Distillation removes all minerals from water, and the membrane methods of reverse osmosis and nanofiltration remove most to all minerals. This results in demineralized water which is not considered ideal drinking water. The World Health Organization has investigated the health effects of demineralized water since 1980.[32] Experiments in humans found that demineralized water increased diuresis and the elimination of electrolytes, with decreased blood serum potassium concentration. Magnesium, calcium, and other minerals in water can help to protect against nutritional deficiency. Demineralized water may also increase the risk from toxic metals because it more readily leaches materials from piping like lead and cadmium, which is prevented by dissolved minerals such as calcium and magnesium. Low-mineral water has been implicated in specific cases of lead poisoning in infants, when lead from pipes leached at especially high rates into the water. Recommendations for magnesium have been put at a minimum of 10 mg/L with 20–30 mg/L optimum; for calcium a 20 mg/L minimum and a 40–80 mg/L optimum, and a total water hardness (adding magnesium and calcium) of 2 to 4 mmol/L. At water hardness above 5 mmol/L, higher incidence of gallstones, kidney stones, urinary stones, arthrosis, and arthropathies have been observed.[33] Additionally, desalination processes can increase the risk of bacterial contamination.[33]

The practice of water treatment soon became mainstream and common, and the virtues of the system were made starkly apparent after the investigations of the physician John Snow during the 1854 Broad Street cholera outbreak. Snow was sceptical of the then-dominant miasma theory that stated that diseases were caused by noxious "bad airs". Although the germ theory of disease had not yet been developed, Snow's observations led him to discount the prevailing theory. His 1855 essay On the Mode of Communication of Cholera conclusively demonstrated the role of the water supply in spreading the cholera epidemic in Soho,[39][40] with the use of a dot distribution map and statistical proof to illustrate the connection between the quality of the water source and cholera cases. His data convinced the local council to disable the water pump, which promptly ended the outbreak.

To improve the effectiveness and the efficiency, Home Master TMAFC-ERP comes with the permeate pump. Permeate pump increases the pressure of the feed water. Consequently, it reduces the water wastage up to 80% and increases water production by up to 50%. All the systems in our list are wasted 2-3 gallons to produce a single gallon on average. While the water efficiency ratio of this system is 1:1, it means the Home Master TMAFC-ERP wastes only a single gallon. That’s why this under sink RO system marks the first spot in our recommended list of best reverse osmosis systems 2020.