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Well, the kidneys and the excretory system maintain water balance in the body. When your kidneys are functioning poorly, you will see edema or swelling of the extremities. However, the fluid from circulation that pools in capillary beds are removed through the action of the skeletal muscles. As blood cells circulate, they deliver nutrients and oxygen to the capillaries in lymph or interstitial fluid. This fluid is driven back into the bloodstream or lymphatic system through the movement of muscles in the body. This is why it is important for patients in hospitals to get up and move around, if possible.

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