Guest guest Posted October 23, 2004 Report Share Posted October 23, 2004 Hi JoAnn I read through this highly complex and dense piece on the relationship of Magnesium intake to various heart ailments. I can't pretend that I clearly understood most of what was said, but I did get the distinct impresion that Magnesium was critically important to heart patients. What I'd like to know, is if it would be advisable, based on what was revealed in this paper, to increase my intake still higher. I don't want to belabor the issue of my heart disease, but I got the impression, though I'm not clear about it, that they were advising an intake three-fold above usual dietary allowances. I take this to mean, approx. 1.5 grams daily. I'm taking half that. I'm not sure whether it was a paper you showed us JoAnn, that touched on a problem with Calcium supplements, where the doctor quoted in the article, said he didn't think people should take Calcium as a supplement. I'm having trouble with this problem. I've stopped taking Calcium supplements, but much to my surprise, when I went through the supplements I was taking, many that were not " listed " as Calcium supplements, had a lot more Calcium than I realized. I'm currently taking a tablet, which is described as a Potassium supplement on the bottle, but when you check the contents in back, it tells you that one tablet contains 99mg Potassium, but it also contains 178mg of Calcium!; though there's no mention of Calcium on the front of the bottle! When I totaled the amount of Calcium in all the supplements I was taking, which never said a word about the Calcium content on the front of the bottle, I came away with about 800mg of Calcium! Astonishing. I'm going to gradually reduce this number as much as I can, and get my Calcium from foods. But I'd like to increase my Magnesium by double, if I'm not completely misreading the article you sent us. Thanks for wading through this. Best wishes JP - " JoAnn Guest " <angelprincessjo Friday, October 22, 2004 8:15 PM Cardiovascular Risk Factors and Magnesium > > > > Cardiovascular Risk Factors and Magnesium > JoAnn Guest > Oct 22, 2004 20:07 PDT > > Cardiovascular Risk Factors and Magnesium: Relationships to > Atherosclerosis, Ischemic Heart Disease and Hypertension > http://www.mgwater.com/alturacv.shtml Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 , " John Polifronio " <counterpnt@e...> wrote: > > Hi JoAnn > I read through this highly complex and dense piece on the relationship of Magnesium intake to various heart ailments. I can't pretend that I clearly understood most of what was said, but I did get the distinct impresion that Magnesium was critically important to heart patients. What I'd like to know, is if it would be advisable, based on what was revealed in this paper, to increase my intake still higher. I don't want to belabor the issue of my heart disease, but I got the impression, though I'm not clear about it, that they were advising an intake three-fold above usual dietary allowances. I take this to mean, approx. 1.5 grams daily. I'm taking half that. > > I'm not sure whether it was a paper you showed us JoAnn, that touched on a problem with Calcium supplements, where the doctor quoted in the article, said he didn't think people should take Calcium as a supplement. I'm having trouble with this problem. I've stopped taking Calcium supplements, but much to my surprise, when I went through the supplements I was taking, many that were not " listed " as Calcium supplements, had a lot more Calcium than I > realized. I'm currently taking a tablet, which is described as a Potassium > supplement on the bottle, but when you check the contents in back, it tells you that one tablet contains 99mg Potassium, but it also contains 178mg of Calcium!; though there's no mention of Calcium on the front of the bottle! > When I totaled the amount of Calcium in all the supplements I was taking, which never said a word about the Calcium content on the front of the bottle, I came away with about 800mg of Calcium! Astonishing. I'm going to gradually reduce this number as much as I can, and get my Calcium from foods. But I'd like to increase my Magnesium by double, if I'm not completely misreading the article you sent us. > Thanks for wading through this. > Best wishes, JP Hi John! I surely believe you would benefit from taking more magnesium John! Shari Lieberman, Ph.D. advises taking 1,000 mgs for angina! She also states that it is more bioavailable when taken in chelated form (bound to amino acids). In regards to your potassium supplements, apparently it is hypothesized that calcium and vitamin D are needed to absorb supplemental potassium. This seems to me to be the reason why calcium is added to so many of these supplements, however as you say it results in a totally excessive overall intake. Also it could be that they're assuming that your diet is high in sodium. They say that those who eat a diet of highly processed foods with an excessive sodium content require more calcium.Sodium competes with calcium for absorption. Americans who eat many refined foods require more calcium than Asian cultures. Anyone with low protein and sodium intake may need as little as 500 milligrams of calcium per day (which is about the amount Japanese women consume). Those with high protein and sodium consumption may need as much as 2000 milligrams of calcium per day. [Principles Bone Biology, 2nd edition, Robert P. Heaney, 2002] So you see that those of us who eat more fresh whole organic foods require less calcium in any form! Did those calcium supplements happen to mention the source? At one time a few ago, I started taking Mindell's Free Life. After noticing that they had mega amounts of various forms of calcium I stopped using them altogether. Luckily at the same time I was taking 1,200 of magnesium in divided doses. I think calcium magnesium ratios are very critical for heart patients. I think this was one of the things that brought me thru so well. I paid close attention and always made sure that my magnesium levels were elevated properly! I'm well aware of what the docs advise, but some of the alternative books that I have come to rely on disagree on this point! This is why a lot of people have heart disease and why they become overmedicated as a result. The solution is so simple, but so hard to grasp when we listen to the wrong people. I had nothing to lose and everything to gain so I started taking magnesium like crazy. The toxicity is very high for magnesium according to Shari Lieberman, Ph.D. The fact is that most supplements have far more calcium than magnesium. I am currently taking standard process supplements and all of them contain calcium, however in very minimal amounts considering that found in other supplements.. In cases of existing heart disease, I prefer to stay on the cautionary side. I am keenly aware that excessive calcium, in supplements (calcium is routinely overprescribed for female complaints and other things)! Calcium supplements are not really absorbed well, unless in a liquid form and if they're taken between meals as the govm't authorities advise, the body usually has a problem making use of them. So unless one has bone disease, I wouldn't advise it. Use you own discretion however, I am just relating how I dealt with my problem and I believe that it may be helpful for angina as well. The human populations that consume the most calcium have the highest mortality rates in the world. There is another side to calcium that most advocates either don't know or fail to mention. Calcium accumulates in heart valves (mitral valve) if we take in too much at a time and the way I understand it, this condition can be irreversible. Too much calcium not only results in calcifications, but calcium overload can produce severe muscle spasms and cramping. Calcium is a muscle constrictor while magnesium is a muscle relaxant. This is the main reason I took so much magnesium initially… because it is so beneficial for relaxing the heart and arteries. This is why it is so good for heart disease and high blood pressure ( any existing buildup in our arteries restricts blood flow). Magnesium also promotes oxygen flow to and from the heart and promotes proper blood flow by relaxing muscles in our arteries. A good supply of oxygen is critical for those suffereing from arteriosclerosis I know now that one of my problems was a shortage of red corpuscles to carry the oxygen to and from the heart. Whenever we need blood testing it is good to have this checked out as well. There are so many other trace supplements which we should be taking, to me it is really ludicrous to place so much emphasis on calcium when overdosing on calcium can lead to a host of other problems. This is one mineral that is not usually lacking in our standard american diets. If anything, we have overdosed on calcium to the exclusion of so many