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Hydration Myths And Facts: How Much Water Do Your Kidneys Really Need? Hydration is essential, but the “one-size-fits-all” approach does not work. The key is balance—listen to your body, consider your activity levels, and maintain a well-rounded diet. Your kidneys are designed to do their job efficiently, and drinking excessive water won’t necessarily make them work better. Instead, focus on maintaining a healthy lifestyle, and let your thirst guide you.