Celebrity uses IV hydration service for wedding

Modern Family actress Sofía Vergara recently appeared on the Tonight Show with Jimmy Fallon and revealed that she utilized IV hydration for the guests attending her 3-day-long wedding party. She said she wanted her guests to feel well after a night of partying so that they could enjoy all the events she had planned for them. “Everybody was able to enjoy the night, again… and again,” she said. “I wish I was at this party!” Jimmy Fallon said. Let H2uP help you make the most out of YOUR wedding at beautiful Lake Tahoe!

Dr. Kandra Yee answers hydration question in the Tahoe Daily Tribune

Dr. Kandra Yee, C.F.O. H2uP
Dr. Kandra Yee, C.F.O. H2uP

Dr. Kandra Yee, C.F.O of H2uP Tahoe was featured in the Tahoe Daily Tribune. She answers a question submitted by a Tribune reader:

“What is the proper amount of water to consume in a day? We’ve all heard the classic minimum eight glasses a day, but lately I’ve been hearing/reading much different info based on gender, age and altitude.”

Her answer was:

When it comes to how much water you should drink every day the real answer is: it depends. Despite the common advice reminding us to drink eight glasses a day or more, there are no good studies that can give us an exact amount of water that is right for everyone.

For the average healthy person, you should drink enough water to stay hydrated and keep your urine light colored (slightly darker yellow urine first thing in the morning is OK). For each person this will be different and may vary day to day, depending on a number of factors.

Let’s take Rosie, for example: Rosie is a 35-year-old healthy woman with no history of heart or kidney disease. On an average day she might need eight glasses of water to stay hydrated and keep her urine light yellow. However, if she has the flu, is skiing Tallac, or hiking the Rim Trail in the hot sun, she’ll likely need a lot more water to keep up. Certainly any adventure at higher elevation will require that you drink more water than if you were doing the same thing at sea level.

Fortunately, in addition to watching the color of our urine, our bodies are designed to feel thirsty when you need to drink more water; drinking more than you actually need will only lead you to urinate more. In addition to thirst, other signs of dehydration include fatigue, dizziness and headache.

Of course, if you have heart disease, kidney disease, or are on certain medications, your doctor may have different recommendations. He or she may recommend restricting your water intake, drinking more than the average person needs, or may give you a different way of monitoring your own water intake. Always check with your doctor first in these cases.

Link to Tribune story

Why you need us for your wedding

Wedding toast

Planning and executing a beautiful wedding is not an easy feat. Lots of little pieces makes up the success of a memorable wedding for everyone. Having a wedding in Lake Tahoe takes care of a large piece of that puzzle as the beauty of the lake alone will surely make lasting impressions. But there is one piece that is not given much consideration: Tahoe’s formidable environment. The basin is located at 6500 feet and the climate is extremely dry. Accordingly, a weekend full of activities that would already dehydrate you is going to dehydrate you twice as fast.

When you factor in alcohol consumption, which most weddings tend to have, your hydration deficit gets even worse. Rehearsal dinners can get more lively than anticipated, and on what should be the best day of your life, your wedding party and guests will wake up fatigued, having headaches, nausea and generally feeling crummy. Your make-up artist may have trouble putting makeup on your dried out skin. The groom’s best buddy from college may have bought him too many shots.

You deserve to feel your best on your big day in Tahoe. If you have spent so much time and money planning the perfect Tahoe wedding, you should not be thinking about your nagging headache and be pounding caffeinated drinks just to make it through.

With H2uP’s Elevation package we can be ready to give a refreshing infusion of fluids, electrolytes, and vitamins to any members of the wedding party. Then everyone will be energized, hydrated, and ready to have an experience of a lifetime. We can do our infusions at the same time that you are getting your hair or makeup done. We can also be available for a day after the wedding revival. Our treatment takes about 30 minutes per person to complete, and we can treat multiple people at the same time. Call us to schedule your wedding weekend treatment package today!

Dehydration in Tahoe

Hydration at elevation

Lake Tahoe has plenty to do for everyone, all year round. But spending time in the high-mountains can also dehydrate you faster than you may think. Here are a few of the most common causes for dehydration in Tahoe:

1. Altitude

The altitude causes the kidneys to diurese – meaning excrete more fluid.

2. Dry climate

The low humidity causes insensible water loss, which means losing water through evaporation off your skin and in the air you breathe.

3. Increased cardiac output

Your heart has to work harder to compensate for the decreased oxygen.

4. Acute Mountain Sickness

AMS causes symptoms of anorexia and nausea, which means you don’t feel like hydrating yourself.

5. Alcohol

Alcohol is also a diuretic, and people tend to consume it when they are on vacation.

6. The Hypoxic Ventilatory Response

You breathe faster due to the lower oxygen – which increases your insensible losses.

Staying hydrated in Lake Tahoe takes constant effort. You need to drink an extra 1.5L of water at Tahoe elevation compared to sea level, and that is just at rest. Now increase that if you are going boating, skiing, mountain biking, hiking or doing any of the other activities there are to enjoy in Tahoe.