other more important nutrients and this is where we run into trouble. I think the article points to the root of heart and artery problems. The facts maintain that the nations which consume the most calcium, both in foods (dairy) and supplements, have some of the highest heart attack rates in the world! However statistics prove that when taken in a more bioavailable form (plant foods), calcium doesn't pose near as much of a problem. Calcium carbonate is the cheapest `mineral' form of calcium, the predominant form being (dolomite),a common cheap source of calcium in supplements today. One of the primary characteristics of calcium carbonate is its tendency to precipitate " out of solution " back into its hard, rocklike form. This form of calcium can and usually does accumulate in heart valves (mitral valve). (Dehydration, whether caused by the failure to drink enough water (dehydration from drinking too many carbonated soft drinks) or taking medications…. diuretics, etc, can promote this). Overdoses of nonorganically based elements, seen in many mineral preparations must accumulate when they are continually taken, and the result is usually bad in the long run. There is a lot of calcium in most diets, and even a relatively small amount of calcium supplementation, taken on a regular basis, can result in undesirable, rocklike, nonbiologic deposits of calcium in the tissues. Kind Regards, JoAnn PS. Just one other note about potassium. The medical profession prescribes potassium for offsetting the risks of taking diuretics. When researched more extensively, we find that this does not even start to clear up the risks of taking diuretics! The result being one very confused patient(s)! Someone I know is taking 99mgs potassium and is scared to death of eating a banana the same day that she takes the supplement. This sort of thinking (I'm assuming that it comes from her doctor) is what leads to the prevalence of even more suffering and disease! JG > > Cardiovascular Risk Factors and Magnesium > > JoAnn Guest > > Oct 22, 2004 20:07 PDT > > > > Cardiovascular Risk Factors and Magnesium: Relationships to > > Atherosclerosis, Ischemic Heart Disease and Hypertension > > http://www.mgwater.com/alturacv.shtml Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 JoAnn Thanks for that reply. When Shari Lieberman, phd, says that toxicity for magnesium is high, does that mean all forms? Should I take her remark to mean that I shouldn't take a gram or more of magnesium? Or is the " form " of magnesium that arouses her concern. I assume you're still taking substantial magnesium yourself? I just cheked, and nearly all the calcium I'm currently taking is hidden in preparations which are named on the front of the bottle, but none of them mention calcium. The form of calcium mentioned on the 'back " of the bottles is something they call " di-calcium phosphate, " whatever that is. A small amount of another form of Calcium was added to a " Bio-Flavanoid " supplement I'm taking, and it's referred to as Calcium " sulphate. " Thanks once again for your invaluable research. JP - " JoAnn Guest " <angelprincessjo Saturday, October 23, 2004 6:03 PM Re: Cardiovascular Risk Factors and Magnesium , " John Polifronio " <counterpnt@e...> wrote: > > Hi JoAnn > I read through this highly complex and dense piece on the relationship of Magnesium intake to various heart ailments. I can't pretend that I clearly understood most of what was said, but I did get the distinct impresion that Magnesium was critically important to heart patients. What I'd like to know, is if it would be advisable, based on what was revealed in this paper, to increase my intake still higher. I don't want to belabor the issue of my heart disease, but I got the impression, though I'm not clear about it, that they were advising an intake three-fold above usual dietary allowances. I take this to mean, approx. 1.5 grams daily. I'm taking half that. > > I'm not sure whether it was a paper you showed us JoAnn, that touched on a problem with Calcium supplements, where the doctor quoted in the article, said he didn't think people should take Calcium as a supplement. I'm having trouble with this problem. I've stopped taking Calcium supplements, but much to my surprise, when I went through the supplements I was taking, many that were not " listed " as Calcium supplements, had a lot more Calcium than I > realized. I'm currently taking a tablet, which is described as a Potassium > supplement on the bottle, but when you check the contents in back, it tells you that one tablet contains 99mg Potassium, but it also contains 178mg of Calcium!; though there's no mention of Calcium on the front of the bottle! > When I totaled the amount of Calcium in all the supplements I was taking, which never said a word about the Calcium content on the front of the bottle, I came away with about 800mg of Calcium! Astonishing. I'm going to gradually reduce this number as much as I can, and get my Calcium from foods. But I'd like to increase my Magnesium by double, if I'm not completely misreading the article you sent us. > Thanks for wading through this. > Best wishes, JP Hi John! I surely believe you would benefit from taking more magnesium John! Shari Lieberman, Ph.D. advises taking 1,000 mgs for angina! She also states that it is more bioavailable when taken in chelated form (bound to amino acids). In regards to your potassium supplements, apparently it is hypothesized that calcium and vitamin D are needed to absorb supplemental potassium. This seems to me to be the reason why calcium is added to so many of these supplements, however as you say it results in a totally excessive overall intake. Also it could be that they're assuming that your diet is high in sodium. They say that those who eat a diet of highly processed foods with an excessive sodium content require more calcium.Sodium competes with calcium for absorption. Americans who eat many refined foods require more calcium than Asian cultures. Anyone with low protein and sodium intake may need as little as 500 milligrams of calcium per day (which is about the amount Japanese women consume). Those with high protein and sodium consumption may need as much as 2000 milligrams of calcium per day. [Principles Bone Biology, 2nd edition, Robert P. Heaney, 2002] So you see that those of us who eat more fresh whole organic foods require less calcium in any form! Did those calcium supplements happen to mention the source? At one time a few ago, I started taking Mindell's Free Life. After noticing that they had mega amounts of various forms of calcium I stopped using them altogether. Luckily at the same time I was taking 1,200 of magnesium in divided doses. I think calcium magnesium ratios are very critical for heart patients. I think this was one of the things that brought me thru so well. I paid close attention and always made sure that my magnesium levels were elevated properly! I'm well aware of what the docs advise, but some of the alternative books that I have come to rely on disagree on this point! This is why a lot of people have heart disease and why they become overmedicated as a result. The solution is so simple, but so hard to grasp when we listen to the wrong people. I had nothing to lose and everything to gain so I started taking magnesium like crazy. The toxicity is very high for magnesium according to Shari Lieberman, Ph.D. The fact is that most supplements have far more calcium than magnesium. I am currently taking standard process supplements and all of them contain calcium, however in very minimal amounts considering that found in other supplements.. In cases of existing heart disease, I prefer to stay on the cautionary side. I am keenly aware that excessive calcium, in supplements (calcium is routinely overprescribed for female complaints and other things)! Calcium supplements are not really absorbed well, unless in a liquid form and if they're taken between meals as the govm't authorities advise, the body usually has a problem making use of them. So unless one has bone disease, I wouldn't advise it. Use you own discretion however, I am just relating how I dealt with my problem and I believe that it may be helpful for angina as well. The human populations that consume the most calcium have the highest mortality rates in the world. There is another side to calcium that most advocates either don't know or fail to mention. Calcium accumulates in heart valves (mitral valve) if we take in too much at a time and the way I understand it, this condition can be irreversible. Too much calcium not only results in calcifications, but calcium overload can produce severe muscle spasms and cramping. Calcium is a muscle constrictor while magnesium is a muscle relaxant. This is the main reason I took so much magnesium initially. because it is so beneficial for relaxing the heart and arteries. This is why it is so good