Several organizations recommend or suggest lower targets for daily sodium intake. The 2017 ACC/AHA CPG recommends sodium reduction for adults with elevated blood pressure and lists <1500 mg as an optimal goal. [4] The 2015-2020 Dietary Guidelines for Americans recommends daily sodium intake <2300 mg for adults, but note that those with HTN or prehypertension may benefit from further reduction The average daily sodium intake in the U.S. is over 3400 mg/day excluding table salt, well above this guideline s recommendation of 2300 mg/day.[131] Disagreement regarding the exact cut-point at which risks outweigh benefits should not distract from a unified public health message that a reduction in sodium intake from current levels is desirable. As this is a Not Reviewed, Not Changed recommendation, the Work Group did not systematically review new evidence related to this recommendation. The Work Group s confidence in the quality of the evidence remains high based on evidence reviewed during the 2014 VA/DoD HTN CPG update.[126,128,129] The benefits of reducing daily dietary sodium intake to 2300 mg outweigh the harms. As dietary sodium recommendations rely heavily on research on surrogate markers, additional research is warranted to confirm that reducing blood pressure via reducing sodium intake has the predicted effect on morbidity and mortality. Future research is also needed to determine the efficacy and safety of lower sodium targets. Since the majority of sodium consumed by Americans comes from processed and prepared foods (versus added table salt), recommended intake levels would be attained most feasibly with changes to the food supply in addition to individual dietary modification. The U.S. Food and Drug Administration (FDA) has solicited comments on, but has not yet released, voluntary sodium reduction targets for food manufacturers and restaurants. 