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Hydration is often considered the first line of defense against heat-related stress. While staying hydrated is undeniably crucial, it is not always sufficient to prevent the harmful effects of thermal stress. Thermal stress, the physiological strain caused by the body’s effort to regulate temperature, accelerates dehydration and can exacerbate its consequences. For workers in hot environments or individuals engaged in intense exercise/work, monitoring thermal stress in conjunction with hydration strategies is vital for maintaining health and performance.