If you are going to drink alcohol, you need to increase your water intake even more.

Stay on top of your hydration and you will stay out of trouble. However, if some of those factors catch up with you and you have headache, nausea, weakness, and fatigue as a result of dehydration, then just give us a call. You don’t want to miss out on your precious time in Tahoe!


  1. Short-term responses of the kidney to high altitude in mountain climbers
  2. High-altitude medicine

Hangover-curing IV service launches in South Lake Tahoe

H2uP IV hydration service
H2uP at the Tahoe Mountain Lab
H2uP team member Jenelle doing a treatment for the Tahoe Daily Tribune at the Tahoe Mountain Lab. Photo credit: Tahoe Daily Tribune

H2uP recently did a treatment demonstration for the Tahoe Daily Tribune at the Tahoe Mountain Lab. The Tahoe Daily Tribune is doing a series of articles shedding light on various wellness offerings in the Tahoe area. The author’s conclusion:

Another vitals check revealed my pulse had relaxed. My headache was almost completely gone, the slight nausea was quelled, and I felt much more clear-headed.

So does it work? In this humble journalist’s opinion, yes. What started as a miserable morning quickly turned into a productive day at the office — and for that, H2uP, my boss thanks you.

Head over to the Tribune and read about the journalist’s H2uP Experience!

Hangover-curing IV service launches in South Lake Tahoe

The Physiology of a Hangover

Dog looking hungover

Veisalgia is my new favorite word. They didn’t teach us that one in medical school. My last name is Norwegian so I’m drawn to the viking roots of the word “kveis” meaning the “uneasiness after debauchery.”

Let’s get rid of some hangover stigma

Hangover evokes images of alcoholism, but research shows that hangover is more often associated with the light to moderate drinker.  Research also shows that the loss of productivity and missed work due to hangover costs the US alone $148 billion.

There is no research that shows that alleviation of hangover symptoms leads to increased alcohol use.  Actually, relief of the hangover leads to less likely use of alcohol, whereas feeling hungover can lead people to drink alcohol as a cure, aka “the hair of the dog.”

Let’s face it, when you are on vacation and hanging out with friends and family you don’t see often it’s easy to wind up having an extra drink or two.  I don’t know about you, but since I turned 30 all it takes to give me a hangover is 3 glasses of wine.

Despite feeling quite awful, most people don’t think to go to the hospital when they have a hangover.  You know what it is and you know that it will get better with time.  Actually, not treating your hangover symptoms is in a sense comparable to not taking Ibuprofen after spraining your knee. Now, with our help you have the means to treat your hangover symptoms more quickly.

Get the most out of your vacation

Not feeling your best and getting the most of your vacation is a waste of your resources.  You probably paid a lot of money to come to Tahoe to enjoy all our outdoor activities—don’t waste your time feeling miserable in your hotel or condo.  If you wouldn’t hesitate to seek treatment if you threw out your back or had a sore throat,  why not get treatment for a condition that makes you feel much worse than that?

Hangover patients are sick. The physiology of a hangover includes abnormal glucose metabolism, oxidative stress, endocrine and sleep cycle abnormalities.

Let’s talk about the nerdy stuff

Ethanol is absorbed in the stomach and small intestine, then metabolized by the liver. In the first step it is oxidized to acetaldehyde which is then oxidized again to acetic acid, which is then converted in the citric acid cycle to carbon dioxide and water. The liver needs NAD+ and alcohol dehydrogenase (ADH) to convert ethanol to acetaldehyde. Acetaldehyde is toxic and so it must get quickly metabolized on to the next step by acetaldehyde dehydrogenase (ALDH1 in the liver and ALDH2 in the mitochondria) and more NAD+ as the oxidizing agent.  Acetic acid is the product of that reaction, which is harmless.

Metabolism of alcohol uses up NAD+ which lowers cells oxidation capabilities which leads to impaired glucose synthesis (gluconeogenesis), accumulation of lactic acid, increased lipid production, and decreased fat and protein degradation. This can cause hypoglycemia and acidosis.

The buildup of acetaldehyde is thought to be the cause of hangover type symptoms.  Disulfiram is a drug that inhibits aldehyde dehydrogenase. Therefore drinking alcohol after taking that medication only causes buildup of acetaldehyde which essentially causes immediate headache, flushing, nausea, vomiting, and dizziness.
Most everyone knows that alcohol inhibits antidiuretic hormone.  Approximately 3 shots will cause you to lose 1.5-2 pints in the following hours. Also, low alcohol content drinks stimulate stomach acid, while hard alcohol drinks irritate the stomach lining – leading to gastritis (inflammation of the stomach).

No need for self-punishment because you had an extra drink the night before.

Let us make you feel better with an IV hydration so you can move on and get your vacation back!


  1. J. G. Wiese et al., Ann. Int. Med. 2000
  2. Chemistry of a Hangover — Alcohol and its Consequences

Photo credit: TAZphotos on flicker