for heart disease and high blood pressure ( any existing buildup in our arteries restricts blood flow). Magnesium also promotes oxygen flow to and from the heart and promotes proper blood flow by relaxing muscles in our arteries. A good supply of oxygen is critical for those suffereing from arteriosclerosis I know now that one of my problems was a shortage of red corpuscles to carry the oxygen to and from the heart. Whenever we need blood testing it is good to have this checked out as well. There are so many other trace supplements which we should be taking, to me it is really ludicrous to place so much emphasis on calcium when overdosing on calcium can lead to a host of other problems. This is one mineral that is not usually lacking in our standard american diets. If anything, we have overdosed on calcium to the exclusion of so many other more important nutrients and this is where we run into trouble. I think the article points to the root of heart and artery problems. The facts maintain that the nations which consume the most calcium, both in foods (dairy) and supplements, have some of the highest heart attack rates in the world! However statistics prove that when taken in a more bioavailable form (plant foods), calcium doesn't pose near as much of a problem. Calcium carbonate is the cheapest `mineral' form of calcium, the predominant form being (dolomite),a common cheap source of calcium in supplements today. One of the primary characteristics of calcium carbonate is its tendency to precipitate " out of solution " back into its hard, rocklike form. This form of calcium can and usually does accumulate in heart valves (mitral valve). (Dehydration, whether caused by the failure to drink enough water (dehydration from drinking too many carbonated soft drinks) or taking medications.. diuretics, etc, can promote this). Overdoses of nonorganically based elements, seen in many mineral preparations must accumulate when they are continually taken, and the result is usually bad in the long run. There is a lot of calcium in most diets, and even a relatively small amount of calcium supplementation, taken on a regular basis, can result in undesirable, rocklike, nonbiologic deposits of calcium in the tissues. Kind Regards, JoAnn PS. Just one other note about potassium. The medical profession prescribes potassium for offsetting the risks of taking diuretics. When researched more extensively, we find that this does not even start to clear up the risks of taking diuretics! The result being one very confused patient(s)! Someone I know is taking 99mgs potassium and is scared to death of eating a banana the same day that she takes the supplement. This sort of thinking (I'm assuming that it comes from her doctor) is what leads to the prevalence of even more suffering and disease! JG > > Cardiovascular Risk Factors and Magnesium > > JoAnn Guest > > Oct 22, 2004 20:07 PDT > > > > Cardiovascular Risk Factors and Magnesium: Relationships to > > Atherosclerosis, Ischemic Heart Disease and Hypertension > > http://www.mgwater.com/alturacv.shtml Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 , " John Polifronio " <counterpnt@e...> wrote: > > JoAnn > Thanks for that reply. When Shari Lieberman, phd, says that toxicity for magnesium is high, does that mean all forms? Should I take her remark to mean that I shouldn't take a gram or more of magnesium? Or is the " form " of magnesium that arouses her concern. I assume you're still taking substantial magnesium yourself? > I just cheked, and nearly all the calcium I'm currently taking is hidden in preparations which are named on the front of the bottle, but none of them mention calcium. The form of calcium mentioned on the 'back " of the bottles is something they call " di-calcium phosphate, " whatever that is. A small amount of another form of Calcium was added to a " Bio- Flavanoid " supplement > I'm taking, and it's referred to as Calcium " sulphate. " > Thanks once again for your invaluable research. > JP Hi John! I believe that Shari's remark means simply that magnesium (unlike calcium) is relatively harmless even at high dosages (3,000 to 5,000 mgs daily (although she says it may have a cathartic effect at those levels, as found in OTC laxatives). But then again, you never really know how much you're absorbing because calcium competes with mg for absorption! She says that the only ones who shouldn't take mg in high doses are those who have kidney failure. In healthy individuals these amounts are not problematic. The way to determine how much to take really depends on the amounts of'elemental'mg. The other magnesium article I sent had quite a bit to say about this. The potency is determined by the amounts of elemental magnesium involved. Toxicity of magnesium is established at 9,000 mgs. Although she doesn't state, I'm assuming this means ALL forms! And yes, I do still take substantial amounts of magnesium, although not with the same urgency that I previously did. Now that I am able to do more of my own cooking, I'm enjoying more magnesium rich foods. For example I try to eat spinach and other dark green leafy things just about every day. Oh BTW I did a search on di-calcium phosphate and I learned that it is similar to coral calcium in some respects. It has trace amounts of lead included. They found this to be true of coral calcium and I believe this was one of the reasons that the FDA had a problem with their claims. There were other toxic metals included as well. Here is the rundown on it, if you're interested... dicalcium phosphate: Index Norm Total Phosphorus (P) amount, %, no less than 19.5 Calcium (Ca) amount, %, no less than 25 Relative Phosphorus (P) solubility in 0.4% HCl, % 97 pH (1% solution) 6.0-7.5 Calcium and phosphorus ratio (Ca/P) 1.26-1.32 Water content (%), no more than 3 Ashes insoluble in HCl, %, no more than 10 Particle size bigger than 3 mm, %, no more than 0 Particle size from 0mm to 1mm, %, no less than 98 Arsenic (As) content, mg/kg, less than 0.5 Lead (Pb) content, mg/kg, less than 1.0 Cadmium (Cd) content, mg/kg, less than 0.1 Mercury (Hg) content, mg/kg, less than 0.05 Regards, JoAnn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 Very illuminating JoAnn! Your explanation regarding di-Calcium Phosphate, is one of the reasons I'll be gradually ridding myself of this and other Calcium supplements. I'm going to try between 1 and 1 & 1/2 gms, Magnesium. Best Wishes. JP - " JoAnn Guest " <angelprincessjo Saturday, October 23, 2004 9:39 PM Re: Cardiovascular Risk Factors and Magnesium > > > , " John Polifronio " > <counterpnt@e...> wrote: >> >> JoAnn > >> Thanks for that reply. When Shari Lieberman, phd, says that > toxicity for magnesium is high, does that mean all forms? Should I > take her remark to mean that I shouldn't take a gram or more of > magnesium? Or is the " form " of magnesium that arouses her > concern. I assume you're still taking substantial magnesium > yourself? > >> I just cheked, and nearly all the calcium I'm currently taking is > hidden in preparations which are named on the front of the bottle, > but none of them mention calcium. > > The form of calcium mentioned on the 'back " of the bottles is > something they call " di-calcium phosphate, " whatever that is. A > small amount of another form of Calcium was added to a " Bio- > Flavanoid " supplement >> I'm taking, and it's referred to as Calcium " sulphate. " >> Thanks once again for your invaluable research. >> JP > > Hi John! I believe that Shari's remark means simply that magnesium > (unlike calcium) is relatively harmless even at high dosages (3,000 > to 5,000 mgs daily (although she says it may have a cathartic effect > at those levels, as found in OTC laxatives). But then again, you never > really know how much you're absorbing because calcium competes with mg for > absorption! She says that the only > ones who shouldn't take mg in high doses are those who have kidney > failure. In healthy individuals these amounts are not problematic. > The way to determine how much to take really depends on the amounts > of'elemental'mg. The other magnesium article I sent had quite a bit > to say about this. The potency is determined by the amounts of > elemental magnesium involved. > Toxicity of magnesium is established at 9,000 mgs. Although she > doesn't state, I'm assuming this means ALL forms! > And yes, I do still take substantial amounts of magnesium, although not > with the same urgency that I previously did. Now that I am able to do more > of my own cooking, I'm enjoying more magnesium rich foods. For example I > try to eat spinach and other dark green leafy things just about every day. > > Oh BTW I did a search on di-calcium phosphate and I learned that it > is similar to coral calcium in some respects. It has trace amounts > of lead included. They found this to be true of coral calcium and I > believe this was one of the reasons that the FDA had a problem with > their claims. There were other toxic metals included as well. > Here is the rundown on it, if you're interested... > > dicalcium phosphate: > Index Norm > > Total Phosphorus (P) amount, %, no less than 19.5 > Calcium (Ca) amount, %, no less than 25 > Relative Phosphorus (P) solubility in 0.4% HCl, % 97 > pH (1% solution) 6.0-7.5 > Calcium and phosphorus ratio (Ca/P) 1.26-1.32 > Water content (%), no more than 3 > Ashes insoluble in HCl, %, no more than 10 > Particle size bigger than 3 mm, %, no more than 0 > Particle size from 0mm to 1mm, %, no less than 98 > Arsenic (As) content, mg/kg, less than 0.5 > Lead (Pb) content, mg/kg, less than 1.0 > Cadmium (Cd) content, mg/kg, less than 0.1 > Mercury (Hg) content, mg/kg, less than 0.05 > > > Regards, JoAnn > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 Hello, Patrick Holford mentions in his book optimum nutrition that you should take 3 parts Calcium and two parts magnesium. Randolf Weinand , " John Polifronio " <counterpnt@e...