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Magnesium - Are you deficient? JoAnn Guest Dec 28, 2004 19:07 PST

 

 

 

Magnesium - Are you deficient?

 

What does it do? Magnesium is needed for bone, protein, and fatty acid

formation, making new cells, " activating " B vitamins, relaxing muscles,

clotting blood,

and forming ATP—the energy the body runs on. The secretion and action of

insulin also require magnesium.

 

Magnesium also acts in a way related to calcium channel blocker drugs.

 

This effect may be responsible for the fact that under certain

circumstances, magnesium has been found to potentially improve vision in

people with glaucoma.

 

Similarly, this action might account for magnesium’s ability to lower

blood pressure.

 

Since magnesium has so many different actions in the body, the exact

reasons for some of its clinical effects are difficult to determine.

 

For example, magnesium has reduced hyperactivity in children in

preliminary research.3 Other research suggests that some children with

attention deficit-hyperactivity disorder (ADHD) have lowered levels of

magnesium. In a preliminary but controlled trial, 50 ADHD children with

low magnesium (as determined by red blood cell, hair, and serum levels

of magnesium) were given 200 mg of magnesium per day for six months.4

Compared with 25 other magnesium-deficient ADHD children, those given

magnesium supplementation had a significant decrease in hyperactive

behavior.

 

Magnesium levels have been reported to be low in those with chronic

fatigue syndrome (CFS), while magnesium injections have been reported to

improve symptoms.

Oral magnesium supplementation has also improved symptoms in those

people with CFS who had low magnesium levels in another report, although

magnesium injections were sometimes necessary.

However, other research reports no evidence of magnesium deficiency in

people with CFS. The reason for this discrepancy remains unclear. People

with CFS considering magnesium supplementation should have their

magnesium status checked beforehand by a doctor. Only people with

magnesium deficiency appear to benefit from this therapy.

 

People with diabetes tend to have lower magnesium levels compared with

those who have normal glucose tolerance. Supplementation with magnesium

overcomes this problem and may help some diabetics improve glucose

tolerance.

 

Magnesium may be beneficial for bladder problems in women, especially

common disturbances in bladder control and the sense of “urgency.” A

double-blind trial found that women who took 350 mg of magnesium

hydroxide (providing 147 mg elemental magnesium) twice daily for four

weeks, had better bladder control and fewer symptoms than women who took

a placebo.

 

Magnesium supplementation may reduce dehydration of red blood cells in

sickle cell anemia patients.

 

Administration of 540 mg per day of magnesium pidolate to sickle cell

anemia patients was seen after six months, to reverse some of the

characteristic red blood cell abnormalities and to dramatically reduce

the number of painful days for these patients.13 This preliminary trial

was not blinded, so placebo effect could not be ruled out. Magnesium

pidolate is also an unusual form of magnesium. It is unknown whether

other forms of magnesium would produce similar results.

 

Where is it found?

Raw nuts and organic whole grains are good sources of magnesium.

Unprocessed beans,lentils, legumes, dark green leafy vegetables and cold

water fish also contain significant amounts.

 

Magnesium has been used in connection with the following conditions

(refer to the individual health concern for complete information):

 

Rating Health Concerns

Cardiac arrhythmia

Congestive heart failure

Diabetes

Gestational hypertension

Kidney stones (citrate in combination with potassium citrate)

Migraine headaches

Mitral valve prolapse

ADHD

Asthma

Celiac disease (for deficiency only)

Heart attack (IV magnesium immediately following a myocardial

infarction)

High blood pressure (for people taking potassium-depleting diuretics)

Osteoporosis

Premenstrual syndrome

Urinary urgency (women)

Alcohol withdrawal support

Angina

Anxiety

Athletic performance

Autism

Chronic fatigue syndrome

Chronic obstructive pulmonary disease (COPD)

Cluster headache (intravenous)

Dysmenorrhea

Fibromyalgia

Glaucoma

Heart attack (oral magnesium)

High cholesterol

Hypoglycemia

Insomnia

Insulin resistance syndrome (Syndrome X)

Intermittent claudication

Multiple sclerosis

Preeclampsia

Raynaud’s disease

Retinopathy

Sickle cell anemia

Stroke

 

Who is likely to be deficient?

 

Magnesium deficiency is common in people taking “potassium-depleting”

prescription diuretics. Taking too many laxatives can also lead to

deficiency.

 

Alcoholism, severe burns, diabetes, and heart failure are other

potential causes of deficiency. In a study of urban African-American

people (predominantly female), the overall prevalence of magnesium

deficiency was 20%.

 

People with a history of alcoholism were six times more likely to have

magnesium deficiency than were people without such a history.14 The low

magnesium status seen in alcoholics with liver cirrhosis contributes to

the development of hypertension in these people.15

 

Almost two-thirds of people in intensive care hospital units have been

found to be magnesium deficient.16 Deficiency may also occur in people

with chronic diarrhea, pancreatitis, and other conditions associated

with " malabsorption " .

