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Hence prevention of the condition requires that athletes be warned not to drink excessively large volumes of fluid (dipsomania) during very prolonged exercise. This case report also shows that there is a delayed diuresis in this condition and that it is not caused by renal failure.<\/jats:p>","DOI":"10.1136\/bjsm.2002.004614","type":"journal-article","created":{"date-parts":[[2004,7,23]],"date-time":"2004-07-23T17:52:53Z","timestamp":1090605173000},"page":"e16-e16","source":"Crossref","is-referenced-by-count":51,"title":["The dipsomania of great distance: water intoxication in an Ironman triathlete"],"prefix":"10.1136","volume":"38","author":[{"given":"T D","family":"Noakes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Sharwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Collins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D R","family":"Perkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2004,7,23]]},"reference":[{"key":"2025080113095969000_38.4.e16.1","first-page":"370","volume":"7","year":"1985","journal-title":"Med Sci Sports Exerc"},{"key":"2025080113095969000_38.4.e16.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1986.03370060086025"},{"key":"2025080113095969000_38.4.e16.3","first-page":"13","volume":"13","year":"2001","journal-title":"Emerg Med"},{"key":"2025080113095969000_38.4.e16.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(01)00320-1"},{"key":"2025080113095969000_38.4.e16.5","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200301000-00008"},{"key":"2025080113095969000_38.4.e16.6","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1093\/milmed\/164.3.234","volume":"164","year":"1999","journal-title":"Mil Med"},{"key":"2025080113095969000_38.4.e16.7","doi-asserted-by":"publisher","DOI":"10.1097\/00003677-200107000-00005"},{"key":"2025080113095969000_38.4.e16.8","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1093\/milmed\/164.7.502","volume":"164","year":"1999","journal-title":"Mil Med"},{"key":"2025080113095969000_38.4.e16.9","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1093\/milmed\/166.5.405","volume":"166","year":"2001","journal-title":"Mil Med"},{"key":"2025080113095969000_38.4.e16.10","first-page":"711","volume":"132","year":"2000","journal-title":"Ann Intern Med"},{"key":"2025080113095969000_38.4.e16.11","unstructured":"Smith S. 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