> wrote: > > Very illuminating JoAnn! > Your explanation regarding di-Calcium Phosphate, is one of the reasons I'll > be gradually ridding myself of this and other Calcium supplements. I'm > going to try between 1 and 1 & 1/2 gms, Magnesium. > Best Wishes. > JP > > - > " JoAnn Guest " <angelprincessjo> > > Saturday, October 23, 2004 9:39 PM > Re: Cardiovascular Risk Factors and > Magnesium > > > > > > > > , " John Polifronio " > > <counterpnt@e...> wrote: > >> > >> JoAnn > > > >> Thanks for that reply. When Shari Lieberman, phd, says that > > toxicity for magnesium is high, does that mean all forms? Should I > > take her remark to mean that I shouldn't take a gram or more of > > magnesium? Or is the " form " of magnesium that arouses her > > concern. I assume you're still taking substantial magnesium > > yourself? > > > >> I just cheked, and nearly all the calcium I'm currently taking is > > hidden in preparations which are named on the front of the bottle, > > but none of them mention calcium. > > > > The form of calcium mentioned on the 'back " of the bottles is > > something they call " di-calcium phosphate, " whatever that is. A > > small amount of another form of Calcium was added to a " Bio- > > Flavanoid " supplement > >> I'm taking, and it's referred to as Calcium " sulphate. " > >> Thanks once again for your invaluable research. > >> JP > > > > Hi John! I believe that Shari's remark means simply that magnesium > > (unlike calcium) is relatively harmless even at high dosages (3,000 > > to 5,000 mgs daily (although she says it may have a cathartic effect > > at those levels, as found in OTC laxatives). But then again, you never > > really know how much you're absorbing because calcium competes with mg for > > absorption! She says that the only > > ones who shouldn't take mg in high doses are those who have kidney > > failure. In healthy individuals these amounts are not problematic. > > The way to determine how much to take really depends on the amounts > > of'elemental'mg. The other magnesium article I sent had quite a bit > > to say about this. The potency is determined by the amounts of > > elemental magnesium involved. > > Toxicity of magnesium is established at 9,000 mgs. Although she > > doesn't state, I'm assuming this means ALL forms! > > And yes, I do still take substantial amounts of magnesium, although not > > with the same urgency that I previously did. Now that I am able to do more > > of my own cooking, I'm enjoying more magnesium rich foods. For example I > > try to eat spinach and other dark green leafy things just about every day. > > > > Oh BTW I did a search on di-calcium phosphate and I learned that it > > is similar to coral calcium in some respects. It has trace amounts > > of lead included. They found this to be true of coral calcium and I > > believe this was one of the reasons that the FDA had a problem with > > their claims. There were other toxic metals included as well. > > Here is the rundown on it, if you're interested... > > > > dicalcium phosphate: > > Index Norm > > > > Total Phosphorus (P) amount, %, no less than 19.5 > > Calcium (Ca) amount, %, no less than 25 > > Relative Phosphorus (P) solubility in 0.4% HCl, % 97 > > pH (1% solution) 6.0-7.5 > > Calcium and phosphorus ratio (Ca/P) 1.26-1.32 > > Water content (%), no more than 3 > > Ashes insoluble in HCl, %, no more than 10 > > Particle size bigger than 3 mm, %, no more than 0 > > Particle size from 0mm to 1mm, %, no less than 98 > > Arsenic (As) content, mg/kg, less than 0.5 > > Lead (Pb) content, mg/kg, less than 1.0 > > Cadmium (Cd) content, mg/kg, less than 0.1 > > Mercury (Hg) content, mg/kg, less than 0.05 > > > > > > Regards, JoAnn > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 Yeah....and if you were taking 9 grams of Mg daily you would certainly know about it. You would have diarrhea like you have never known diarrhea! Take Mg to bowel tolerance. also....take it separate from calcium for Mg benefits. Take WITH calcium for calcium absorption , " randolf_everywhere " <Ihavean@a...> wrote: > > > > > Hello, > > Patrick Holford mentions in his book optimum nutrition that you should > take 3 parts Calcium and two parts magnesium. > > Randolf Weinand > > , " John Polifronio " > <counterpnt@e...> wrote: > > > > Very illuminating JoAnn! > > Your explanation regarding di-Calcium Phosphate, is one of the > reasons I'll > > be gradually ridding myself of this and other Calcium supplements. > I'm > > going to try between 1 and 1 & 1/2 gms, Magnesium. > > Best Wishes. > > JP > > > > - > > " JoAnn Guest " <angelprincessjo> > > > > Saturday, October 23, 2004 9:39 PM > > Re: Cardiovascular Risk > Factors and > > Magnesium > > > > > > > > > > > > > , " John > Polifronio " > > > <counterpnt@e...> wrote: > > >> > > >> JoAnn > > > > > >> Thanks for that reply. When Shari Lieberman, phd, says that > > > toxicity for magnesium is high, does that mean all forms? Should I > > > take her remark to mean that I shouldn't take a gram or more of > > > magnesium? Or is the " form " of magnesium that arouses her > > > concern. I assume you're still taking substantial magnesium > > > yourself? > > > > > >> I just cheked, and nearly all the calcium I'm currently taking is > > > hidden in preparations which are named on the front of the bottle, > > > but none of them mention calcium. > > > > > > The form of calcium mentioned on the 'back " of the bottles is > > > something they call " di-calcium phosphate, " whatever that is. A > > > small amount of another form of Calcium was added to a " Bio- > > > Flavanoid " supplement > > >> I'm taking, and it's referred to as Calcium " sulphate. " > > >> Thanks once again for your invaluable research. > > >> JP > > > > > > Hi John! I believe that Shari's remark means simply that magnesium > > > (unlike calcium) is relatively harmless even at high dosages (3,000 > > > to 5,000 mgs daily (although she says it may have a cathartic effect > > > at those levels, as found in OTC laxatives). But then again, you > never > > > really know how much you're absorbing because calcium competes > with mg for > > > absorption! She says that the only > > > ones who shouldn't take mg in high doses are those who have > kidney > > > failure. In healthy individuals these amounts are not problematic. > > > The way to determine how much to take really depends on the > amounts > > > of'elemental'mg. The other magnesium article I sent had quite a bit > > > to say about this. The potency is determined by the amounts of > > > elemental magnesium involved. > > > Toxicity of magnesium is established at 9,000 mgs. Although she > > > doesn't state, I'm assuming this means ALL forms! > > > And yes, I do still take substantial amounts of magnesium, although > not > > > with the same urgency that I previously did. Now that I am able to > do more > > > of my own cooking, I'm enjoying more magnesium rich foods. For > example I > > > try to eat spinach and other dark green leafy things just about every > day. > > > > > > Oh BTW I did a search on di-calcium phosphate and I learned that it > > > is similar to coral calcium in some respects. It has trace amounts > > > of lead included. They found this to be true of coral calcium and I > > > believe this was one of the reasons that the FDA had a problem with > > > their claims. There were other toxic metals included as well. > > > Here is the rundown on it, if you're interested... > > > > > > dicalcium phosphate: > > > Index Norm > > > > > > Total Phosphorus (P) amount, %, no less than 19.5 > > > Calcium (Ca) amount, %, no less than 25 > > > Relative Phosphorus (P) solubility in 0.4% HCl, % 97 > > > pH (1% solution) 6.0-7.5 > > > Calcium and phosphorus ratio (Ca/P) 1.26-1.32 > > > Water content (%), no more than 3 > > > Ashes insoluble in HCl, %, no more than 10 > > > Particle size bigger than 3 mm, %, no more than 0 > > > Particle