason patients stop the medication. Hitting your per-kilogram target plus an extra 500 mL daily supports tolerability for most patients on semaglutide or tirzepatide. Individual results vary.
sipra
Start here · one question
What's your goal weight?
Choose a goal to discuss with your clinician. You can change it in your intake.
On a GLP-1, thirst is a less reliable signal than usual. Aim for your target by the clock rather than waiting until you feel thirsty. Individual results vary.
Chapter 03 · When more is not better

When you should drink less

More is not always better. Heart failure, chronic kidney disease, and certain diuretics call for physician-supervised fluid limits, sometimes well below the calculator's estimate. Exercise-associated hyponatremia, dangerously low blood sodium from over-drinking during long endurance events, is rare but real. For most healthy adults at rest, the body's thirst signal is reliable; the calculator is a planning anchor, not a quota to force.

Frequently asked questions

Lose weight with a plan made just for you

  • Same-day doctor visits and prescriptions
  • Semaglutide, tirzepatide & other GLP-1s
  • FSA & HSA eligible with all plans
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From$149/mo

From price shown is the 12-month plan rate. Prices may vary.

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Sources

  1. EFSA Panel on Dietetic Products, Nutrition, and Allergies. "Scientific Opinion on Dietary Reference Values for water." EFSA Journal. 2010;8(3):1459. efsa.europa.eu
  2. Sawka MN et al. "American College of Sports Medicine position stand. Exercise and fluid replacement." Med Sci Sports Exerc. 2007;39(2):377-90. pubmed.ncbi.nlm.nih.gov
An estimate for healthy adults, not a medical prescription. People with heart, kidney, or fluid-balance conditions should follow a physician's individualized guidance. Individual results vary. Last reviewed June 10, 2026 by Jillian Foglesong Stabile, MD, FAAFP, DABOM. Prices snapshot Per-kilogram method.
Compounded medications are not FDA-approved and require a patient-specific prescription. Brand names are trademarks of their owners; sipra is not affiliated with them.