 

Fatigue, abnormal heart rhythms, muscle weakness and spasm, depression,

loss of appetite, listlessness, and potassium depletion can all result

from a magnesium deficiency.

 

People with these symptoms should be evaluated by a doctor before taking

magnesium supplements.

 

As previously mentioned, magnesium levels have been found to be low in

people with chronic fatigue syndrome.

 

Deficiencies of magnesium that are serious enough to cause symptoms

should be treated by medical doctors, as they might require intravenous

administration of magnesium.17

 

How much is usually taken? Most people don’t consume enough magnesium in

their diets.

 

Many nutritionally oriented doctors recommend 400 - 800 mg per day of

supplemental magnesium for adults.

 

Are there any side effects or interactions? Comments in this section are

limited to effects from taking oral magnesium. Side effects from

intravenous use of magnesium are not discussed.

 

Taking too much magnesium may lead to diarrhea. For some people this can

happen with amounts as low as 350–500 mg per day. More serious problems

can develop with excessive magnesium intake from magnesium-containing

laxatives.

 

However, the amounts of magnesium found in nutritional supplements are

unlikely to cause such problems. People with kidney disease should not

take magnesium supplements without consulting a doctor.

 

Vitamin B6 increases the amount of magnesium that can enter cells.

 

As a result, these two nutrients are often taken together. Magnesium may

compete for absorption with other minerals, particularly calcium. Taking

a multimineral supplement avoids this potential problem.

 

Are there any drug interactions? Certain medications may interact with

magnesium. Refer to the drug interactions safety check for a list of

those medications.

 

References:

 

1. Gaspar AZ, Gasser P, Flammer J. The influence of magnesium on visual

field and peripheral vasospasm in glaucoma. Ophthalmologica

1995;209:11–3.

 

2. Kawano Y, Matsuoka H, Takishita S, Omae T. Effects of magnesium

supplementation in hypertensive patients. Hypertension 1998;32:260–5.

 

3. Starobrat-Hermelin B, Kozielec T. The effects of magnesium

physiological supplementation on hyperactivity in children with

attention deficit hyperactivity disorder (ADHD). Positive response to

magnesium oral loading test. Magnes Res 1997;10:149–56.

 

4. Starobrat-Hermelin B, Kozielec T. The effects of magnesium

physiological supplementation on hyperactivity in children with

attention deficit hyperactivity disorder (ADHD). Positive response to

magnesium oral loading test. Magnes Res 1997;10:149–56.

 

5. Moorkens G, Manuel y Keenoy B, Vertommen J, et al. Magnesium deficit

in a sample of the Belgian population presenting with chronic fatigue.

Magnes Res 1997;10:329–37.

 

6. Cox IM, Campbell MJ, Dowson D. Red blood cell magnesium and chronic

fatigue syndrome. Lancet 1991;337:757–60.

 

7. Howard JM, Davies S, Hunnisett A. Magnesium and chronic fatigue

syndrome. Lancet 1992;340:426.

 

8. Gantz NM. Magnesium and chronic fatigue. Lancet 1991;338:66 [letter].

 

9. Hinds G, Bell NP, McMaster D, McCluskey DR. Normal red cell magnesium

concentrations and magnesium loading tests in patients with chronic

fatigue syndrome. Ann Clin Biochem 1994;31(Pt 5):459–61.

 

10. Paolisso G, Scheen A, D’Onofrio FD, Lefebvre P. Magnesium and

glucose homeostasis. Diabetologia 1990;33:511–4 [review].

 

11. Eibl NL, Schnack CJ, Kopp H-P, et al. Hypomagnesemia in type II

diabetes: effect of a 3-month replacement therapy. Diabetes Care

1995;18:188.

 

12. Gordon D, Groutz A, Ascher-Landsberg J, et al. Double-blind,

placebo-controlled study of magnesium hydroxide for treatment of sensory

urgency and detrusor instability: preliminary results. Br J Obstet

Gynaecol 1998;105:667–9.

 

13. De Franceschi L, Bachir D, Galacteros F, et al. Oral magnesium

pidolate: effects of long-term administration in patients with sickle

cell disease. Br J Haematol 2000 Feb;108:284–9.

 

14. Fox CH, Ramsoomair D, Mahoney MC, et al. An investigation of

hypomagnesemia among ambulatory urban African Americans. J Fam Pract

1999;48:636–9.

 

15. Kisters K, Schodjaian K, Tokmak F, et al. Effect of ethanol on blood

pressure—role of magnesium. Am J Hypertens 2000;13:455–6 [letter].

 

16. Weisinger JR, Bellorin-font E. Magnesium and phosphorus.Lancet

1998;352:391–6 [review].

 

17. Weisinger JR, Bellorin-font E. Magnesium and phosphorus.Lancet

1998;352:391–6 [review].

 

 

 

 

 

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" Wisdom of the Past, Food of the Future "

 

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