size from 0mm to 1mm, %, no less than 98 > > > Arsenic (As) content, mg/kg, less than 0.5 > > > Lead (Pb) content, mg/kg, less than 1.0 > > > Cadmium (Cd) content, mg/kg, less than 0.1 > > > Mercury (Hg) content, mg/kg, less than 0.05 > > > > > > > > > Regards, JoAnn > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2004 Report Share Posted October 24, 2004 I've read recent reports that indicate that it's not a good idea to get your Calcium from supplements, but rather from good food sources. JoAnn has sent me info that Magnesium is well tolerated by the body, even up to amounts above 6 grams. I'm taking 1 to 1.5 grams of Magnesium daily, and get about 3/4 of that amount in supplements that add Calcium without mentioning it on the front of the bottle. Years ago, Magnesium was not in the news, while Calcium has always been. As time passed the view came to be that Magnesium should be taken in about half the amount of Calcium. More recently, I've read researchers that believe that Magnesium should be taken in a 1 to 1 ratio to Calcium. The most recent news I've seen, is that much Calcium in supplemental form, is poorly handled by the body, contributes to calcification in the arteries, and should be avoided in supplements, and derived from a Calcium rich vegetable and fruit based diet. Nutrition, like all genuine sciences, changes constantly. JP - " defonz3 " <defonz3 Sunday, October 24, 2004 9:28 AM Re: Cardiovascular Risk Factors and Magnesium > > > > Yeah....and if you were taking 9 grams of Mg daily you would certainly > know > about it. You would have diarrhea like you have never known diarrhea! > > Take Mg to bowel tolerance. > also....take it separate from calcium for Mg benefits. > Take WITH calcium for calcium absorption > > > > , " randolf_everywhere " > <Ihavean@a...> wrote: >> >> >> >> >> Hello, >> >> Patrick Holford mentions in his book optimum nutrition that you should >> take 3 parts Calcium and two parts magnesium. >> >> Randolf Weinand >> >> , " John Polifronio " >> <counterpnt@e...> wrote: >> > >> > Very illuminating JoAnn! >> > Your explanation regarding di-Calcium Phosphate, is one of the >> reasons I'll >> > be gradually ridding myself of this and other Calcium supplements. >> I'm >> > going to try between 1 and 1 & 1/2 gms, Magnesium. >> > Best Wishes. >> > JP >> > >> > - >> > " JoAnn Guest " <angelprincessjo> >> > >> > Saturday, October 23, 2004 9:39 PM >> > Re: Cardiovascular Risk >> Factors and >> > Magnesium >> > >> > >> > > >> > > >> > > , " John >> Polifronio " >> > > <counterpnt@e...> wrote: >> > >> >> > >> JoAnn >> > > >> > >> Thanks for that reply. When Shari Lieberman, phd, says that >> > > toxicity for magnesium is high, does that mean all forms? Should I >> > > take her remark to mean that I shouldn't take a gram or more of >> > > magnesium? Or is the " form " of magnesium that arouses her >> > > concern. I assume you're still taking substantial magnesium >> > > yourself? >> > > >> > >> I just cheked, and nearly all the calcium I'm currently taking is >> > > hidden in preparations which are named on the front of the bottle, >> > > but none of them mention calcium. >> > > >> > > The form of calcium mentioned on the 'back " of the bottles is >> > > something they call " di-calcium phosphate, " whatever that is. A >> > > small amount of another form of Calcium was added to a " Bio- >> > > Flavanoid " supplement >> > >> I'm taking, and it's referred to as Calcium " sulphate. " >> > >> Thanks once again for your invaluable research. >> > >> JP >> > > >> > > Hi John! I believe that Shari's remark means simply that magnesium >> > > (unlike calcium) is relatively harmless even at high dosages (3,000 >> > > to 5,000 mgs daily (although she says it may have a cathartic effect >> > > at those levels, as found in OTC laxatives). But then again, you >> never >> > > really know how much you're absorbing because calcium competes >> with mg for >> > > absorption! She says that the only >> > > ones who shouldn't take mg in high doses are those who have >> kidney >> > > failure. In healthy individuals these amounts are not problematic. >> > > The way to determine how much to take really depends on the >> amounts >> > > of'elemental'mg. The other magnesium article I sent had quite a bit >> > > to say about this. The potency is determined by the amounts of >> > > elemental magnesium involved. >> > > Toxicity of magnesium is established at 9,000 mgs. Although she >> > > doesn't state, I'm assuming this means ALL forms! >> > > And yes, I do still take substantial amounts of magnesium, although >> not >> > > with the same urgency that I previously did. Now that I am able to >> do more >> > > of my own cooking, I'm enjoying more magnesium rich foods. For >> example I >> > > try to eat spinach and other dark green leafy things just about every >> day. >> > > >> > > Oh BTW I did a search on di-calcium phosphate and I learned that it >> > > is similar to coral calcium in some respects. It has trace amounts >> > > of lead included. They found this to be true of coral calcium and I >> > > believe this was one of the reasons that the FDA had a problem with >> > > their claims. There were other toxic metals included as well. >> > > Here is the rundown on it, if you're interested... >> > > >> > > dicalcium phosphate: >> > > Index Norm >> > > >> > > Total Phosphorus (P) amount, %, no less than 19.5 >> > > Calcium (Ca) amount, %, no less than 25 >> > > Relative Phosphorus (P) solubility in 0.4% HCl, % 97 >> > > pH (1% solution) 6.0-7.5 >> > > Calcium and phosphorus ratio (Ca/P) 1.26-1.32 >> > > Water content (%), no more than 3 >> > > Ashes insoluble in HCl, %, no more than 10 >> > > Particle size bigger than 3 mm, %, no more than 0 >> > > Particle size from 0mm to 1mm, %, no less than 98 >> > > Arsenic (As) content, mg/kg, less than 0.5 >> > > Lead (Pb) content, mg/kg, less than 1.0 >> > > Cadmium (Cd) content, mg/kg, less than 0.1 >> > > Mercury (Hg) content, mg/kg, less than 0.05 >> > > >> > > >> > > Regards, JoAnn >> > > >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2005 Report Share Posted January 23, 2005 Cardiovascular Risk Factors and Magnesium: Relationships to Atherosclerosis, Ischemic Heart Disease and Hypertension http://www.mgwater.com/alturacv.shtml --- ----------- B.M. Altura, B.T. Altura Department of Physiology, State University of New York Health Science Center at Brooklyn, N.Y., USA --- ----------- Key Words. Atherogenesis - Coronary vasospasm Bioenergetics, cellular - Dietary Mg intake - Lipid accumulation- Modulation of Ca metabolism in cardiac and vascular muscle Abstract. Hypertension and atherosclerosis are well-known precursors of ischemic heart disease, stroke and sudden cardiac death. Although there is general agreement that the atheroma is the hallmark of atherosclerosis and is found in coronary obstruction, there is no agreement as to its etiology. It is now becoming clear that a lower than normal dietary intake of Mg can be a strong risk factor for hypertension, cardiac arrhythmias, ischemic heart disease, atherogenesis and sudden cardiac death. Deficits in serum Mg appear often to be associated with arrhythmias, coronary vasospasm and high blood pressure. Experimental animal studies suggest interrelationships between atherogenesis, hypertension (both systemic and pulmonary) and ischemic heart disease. Evidence is accumulating for a role of Mg2+ in the modulation of serum lipids and lipid uptake in macrophages, smooth muscle cells and the arterial wall. Shortfalls in the dietary intake of Mg clearly exist in Western World populations, and men over the age of 65 years, who are at greatest risk for development and death from ischemic heart disease, have the greatest shortfalls in dietary Mg. It is becoming clear that Mg exerts multiple cellular and molecular effects on cardiac and vascular smooth muscle cells which explain its protective actions. Introduction Globally, among the leading causes of death, hypertension and atherosclerosis rank at the top of the list. These cardiovascular diseases, obviously, are the forerunners or precursors of ischemic heart disease, stroke and sudden cardiac death. Among mortality and morbidity indices for man, ischemic heart disease ranks at the top of the list. In the industrialized world ischemic heart disease is the leading killer and accounts for approximately 35% of all deaths each year. The incidence of this disorder rises to 80% in people over 70 years of age. The most common cause of death results from insufficient coronary blood flow. Some deaths can occur rather suddenly, for example, sudden-death ischemic heart disease. Possibly, as many as 40-60% of the latter may occur in the complete absence of any prior atherosclerosis, thrombus formations or cardiac arrhythmias [for review, see 1]. These syndromes are often referred to as nonocclusive sudden-death ischemic heart disease. Other forms of ischemic heart disease can result in death as a consequence of an acute coronary occlusion or ventricular fibrillation, whereas others are still thought to come about from slow, progressive occlusion of coronary vessels over a period of weeks to years. Although there is general agreement that the atheroma is the hallmark of atherosclerosis and is found in coronary obstruction, there is no agreement at present as to either the characterization of the early intimal changes or their etiology. Hallmarks of Atherosclerosis Irrespective of the etiology of atheromas, the lesions usually consist of a fibrous cap containing smooth muscle cells, macrophages, foam cells and lymphocytes [for reviews, see 2, 31. In addition, there appears formation of dangerous necrotic centers consisting of cholesterol crystals, cholesterol esters, calcium ions and dying foam cells. What produces these characteristics is not completely known. Although vascular smooth muscle cells in atheromas change from a contractile to a noncontractile state and become responsive to platelet-derived growth factor and elaborate connective tissue, no one knows how these cells are transformed. Finally, although T lymphocytes, platelets, neutrophils and macrophages are found in developing atherosclerotic plaques, it is not known what allows such cells to enter the vessel wall or be attracted to the potential plaque site. Theories on the Etiology of Hypertension Although many theories have been suggested in the etiology of hypertension, it is not known why peripheral blood vessels exhibit increased responsiveness to pressor substances [for review, see 4]. It is not known why peripheral blood vessels undergovasoconstriction either. And, of course, it is not known why hypertension leads to a high incidence of strokes and sudden cardiac death. Is it possible that the atherosclerotic and hypertensive events are related to the diet or the dietary intake of a particular food substance, metabolite or element? Are these vascular disease processes related to mineral metabolism, per se? Why is the incidence of hypertension, atherosclerosis, sudden-death ischemic heart disease and stroke low, in South African Bantu natives, Bedouins in the Arabian desert, Aborigines in Australia and Greenlanders? And why, when these indigenous populations move to Western civilizations, do the incidences of these cardiovascular diseases equal those of Western civilized populations? Relation of Soil Magnesium Content and Water Hardness to Incidence of Cardiovascular Disease If one divides the US into Eastern and Western halves, you begin to see several interesting phenomena. First, the soil Mg content in the Eastern USA is about one third that of the Western USA (table 1). Second, the water hardness of the Eastern USA is one half that of the Western USA (table 1). Third, although the death rate for cardiovascular diseases in the Eastern USA is significantly higher than that of the Western USA, noncardiovascular death rates are equivalent (table 1). Similar phenomena have been observed in Canada, Finland and South Africa [6- 11]. In 1983, Leary and Reves [10] published findings from 12 magisterial districts in South Africa demonstrating that as the concentration of Mg in the drinking water was found to be less and less, in various geographical regions, the death rate from ischemic heart disease was seen to rise more and more. Studies such as these and others like them [6-9, 11] suggest that maybe there is an important relationship between dietary Mg intake and the incidence of heart disease. Importance of Dietary Mg versus Ca Intake Approximately, 12 years ago, Karppanen et al. [12] in Finland published interesting findings in which it was suggested that the ratio of dietary calcium to magnesium may be linked to ischemic heart disease. According to the most recent USA dietary surveys, the Ca:Mg ratio in average American diets is rising [ 13]. Incidence of Hypomagnesemia in Hospitalized Patients: Possible Relationship to Incidence of Cardiovascular Disease During the past 10 years, a considerable number of studies have appeared which indicate that hospitalized patients have incidences of hypomagnesemia ranging from 7 to 60%, depending upon the type of patient [for reviews, see [1, 14]. What is particularly important to note here is that many of these patients are in acute coronary care units and intensive care units. Many of these patients present with numerous cardiovascular abnormalities including cardiac arrhythmias, atrial fibrillation, hypertension, strokes and myocardial infarctions. Deficit of Myocardial Mg Content and Ischemic Heart Disease Ever since the early studies of Iseri et al. [15] in 1952, there has been an increasing number of case reports and studies which indicate that hearts of patients who die of sudden-death ischemic heart disease exhibit deficits of Mg [for reviews, see 9, 11, 14]. On the average. there appears to be about a 20% deficit in cardiac Mg content in these patients. Mg is the only metal to be decreased to this extent consistently. It is important to note that we and others have found that coronary arteries of such victims often exhibit deficits of 30-40% in total Mg content. These deficits in Mg content do not appear to be a consequence of cardiac necrosis for several reasons. First of all, nonnecrosed cardiac tissue areas clearly exhibit approximately the same 20% reduction in myocardial Mg, unlike the necrotic areas which can exhibit deficits of almost 50% in Mg content of [9, 11, 16-181. Anginal History and Myocardial Mg Content It is rather interesting to note that patients with a history of angina on autopsy exhibit severe cardiac deficits in Mg, whereas patients without a history of angina appear to exhibit a near-normal myocardial Mg content . Is deficiency of myocardial Mg limited only to angina pectoris and sudden-death ischemic heart disease, or is Mg deficiency also found in other myocardial syndromes? Loss of Myocardial Mg in Cardiac lschemic Syndromes An examination of the literature reveals a growing body of evidence to indicate that loss of myocardial Mg is seen in a host of myocardial lschemic syndromes from myocardial infarction, arrhythmias, torsades de pointes to experimental and iatrogenic ischemic injuries [for reviews, see 9, 11, 14]. Many of these are clearly associated with prior histories of atherosclerosis and/or hypertension. Hypertensive Vascular Disease and Mg Deficiency Is hypertensive disease associated with Mg deficiency in blood and/or tissues? If so, hypertensive disease should be brought about in some cases solely by Mg deficiency, and hypertension should be exacerbated by Mg deficiency. Finally, a variety of hypertensive syndromes should be amenable to treatment with Mg salts. At this point, we would like to take the opportunity to review some of this evidence, including some of our own findings. A number of studies in spontaneously hypertensive rats clearly demonstrate (except for one study by Overlack et al. [20]) that the serum content of total Mg is significantly reduced in hypertensive animals [for review, see 21]. An examination of most of the clinical studies on hypertensive patients, so far studied, who received diuretics, where blood pressure often continued to rise, demonstrates that serum Mg is clearly, reduced by about 15-20% [for review, see 21]. A few years ago, Resnick et al. [22] examined red blood cells from hypertensive subjects and found that the ionized Mg2+ determined by 31P nuclear magnetic resonance (NMR) spectroscopy was inversely related to the diastolic blood pressure. That is. the greater the elevation in diastolic blood pressure, the lower the ionized red blood cell Mg2+ content [22]. Salt-Induced Hypertension and Mg If all of this is so, then even salt-induced hypertension might be expected to be associated with Mg deficiency and should be treatable with Mg salts. We, therefore, utilized various groups of uninephrectomized male Wistar rats given weekly implants of deoxycorticosterone acetate in order to produce malignant salt-induced hypertension. Some animals were allowed to drink Mg aspartate HCl freely, daily, for periods up to 12 weeks. Others were allowed to drink the Mg salt 4 weeks after salt hypertension for an additional 12 weeks. Table 2 summarizes some of our data. By 3 weeks, mean arterial blood pressure was elevated in all deoxycorticosterone acetate + salt groups. However, by 9 weeks, the groups which received Mg supplements exhibited significant lowering of blood pressure. Many of the untreated animals with malignant hypertension died at 4- 7 weeks of blood pressure levels in excess of 245 mm Hg. Figure 1 clearly shows that there is a deficit in serum Mg in uninephrectomized rats with salt-induced hypertension and that serum Mg levels are restored to normal in rats allowed to drink Mg. Interestingly, serum phosphate levels are also reduced in animals with malignant hypertension, whereas rats given Mg exhibit a restoration of phosphate to normal levels. Hypophosphatemia itself is known to produce high blood pressure. Whether or not this contributes to salt-induced hypertension in these animals is under investigation. --- ----------- --- ----------- In view of these experiments, we wondered whether pulmonary hypertension is amenable to Mg therapy and whether the vascular remodeling that normally takes place in the pulmonary circulation in this syndrome can be ameliorated or prevented by Mg. Rats were administered 40 mg/kg of monocrotaline. This plant extract is known to produce specific pulmonary hypertension in all mammals so far investigated, and a pulmonary, vascular remodelling takes place within 14-21 days. We examined all animals 21 days after monocrotaline [23]. Animals which received monocrotaline exhibited significant elevation in pulmonary blood pressure [23]. Controls and control animals which received oral Mg aspartate HCl exhibited no alteration in pulmonary pressure. However, monocrotaline-treated animals which received Mg aspartate HCl for 21 days exhibited a significant amelioration of pulmonary hypertension [23]. If true pulmonary hypertension is observed in human subjects or animals, the right ventricular to left ventricular ratio should be elevated. Our monocrotaline- treated animals clearly manifested a right ventricular to left ventricular ratio that was increased as expected [23]. The monocrotaline-treated animals, however, which received Mg therapy, clearly exhibited reduction in the elevated right ventricular to left ventricular ratio suggesting a reversal of the pulmonary hypertension [23, 24]. If the latter is true, then we would expect to see attenuation of the pulmonary hyperplasia of the arterial wall normally seen in pulmonary hypertension. Arteriolar and arterial walls clearly underwent significant hyperplasia, after monocrotaline, with encroachment of the lumens [23-25]. Mg therapy, reversed the monocrotaline-induced hyperplasia. Obviously, elevated levels of Mg must exert significant attenuating effects on collagen and elastin synthesis and smooth muscle cell hyperplasia [23-25]. These actions might therefore be of value in the treatment of atherosclerosis. Genetic Predisposition to Hypertension and Tissue Mg Levels Is there any evidence to indicate that teenagers, that is children below the age of 20 years, may exhibit Mg deficits which could be a risk factor for the development of hypertensive vascular disease? In the past 2 years, a group in Japan (headed by Shibutani in Hyogo Medical College) has begun to publish a number of reports which suggest that male children of parents with a genetic history of familial hypertension exhibit significant deficits in red blood cell Mg content [26]. This may be the first study to clearly suggest that a predilection for high blood pressure could develop in young males if, genetically, they exhibit deficits in tissue Mg. Dietary Mg Intake and Atherogenesis If atherosclerosis is a strong risk factor for hypertension, ischemic heart disease and stroke, and these are truly interrelated, then Mg should exert strong effects on atherogenesis. We, therefore, decided to examine rabbits given 1 or 2% cholesterol with varying Mg intake [27]. The Mg intake was varied from 40% of normal to normal or 2.5 times the normal intake. The animals were followed serially for up to 10 weeks. Aortas were excised and stained with Sudan 4 and examined histologically for lesions. No lesions could be found from rabbits ingesting normal chow with normal lipid and Mg intake or normal synthetic chow [27]. High cholesterol intake in the presence of normal dietary Mg resulted in significant atherosclerotic lesions. The animals receiving low dietary Mg and 2% cholesterol exhibited lesions far in excess of those observed with normal Mg intake [27]. However, if the intake of Mg was raised to 2.5 times normal, despite the high cholesterol intake, the atheromas were greatly attenuated, suggesting that Mg intake can modulate atherogenesis. Overall, the data clearly indicate that the greater the lipid intake, the greater the number of atherosclerotic lesions [27]. In addition, these data indicate that the lower the dietary intake of Mg, the greater the risk for developing atheromas. Stating this another way, it is also clear that the higher the intake of Mg, the less chance for developing atheromas despite high lipid intake. Our data would seem to suggest that Mg must exert significant effects on smooth muscle, macrophage and monocyte accumulation of lipids and might affect chemotaxis and the activity of growth factors implicated in atherogenesis. If this is all true, then dietary intake of Mg would be an important and maybe critical factor in the prevention of atherosclerosis, hypertension, cardiac disease, stroke and sudden cardiac death. In addition, such a hypothesis would suggest that a suboptimal dietary intake of Mg should put human subjects at risk for development of cardiovascular disease. Progressive Decline in Dietary Intake of Mg over the Past 90 Years It is rather interesting that if one examines the intake of Mg over the past 90 years, we note that there is a progressive and alarming decline in Mg intake at the present time (table 3). An examination of a recent US Department of Agriculture HANES dietary survey reported in 1985 indicates clear and significant shortfalls in dietary Mg, assuming an intake of 350 mg/day is needed for normal Mg balance [13]. It is also clear from this survey that men over the age of 65 years, who are known to present the greatest risk for death from ischemic heart disease (vide supra), exhibit the greatest shortfalls for dietary Mg of all male age groups. This may be more than coincidental. Protective Mechanisms of Mg Action against Death from Ischemic Heart Disease If Mg can ameliorate atherosclerosis and hypertension, and promote coronary vasodilation and unloading of the heart (8, 9, 11,14, 21], are these the primary mechanisms of the protective actions of magnesium ions against death from ischemic heart disease, or does Mg exert direct actions on myocardial bioenergetics as well [14, 21]? We will therefore present and discuss some of our recent experiments on intact perfused hearts which may have direct bearing on this question. 31P NMR Spectroscopy, Myocardial Bioenergetics, [Mg2+]i and [pH]i In order to get an assessment of cellular bioenergetics, we have employed 31P NMR spectroscopy and near-infrared spectroscopy [28, 29]. When the perfusate magnesium ion concentration is elevated to hypermagnesemic levels (2.4-4.8 mM), coronary flow, stroke volume, cardiac output and aortic pressure are seen to rise rather significantly, suggesting that Mg ions can exhibit inotropic-like effects. At the same time, the heart rate and rate-pressure product are decreased, suggesting that Mg unloads the heart and increases its efficiency. The 31P NMR spectra for elevated magnesium indicated that elevated [Mg2+]o results in elevated phosphocreatine levels (by 22-40%). Second, inorganic phosphate levels were decreased, and there were chemical shifts in the 31P NMR spectra produced by elevated Mg [28, 29]. Clearly, elevated Mg resulted in spectral shifts, which suggest that alterations in myocardial intracellular, free Mg ions and intracellular pH must have occurred. Elevation in [Mg2+]o (i.e. 2.4-4.8 mM) clearly resulted in elevation of intracellular, free Mg ions and alkalinization of the cytosol. Elevation of the intracellular pH in the presence of elevation of intracellular, free Mg ions would increase the creatine kinase reaction, resulting in more phosphocreatine, contractile force and stroke volume, exactly as we have observed. It was clear from our data that elevation in extracellular Mg ions to 4.8 mM resulted in a 40% rise in phosphocreatine. Influence of [Mg2+]o on Mitochondrial Levels of Cytochrome Oxidase and Oxymyoglobin Using a noninvasive near-infrared spectroscopic technique, we have clearly found that the mitochondrial levels of oxidized cytochrome aa3 and oxymyoglobin are increased by elevation in extracellular Mg ions 31P NMR [28]. These data coupled with the data suggest that the efficiency of the myocardium is enhanced by Mg ions. Reduction in [Mg2+]o Results in Myocardial Cellular Reduction in [Mg2+]i, [pH]i, Oxymyoglobin and Oxidized Cytochrome aa3 If, however, the extracellular Mg ions are reduced below normal, the cytosol becomes acidic and the intracellular free Mg ion level is significantly altered [30]. Preliminary experiments indicate that reduction in extracellular Mg ions or hypomagnesemia leads to rapid falls in oxymyoglobin levels. Finally, our recent near-infrared experiments indicate that subjection of intact rat hearts to hypomagnesemia clearly, results in increased mitochondrial levels of reduced cytochrome oxidase aa3. Conclusions It is becoming clear that a large body of epidemiologic data supports the idea that lower than normal dietary intake of Mg can be a strong risk factor for hypertension, cardiac arrhythmias, ischemic heart disease and sudden cardiac death. Lower than normal myocardial and coronary vascular Mg content seems to pose serious risks for angina, coronary vasospasm, ischemic heart disease and sudden cardiac death. Deficits in serum Mg appear often to be associated with arrhythmias, coronary vasospasm and high blood pressure. Experimental animal studies seem to suggest interrelationships between atherogenesis, hypertension and ischemic heart disease. Evidence is clearly accumulating to implicate a role for Mg in the modulation of serum lipids, lipid uptake in macrophages, smooth muscle cells and the arterial wall. There clearly appear to be considerable shortfalls in dietary intake of Mg in Western world populations, and that men over the age of 65 years, who are at greatest risk for death from ischemic heart disease, have the greatest shortfalls in dietary Mg. Although Mg clearly influences calcium uptake and distribution in vascular smooth muscle cells which can modulate vasomotor tone [3, 9, 14, 21, 28, 31-33], it is now becoming clear that Mg ions can directly alter myocardial cellular bioenergetics and influence (possibly dictate) efficiency of the myocardium. Noninvasive techniques such as 31P NMR spectroscopy, near-infrared spectroscopy and image analysis should aid in the clarification of the role of Mg as an important risk factor in cardiovascular disease. Acknowledgement The original work received herein was supported in part by NIAAA research grant AA-08674. References 1 Altura BM: Ischemic heart disease and magnesium. Magnesium 1988;7:57-67. 2 Ross R: The pathogenesis of atherosclerosis. N Engl J Med 1986;314:488-500. 3 Lee KT, Onodera K. Tanaka K (eds): Atherosclerosis II. Recent Progress in Atherosclerosis Research. Ann NY Acad Sci 1990;598:1-589. 4 Laragh J, Brenner BM: Hypertension: Pathophysiology, Diagnosis and Management. New York, Raven Press, 1990, vol 1 and 11. 5 Masironi R: Geochemistry and cardiovascular diseases. Philos Trans R Soc Lond 1979;288:193-203. 6 Marier J, Neri LC, Anderson TW: Water hardness, human health and importance of magnesium, rep No 17581. Ottawa, Natl Res Council Canada,1979. 7 Marier J, Neri LC: Quantifying the role of magnesium in the interrelationship between human mortality/morbidity and water hardness. Magnesium 1985;4:53-59. 8 Altura BM: Magnesium and regulation of contractility: in Altura BM (ed): Advances in Microcirculation: Regulation of the Microcirculation. Basel, Karger. 1982, pp 77-113. 9 Altura BM, Altura BT: Magnesium-calcium interaction and contraction of arterial smooth muscle in ischemic heart diseases, hypertension and vasospastic disorders. in Wester P (ed): Electrolytes and the Heart. New York, Transmedica, 1983, pp 41-56. 10 Leary, WP, Reyes AJ: Magnesium and sudden death. S Afr Med J 1983;64:697-698. 11 Altura BM, Altura BT: New perspectives on the role of magnesium in the pathophysiology of the cardiovascular system. I. Clinical aspects. Magnesium 1985;4:226-244. 12 Karppanen HR. Pennanen R. Passinen L: Minerals, coronary heart disease and sudden coronary death. Adv Cardiol 1978;25:9-24. 13 Morgan KJ, Stampley GE, Zabik ME, Fischer DR: Magnesium and calcium intakes in the US population. J Am Coll Nutr 1985;4:195-206. 14 Altura BM, Altura BT: Magnesium and the cardiovascular system: Experimental and clinical aspects updated: in Sigel H, Sigel A (eds): Metal Ions in Biological Systems. New York, Dekker, 1990, vol 26: Compendium on Magnesium: Its Physiology, Biochemistry, and Nutrition. pp 359-416. 15 lseri LC, Alexander EC, MacCaughey RS, Boyle AJ, Meyers G: Water and electrolyte content of cardiac and skeletal muscle in heart failure and myocardial infarction. Am Heart J 1952;43:215-227. 16 Heggtveit MA, Tanser P, Hunt B: Magnesium content of normal and ischemic hearts. Proc 7th Int Congr Clin Pathol, Montreal, 1969, p 53. 17 Speich M, Bousquet B, Nicholas G, Delajartre AY: Incidences de l'infarctus du myocarde sur les teneurs en magnesium plasmatique erythrocytaire et cardiaque. Rev Fr Endocrinol Clin 1979;20:159-163. 18 Speich M, Bousquet B, Nicholas G: Concentrations of magnesium, calcium, potassium and sodium in human heart muscle after acute myocardial infarction. Clin Chem 1980;26:1662-1665. 19 Johnson CJ, Peterson DR, Smith EK: Myocardial tissue concentration of magnesium and potassium in men dying suddenly from ischemic heart diease. Am J Clin Nutr 1979;32:967-970. 20 Overlack A, Zenzen JG, Ressel C, Muller HM, Stumpe KO: Influence of magnesium on blood pressure and the effect of nifedipine in rats. Hypertension 1987;9:139-143. 21 Altura BM, Altura BT: Role of magnesium in pathogenesis of hypertension. Relationship to its actions on cardiac and vascular smooth muscle: in Laragh JH, Brenner BM (eds): Hypertension: Pathophysiology. Diagnosis and Management. New York, Raven Press, vol 1, 1990, pp 1003-1025. 22 Resnick LM, Gupta RK, Laragh JH: lntracellular magnesium in erythrocytes of essential hypertension relation to blood pressure and serum divalent cations. Proc Natl Acad Sci USA 1984;81:6511-6515. 23 Mathew R, Gloster ES, Altura BT, Altura BM: Magnesium aspartate hydrochloride attenuates monocrotaline pulmonary artery hypertension in rats. Clin Sci 1988;75:661-667. 24 Mathew R, Altura BM: Magnesium and the lungs. Magnesium 1988:7:173-187. 25 Mathew R, Altura BT, Altura BM: Strain differences in pulmonary hypertensive response to monocrotaline alkaloid and the beneficial effect of oral magnesium treatment. Magnesium 1989;8:110-116. 26 Shibutani Y, Sakamoto MK, Katsuno S, Yoshimoto S, Matsura T: Serum and erythrocyte magnesium levels in junior high school students: Relation to blood pressure and a family history of hypertension. Magnesium 1988;7:188-194. 27 Altura BT, Brost M, Bloom S, Barbour RL, Stempak JK, Altura BM: Magnesium dietary intake modulates blood lipid levels. Proc Natl Acad Set USA 1990;87:1840-1844. 28 Altura BM, Barbour RL, Reiner SD, Zhang A, Cheng TP, Down JL, Gupta RK, Wu F, Altura BT: Influence of Mg2+ on distribution of ionized Ca2+ in vascular smooth muscle and on cellular bioenergetics and intracellular free Mg2+ and pH in perfused hearts probed by digital imaging microscopy, 31P NMR and reflectance spectroscopy: in Zhakari S, Witt E (eds): Imaging Techniques in Alcohol Research. Monograph 21, Washington, NIAAA, pp 235-272. 29 Barbour RL, Altura BM, Reiner SD, Dowd TL, Gupta RK, Wu F, Altura BT: Influence of Mg2+ on cardiac performance, intracellular free Mg2+ and pH in perfused hearts as assessed with 31P-NMR spectroscopy. Magnes Trace Elem 1992;10:99-116. 30 Barbour RL, Gupta RK, Dowd TL, Reiner SD, Wu F, Altura BT, Altura BM: Response of cardiac energetics to elevated and low magnesium in perfused rat hearts. J Magn Reson Imaging, in press. 31 Altura BM, Altura BT: Magnesium and vascular tone and reactivity. Blood Vessels 1978;15:5-16. 32 Altura BM, Altura BT: Magnesium, electrolyte transport and coronary vascular tone. Drugs 1984; 28(suppl 1): 120-142. 33 Altura BM, Altura BT, Carella A, Turlapaty PDMV: Ca2+ coupling in vascular smooth muscle: Mg2+ and buffer effects on contractility and membrane Ca2+ movements. Can J Physiol Pharmacol 1982;60:459-482. Prof. Dr. B.M. Altura Box 31 SUNY Health Science Center 450 Clarkson Avenue Brooklyn, NY 11203 (USA) --- ----------- THE MAGNESIUM WEB SITE >From the 1996 FDA Science Forum. Abstract. --- http://www.mgwater.com/mgrda.shtml Is the RDA for Magnesium Too Low? N.A. Littlefield and B.S. Hass, NCTR, FDA, Jefferson AR 72079 Since magnesium (Mg), an essential nutrient, is abundant in the environment and food supply, it is generally assumed that Mg deficiency is not a problem. However, the literature indicates that deficiencies may exist in both thirdworld and industrialized nations and may influence cardiac and vascular diseases, diabetes, bone deterioration, renal failure, hypothyroidism, and stress. Because Mg in certain forms is not easily absorbed and no classical symptoms exist, the problem of Mg deficiency is readily masked, especially in high risk groups such as diabetics, alcoholics, those taking hypertension medication, and some athletes. The current Recommended Daily Allowance (RDA) for the US is 6 mg/Kg/day, which translates to 420 mg for a 70 Kg man. The estimated intake in the US is 300 mg/day. Studies show that as much as 3 times this amount may be needed by the general population and especially by those predisposed to cardiac disease states. This report summarizes recent research on Mg in human diets and the results of Mg deficiencies. Quote Link to comment Share on other sites More sharing options...
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